Inspection · 2025-10-22
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minors records
22.1 Background Checks Code, Carbon Monoxide
22.1 Early Childhood Care and Education
Inspector Notes
An unannounced, on-site renewal inspection was completed on 10/22/2025. The on-site inspection began at 10:03 a.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 5 children?s records and 4 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 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 11/14/2025. 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 immunizations for C5 were received 26 days after the date of enrollment.
Plan of Correction: The Director will make sure the physical, and immunization are signed by the physician. If the immunization is printed, the physician must sign that copy as well. The Director reviewed all preschoolers? files. All shot records were signed. Going forward from 10/22/2025, the Director will make sure a physician signature is on the physical and immunization form before the student starts.
Standard 8VAC20-780-150-B
Immunization records are required to be signed and dated by a physician, his designee, or an
official of the local health department. The immunization record for C4 was not signed.
Plan of Correction: The Director has informed the parent that the printed shot record dated 06/25/2025 needs to be signed by his physician. The form currently have a printed doctor signature. Parent agreed to stop by the doctor?s office to get it signed.
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: ? The first Emergency Preparedness Plans training was held during Orientation of November 5th -8th, 2024. No changes were made since that date. The Director created a training log indicating when the staff annual training on Emergency Preparedness Plans was reviewed. The form is placed in front of the Emergency Preparedness Plan book. Each member of staff will receive training hour(s) and it will be documented in their file. The annual Emergency Preparedness Plan will be held November 5 & 10, 2025
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment of the center, inside and outside,
are maintained in a clean, safe and operable condition. The potty chair used by children had dried feces on the surface of the chair. The ceiling tile over at the entrance of the kitchen was bowed and drooping from the metal support frame.
Plan of Correction: The potty was immediately cleaned. The Director spoke with the church pastor, ?Church children are not to use the training potty after the childcare center is closed?. The training potty will continue to be cleaned and now moved out of the bathroom at the end of the day. Date of Correction: 10/22/2025
The Director informs the pastor of the church about maintenance to the building. She will continue to remind the pastor until the maintenance is prepared. The ceiling tile was removed and replaced. Date of Correction: 10/28/2025
Standard 8VAC20-780-420-A
Before a child?s first day of attending, parents shall be provided in writing the requirements of 8VAC20-780-A-1-14. The records for C1, C2, C4, and C5 did not have documentation of this information being provided to the children?s parents.
Plan of Correction: The Director will provide the parents with a ?Parent Handbook? that includes the center operating information, policies, philosophy and information on rules and regulations. A sign Acknowledgement form stating that the parents have received and will review the handbook with the student, will be placed in the student file before the student starts. The Director will also keep copies of the parent handbook in stock.