Inspection · 2025-07-08
Date
2025-07-08
Complaint Related
Yes
Licensing Inspector
Christine Mahan
(757) 404-0568
(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 Special Services.
8VAC20-770 Background Checks
Violations
8Standard 22.1-289.035-B-1
Complaint Related
The center is required to obtain a completed sworn statement prior to the employee's first day of employment. Staff #1 has been employed for more than 3 weeks, and Staff #2 has been employed for more than 3 months and both staff do not have a completed sworn statement.
The center is required to obtain a completed sworn statement prior to the employee's first day of employment. Staff #1 has been employed for more than 3 weeks, and Staff #2 has been employed for more than 3 months and both staff do not have a completed sworn statement.
Plan of Correction: Staff #1 and Staff #2 are no longer employed with A+ Childcare. New Hires will be required to complete and sign a sworn statement prior to first date of employment.
Standard 8VAC20-780-160-A
Complaint Related
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment and shall have been completed within the last 30 days of the date of employment. Staff # 2 does not have documentation of TB screening and has been working for approximately 4 months.
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment and shall have been completed within the last 30 days of the date of employment. Staff # 2 does not have documentation of TB screening and has been working for approximately 4 months.
Plan of Correction: Staff #2 no longer employed wilt A+ Childcare. All staff TB screen documented in files.
Standard 8VAC20-780-240-B
Complaint Related
Staff shall complete orientation training no later than seven days of the date of assuming job responsibilities. Staff #1 has been employed for more than 3 weeks, and Staff #2 has been employed for more than 3 months and both staff do not have documentation of a completed orientation.
Staff shall complete orientation training no later than seven days of the date of assuming job responsibilities. Staff #1 has been employed for more than 3 weeks, and Staff #2 has been employed for more than 3 months and both staff do not have documentation of a completed orientation.
Plan of Correction: Staff #1 and #2 are no longer employed with A+ childcare.
Standard 8VAC20-780-240-E
Complaint Related
Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Staff #2 has been employed for more than 3 months and Staff #5 has been employment for more than 5 months and both staff do not have documentation of orientation training in first aid and CPR.
Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Staff #2 has been employed for more than 3 months and Staff #5 has been employment for more than 5 months and both staff do not have documentation of orientation training in first aid and CPR.
Plan of Correction: Staff #2 is no longer employed with A+ Childcare. Staff #5 has completed CPR and first aid training
Standard 8VAC20-780-280-D
Complaint Related
Cleaning and sanitizing materials shall not be located above food and shall be stored in areas physically separate from food. On 7-8-2025, in the kitchen granola bars were observed stored next to bleach and water spray bottles and soap and water spray bottles
Cleaning and sanitizing materials shall not be located above food and shall be stored in areas physically separate from food. On 7-8-2025, in the kitchen granola bars were observed stored next to bleach and water spray bottles and soap and water spray bottles
Plan of Correction: Reviewed with all staff the importance of keeping hazardous materials and edible items in physically separate areas.
Standard 8VAC20-780-350-B-4
Complaint Related
The required ratio for children 3 year old up to school age eligible is 1:10. On 7-8-2025 the ratio was not met as follows:
1.Two staff (Staff #7 and Staff #8) were observed supervising 22 children, the youngest age 3. The group was out ratio for approximately 17 minutes in the morning.
2.Two staff (Staff #7 and Staff #9) were observed supervising 23 children, the youngest age 3. The group was out ratio for approximately 26 minutes in the morning.
The required ratio for children 3 year old up to school age eligible is 1:10. On 7-8-2025 the ratio was not met as follows:
1.Two staff (Staff #7 and Staff #8) were observed supervising 22 children, the youngest age 3. The group was out ratio for approximately 17 minutes in the morning.
2.Two staff (Staff #7 and Staff #9) were observed supervising 23 children, the youngest age 3. The group was out ratio for approximately 26 minutes in the morning.
Plan of Correction: 1.Additional staff has been hired lo ensure the staff is in ratio during peak morning hours.
2.Additional staff has been hired to ensure the staff is in ratio during peak morning hours.
2.Additional staff has been hired to ensure the staff is in ratio during peak morning hours.
Standard 8VAC20-780-70
Repeat Violation
Complaint Related
All required documentation shall be maintained for staff records.
1.Staff #1, Staff #2, Staff #3 and Staff #5 did not have documentation required to be kept at the center regarding any health problems that may interfere with fulfilling the job responsibilities.
2. Staff #2 and Staff #4 have been employed do not have documentation that two or more references as to character and reputation as well as competency were checked before employment.
Complaint Related
All required documentation shall be maintained for staff records.
1.Staff #1, Staff #2, Staff #3 and Staff #5 did not have documentation required to be kept at the center regarding any health problems that may interfere with fulfilling the job responsibilities.
2. Staff #2 and Staff #4 have been employed do not have documentation that two or more references as to character and reputation as well as competency were checked before employment.
Plan of Correction: 1. Staff #1 and #2 are no longer employed al A+ Childcare. Staff #3 and #5 have both signed documentation and ii has been placed in their files.
2. Slaff #2 is no longer employed al A+ Childcare. Staff# 4 has references on file
2. Slaff #2 is no longer employed al A+ Childcare. Staff# 4 has references on file
Standard 8VAC20-780-90-A
Complaint Related
A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreements listed below shall be signed by the parent(s).
1. An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds.
2. A statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center.
3. A statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.
Child #2 (attending for 2 days) did not have agreements 1, 2 and 3 signed in their record, Child #4 (attending for almost 3 months) and Child #5 (attending for over 1 month) did not have agreement 3 signed in their record.
A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreements listed below shall be signed by the parent(s).
1. An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds.
2. A statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center.
3. A statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.
Child #2 (attending for 2 days) did not have agreements 1, 2 and 3 signed in their record, Child #4 (attending for almost 3 months) and Child #5 (attending for over 1 month) did not have agreement 3 signed in their record.
Plan of Correction: Child #2 agreements signed in file. Child # 4 agreements signed in file. Child #5 agreements signed in file