Inspection · 2025-06-02
Licensing Inspector
Brandie Viscayda
(757) 636-3427
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
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 initiated on June 2, 2025 and completed on June 2, 2025. The on-site inspection began at 12:25pm and ended at 2:50pm. The inspector reviewed compliance in the areas listed above. There were 9 children present and 4 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. 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 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 (6/16/2025). A POC submitted after this date will not appear on the public website.
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. Staff #1, employed for more than six months, did not have documentation of requesting a child abuse and neglect request search and no documentation of requesting a central registry from a different state.
Plan of Correction: Process for Background check and fingerprinting for different state has been started.
Standard 8VAC20-780-160-A
REPEAT VIOLATION
Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment. Staff #1 submitted a tuberculosis screening that was not within 30 days of employment.
Plan of Correction: TB screening was redone and updated.
Standard 8VAC20-780-440-E
There shall be at least 12 inches of space between occupied cots, beds, and rest mats. Multiple occupied cots in the center had less than 12 inches of spacing in between them.
Plan of Correction: The 2 cots were fixed immediately and staff was reminded about spacing.
Standard 8VAC20-780-550-G
Documentation shall be maintained of emergency evacuation, shelter-in place, and lockdown drills that includes the person conducting the drill, number of staff participating, any special conditions simulated, any problems encountered if any and for emergency evacuations only, the weather conditions. The center?s documentation of the evacuation, shelter in place and lockdown drill log did not contain all the required elements listed above.
Plan of Correction: New log created
Standard 8VAC20-780-550-P
The center shall maintain a written record of children's serious and minor injuries that shall include the following the date and time parents were notified and any future action to prevent recurrence of the injury. The center?s written injury record did not include the required elements listed above.
Plan of Correction: New log was created with additional information