Inspection · 2025-04-14
Licensing Inspector
James R Basham
(804) 588-2370
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.
8VAC20-820 HEARINGS PROCEDURES.
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 initiated on 4/14/2025 and completed on 4/14/2025, as a part of the conditional licensure period. The on-site inspection began at 11:57AM and ended at 2:21PM. The inspector reviewed compliance in the areas listed above. There were 2 children present and 4 staff. The inspector reviewed 2 children?s records and 3 staff records on-site on 4/14/2025.
This inspection included document review, tour of the facility 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 4/25/2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement was not obtained prior to employment for Staff #1 and Staff #2, who are currently working with children.
Plan of Correction: Provider will have staff fill out sworn statements.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #2 had no documentation and had been employed for two weeks.
Plan of Correction: Provider will schedule tb test for staff.
Standard 8VAC20-780-370
There shall be a flexible daily schedule posted for infants based on their individual needs. The infant classroom did not have a flexible daily schedule posted.
Plan of Correction: Provider will post a schedule.
Standard 8VAC20-780-380-A
There shall be a posted daily schedule that allows for flexibility as children?s needs require. The preschool classroom did not have a daily schedule posted.
Plan of Correction: Provider will post a schedule.
Standard 8VAC20-780-500-B
The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff were using Lysol wipes to clean the diapering surface, soap and water and bleach solution were not available for staff use.
Plan of Correction: Provider will clean and sanitize with soapy water and bleach solution.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, enrolled two weeks, was missing the following required component: Documentation of viewing proof of the child?s identity and age. The record for Child #2, enrolled for one day, was missing the following required components: phone number of one designated person to call in an emergency and phone number and address of a second person to call in an emergency; documentation of viewing proof of the child?s identity and age.
Plan of Correction: Provider will update records.
Standard 8VAC20-780-70
The following staff records shall be kept for each person. The record for Staff #1, employed for 2 weeks, did not contain name, address and phone number of a person to be notified in an emergency; information about any health problems that may interfere with fulfilling job responsibilities; documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment; did not contain background checks as required. The record for Staff #2, employed for 2 weeks, did not contain name, address and phone number of a person to be notified in an emergency; information about any health problems that may interfere with fulfilling job responsibilities; documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment; did not contain background checks as required. The record for Staff #3, employed for 2 weeks, did not contain name, address and phone number of a person to be notified in an emergency; documentation to demonstrate that the individual possesses the education, certification and experience required by the job position; information about any health problems that may interfere with fulfilling job responsibilities.
Plan of Correction: Provider will update records.