Inspection · 2025-03-25
Licensing Inspector
Heather Harrell
(757) 334-4329
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.
8VAC20-770 Background Checks
20 Access to minor's records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above. 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 and completed on 3/25/25. The on-site inspection began at 11:15am and ended at 2:10pm. The inspector reviewed compliance in the areas listed above. There were 45 children present and 10 staff. The inspector reviewed 5 children's records and 5 staff records on-site. This inspection included document review, a tour of the facility, interviews and observations. 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.
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.
Plan of Correction: The center responded with the following: Center management will ensure testing has been scheduled with a certified laboratory. The testing plan will be submitted to VDH and testing results will be submitted once received.
Standard 8VAC20-780-510-E
The center's procedures for administering medication shall include methods to prevent use of outdated medication.
There are two emergency medications for children in care being stored at the center that are expired. One of the medications was expired by three months and the other medication was expired by four months.
Plan of Correction: The center responded with the following: Management will request new medication from the parent. A tracking form will be created to to ensure medication and authorizations to administer medication are kept up-to-date.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the center shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.
Medication for child 3 was onsite, but the medication authorization had expired six months ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.
Plan of Correction: The center responded with the following: Updated authorization forms will be obtained from the parent and physician. A tracking form will be created to to ensure medication and authorizations to administer medication are kept up-to-date.
Standard 8VAC20-780-550-P
The center shall maintain a written record of all children's serious and minor injuries that contain all the required information.
The center's form used for documentation of children's injuires does not contain future action to prevent recurrence of the injury.
Plan of Correction: The center responded with the following: The DOE model child injury form will be used going forward to ensure all required information is included.
Standard 8VAC20-780-570-E
Prepared infant formula shall be dated.
There were twelve bottles of prepared infant formula in the infant room refrigerator that were not dated.
Plan of Correction: The center responded with the following: Staff will be retrained on procedures for labeling and dating prepared infant formula.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
The record for child 1, enrolled for over two years, was missing the address for one emergency contact. The record for child 2, enrolled for two months, was missing the address for both emergency contacts.
Plan of Correction: The center responded with the following: The center will obtain the missing emergency contact information from the parent today at pick-up.
Standard 8VAC20-780-70
Documentation of at least 2 references as to character, reputation, and competency are to be checked prior to employment.
Staff 1, who has been working at the center for one month, did not have completed reference verifications on file.
Plan of Correction: The center responded with the following: The missing refrences for staff 1 will placed in the record. If unable to locate documentation of the references, the checks will be completed again and placed in staff 1's record.