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Inspection · 2025-07-18

Date
2025-07-18
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 Programs.
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks
20 Access to minor's records
22.1 Early Childhood Care and Education

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 renewal inspection was initiated on 07/18/2025 and completed on 07/22/2025. The on-site inspection began at 10:26pmand ended at 1:30pm. The inspector reviewed compliance in the areas listed above. There were 84 children present and 14 staff. The inspector reviewed 10 children's records and 11 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 08/05/2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-B-3
Repeat Violation
The center is required to obtain a central registry results..Any employees hired after 7/1/2024 may begin employment without having all required background checks if (i) eligible national fingerprint results have been received; (ii) a completed sworn statement is on file; (iii) all other background checks have been requested;and (iv) the staff is supervised at all times by an individual with all required background checks completed within the last five years.

Staff #1 hired 3 days ago did not have CPS requested before beginning employment.
Staff #3 was alone in a classroom and did not have results for central registry.
Plan of Correction: Registry request was submitted and center is currently awaiting the results. Management was retrained and reminded of the standard and moving forward a staff member will be left alone until the Central Registry results are returned to the center.
Standard 8VAC20-780-160-A
Repeat Violation
The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #2 is currently working and has a TB screening that was dated 43days after their first day of employment.Staff #3 has a TB screening that was completed a month and 14 days prior to hire.
Plan of Correction: The staff member has completed the TB screening and has provided documentation.
Standard 8VAC20-780-500-B
Repeat Violation
A nonabsorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing.
In the toddler classroom, the diapering surfaces was torn on the side on the seem causing the foam to be exposed.
Plan of Correction: Anew diaper pad was ordered and has replaced the ripped pad.
Standard 8VAC20-780-530-A-2
At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. Staff #3 was alone with a group of six, two-year-old children and was not certified in CPR or first aid. Staff #5 was alone with a group of six, prep roomand was not certified in CPR or first aid.
Plan of Correction: A CPR/First Aid class was scheduled prior to the licensing visit for new hires and staff who;s would need a renewal.

The class is currently scheduled August 23 at 9am.
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 #2, enrolled for seven months, was missing the following required component proof of identity document.
Plan of Correction: The parent has provided proper identity proof.
View original record on Virginia Department of Social Services