Inspection · 2025-03-28
Licensing Inspector
Tara Barton
(804) 381-8487
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 (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
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 renewal inspection was initiated on March 28, 2025 and the inspection concluded on April 7, 2025 as a part of the conditional licensure period. The on-site inspection began at time 12:00 p.m. and ended at 1:30 p.m. The inspector reviewed compliance in the areas listed above. There were 3 children present and 2 staff. The inspector reviewed 3 children?s records and 3 staff records on-site. Additional documentation was provided electronically on April 7, 2025. 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 22.1-289.035-B-3
The central registry search must be requested before hire. Staff 4 and Staff 5 did not have documentation of requesting the search of the central registry prior to hire. Staff have been employed for six months.
Plan of Correction: CPS checks have been submitted.
Standard 8VAC20-770-60-B
Each staff shall complete a sworn disclosure statement by the first day of employment. Staff 4 and Staff 5 did not complete a sworn disclosure statement at the time of hire. Staff 4 and Staff 5 have been employed for six months.
Plan of Correction: The sworn disclosure statements were completed on 3/28/2025.
Standard 8VAC20-780-140-A
Documentation of a physical examination must be submitted for each child within 30 days after the first day of attendance. Child 3, enrolled for 47 days, did not have documentation of a physical.
Plan of Correction: The physical was obtained for Child 3
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff 3, Staff 4, and Staff 5 had no documentation of a TB test or screening and has been employed for six months.
Plan of Correction: Staff 3 got a TB test 4/03/2025. Staff 4 and Staff 5 are awaiting results.
Standard 8VAC20-780-260-A
The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The last documented fire inspection was conducted 12/2023. A fire inspection was conducted following the licensing inspection on 3/31/2025.
Plan of Correction: The fire inspection was conducted 3/31/2025.