Inspection · 2025-12-02
Date
2025-12-02
Complaint Related
No
Licensing Inspector
Tara K Martin
(804) 588-2371
(804) 588-2371
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
18Standard 8VAC20-780-130-A
SYSTEMIC 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 immunization for Child 2 (enrolled three months) was obtained one day after the child first attended the center and Child 5 (enrolled one month) did not have documentation of an immunization on file.
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 immunization for Child 2 (enrolled three months) was obtained one day after the child first attended the center and Child 5 (enrolled one month) did not have documentation of an immunization on file.
Plan of Correction: Provider will obtain information from parents.
Standard 8VAC20-780-140-A
SYSTEMIC VIOLATION
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.
There were no physical examinations in the records of Child 2 (enrolled for three months), Child 3 (enrolled for seven months) or Child 5 (enrolled for over 30 days).
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.
There were no physical examinations in the records of Child 2 (enrolled for three months), Child 3 (enrolled for seven months) or Child 5 (enrolled for over 30 days).
Plan of Correction: Provider will obtain information from parents.
Standard 8VAC20-780-200-B
SYSTEMIC VIOLATION
For centers offering multiple shifts, a qualified program director or qualified back-up director shall regularly be on site at 50% of the day shift and at least two hours during the evening shift.
During the evening shift, a qualified program director is not on site for the required two hours.
For centers offering multiple shifts, a qualified program director or qualified back-up director shall regularly be on site at 50% of the day shift and at least two hours during the evening shift.
During the evening shift, a qualified program director is not on site for the required two hours.
Plan of Correction: Directors' schedules have been adjusted.
Standard 8VAC20-780-240-B
SYSTEMIC VIOLATION
Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
There was no orientation training for Staff 2 who had been employed for over 2 months.
Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
There was no orientation training for Staff 2 who had been employed for over 2 months.
Plan of Correction: Staff received orientation.
Standard 8VAC20-780-240-D
SYSTEMIC VIOLATION
Prior to working alone with children and within seven days of the first day of employment, staff shall be provided in writing all of the required information.
There was no documentation of required information provided in writing to Staff 2 who had been employed for over 2 months.
Prior to working alone with children and within seven days of the first day of employment, staff shall be provided in writing all of the required information.
There was no documentation of required information provided in writing to Staff 2 who had been employed for over 2 months.
Plan of Correction: Staff received orientation information in writing.
Standard 8VAC20-780-245-J-1
SYSTEMIC VIOLATION
The administration of medication shall be performed by a staff member who has satisfactorily completed medication administration training.
There is no documentation that Staff 1, who administered medication 1 to Child 4 on multiple occasions, has completed medication administration training.
The administration of medication shall be performed by a staff member who has satisfactorily completed medication administration training.
There is no documentation that Staff 1, who administered medication 1 to Child 4 on multiple occasions, has completed medication administration training.
Plan of Correction: Provider will not administer medication.
Standard 8VAC20-780-340-B
During the center?s hour of operation, one adult on the premises shall be in charge of the administration of the center. This person shall be either the administrator or an adult appointed by the licensee or designated by the administrator.
Upon arrival, staff were unable to identify the administrator on-site. The identified administrator arrived approximately five minutes later.
Upon arrival, staff were unable to identify the administrator on-site. The identified administrator arrived approximately five minutes later.
Plan of Correction: An administrator will aways be assigned and onsite.
Standard 8VAC20-780-40-E
SYSTEMIC VIOLATION
Centers shall be in compliance with the center?s own policies and procedures required by these standards.
The center?s medication policy states that medication will not be administered. Staff 3 administered medication to Child 4 on each day of their attendance during the months of June, July and August 2025.
Centers shall be in compliance with the center?s own policies and procedures required by these standards.
The center?s medication policy states that medication will not be administered. Staff 3 administered medication to Child 4 on each day of their attendance during the months of June, July and August 2025.
Plan of Correction: Provider will not administer medication.
Standard 8VAC20-780-510-F
SYSTEMIC VIOLATION
The medication authorization shall be available to staff during the entire time it is effective.
There was no medication authorization available to staff during the time medication 1 was administered to Child 4 for approximately 3 months.
The medication authorization shall be available to staff during the entire time it is effective.
There was no medication authorization available to staff during the time medication 1 was administered to Child 4 for approximately 3 months.
Plan of Correction: Provider will not administer medication.
Standard 8VAC20-780-510-I
SYSTEMIC VIOLATION
Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian.
There was no written parent authorization to administer prescription medication 1 to Child 4. Staff 3 administered medication to Child 4 on each day of their attendance during the months of June, July and August 2025.
Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian.
There was no written parent authorization to administer prescription medication 1 to Child 4. Staff 3 administered medication to Child 4 on each day of their attendance during the months of June, July and August 2025.
Plan of Correction: Provider will not administer medication.
Standard 8VAC20-780-510-L
SYSTEMIC VIOLATION
Medication shall be kept in a locked place using a safe locking method that prevents access by children.
Medication 1 was in an unlocked desk drawer in the entryway. The drawer was accessible to children.
Medication shall be kept in a locked place using a safe locking method that prevents access by children.
Medication 1 was in an unlocked desk drawer in the entryway. The drawer was accessible to children.
Plan of Correction: Provider will not administer medication.
Standard 8VAC20-780-510-N
SYSTEMIC VIOLATION
Centers shall keep a record of medication given to children which shall include the required information.
There was no record of medication 1 given to Child 4 on each day of their attendance during the months of June, July and August 2025.
Centers shall keep a record of medication given to children which shall include the required information.
There was no record of medication 1 given to Child 4 on each day of their attendance during the months of June, July and August 2025.
Plan of Correction: Provider will not administer medication.
Standard 8VAC20-780-530-C
REPEAT VIOLATION
SYSTEMIC VIOLATION
There shall be at least two staff members who have current certification in CPR and first aid present on the premises during when children are in care.
Upon arrival, Staff 1 and Staff 2 were the only staff on premises. Staff 1 and 2 are not certified in CPR or first aid. Staff 3, who is certified in CPR and first aid arrived five minutes later. The center was previously cited on 6/03/2025 for not having staff certified.
SYSTEMIC VIOLATION
There shall be at least two staff members who have current certification in CPR and first aid present on the premises during when children are in care.
Upon arrival, Staff 1 and Staff 2 were the only staff on premises. Staff 1 and 2 are not certified in CPR or first aid. Staff 3, who is certified in CPR and first aid arrived five minutes later. The center was previously cited on 6/03/2025 for not having staff certified.
Plan of Correction: Staff will receive training.
Standard 8VAC20-780-540-C
SYSTEMIC VIOLATION
The first aid kits shall include at a minimum the required items.
The first aid kit did not include adhesive tape or the first aid instructional manual.
The first aid kits shall include at a minimum the required items.
The first aid kit did not include adhesive tape or the first aid instructional manual.
Plan of Correction: Provider has obtained required supplies.
Standard 8VAC20-780-540-D
REPEAT VIOLATION
SYSTEMIC VIOLATION
The following emergency supplies shall be required at the center and be available: ice pack or cooling agent.
There was no ice pack or cooling agent available at the center.
SYSTEMIC VIOLATION
The following emergency supplies shall be required at the center and be available: ice pack or cooling agent.
There was no ice pack or cooling agent available at the center.
Plan of Correction: Provider has obtained required supplies.
Standard 8VAC20-780-550-D
REPEAT VIOLATION
SYSTEMIC VIOLATION
The center shall implement a monthly practice evacuation drill.
The was no documentation of a monthly practice evacuation drill for August, September, October or November 2025.
SYSTEMIC VIOLATION
The center shall implement a monthly practice evacuation drill.
The was no documentation of a monthly practice evacuation drill for August, September, October or November 2025.
Plan of Correction: Provider will conduct drill every month.
Standard 8VAC20-780-60-A
REPEAT VIOLATION
SYSTEMIC VIOLATION
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
The records for Child 1, Child 2, Child 3, Child 4, and Child 5 were each missing several of the required components. The record for Child 1 was previously cited on 6/3/2025 for missing required components.
SYSTEMIC VIOLATION
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
The records for Child 1, Child 2, Child 3, Child 4, and Child 5 were each missing several of the required components. The record for Child 1 was previously cited on 6/3/2025 for missing required components.
Plan of Correction: Provider will obtain information from parents.
Standard 8VAC20-780-70
REPEAT VIOLATION
SYSTEMIC VIOLATION
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.
There were no references on file for Staff 1(employed over nine months) or Staff 2 (employed over two months).
SYSTEMIC VIOLATION
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.
There were no references on file for Staff 1(employed over nine months) or Staff 2 (employed over two months).
Plan of Correction: Provider will obtain references.