Inspection · 2025-09-02
Licensing Inspector
Adrianna Walden
(757) 404-2487
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 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An announced initial inspection was completed on 09/02/2025. The on-site inspection began at 11:15am and ended at 2:00pm. The inspector reviewed compliance in the areas listed above. 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.
Standard 22.1-289.035-B-2
All staff are required to submit fingerprinting. Staff #1 did not have documentation of having fingerprinting.
Plan of Correction: The staff will make appointments for field print this week to obtain their fingerprinting.
Standard 22.1-289.035-B-3
All staff are required obtain a copy of the results of a search of the central registry. Staff #1 did not have documentation of the results of a central registry check.
Plan of Correction: The district manager will send for the central registry check for staff.
Standard 8VAC20-780-240-C
Staff are required to have an orientation training appropriate to the age of the children in care and include all required facility specific topics. The program director did not have documentation of having an orientation specific to the required facility trainings. The program director reported she has received an orientation from another state, but not specific to the center in Virginia.
Plan of Correction: The director came from a sister school in North Carolina and had received an orientation when hired in 2017. A orientation required by the Virginia standards will be provided to the director by next week.
Standard 8VAC20-780-270-A
Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
1. All 6 exterior doors leading from the playground to inside classrooms had peeling and chipped paint. Some of the wooden door frames were chipped and splintered.
2. Four out of 6 window air conditioning units had protective grates that were rusted and crumbled to the touch. The inside of the units were filled with debris. Some of the units were secured by bricks that had crumbling mortar.
3. There were 3 metal baskets attached to the fencing that when touched rust came off.
4. The plastic mushroom stools on the playground had cracks with sharp and jagged edges.
5. There was a long cable running across the sand play area, posing a tripping hazard.
6. In room #5 there were 2 handwashing sink units that had deteriorating particle board and peeling paint. There was also visible dirt and debris inside water fountain.
7. In the girls bathroom there was a missing piece of flooring, exposing broken tile underneath.
8. In both bathrooms there were missing wall tiles, exposing the drywall and peeling paint.
9. There was peeling paint throughout the building and around framing.
Plan of Correction: Work orders have been placed for each physical plant item listed. The district manager has expedited the work orders.
Standard 8VAC20-780-330-B
Where playground equipment is provided, resilient surfacing shall comply with
minimum safety standards when tested in accordance with the procedures
described in the American Society for Testing and Materials standard F1292-99. The outside play structure and slide did not have the required resilient surfacing underneath it.
Plan of Correction: Mulch was supposed to be delivered the day of the initial inspection, but was not. It was delivered and spread on the playground the following day.
Standard 8VAC20-780-430-A
Furnishings, equipment, and materials shall be of an appropriate size for the child using it.
The water fountain in room #5, designated for 5 - 8 year old children had a small water fountain that was not appropriate size for this age group. In order to use the fountain, children would have to kneel.
Plan of Correction: The water fountain will be removed.
Standard 8VAC20-780-540-C
First aid kits are to include all required items. The center's first aid kit did not have the following required items: thermometer, scissors, tweezers, cold pack, triangular bandages,.
Plan of Correction: All required first aid and emergency supplies will be obtained for inside the center, on each van and available for field trips.
Standard 8VAC20-780-540-D
Required emergency supplies shall be at the center. The center did not have a working radio or flashlight.
Plan of Correction: All required first aid and emergency supplies will be obtained for inside the center, on each van and available for field trips.