Inspection · 2025-06-17
Licensing Inspector
Christine Mahan
(757) 404-0568
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 The License.
8VAC20-820 The Licensing Process.
8VAC20-820 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on 6-17-2025 and completed on 6-23-2025. The on-site inspection began at 10:30am and ended at 12:40pm. The inspector reviewed compliance in the areas listed above. There were 22 children present and 4 staff. The inspector reviewed 5 children?s records and 5 staff records[on-site. This inspection included document review, tour of the facility, interviews, observations and measurements.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 6-30-2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: Director will have a testing plan submitted
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #1 TB was dated approximately 2 ? months prior to date of employment and Staff #3 is currently working and has a TB screening that was dated approximately 3 weeks after their first day of employment.
Plan of Correction: Director will ensure results are received as the standards states
Standard 8VAC20-780-260-A
The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection was dated 1-16-2024.
Plan of Correction: Director will call for a fire inspection
Standard 8VAC20-780-260-B
The center shall provide to the licensing representative an annual health inspection. The most recent report available for review was dated 3-13-2023.
Plan of Correction: Director will call for a health inspection
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. On the window-sill inside the centers lobby there were areas of cracked broken drywall exposing sharp metal edges and chipped and peeling paint.
Plan of Correction: Director will correct the broken drywall and add corner guards.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In classroom B hand sanitizer was observed on desk, and in the hallway near the children?s restrooms a container of bleach was stored on an unlocked cabinet. Both Hazardous substances had warning labels, ?Keep out of reach of children?.
Plan of Correction: Hand sanitizer was removed from desk during inspection. The few drops of bleach left out was tossed during inspection.
Standard 8VAC20-780-290-A-3
In areas used by preschool age or younger children, electrical outlets shall have protective covers. There were 2 uncovered outlets in Classroom A, 1 uncovered outlet and in Classroom B there were 2 uncovered outlets. The uncovered outlets were within reach of children.
Plan of Correction: Outlets were corrected during inspection and employees are aware
Standard 8VAC20-780-340-D
Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #1 and Staff #2 were the only staff working in Classroom B and they do not meet the the lead teacher qualifications. Staff #1 and Staff #2 have the job title as assistant.
Plan of Correction: Director will make sure a lea qualified teacher will substitute for the lead teacher that absent
Standard 8VAC20-780-350-B-4
The required ratio for children 3-year-olds up to school age eligible is 1 staff per 10 children. There was only 1 staff in the classroom A supervising 12 children for approximately 2 hours and the youngest child was age 4.
Plan of Correction: Child #1will be a schoolager this coming school year. Director assumed that child was considered a schoolager, some children start school at 3.
Standard 8VAC20-780-40-J
The center is required to update at least annually the injury prevention procedures based on documentation of injuries and a review of the activities and services. The most recent plan available for review was dated 2023.
Plan of Correction: Director will update and include prevention of recent incidents and date it.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill. There was not documentation of drills conducted in November and December 2024.
Plan of Correction: Director will continue to conduct drills for 2025 and future years
Standard 8VAC20-780-550-F
The center shall practice lockdown procedures shall be practiced at least annually. There was not documentation of any lockdown drills conducted in 2024.
Plan of Correction: Lockdown will be conducted
Standard 8VAC20-780-560-F
Repeat Violation
When centers choose to provide meals or snacks, they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). USDA indicates children ages 3-5 shall have 6 fluid ounces of milk for lunch. On 6-17-2025, during lunch the center served during approximately 2 fluid ounces to the 3 and 4 year old children.
Plan of Correction: Director will ensure that all employees know how much is required and offer it even if children does not want it.
Standard 8VAC20-780-80-A
Repeat Violation
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. At approximately 10:40 a.m. on 6/17/2025, there were 12 children present in Classroom A, but only 11 were marked present on the attendance record, Child #1 was not listed. Child #1 had been in the classroom for approximately 2 hours.
Plan of Correction: One of the students started the ay of inspection. Student is now in the brightwheel app and on the attendance sheet.