Inspection · 2025-10-16
Licensing Inspector
Jessica Willis
(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
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.
8VAC20-770 Background Checks
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
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 monitoring inspection was initiated on and completed on 10/16/2025, as a part of the conditional licensure period. The on-site inspection began at 10:20am and ended at 2pm. The inspector reviewed compliance in the areas listed above. There were 78 children present and 17 staff. The inspector reviewed 7 children?s records and 5 staff records on-site. 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.
Standard 8VAC20-780-150-B
Immunization reports shall be signed by a physician or designee. The immunization report in the record for Child #5 was not signed by a physician or designee.
Plan of Correction: The center will ensure immunization documents are signed by a physician.
Standard 8VAC20-780-420-E-3
Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of child #6 had not been updated in over 17 months which is overdue by five months.
Plan of Correction: The center will request the parents review the information and obtain their signatures.
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. Two medications for Child #8 were onsite, but the medication authorizations had expired over two months 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 center contacted the parents regarding the expired authorization and will return the medication to the parents until a new authorization is obtained.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #4, enrolled for four months, was missing the following required components:
work phone number and place of employment of each parent who has custody;
name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached;
documentation of viewing proof of the child's identity and age
Plan of Correction: The center will request the information from the parent.
Standard 8VAC20-780-60-A-8
Children's records must contain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #1 has a diagnosed food allergy. The record for Child #1 did not contain a written care plan as required. Child #1 has been attending the center for one month.
Plan of Correction: The center will request the information from the parents.
Standard 8VAC20-780-90-A
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 agreement shall be signed by the parent and include:
1. An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately;
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 #4 has been attending the center for 4 months. The record for Child #4 did not contain the required written agreements signed by the parent.
Plan of Correction: The center will request the document from the parents.