Inspection · 2025-06-03
Licensing Inspector
Heather Harrell
(757) 334-4329
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.
8VAC20-770 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, 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 and completed on 6/3/25. The on-site inspection began at 10:40am and ended at 1:30pm. The inspector reviewed compliance in the areas listed above. There were 95 children present and 14 staff. The inspector reviewed 9 children's records and 9 staff records on-site. This inspection included document review, a 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 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 1, employed for one year, did not have documentation of requesting a central registry check from one state and no documentation of requesting a central registry check or a sex offender registry check from a different state. Staff 2, employed for more than 9 months, did not have documentation of requesting a central registry check or a sex offender registry check from one state.
Plan of Correction: The center responded with the following: The out-of-state background checks for staff 1 and staff 2 will be requesed immediately and will be placed in their staff records once received. Going forward, center management will ensure all required background checks are requested and followed up on within the required timeframes.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. There is no documentation in staff 1's record that they have completed this course, which is overdue by 9 months.
Plan of Correction: The center responded with the following: If staff 1 has completed the training, documentation of the training will be obtained and placed in their staff record. If staff 1 has not completed the training, they will have until the end of next week to complete it. Once completed, documentation will be placed in staff 1's record. Management will continue to monitor required staff trainings to ensure they are completed within the required timeframes.
Standard 8VAC20-780-530-A
At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. Neither of the two staff working in the Children's House 3 classroom on the day of the inspection have current certification in CPR or first aid.
Plan of Correction: The center responded with the following: CPR/FA certification has been scheduled for next week for all staff not currently certified. Center management will ensure that each classroom has at least one staff person with current CPR/FA certification at all times.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill. A practice evacuation drill for the month of May 2025 was not completed.
Plan of Correction: The center responded with the following: This was an oversight. Going forward, drills will be scheduled out on the calendar in advance to ensure they are conducted each month.
Standard 8VAC20-780-550-G
Documentation shall be maintained of shelter-in-place and lockdown drills that contain all the required elements. Documentation of shelter-in-place and lockdown drills did not contain the identity of the person conducting the drill, the method used for notification of the drill, the number of staff and children participating, any special conditions simulated or the time it took to complete the drill.
Plan of Correction: The center responded with the following: Going forward, shelter-in-place and lockdown drills will be documented with all the required information on the practice drill log.
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. Seven out of nine children's records reviewed did not contain the work phone number for one or both parents.
Plan of Correction: The center responded with the following: All children's records will be audited by management and the missing information will be requested and placed in each child's record.