Inspection · 2026-03-12
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.
Yes
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
8VAC20-821 Licensure Requirements
8VAC20-821 Background Checks
8VAC20-821 Standards of Conduct
8VAC20-821 Violation Review
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
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 3-12-2026 and completed on 3-16-2026. The on-site inspection began at 12:28pm and ended at 2:05pm. The inspector reviewed compliance in the areas listed above. There were 19 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, observations and measurements.
A subsidy health and safety inspection (SHSI) was conducted in conjunction with the licensing inspection. Subsidy standards that are not covered in licensing standards were reviewed during this SHSI, and this single inspection report reflects findings related to licensing standards and subsidy standards.
Information gathered during the inspection determined noncompliance 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 3-23-2026. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-780-140-A
Each child shall have a physical examination by or under the direction of a physician: before the child's attendance; or within 30 days after the first day of attendance. Child #1 does not have a copy of a physical and it is overdue by 1 month.
Plan of Correction: The child?s parent has been notified, and the required physical examination documentation has been requested. Going forward, all children?s records will be reviewed prior to enrollment and tracked to ensure compliance within 30 days. the director will conduct monthly file audits.
Standard 8VAC20-780-260-B
After the first license, annual approval from the health department shall be provided. The center did not have a health inspection available for review.
Plan of Correction: The local health department has been contacted, and a health inspection has
been scheduled. Documentation will be obtained and kept on file at the center
upon completion
Standard 8VAC20-780-350-I
During the designated rest period, when children are resting ,the following rest period ratio children 16 through 24 months of age: one staff per 10 children are permitted. In Room #2, during rest period, Staff #4 was observed working alone with 15 children ages 22 months to age 4. The group was out ratio for approximately 30 minutes.
Plan of Correction: Staff have been reminded of required staff-to-child ratios during rest periods. Scheduling adjustments have been made to ensure proper coverage at all times. In the event of staff absence, a backup plan is in place to maintain ratios. The director will monitor staffing daily and ensure ratios are maintained at all times
Standard 8VAC20-780-40-I
The center shall develop written procedures for injury prevention. There was not an injury plan available for review.
Plan of Correction: A written injury prevention plan has been developed and implemented. All staff have been trained on the procedures, including supervision, hazard identification, and response protocols.
Standard 8VAC20-780-500-A
Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. In Room #1 diapering was observed and Staff #1 did not wash their hands or the children?s hands after diapering.
Plan of Correction: All staff will be retrained on proper handwashing procedures, including washing both their hands and children?s hands after diapering and any contact with bodily fluids. Handwashing will be completed using soap and running water mmediately after each diaper change.. Ongoing training will be provided as needed.
Standard 8VAC20-780-500-B
Disposable diapers shall be disposed of 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. The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #1 was observed lifting the lid with their hands to throw away a soiled diaper and they did not sanitize the diaper pad after diapering.
Plan of Correction: Staff have been retrained on proper diaper disposal procedures, including using hands-free or properly lined containers and avoiding contact with exterior surfaces. Additionally, staff will clean and sanitize the diapering surface after each use. the director will conduct routine checks throughout the day.
Standard 8VAC20-780-560-G
When food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Eight children's food containers were observed in Room #2 they did not have dates.
Plan of Correction: All staff have been retrained on proper food storage procedures, including the requirement that all food brought from home must be sealed, labeled with the child?s name, and clearly dated upon arrival. Effective immediately, staff will
check all food containers daily during drop-off to ensure compliance. Any unlabeled or undated items will be corrected before storage.
Standard 8VAC20-780-570-E
Repeat Violation
The licensee did not ensure prepared infant formula shall be refrigerated, dated and labeled with the child's name. One bottle observed without a name and date and the bottle was not refrigerated
Plan of Correction: All infant bottles will be labeled with the child?s name and date and stored in the
refrigerator immediately after preparation. Staff have been retrained on proper bottle labeling and storage procedures. The director will monitor to prevent recurrence.
Standard 8VAC20-780-60-A
Repeat Violation
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 both parents listed and the physician?s phone number.
2.Child #3 missing employment phone number for one parent listed.
3.Child #4 missing city, state and zip code for both emergency contacts listed.
Plan of Correction: All children?s records have been reviewed and updated to include missing employment phone numbers, physician contact information, and complete
emergency contact addresses. Families were contacted to obtain the required
information, and all files are now complete. The Director will conduct monthly audits of children?s records to ensure ongoing compliance.