Inspection · 2025-10-21
Date
2025-10-21
Complaint Related
No
Licensing Inspector
Kimberly Sampson
(757) 354-7307
(757) 354-7307
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.
8VAC20-770 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 10/21/2025, as a part of the licensure period. The on-site inspection began at 3:20 pm and ended at 4:20 pm. The inspector reviewed compliance in the areas listed above. There were 40 children present and 2 staff. The inspector reviewed 5 children?s records and 6 staff records. This inspection included a document review, tour of facility, interviews, observations and measurements. 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.
Violations
9Standard 22.1-289.011-F
The license and any other documents required shall be posted in a conspicuous place on the licensed premises.
The findings from the most recent inspection and license, were not posted in a conspicuous place on the premises.
The findings from the most recent inspection and license, were not posted in a conspicuous place on the premises.
Plan of Correction: Staff have been reminded to ensure the licensing board is posted in a conspicuous place daily.
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.
There was no immunization documentation for child #1 or #2.
There was no immunization documentation for child #1 or #2.
Plan of Correction: Children's records will be audited regularly to ensure all documentation is present for every student.
Standard 8VAC20-780-140-A
Each child shall have a physical examination by or under the direction of a physician.
There was no physical examination documentation for child #1 or #2.
There was no physical examination documentation for child #1 or #2.
Plan of Correction: Children's records will be audited regularly to ensure all documentation is present for every student.
Standard 8VAC20-780-340-F
Children under 10 years of age always shall be within actual sight and sound supervision of staff.
Staff released all 40 children to the tutors during this inspection. Children were not signed out of the program and the tutors are not staff of the program.
Staff released all 40 children to the tutors during this inspection. Children were not signed out of the program and the tutors are not staff of the program.
Plan of Correction: Staff have been retrained on sight and sound supervision requirements. Children are now escorted by staff to the appropriate classrooms.
Standard 8VAC20-780-350-B-5
The required ratio for children school age up to 9 years is one staff per eighteen children.
Staff # 1 and #2 were observed supervising forty children upon inspector's arrival at 3:20 pm until 4:00 pm.
Staff # 1 and #2 were observed supervising forty children upon inspector's arrival at 3:20 pm until 4:00 pm.
Plan of Correction: Staff schedules were adjusted to ensure overlapping coverage. Staff were reminded that leaving a group unattended violates ratio standards.
Standard 8VAC20-780-400-B
Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.
Children were observed rough housing and running around in the cafeteria. Staff did not provide appropriate redirection for these behaviors.
Children were observed rough housing and running around in the cafeteria. Staff did not provide appropriate redirection for these behaviors.
Plan of Correction: Staff have been retrained on behavior management and guidance. They have bee retrained on techniques to redirect unwanted behavior and how to appropriately resolve conflicts.
Standard 8VAC20-780-500-A
Children's hands shall be washed with soap and running water or disposable wipes before an after eating meals or snacks.
Children did not wash their hands before or after snack.
Children did not wash their hands before or after snack.
Plan of Correction: Staff have adjusted the process of handwashing before snack to ensure students hands are washed with soap and water before snack and disposable wipes are used after snack.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information.
There was no record for child #2, #3, and #4.
There was no date of enrollment for child #1.
There was only one of two emergency contacts for child #5.
There was no record for child #2, #3, and #4.
There was no date of enrollment for child #1.
There was only one of two emergency contacts for child #5.
Plan of Correction: Children's records will be audited regularly to ensure all documentation is present for every student.
Standard 8VAC20-780-80-A
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Staff were not documenting the arrival of each child as they came into the after school program. Staff could not tell inspector how many children were present at the time of arrival and could not get an accurate count due to the number of children coming and going in the room.
Staff were not documenting the arrival of each child as they came into the after school program. Staff could not tell inspector how many children were present at the time of arrival and could not get an accurate count due to the number of children coming and going in the room.
Plan of Correction: Staff have been retrained on the process of taking attendance as the student arrive in the program. Staff were reminded on the importance of keeping accurate attendance and head counts for safety.