Inspection · 2025-02-04
Licensing Inspector
Leslie Perez
(703) 537-6013
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
Inspector Notes
An unannounced, on-site initial monitoring inspection was initiated and completed on 2/4/2025, as a part of the licensure process. The on-site inspection began at 10:00am and ended at 2:45pm. The inspector reviewed compliance in the areas listed above. There were no children present. The inspector reviewed 3 staff/board member records on site. This inspection included: document review, tour of the facility, interviews, and measurements.
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 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead.
The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: Management staff will forward potable water testing plan to VDH by 2/7/25.
Standard 8VAC20-780-160-A
Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening completed within the last 30 calendar days of the date of employment.
Staff #1's TB was completed 6 months prior to date of employment.
Plan of Correction: Hiring staff will ensure TB screening/test is completed within 30 calendar days prior to employment date and not beyond.
Standard 8VAC20-780-40-I
The center shall develop written procedures for injury prevention.
The center did not have an injury prevention plan.
Plan of Correction: The center staff will develop an injury prevention plan this week and review with all staff.
Standard 8VAC20-780-550-A
The center shall have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown. The plan shall be developed in consultation with local or state authorities.
No documentation that the center's emergency preparedness plan has been coordinated with local or state authorities.
Plan of Correction: Management staff will send the emergency preparedness plan to local authorities this week, for approval.
Standard 8VAC20-820-150
All buildings shall be inspected and approved by the local building official when required. This approval shall be documented by a Certificate of Use and Occupancy indicating that the building is classified for its proposed licensed purpose. A valid certificate of occupancy is one prerequisite for licensure.
The center did not have a certificate of occupancy or building evaluation by local building official.
Plan of Correction: The owner and Director will request a building evaluation to be completed today and notify licensing once completed and certificate of occupancy is received.