Inspection · 2026-03-31
Date
2026-03-31
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
(540) 309-2835
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.
Yes
Areas Reviewed
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified
63.2 Child abuse and neglect
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
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 code compliance inspection was initiated and completed on 03/31/2026. The on-site inspection began at 9:30 am and ended at 1:45 pm. The inspector reviewed compliance in the areas listed above. There were 21 children present with 6 staff. The inspector reviewed 6 children?s records and 5 staff records on-site. This inspection included: document review, tour of the facility, interviews, and observations.
A subsidy health and safety inspection (SHSI) was conducted in conjunction with the code compliance inspection. Subsidy standards that are not covered in Code were reviewed during this SHSI.
Information gathered during the inspection determined non-compliance(s) with applicable code sections, and violations are documented on the violation notice issued to the program.
Violations
13Standard 22.1-289.031-A-3-b
When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-child ratio.
There were 9 children with 1 staff in Class 4 while on the playground. Child 1 (age 22 months) was identified as the youngest child in the group. The required ratio for children from 16 months to 22 months is 1 staff per 5 children; 2 staff were required for this group of children.
There were 9 children with 1 staff in Class 4 while on the playground. Child 1 (age 22 months) was identified as the youngest child in the group. The required ratio for children from 16 months to 22 months is 1 staff per 5 children; 2 staff were required for this group of children.
Plan of Correction: Will meet with staff and advise them of the ratio requirements regarding the youngest child in the group.
Standard 8VAC20-790-530-B
For each group of children, the provider shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
There were 4 children in Class 1; the attendance for Class 1 had not been taken to document the arrival of each child as it occurred.
There were 6 children with Class 3 but only 5 children were marked present.
There were 8 children with Class 4 but only 7 children were marked present.
There were 4 children in Class 1; the attendance for Class 1 had not been taken to document the arrival of each child as it occurred.
There were 6 children with Class 3 but only 5 children were marked present.
There were 8 children with Class 4 but only 7 children were marked present.
Plan of Correction: Will go over with the staff.
Standard 8VAC20-790-540-B-11
A written allergy care plan, to include instructions from a physician regarding the food to which the child allergic and steps to be taken in the event of a suspected or confirmed allergic reaction, is required for each child with a diagnosed food allergy.
Child 6 (age 16 months) has a diagnosed food allergy to a food that is available at the center. There was not a written allergy care plan available for Child 6.
Child 6 (age 16 months) has a diagnosed food allergy to a food that is available at the center. There was not a written allergy care plan available for Child 6.
Plan of Correction: Will advise the parent that due to the food allergy and that allergy care plan is necessary.
Standard 8VAC20-790-580-B
The provider shall obtain documentation of additional immunizations once every six months for children less than two years of age.
The most recent immunization record for Child 1 (age 22 months) was dated 10 months ago.
The most recent immunization record for Child 2 (age 20 months) was dated 7 months ago.
The most recent immunization record for Child 3 (age 2 years), was dated 19 months ago.
The most recent immunization record for Child 1 (age 22 months) was dated 10 months ago.
The most recent immunization record for Child 2 (age 20 months) was dated 7 months ago.
The most recent immunization record for Child 3 (age 2 years), was dated 19 months ago.
Plan of Correction: The parents were contacted during the inspection.
Standard 8VAC20-790-640-A
Hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.
There were multiple containers of disinfecting wipes sitting on shelves in various rooms in the center that were accessible to children. There was an unlocked disinfectant spray in the diapering area of Class 1.
There were multiple containers of disinfecting wipes sitting on shelves in various rooms in the center that were accessible to children. There was an unlocked disinfectant spray in the diapering area of Class 1.
Plan of Correction: Will advise all staff to lock cleaning supplies.
Standard 8VAC20-790-670-H
Children less than 10 years of age shall always be within actual sight and sound supervision of staff.
Upon arrival to the center, Child 5 (age 3 years) was observed at the top of an exterior staircase, leading to the second story of the center. The center staff were unaware that, while the children were playing on the playground, Child 5 had left the group and climbed up the stairs to the second story of the center. The child was not within the actual sight and sound supervision of staff during this time.
Staff 1 was in the restroom of Class 4 changing a diaper and assisting two other children while they were using the restroom. The other three children in the group were not within the sight and sound supervision of the staff during this time.
Staff 1 was in the restroom area of Class 4 while the children were sleeping; the children were not within the sight and sound supervision of the staff.
The children in Class 1 were alone in the classroom when Staff 4 left the class to go to the kitchen.
Upon arrival to the center, Child 5 (age 3 years) was observed at the top of an exterior staircase, leading to the second story of the center. The center staff were unaware that, while the children were playing on the playground, Child 5 had left the group and climbed up the stairs to the second story of the center. The child was not within the actual sight and sound supervision of staff during this time.
Staff 1 was in the restroom of Class 4 changing a diaper and assisting two other children while they were using the restroom. The other three children in the group were not within the sight and sound supervision of the staff during this time.
Staff 1 was in the restroom area of Class 4 while the children were sleeping; the children were not within the sight and sound supervision of the staff.
The children in Class 1 were alone in the classroom when Staff 4 left the class to go to the kitchen.
Plan of Correction: Will advise all staff of the sight and sound supervision requirements.
Standard 8VAC20-790-760-A-2
Children?s hands shall be washed with soap and running water after toileting.
Three children in Classroom 1 did not wash their hands with soap and running water after diaper changes.
Three children in Classroom 1 did not wash their hands with soap and running water after diaper changes.
Plan of Correction: Will make sure hands are washed.
Standard 8VAC20-790-760-A-3
REPEAT VIOLATION
Staff shall wash their hands with soap and running water before and after changing a diaper.
Staff 4 did not wash their hands in between changing three children?s diapers.
Staff shall wash their hands with soap and running water before and after changing a diaper.
Staff 4 did not wash their hands in between changing three children?s diapers.
Plan of Correction: Will make sure hands are washed.
Standard 8VAC20-790-760-B-3-a
The diapering area shall have access to a sink with running warm water.
The portable sink in the diapering area of Class 1 did not have running water.
The portable sink in the diapering area of Class 1 did not have running water.
Plan of Correction: Will order a new sink.
Standard 8VAC20-790-760-B-8
REPEAT VIOLATION
The diapering surface shall be cleaned with soap and water and sanitized after each use.
The diaper changing surface in Classroom 1 was not cleaned and sanitized after each use; three children?s diapers were changed without the diapering surface being cleaned and sanitized.
The diapering surface shall be cleaned with soap and water and sanitized after each use.
The diaper changing surface in Classroom 1 was not cleaned and sanitized after each use; three children?s diapers were changed without the diapering surface being cleaned and sanitized.
Plan of Correction: Will advise the staff of the cleaning and sanitizing requirements.
Standard 8VAC20-790-770-A
The provider may administer prescription medication to a child with written permission from the parent.
Medication 5 was administered on one occasion (11/13/2025) without written permission from the parent.
Medication 5 was administered on one occasion (11/13/2025) without written permission from the parent.
Plan of Correction: Will advise the parent to provide an authorization form.
Standard 8VAC20-790-770-B
The provider may administer over-the-counter medication to a child with written permission from the parent, provided that the medication is given only at the dose, duration and method of administration specified on the manufacturer?s label for the age of the child.
Medication 6 was administered to Child 6 (age 16 months) on two occasions (03/02/2026 and 03/04/2026) without written permission of the parent. The manufacturer?s instructions for Medication 6 required physician?s instructions for administration to children under the age of 2 years; physician?s instructions for the administration of Medication 6 was not available.
Medication 6 was administered to Child 6 (age 16 months) on two occasions (03/02/2026 and 03/04/2026) without written permission of the parent. The manufacturer?s instructions for Medication 6 required physician?s instructions for administration to children under the age of 2 years; physician?s instructions for the administration of Medication 6 was not available.
Plan of Correction: Will advise parents of the instructions on the label.
Standard 8VAC20-790-820-B
When a child is placed in a highchair, the protective belt shall be fastened securely.
Child 7 (age 11 months) was in a highchair without the protective belt securely fastened.
Child 7 (age 11 months) was in a highchair without the protective belt securely fastened.
Plan of Correction: Will advise the staff to fasten the buckle.