Inspection · 2025-09-24
Licensing Inspector
Nanette Roberts
(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)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
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 focused inspection was initiated on 9/24/25 and completed on 10/3/25. The on-site inspection began at 10:15am and ended at 2:05pm. The inspector reviewed compliance in the areas listed above to include standards found out of compliance during the previous inspection. There were 26 children present and 6 staff. The inspector reviewed 5 children?s records and 5 staff records during the on-site inspection An additional staff record was reviewed electronically on 10/3/25. This inspection included document review, a 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.
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 10/15/25. 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 #1, employed for 2 weeks , did not have documentation of requesting a criminal history or sex offender registry check from one state.
Plan of Correction: The out of state sex offender registry search was completed during the inspection.
The facility responded: Management will require employees to email a screenshot of the completed out-of-state background check to the Director for verification of the correct background check being run.
Standard 8VAC20-780-510-E
The center's procedures for administering nonprescription medication shall be consistent with the manufacture's instructions for age, duration and dosage. Medication given to Child #1 on four dates in September, was not consistent with the manufacturer's instructions for age. The authorization dates for the medication were incomplete.
Plan of Correction: The facility responded: All medications were collected from classrooms and sent home on day of inspection. Management communicated to families that a medication authorization form is required to be completed for any nonprescription medications and ointments. Moving forward management will review all medication authorization forms to ensure dosage and duration are consistent with manufacturer instructions before administering
Standard 8VAC20-780-520-C
If diaper ointment or cream is used a record shall be kept that includes the child's name, date of use, frequency of application and any adverse reactions. The diaper ointment application log for Child #4 did not contain the child's name.
Plan of Correction: The facility responded: Moving forward management will ensure medication logs contain the child's name. Additionally, management will monitor medication logs for ointments weekly.
Standard 8VAC20-780-550-P
The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence and include all the required information. The injury report for Child #2 did not include the date and time the parent was notified, or the method used to notify the parent. The record for Child #3 did not include the date and time the parent was notified.
Plan of Correction: The facility responded: Management completed a retraining on expectations regarding completion of incident reports with all staff during the 9/30/25 staff meeting. Moving forward management will review all incident reports for completion before parents sign and incidents are filed.