Inspection · 2025-12-01
Date
2025-12-01
Complaint Related
No
Licensing Inspector
Jessica Willis
(571) 352-1453
(571) 352-1453
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
Violations
7Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years. The most recent fingerprint based criminal history record check, central registry check, and sworn statement for Staff #5 was overdue by more than two months.
Plan of Correction: The Director has implemented a tracking system with calendar reminders and will conduct regular file audits to ensure all future background checks are completed on time.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment. The search request sent for Staff #1 was dated five weeks after Staff #1's first day of employment.
Plan of Correction: The center has ensured that the central registry search for Staff #1 has been completed and documented. To prevent recurrence, the Director has implemented a pre-employment checklist requiring all background check components, including the central registry search, to be requested and verified before any employee's first day of work.
Standard 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 immunization documentation in the record for Child #4 was dated 11 days after the child's first date of attendance.
Plan of Correction: The center has obtained and placed the required immunization documentation for Child #4 in the child's file. The assistant director has reinforced enrollment procedures to ensure all immunization records are received and verified before a child's first day of attendance moving forward.
Standard 8VAC20-780-140-A
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. There was no physical examination in the record of Child #1, who had been enrolled for six months.
Plan of Correction: The center has requested the required physical examination documentation for Child #1 and will ensure it is obtained and placed in the child's file immediately. Enrollment procedures have been reinforced to track physical exam due dates and prevent any child from attending beyond required timelines without documentation.
Standard 8VAC20-780-150-B
Immunization reports are required to be signed by a physician. The immunizations in the record for Child #1, who has been in care for 6 months, were not signed by a physician. The immunizations in the record for Child #5, who has been in care for one day, were not signed by a physician.
Plan of Correction: The assistant director has requested signed immunization reports from the parents of Child #1 and Child #5 and will place the completed documentation in each child's file upon receipt. Enrollment procedures have been reinforced to ensure all immunization records are reviewed for required physician signatures before or immediately upon a child's first day of attendance.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the facility 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 #9 was onsite, but the medication authorization had expired over 80 days 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 Director has implemented a medication tracking log with expiration reminders to ensure timely parent notification and proper return or disposal moving forward.
Standard 8VAC20-780-70
Child day centers must maintain staff records which contain all required information. The record for Staff #2, who has been actively working at the center for the past 6 months, did not have documentation of at least 2 references to character, reputation, and competency which are to be checked prior to employment. The record for Staff #2 did not have documentation to demonstrate that the individual possesses the education and experience, and orientation required by the job position.
Plan of Correction: The Director has implemented a pre-employment and personnel file audit process to ensure all required staff documentation is completed and maintained prior to and during employment.