Inspection · 2025-06-03
Licensing Inspector
Susan Ellington-Sconiers
(804) 588-2368
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site monitoring inspection was completed on 06/03/2025. The on-site inspection began at 9:27 a.m. and ended at 11:15 a.m. The inspector reviewed compliance in the areas listed above. There were 18 children present and 3 staff. The inspector reviewed 5 children?s records and 3 staff records. 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.
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 (5) business days from today, which will be the close of business on 06/13/2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment. S1, who was employed for 9 days without a completed national criminal background check. S3, who was employed for 3 days without a completed national criminal background check.
Plan of Correction: Not available online. Contact Inspector for more information.
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. S1, employed for more than 2 months, did not have documentation of the center requesting a central registry check or a criminal history check from that state.
Plan of Correction: Not available online. Contact Inspector for more information.
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 record for C2 attending the center did not contain documentation of immunizations.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for S3 was completed 6 days after hire.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-B
Staff shall complete orientation training required by 8VAC20-780-240-C and 8VAC20-
780-420-A prior to working alone with children and no later than seven days of the date of
assuming job responsibilities. The record for S1, S2, and S3 did not contain an orientation training form.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-520-C
Diaper creams shall be inaccessible to children. A tube of diaper cream was observed
in a basket under the diaper changing table in the 2/3 year-old classroom that was accessible to children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Staff records shall include an emergency contact to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. The staff record for S1 did not include this information.
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. S2, who has been actively working at the center for the past 2 months, did not have any completed reference verifications on file.
Plan of Correction: Not available online. Contact Inspector for more information.