Inspection · 2025-10-07
(540) 430-0384
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
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 monitoring inspection was initiated on 10/07/2025 and completed on 10/14/2025 as a part of the conditional licensure period. The on-site inspection began at 2:22 pm and ended at 4:10 pm. The inspector reviewed compliance in the areas listed above. There
were 24 children present and 2 staff. The inspector reviewed 5 children?s records on site and 2 staff records electronically between 10/09/2025 and 10/14/2025. 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 violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 10/21/2025. A POC submitted after this date will not appear on the public website.
Violations
10Child #1, Child #2, Child #3, and Child #4, all enrolled more over one month, did not have documentation of immunization records on file.
The records of Child #1, Child #2, Child #3, Child #4, and Child #5, all enrolled for over 30 days, did not contain a physical examination.
The immunization record for child #5, enrolled for over one month, was not signed.
Staff #1, employed for over two months, did not have a negative TB screening on file.
The center did not have a staff that was trained in daily health observation on site at all times when children were present.
On 10/07/2025, 24 children were observed with two staff supervising. Child #1, age 4, was not school age eligible. The ratio when a preschool aged child is included in a grouping of school aged children is 1:10. Staff stated that Child #1 had been in attendance for over one month, and acknowledged that they had exceeded the 1:10 ratio during that time.
The center's license allows for the care of children between the ages of four years 11 months and 12 years 11 months. Child #1, who has been enrolled for over one month and was on site at the time of the inspection, was four years and eight months at the time of enrollment.
A practice evacuation drill was not conducted in August and September of 2025.
The record for Child #1, enrolled for over one month, was missing the child and parent's address, the doctor's name and phone number, two emergency contact addresses, allergy and health information, and written agreements. The record for Child #2, enrolled for over one month was missing the child and parent's address, two complete emergency contacts to include the name address and phone numbers of each, allergy and health information, and written agreements. The record for Child #4 enrolled for over one month, was missing the child and parent's address, the doctor's name and phone number, two emergency contact addresses, allergy and health information, and written agreements. The record for Child #5 was missing emergency contact addresses.
The record of Staff #1, employed for over two months, did not contain the emergency contact and health information required to be kept on site. The record did not contain documentation of two references to character, reputation, and competency that are to be checked prior to employment and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. The record of Staff #2, employed for over two months, did not contain the emergency contact and health information required to be kept on site. The record contained two character references that were obtained approximately 12 days after the start of employment.