Inspection · 2025-02-25
Licensing Inspector
Cathy Aylor
(540) 222-6352
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 2/25/25.
The on-site inspection began at 11:40 am and ended at 3:00pm. The inspector reviewed compliance in the areas listed above. There were 23 children present and 4 staff. The inspector reviewed 4 children?s records and 7 staff records on site.
This inspection included document review, tour of the facility, interviews and observation.
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 3/21/25. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-1
Sworn disclosure statements must be completed prior to employment.
There was no sworn disclosure statement on file for staff #6, this background check was overdue by 7 weeks.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
National fingerprint background checks are required prior to employment.
Staff # 3 did not have fingerprint background checks on file at the time of employment. The background checks were overdue by 10 days.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
Out of state Central Registry background checks must be requested prior to employment for each state a staff has resided in the past 5 years.
A central registry background check had not been requested for staff # 5, this request was 7 weeks overdue.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-210-A-4
Program leaders shall be at least 18 years of age and fulfill a high school program or the equvalent, have 3 months of programmatic experience and within one month of being promoted or beginning work have a minimum of 24 hours of lead teacher training to include child development, health and safety , preventing and reporting abuse and neglect and playground safety.
Staff # 4 has functioning as a lead teacher for 7 weeks but does not have a high school diploma or equivalency nor do they have the 24 hours of lead teacher training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
Areas and equipment of the center, inside and outside shall be maintained in a clean, safe and operable condition.
Bolts on a chain link fence were protruding more than 2 threads on the fence separating the older and younger playgrounds. Protrusions present impalement hazards.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-350-B-4
The staff-to-children ratios for children 3 years and up to school age eligible is 1 staff to every 10 children
There were 11 children, between 4-5 years of age with one staff in the Pre-K classroomm
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-M
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions.
The allergy, sensitivity, and dietary restriction list did not contain a blueberry allergy for child #1 nor a milk allergy for child # 3.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
Disposable diapers shall be disposed of in a storage system that is either foot operated or used in such a way that neither the staff members hand nor the soiled diaper touches an exterior surface of the storage systemduring disposal.
The container used to dispose of soiled diapers is kept locked and the staff must use their hand to unlock, which they unlocked after changing the soiled diaper.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-P
The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include time of day parents were informed of the child's injury.
Four injury reports did not document the time parents were informed of an injury to their child.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A-8
A written care plan for each child with a diagnosed food allergy to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
There were no allergy care plans on file for child # 1 and child #3, both had diagnosed food allergies.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
There was no attendance maintained in the Pre-K classroom where there were 11 children present.
Plan of Correction: Not available online. Contact Inspector for more information.