Inspection · 2025-05-01

Date

2025-05-01

Complaint Related

Licensing Inspector

Sharon Curlee
(804) 840-8312

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 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
63.2 Child Abuse & Neglect
22.1 Early Childhood Care and Education
20 Access to minor?s records

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

This inspection notice was amended on June 2, 2025. The Licensee has been provided with a copy of the updated inspection notice.

An unannounced, on-site monitoring inspection was initiated on May 1, 2025, and completed on May 15, 2025, as a part of the licensure period. The on-site inspection began at 3:15 pm and ended at 5:00 pm. The inspector reviewed compliance in the areas listed above. There were 43 children present and four staff. The inspector reviewed five children?s records and five staff records electronically on May 6, 2025. Additional documentation was obtained May 15, 2025. This inspection included document review, 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.
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 business days from today, which will be the close of business on June 6, 2025. A POC submitted after this date will not appear on the public website.

Violations

Standard 8VAC20-780-140-A

Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. The record of child #5, enrolled eight months ago, did not have documentation of a physical.

Plan of Correction: Per the Administrator: We have a new process to prevent this issue for next year.

Standard 8VAC20-780-240-A

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. The record of staff #3, employed for six months, did not have documentation of completing the department?s orientation course.

Plan of Correction: Per the administrator: Staff will complete training within required time frames.

Standard 8VAC20-780-40-M

Repeat
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. Child #12, with a diagnosed food allergy, was not included on the allergy, sensitivity, and dietary restriction list.

Plan of Correction: Per the administrator: Allergy lists will be updated by director.

Standard 8VAC20-780-510-F

The medication authorization shall be available to staff during the entire time it is effective. There was no medication authorization for child #7. The medication was on site and had not been administered.

Plan of Correction: Per the administrator: staff will not accept medication without proper form.

Standard 8VAC20-780-530-A-1

Repeat
At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. 1. Staff #3, observed alone and in charge of a group of children during the inspection on 05/01/2025, did not have documentation of current CPR certification. 2. Staff #5 observed alone and in charge of a group of children had CPR certification that expired eight months ago. There was no documentation of current CPR certification.

Plan of Correction: Per the administrator: we have identified additional trainers to ensure staff can be trained in a timely manner.

Standard 8VAC20-780-530-A-2

Repeat
At least one staff in each classroom or area where children are present shall have current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. 1. Staff #3, observed alone and in charge of a group of children on 05/01/2025, did not have documentation of current first aid certification. 2. Staff #5 observed alone and in charge of a group of children on 05/01/2025, had first aid certification that expired eight months ago. There was no documentation of current first aid certification.

Plan of Correction: Per the administrator: we have identified additional trainers to ensure staff can be trained in a timely manner.

Standard 8VAC20-780-550-P

Repeat
The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include all required information.
1. The injury report for child #5, dated 04/07/2025, was missing the time, date and how the parent was notified of the injury. 2. Injury reports for child #9 (dated 03/17/2025), child #14 (dated 03/13/2025), and child #15 (dated 03/04/2025) were missing staff and parent signatures or two staff signatures. Each reinjury report had one staff signature.

Plan of Correction: Per the administrator: Staff will be trained in proper procedures for incident reports.

View original record on Virginia Department of Social Services