Inspection · 2025-06-25
Date
2025-06-25
Complaint Related
No
Licensing Inspector
Heather Harrell
(757) 334-4329
(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 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 and completed on 6/25/25. The on-site inspection began at 10:30am and ended at 1:00pm. The inspector reviewed compliance in the areas listed above. There were 18 children present and 4 staff. The inspector reviewed10 children's records and 4 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.
Violations
9Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for child 1, who was in care during the insepction, did not contain documentation of an immunization record.
Plan of Correction: The center responded with the following: The missing health information in children's records will be obtained and documented in each child's record. Center management will audit all children's records to ensure they contain all required information and heatlh documents.
Standard 8VAC20-780-140-A
Repeat Violation
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. The records for child 1 and child 2, both in care during the inspection, did not contain documentation of a physical examination.
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. The records for child 1 and child 2, both in care during the inspection, did not contain documentation of a physical examination.
Plan of Correction: The center responded with the following: The missing health information in children's records will be obtained and documented in each child's record. Center management will audit all children's records to ensure they contain all required information and heatlh documents.
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. There was a can of air freshener on the desk in the office. The door to the office was open and the office was accessible to children in care. There was also a gallon container of disinfectant and a gallon container of bleach on the floor of an unlocked closet in the office.
Plan of Correction: The center responded with the following: The cleaning materials were locked in a cabinet during the inspection. The office door will be closed and locked when not occupied.
Standard 8VAC20-780-280-D
Cleaning and sanitizing materials shall be stored in areas physically separate from food. There were containers of bleach and sanitizer being stored in the office closet that contained food. In the infant room, there was hand sanitizer being stored in a basket that contained cans of infant formula.
Plan of Correction: The center responded with the following: The cleaning materials found in the food closet are not usually stored there and were removed to a locked cabinet during the inspection. The hand sanitizer next to the infant formula was removed as well. Staff will be reminded to not store cleaning materials in the same area as food.
Standard 8VAC20-780-550-H
The center shall maintain a record of the dates of practice drills for one year. There was no documentation of emergency drills being practiced for the months of February 2025 through June 2025.
Plan of Correction: The center responded with the following: Emergency drills were practiced each month; however, were not documented on the drill log. Staff will be retrained on procedures for documenting practice drills.
Standard 8VAC20-780-570-E
Prepared infant formula shall be dated. There were three bottles of infant formula that were not dated.
Plan of Correction: The center responded with the following: Staff will be retrained on procedures for labeling and dating infant bottles.
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 did not contain a first date of attendance. The record for child 2 did not contain a first date of attendance or the work phone number for either parent. The record for child 3 did not contain a first date of attendance, the work phone number and place of employment for one parent and the work phone number for the other parent or documentation of viewing proof of the child's identity and age. The records for child 4 and child 5 (both enrolled for over a week) did not contain the names of either emergency contact or the address of one of the emergency contacts. The record for child 6 (enrolled for a year and a half) did not contain the address for one of the emergency contacts.
Plan of Correction: The center responded with the following: The missing information in children's records will be obtained and documented in each child's record. Center management will audit all children's records to ensure they contain all required information.
Standard 8VAC20-780-70
Repeat violation
Staff records shall contain all the required information. The record for staff 1, who has been working at the center for over three months, did not contain documenation of completed reference verifications.
Staff records shall contain all the required information. The record for staff 1, who has been working at the center for over three months, did not contain documenation of completed reference verifications.
Plan of Correction: The center responded with the following: The references for staff 1 were completed but not documented. The reference checks will be documented in the record today. Going foward, center management will ensure staff records contain all required information.
Standard 8VAC20-780-80-A
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 10:30am on 6/225, there were 18 children present in the center, but only 8 were marked present on the attendance record.
Plan of Correction: The center responded with the following: Moving forward, each classroom will have a separate sign in sheet. Staff will be retrained on documenting the arrival and departure of each child in care.