Inspection · 2025-08-13
Licensing Inspector
Jessica Eason
(804) 629-7489
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
20 Access to minor?s records
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 monitoring inspection was initiated and completed on August 13, 2025. The on-site inspection began at 1:30pm and ended at 4:00pm. The inspector reviewed compliance in the areas listed above. There were 120 children present and 24 staff. The inspector reviewed seven children?s records and eight staff records on-site. This inspection included document review, tour of the facility, interviews, and observations. The 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on August 25, 2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #2, who is currently working, was dated three weeks after their first day of employment.
Plan of Correction: Pre-employment checklist will be implemented to ensure all required documents and background checks are completed prior to start date.
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. Staff #2 and #4, who had been employed for three weeks, did not have a central registry search requested prior to the first day of employment. Staff #6, who had been employed for four weeks, did not have a central registry search requested prior to the first day of employment.
Plan of Correction: Pre-employment checklist will be implemented to ensure all required documents and background checks are completed prior to start date.
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. The center did not request a search of the child abuse and neglect registry from one state for Staff #7, who has been employed for one month and was working with children at the time of the inspection.
Plan of Correction: Pre-employment checklist will be implemented to ensure all required documents and background checks are completed prior to start date.
Standard 8VAC20-780-130-E
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The center did not receive additional immunizations for Child #1, who is under two years of age, for eleven months after the first documentation of immunizations.
Plan of Correction: Updated scheduled audits of immunization records so that audits are conducted monthly.
Standard 8VAC20-780-340-D
In each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present.
At the time of the inspection, classroom #1 did not have a qualified program lead present.
Plan of Correction: Staffing patterns updated to ensure a program leader is present in the classroom at all times, including naptime.
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 #1 had not been updated in over 15 months which is overdue by three months.
Plan of Correction: Updated children?s file audit from once a year to every 6 months to ensure files are updated at least once a year.
Standard 8VAC20-780-500-B
The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #8 cleaned the diaper changing surface and sprayed it with a bleach water solution, but did not allow it to dry for a period of at least two minutes.
Plan of Correction: Staff were retrained using the NAEYC frequency chart for cleaning, sanitizing and
disinfecting during recent staff development day.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #5, who has been working at the center for the over two months, did not have two or more completed reference verifications on file. Staff #3, who had been working at the center for two months, did not have name, address and telephone number of a person to be notified in an emergency which shall be kept at the center.
Plan of Correction: Pre-employment checklist will be implemented to ensure all required documents and background checks are completed prior to start date.