Inspection · 2025-10-30
Date
2025-10-30
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
(757) 404-1784
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
Violations
15Standard 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.
Documentation of required immunizations were not on file for child 1 and child 2. Both children were in care during the inspection.
Documentation of required immunizations were not on file for child 1 and child 2. Both children were in care during the inspection.
Plan of Correction: Both children's immunization records have been added to their files.
Plans to implement a procedure to ensure all paperwork is collected prior to the start of school have been made.
Plans to implement a procedure to ensure all paperwork is collected prior to the start of school have been made.
Standard 8VAC20-780-140-A
Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance.
Child 1 and child 2 lacked documentation of a physical exam. Both children have been in care for more than 30 days.
Child 1 and child 2 lacked documentation of a physical exam. Both children have been in care for more than 30 days.
Plan of Correction: Documentation of physical for child 2 has been added to her record. Physical documentation for child 1 has been requested from child's pediatrician.
Plans to implement a procedure to ensure all paperwork is collected prior to the start of school have been made.
Plans to implement a procedure to ensure all paperwork is collected prior to the start of school have been made.
Standard 8VAC20-780-160-A
Documentation of the required screening for tuberculosis shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.
1. The TB screening for staff 2 was completed approximately 7 months after the first date of employment. The screening was not signed by the appropriate health care official.
2. The TB screening for staff 3 was completed approximately 90 days prior to employment.
1. The TB screening for staff 2 was completed approximately 7 months after the first date of employment. The screening was not signed by the appropriate health care official.
2. The TB screening for staff 3 was completed approximately 90 days prior to employment.
Plan of Correction: 1. Documentation that was on file for staff 2 has been requested to be provided in full to include provider's signature.
2. Note made to repeat TB screen to ensure compliance of 30 days from date of hire.
2. Note made to repeat TB screen to ensure compliance of 30 days from date of hire.
Standard 8VAC20-780-270-A
Areas and equipment of the center shall be maintained in a safe condition.
A microwave oven had been placed on a table directly beside the infant room diaper changing table. An electrical tea kettle, containing hot water, was placed on top of the microwave. Both items were within reach of a child being changed on the diaper changing table.
A microwave oven had been placed on a table directly beside the infant room diaper changing table. An electrical tea kettle, containing hot water, was placed on top of the microwave. Both items were within reach of a child being changed on the diaper changing table.
Plan of Correction: Microwave and kettle have been moved to a different location, out of reach of children.
Standard 8VAC20-780-280-B
Systemic Deficiency
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
Unlocked cleaning and disinfecting agents were observed in an unlocked wall mounted cabinet in the four-year old classroom. A container of disinfecting wipes were observed on the book shelf in the toddler classroom.
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
Unlocked cleaning and disinfecting agents were observed in an unlocked wall mounted cabinet in the four-year old classroom. A container of disinfecting wipes were observed on the book shelf in the toddler classroom.
Plan of Correction: Standard reviewed with staff and sign hung in each classroom to always return hazardous substances to the designated locked location.
Standard 8VAC20-780-280-D
Cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food.
A jar of sun butter was observed stored on a self below multiple hazardous chemicals inside of a cabinet located in the 4-year old classroom.
A jar of sun butter was observed stored on a self below multiple hazardous chemicals inside of a cabinet located in the 4-year old classroom.
Plan of Correction: Standard reviewed with staff and visual reminder added to inside of cabinet where cleaning materials are stored in each classroom.
Standard 8VAC20-780-350-B-4
The staff-to-children ratios are required whenever children are in care: 3 year olds up to school age - ratio 1:10 (staff: children)
A. 1 staff was observed with a group of 11 3-year old children in the gym at approximately 10:45 am. Approximately 5 minutes later a group of 22 children, ages 3 and 4 years, were observed in the gym with 2 staff.
1. 3 staff were needed to maintain the required ratio of 1:10.
A. 1 staff was observed with a group of 11 3-year old children in the gym at approximately 10:45 am. Approximately 5 minutes later a group of 22 children, ages 3 and 4 years, were observed in the gym with 2 staff.
1. 3 staff were needed to maintain the required ratio of 1:10.
Plan of Correction: Ratio compliance standard reviewed with staff and a sign has been posted in each classroom with the ratio requirement for that age group to serve as a constant reminder.
Standard 8VAC20-780-440-J
There shall be at least twelve inches of space between the sides of occupied cribs and thirty inches of space between service sides of occupied cribs.
Two occupied cribs, in the infant nap room, were placed directly beside another crib resulting in a lack of the required thirty inches of space between the service side of each occupied crib.
Two occupied cribs, in the infant nap room, were placed directly beside another crib resulting in a lack of the required thirty inches of space between the service side of each occupied crib.
Plan of Correction: Colored X's created to be added to the floor to designate proper crib spacing. Application of decals occurring this week.
Standard 8VAC20-780-550-P
The center written record of children's serious and minor injuries in which entries shall include all required documentation.
1. 5 of 9 injury reported reviewed lacked written documentation of the time and method of parent notification of the child's minor injury.
2. The 9 injury reports reviewed lacked documentation of any future action to prevent recurrence of the injury.
1. 5 of 9 injury reported reviewed lacked written documentation of the time and method of parent notification of the child's minor injury.
2. The 9 injury reports reviewed lacked documentation of any future action to prevent recurrence of the injury.
Plan of Correction: Standard reviewed with staff as well as emphasis placed on importance of accurate records being kept including paying attention to every detail of the report.
Remediation line added to boo-boo report for future planning and prevention.
Remediation line added to boo-boo report for future planning and prevention.
Standard 8VAC20-780-560-G
Repeat Violation
When food is brought from home, the following shall apply: The food container shall be clearly dated and labeled in a way that identified the owner.
1. 5 water bottles, reviewed in the four-year old classroom, lacked any type of name label.
2. 2 boxes of rice cereal, that had been opened, lacked any type of name label nor were they dated.
3. 1 bottle of milk, observed in the toddler classroom, was not dated or labeled with the child's name.
When food is brought from home, the following shall apply: The food container shall be clearly dated and labeled in a way that identified the owner.
1. 5 water bottles, reviewed in the four-year old classroom, lacked any type of name label.
2. 2 boxes of rice cereal, that had been opened, lacked any type of name label nor were they dated.
3. 1 bottle of milk, observed in the toddler classroom, was not dated or labeled with the child's name.
Plan of Correction: 1. All names were added to bottles and staff was reminded to constantly monitor legibility and relabel when needed.
2. Individual labels were printed with each child's name and put in their respective (already labeled) bins to ensure that all future food is quickly and accurately labeled.
2. Individual labels were printed with each child's name and put in their respective (already labeled) bins to ensure that all future food is quickly and accurately labeled.
Standard 8VAC20-780-560-M
No child shall be allowed to drink or eat while walking around.
A child in the toddler classroom was observed walking around while drinking from a bottle of milk.
A child in the toddler classroom was observed walking around while drinking from a bottle of milk.
Plan of Correction: Standard reviewed with staff.
Standard 8VAC20-780-570-E
Prepared infant formula shall be dated.
Three bottles of prepared infant formula, stored in the infant class refrigerator, were not dated.
Three bottles of prepared infant formula, stored in the infant class refrigerator, were not dated.
Plan of Correction: Label system created to ensure every bottle is labeled and dated accurately.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required elements.
The enrollment record for child 1 lacked documentation of viewing proof of the child's age and identity
The enrollment record for child 1 lacked documentation of viewing proof of the child's age and identity
Plan of Correction: Child's birth certificate was added to the child's record.
Standard 8VAC20-780-70
Repeat Violation
Staff records shall contain all required elements.
1. The records for staff 1, 2 and 3 lacked documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. The records for staff 1, 2, 3, 4 and 5 lacked documentation of a job title.
3. The records for staff 1, 2, 3, and 4 lacked documentation of an address for the designated emergency contact.
4. All of these staff were present and caring for children during the inspection.
Staff records shall contain all required elements.
1. The records for staff 1, 2 and 3 lacked documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. The records for staff 1, 2, 3, 4 and 5 lacked documentation of a job title.
3. The records for staff 1, 2, 3, and 4 lacked documentation of an address for the designated emergency contact.
4. All of these staff were present and caring for children during the inspection.
Plan of Correction: 1. References added to record for staff 1, 2 and 3.
2. Job title added to records for staff 1,2,3,4 & 5.
3. Address added for emergency contacts for staff 1,2,3 & 4 have been requested.
*Staff #3 was not on site during inspection.
2. Job title added to records for staff 1,2,3,4 & 5.
3. Address added for emergency contacts for staff 1,2,3 & 4 have been requested.
*Staff #3 was not on site during inspection.
Standard 8VAC20-780-90-A
A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include all required elements.
1. There was no written parent agreement on file for child 1. The parent agreement for child 2 was not signed by the parent.
a. Both children were in care during the inspection.
1. There was no written parent agreement on file for child 1. The parent agreement for child 2 was not signed by the parent.
a. Both children were in care during the inspection.
Plan of Correction: 1. Child 1's written agreement is signed and filed.
2. Child 2's agreement has been signed by the parent and filed.
Plans to implement a procedure to ensure all paperwork is collected prior to the start of school have been made.
2. Child 2's agreement has been signed by the parent and filed.
Plans to implement a procedure to ensure all paperwork is collected prior to the start of school have been made.