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Inspection · 2025-04-02

Date
2025-04-02
Complaint Related
No
Licensing Inspector
Michele Patchett
(757) 439-6816
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 focused inspection was initiated on 4/2/2025 and completed
on 4/2/2025, as a part of the conditional licensure period. The on-site inspection began at 11:15 am and ended at 2:10pm. The inspector reviewed compliance in the areas listed above. There were 85 children present and 11 staff. The inspector reviewed 8 children?s records and 8 staff records on-site. This inspection included document review, tour of the facility, interviews, observations, 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.

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 business days from today, which will be the close of business on April 16, 2025. A POC submitted after this date will not appear on the public website.

Violations

8
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.

Background checks from previous owner can not be transferred . The center transferred new ownership in February. Staff #3, Staff #4, Staff #5, and Staff #6 had a sworn statement from previous owner in the record. There were not a new sworn statement in the record. The new sworn statement was not completed prior to employment under new ownership.
Plan of Correction: New background checks have been completed and placed in staff's new staff file.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment.

Background checks from previous owner can not be transferred . The center transferred new ownership in February. Staff #3, Staff #4, Staff #5, and Staff #6 had a central registry results from previous owner in the record. A new request for a central registry was not completed prior to employment under new ownership.

Staff #2, who had been employed for 7 weeks, did not have a central registry search requested prior to hire. Staff #2 was working alone with children without results.
Plan of Correction: The school has had difficulties obtaining the login credentials for the OBI site, despite multiple email requests and phone calls.
Standard 22.1-289.036-B-2
Providers must obtain a completed national fingerprint check prior to the employee's first day of employment.

Background checks from previous owner can not be transferred . The center transferred new ownership in February. Staff #3, Staff #4, Staff #5, and Staff #6 had national fingerprint results from previous owner in the record. A new national fingerprint results were not completed prior to employment under new ownership.
Plan of Correction: The school was having difficulties obtaining the login credentials for field print despite multiple request to the Office Background investigation. Now the accounts have been created candidates are sent for fingerprint background check is prior to an offer being extended .
Standard 8VAC20-780-140-A
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 was no physical examination in the record of child #1 and child #2, who had been enrolled for 7 weeks.
Plan of Correction: The parent has provided the center with School Entry Form.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis screening submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

The center transfer to new owner February 2025 from previous owner. Staff #3, Staff #4, Staff #5 and Staff #6 tuberculosis results were completed under the previous owner and the results were more than 30days old.
Plan of Correction: Staff have updated their TB test to replace the results in their original staff files from the previous ownership.

For those who recently had a test our licensor provided a DOE form to allow the TB test results to be transferred.
Standard 8VAC20-780-280-B
Repeat violation

Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

In classroom 6, there was a cabinet that was unlocked with floor cleaner . The chemical was labeled with keep out of reach of children .
Plan of Correction: The classroom was cleaned and all times were removed at the time of the inspection .

Staff have been retrained on policies and procedures regarding the use and storage of cleaning materials.
Standard 8VAC20-780-500-B
Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. A nonabsorbent surface for diapering or changing shall be used.

There was a soiled diaper in a plastic bag sitting in the hallway. The diaper was not disposed in a storage system.

In classroom 6, the diapering surface was torn on both ends causing it to be absorbent diapering surface.
Plan of Correction: Teacher have been reminded not to leave a trash bag out regardless of the reasoning.

Should a trash bag need to be taken out they must call the office and ask for support.
Standard 8VAC20-780-70
Staff records did not obtain name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center and .

Staff #1 employed for three weeks and staff #2 employed for 7 weeks did not have name, address, and telephone number of a person to be notified in an emergency

Orientation from previous owner can not be transferred . The center transferred new ownership in February. Staff #3, Staff #4, Staff #5, and Staff #6 had a orientation from previous owner in the record but not for the new owner.
Plan of Correction: All orientations have been updated in Eventus Education .
View original record on Virginia Department of Social Services