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R & M Childcare LLC

Inspection · 2025-10-14

Date
2025-10-14
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
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 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors 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 on 10-14-2025 and completed on 10-23-2025. The on-site inspection began at 9:15am and ended at 11:10am. The inspector reviewed compliance in the areas listed above. There were 11 children present and 3 staff. The
inspector reviewed 5 children?s records and 5 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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on
10-30-2025. A POC submitted after this date will not appear on the public website.

Violations

9
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #5, who had been attending for over 3 months, did not have documentation of immunizations.
Plan of Correction: Immunizations have been updated in children folder
Standard 8VAC20-780-245-J
Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the training requirements. On October 14, 2025 Child #3, has 1 emergency medications and was in care and there was not a staff member with the required medication administration training.
Plan of Correction: No medication on daycare site. Director is in MAT training class
Standard 8VAC20-780-245-L
There should always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. There was not a staff member on site during this inspection with documentation for this training.
Plan of Correction: All staff training is updated
Standard 8VAC20-780-260-A
The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.
Plan of Correction: updated & corrected
Standard 8VAC20-780-510-L
Medication shall be kept in a locked place using a safe locking method that prevents access by children. A medication (medication A) was stored on the top shelf of a cabinet in an unlocked manner and in the unlocked office.
Plan of Correction: No medication on daycare site
Standard 8VAC20-780-570-E
Repeat Violation
The licensee did not ensure that prepared infant formula shall be refrigerated, dated and labeled with the child's name. There were two bottles observed with no name and no date and one with no date.
Plan of Correction: updated & corrected
Standard 8VAC20-780-570-H
Prepared baby food shall be discarded or returned to the parent at the end of the day. One bottle of formula was observed labeled with a child?s name and dated for the previous day.
Plan of Correction: updated & corrected
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information. The following records were missing information;
1.Child #2 missing employment phone number for one parent listed.
2.Child #3 missing employment phone number for both parents listed and the physician?s phone number.
3.Child #4 missing city, state and zip code for both emergency contacts listed .
4.Child #5 missing one parent?s employment location and phone number.
Plan of Correction: Child/ren records have been updated
Standard 8VAC20-780-70
Repeat Violation
The provider shall keep for each staff person all the required information. Staff #1 was missing information related to any health issues that may interfere with the job and an emergency contact name and information. Staff #1 has been working for approximately 5 months. Staff #4 and Staff #5 were missing information related to any health issues that may interfere with the job and Staff #4 has been working for approximately 3 months and Staff #5 has been working for approximately 4 months.
Plan of Correction: updated & corrected