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Bundle of Joy - Lakeside

Inspection · 2025-08-04

Date
2025-08-04
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
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. 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 conducted on 8/04/2025. The on-site inspection began at 9:00 am and ended at 2:35 pm. The inspector reviewed compliance in the areas listed above. There were 123 children present and 25 staff. The inspector reviewed 10 children?s records and 10 staff records on-site. This inspection included document review, a tour of the facility, interviews, observations, and measurements.

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 8/12/2025.
A POC submitted after this date will not appear on the public website.

Violations

9
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff #6, employed for over two months, did not have documentation of requesting a central registry check and a sex offender name check from one state. Staff #9, employed for over one month, did not have documentation of requesting a central registry check from one state.
Plan of Correction: Have requested background checks on 8/4/2025.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

Staff #5's VDOE sponsored orientation was not completed, and over two weeks overdue.
Plan of Correction: has been completed
Standard 8VAC20-780-280-B
Hazardous substances must be in a locked place that prevents access by children.

In the toddler classroom, sanitizing solution was observed in an unlocked cabinet, out of reach of children.
Plan of Correction: reviewed requirements with teachers
Standard 8VAC20-780-340-D
In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.

Staff #2 and Staff #9 were employed as a program leaders over one month ago. The staff members did not have the programmatic experience required by the position.
Plan of Correction: rearranged classroom assignments
Standard 8VAC20-780-500-B
Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

In the toddler classroom, diapers were observed in a non foot operated trash can that did not meet the requirements.
Plan of Correction: new trash cans have been purchased
Standard 8VAC20-780-520-A
Over-the-counter skin products shall not be kept or used beyond the expiration date of the product.

In the older infants classroom, one diaper cream was expired.
Plan of Correction: reminded teachers to check expiration dates
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill.

A practice evacuation drill was not complete in July of 2025.
Plan of Correction: did drill August
Standard 8VAC20-780-550-P
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 the required information.

Child #11 had an injury report that was missing the date and time when parents were notified and any future action to prevent recurrence of the injury.
Plan of Correction: reviewed policies and procedures with teachers
Standard 8VAC20-780-70
A record shall be kept for each staff member that contains the required information.

The record of staff #1, promoted over one month ago, was missing documentation to demonstrate that the individual possessed the education required by the job position.
Plan of Correction: updated records to show documentation
View original record on Virginia Department of Social Services