Inspection · 2025-04-01
Licensing Inspector
Arlene Agustin
(804) 629-7519
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 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
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 April 1, 2025, as a part of the conditional licensure period. The on-site inspection began at 10:30am and ended at 1:15pm. The inspector reviewed compliance in the areas listed above. There were 32 children present and 8 staff. The inspector reviewed 7 children?s records and 9 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.
Standard 8VAC20-780-210-A-1
Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent, have programmatic experience in a daycare setting, and have an educational background in early childhood education. Staff #1 and Staff #3 are the listed program leaders for the preschool classrooms however there are no documents to support that these staff members met the requirements for the role of program leader.
Plan of Correction: The center responded with the following: The center will obtain copies of diplomas, degrees, trainings, and transcripts to display that the program leaders in each classroom meet the appropriate qualifications per licensing standards. The center will verify the staff member?s programmatic experience.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In the infant room were four bottles of disinfectant that has a label, ?Keep out of reach of children,? that were unlocked. In the school age area, there were disinfectant wipes and a can of air freshener that were not locked.
Plan of Correction: The center responded with the following: Staff will ensure that all cleaning materials with a label, ?Keep out of reach of children,? will be locked to prevent access by children in care.
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 documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. The Director confirmed there were food allergies however there were no written lists in each room for accessibility to staff who work with children.
Plan of Correction: The center responded with the following: The center will have a list of all the children?s allergies, sensitivities, and dietary restrictions documented and posted in each classroom and the kitchen. The list will be updated and kept confidential.
Standard 8VAC20-780-450-C
Crib sheets shall be clean and washed daily. Infant staff stated that the crib sheets are changed and washed once a week every Friday.
Plan of Correction: The center responded with the following: Staff will ensure that all the linens for the cribs be washed daily.
Standard 8VAC20-780-560-L
Staff shall sit with children during mealtimes. During lunch, five staff members were observed refilling children?s meals and drinks however no staff were observed sitting with the children.
Plan of Correction: The center responded with the following: During the time of the inspection, the Director prompted staff that a staff member is required to sit and observe the children. Moving forward, staff will sit with the children when eating and drinking.
Standard 8VAC20-780-60-A-8
In the children?s record, there shall be 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. Child #1 and Child #2 both have a diagnosed food allergy however there was no written care plan for each child for the center to be aware of the steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction: The center responded with the following: The Director will speak with the parents to obtain a written care plan from the child?s pediatrician regarding their diagnosed food allergy signed by the pediatrician or medication professional and the parent.
Standard 8VAC20-780-70
The following staff records shall be kept for each staff person to include verification of age requirement and name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Nine staff records were reviewed, and all records were missing the staff?s verification of age and emergency contact information.
Documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. If a reference check is taken over the phone, documentation shall include dates of contact, names of persons contacted, the firms contacted, results and signature of person making call. Staff #3, present at the center working with children, had a list of references however no documented verification of completed reference checks to character and reputation.
Plan of Correction: The center responded with the following: The center will obtain a copy of the staff member?s identification cards and emergency contact information and place them in their staff file. The direction will call Staff #3?s references and document the appropriate requirements when calling the references over the phone. The documentation will be placed in the staff record located at the center.