Inspection · 2025-07-21
Date
2025-07-21
Complaint Related
No
Licensing Inspector
Nanette Roberts
(757) 404-2322
(757) 404-2322
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 (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
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 and completed on 7/21/25, as a part of the conditional licensure period. The on-site inspection began at 12:00pm and ended at 2:00pm. The inspector reviewed compliance in the areas listed above to include standards found out of compliance during the previous inspection. There were 10 children present and 3 staff. The inspector reviewed 5 children?s records and 3 staff records on-site. This inspection included document review, a 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.
Violations
13Standard 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. Staff #2, who is currently working, does not have a sworn statement in the record.
Plan of Correction: A sworn statement was completed on staff #2 and added to record.
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. Staff #2, who had been employed for seven weeks, did not have documentation that a central registry search had been requested. Staff #2 was working alone with children.
Plan of Correction: The facility responded: Staff #2 is no longer employed at the center. The Director will request a search of the central registry prior to the employee's first day of employment.
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. Child #3, who began attending 6 weeks ago, did not have documentation of an immunization record on file.
Plan of Correction: The facility responded: Parent was called in the presence of the inspector. Child was born in another state and mom was waiting on documents. Child immunizations were given to the center on 7/23/25. Director will make sure all children enrolled have current immunization record on file before attending center.
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 for child #3, who had been enrolled for 6 weeks..
Plan of Correction: The facility responded: The parent was called in the presence of the inspector. Child was born in another state and mom was waiting on documents. Child immunizations were given to center on 7/23/25. Director will make sure all children enrolled have current immunization record on file before attending the center.
Standard 8VAC20-780-150-B
Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #4 was not signed.
Plan of Correction: The facility responded: Director will make sure all required documents have the required signature.
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. The TB results for staff #2 was dated five months prior to the date of employment.
Plan of Correction: The facility responded: Staff will be required to have a negative TB before coming in contact with children and shall been complete within the last 30 days of employment for records.
Standard 8VAC20-780-240-B
Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #2, who had been employed for 7 weeks, did not have documentation of orientation training. Staff #2 was alone with children.
Plan of Correction: The facility responded: Staff #2 is no longer employed at the center. The Director will complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Standard 8VAC20-780-340-D
In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Staff #1 and staff #2 were each supervising group of children alone prior to nap time. The records for staff #1 and staff #2 did not contain the required documentation to demonstrate program leader qualifications.
Plan of Correction: The facility responded: Staff #1 required documents were added to file to show qualifications as Lead teacher. Staff #2 is no longer employed at the center. The
Director will make sure all staff documents to meet require position qualifications before assuming job responsibilities are met so that this does not happen.
Director will make sure all staff documents to meet require position qualifications before assuming job responsibilities are met so that this does not happen.
Standard 8VAC20-780-340-F
Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection two children, ages six and seven year's old were unsupervised, when staff #1 left the classroom.
Plan of Correction: The facility responded: Program Director was in hallway when staff went to restroom. Staff will communicate with one another so children under the age of 10 are in sight and sound supervision of staff at all times.
Standard 8VAC20-780-500-A
Children?s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. In the infant room, staff # 2 changed a child?s diaper and did not wash the child's hands with soap and water.
Plan of Correction: The facility responded: Staff #2 is no longer employed at center. Staff will wash children's hands with soap and running water after toileting, or any contact with blood, feces or urine. Posters are in place for proper handwashing.
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 records for child #1, child #2, child #3, child #4 and child #5 was missing the required information.
Plan of Correction: The facility responded: All records were updated. Staff will make sure all documents required information is in records during enrollment.
Standard 8VAC20-780-70
Staff records shall be kept for each staff person and contain all the required information.
The records for staff #1 and staff #2 did not contain all the required information.
The records for staff #1 and staff #2 did not contain all the required information.
Plan of Correction: The facility responded: All records were updated. Director will make sure all documents required information is in records during employment.
Standard 8VAC20-780-90-A
There shall be a written agreement between the parent and the center in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include an authorization for emergency medical care should an emergency occur when the parent cannot be located immediately. The records for child #2 and child #3 did not include a signed emergency medical authorization.
Plan of Correction: The facility responded: Child #2 and #3 parents sign a written agreement between the center and parent. Files were updated with emergency medical authorization. Director will make sure a written agreement between the parent and the center is in each child's record by the first day of the child's attendance.