Inspection · 2025-09-16
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 09/16/2025. The on-site inspection began at 11:00 a.m. and ended at 1:24 p.m. The inspector reviewed compliance in the areas listed above. There were 14 children present and 3 staff. The inspector reviewed 5 children?s records and 5 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 11/10/2025. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-780-130-A
Repeat Violation
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 C4 attending the center did not contain documentation of immunizations.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-B
Physical examinations completed by a physician prior to a child?s enrollment shall be within the time period prescribed by the standards. The physical for C3 was not within the required 12 months prior to attendance.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
At least every 2 years from the date of the initial screening staff shall obtain the results of a follow-up tuberculosis screening. The screening for S5 was overdue by 23 days.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-A
Staff shall complete a minimum of 16 hours of training annually. S3 obtained 4 of the 16 required hours and S4 and S5 did not obtain any training hours.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-I
The center is required to provide training on the center?s emergency preparedness plan
annually and each time the plan is updated. There was no documentation of the annual
review of the emergency preparedness plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-J
The center is required to update annually the injury prevention procedures based on
documentation of injuries and a review of the activities and services. No documentation was
available to show compliance with this requirement.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-A
Children?s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. S5 changed a child?s diaper in the 2-year-old-room and did not wash the child's hands with soap and water.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-520-B
Sunscreen shall be inaccessible to children. Sunscreen was observed on the counter at the exit door in the far-right classroom that was accessible to children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
Evacuation drills procedures shall be practiced monthly. Drill records did not document a
drill in 08/2025.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-P
The center shall maintain written records of children?s injuries that contain all of the
required information. Injury reports dated 09/09/2025 did not document the time of parental notification, how the parent was notified, or actions to prevent recurrence.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-560-F
The menu listing food to be served during the current week did not document snacks and the specific components for lunch.
Plan of Correction: Not available online. Contact Inspector for more information.