Inspection · 2025-10-14
Licensing Inspector
Cassie Anderson-Leichty
(757) 409-4668
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.
8VAC20-770 Background Checks
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 renewal inspection was initiated on 10/14/2025 and completed on 10/23/2025. The on-site inspection began at 9:25 am and ended at 11:30 am. The inspector reviewed compliance in the areas listed above. There were 55 children present and 12 staff. The inspector reviewed 5 children?s records on-site the day of the inspection and 5 staff records at the central location on 10/22/2025. This inspection included document review, 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 violation 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.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #5, employed for more than 5 months, did not have documentation of requesting a central registry check or sex offender check from one state.
Plan of Correction: Staff will obtain background check from all states they have resided in the preceding five years. Moving forward, Peake will ensure proper sworn disclosure statement s filled out and current, listing states of residence.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #3's TB was dated two months prior to the date of employment.
Plan of Correction: All staff will be required to submit current (within 30 days) TB results upon first day of work, regardless of coming into contact with children or not on that date.
Standard 8VAC20-780-570-B
Bottle fed infants bottles shall not be used while the child is in his designated sleeping location. Two infants were laying on their backs in their cribs while drinking from their bottles.
Plan of Correction: Staff will be retrained.
Standard 8VAC20-780-80-A
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were 6 children present in the Humming Birds room, but there were 8 marked present on the attendance record. There were 7 children present in the Turtles room, but there were 8 marked present on the attendance record. There were 4 children present in the Mighty Peaks room, but there were 6 marked present on the attendance record.
Plan of Correction: A speech classroom will be added in the software system allowing staff to transfer children.