Inspection · 2025-12-03
Date
2025-12-03
Complaint Related
No
Licensing Inspector
Kelly Adriazola
(804) 840-8245
(804) 840-8245
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.
Yes
Violations
6Standard 22.1-289.035-B-3
SYSTEMIC VIOLATION
The center must request a search of the central registry prior to the employee's first day of employment.
1. The central registry check was not requested prior to staff #2's first day of employment. Staff #2 completed orientation training on 12/2/2025 and the central registry check was completed on 12/3/2025.
The center must request a search of the central registry prior to the employee's first day of employment.
1. The central registry check was not requested prior to staff #2's first day of employment. Staff #2 completed orientation training on 12/2/2025 and the central registry check was completed on 12/3/2025.
Plan of Correction: Staff #2's orientation, originally scheduled to end on 12/2/2025, was extended through 12/4/2025 due to weather, and the central registry check was completed on 12/3/2025. Procedures have been updated to ensure all required background checks, including central registry searches, are requested and documented before the first day of work, even if orientation spans multiple days.
Standard 8VAC20-780-340-A
When staff are supervising children, they shall always ensure their care, protection, and guidance.
1. Child #2, who has been attending the center for two months, has a diagnosed food allergy. The allergy care plan for this child states emergency medication is needed for the allergy but the center did not have one of the emergency medications needed per the physician's plan since this child has been attending.
1. Child #2, who has been attending the center for two months, has a diagnosed food allergy. The allergy care plan for this child states emergency medication is needed for the allergy but the center did not have one of the emergency medications needed per the physician's plan since this child has been attending.
Plan of Correction: The required emergency medication for Child #2 has been obtained and is now on-site in accordance with the physician's allergy care plan.
Standard 8VAC20-780-40-E
REPEAT VIOLATION
SYSTEMIC VIOLATION
The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department.
1. The center handbook indicates their restrictions on medications as, "Restrictions: no 'as needed' medications."
2. An "as needed" medication was on-site and administered.
SYSTEMIC VIOLATION
The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department.
1. The center handbook indicates their restrictions on medications as, "Restrictions: no 'as needed' medications."
2. An "as needed" medication was on-site and administered.
Plan of Correction: The "as needed" medication was removed from the center immediately. Staff were reminded of the center's medication policy, which does not allow "as needed" medications. The Director will review all medications upon receipt to ensure compliance with the handbook and licensing standards going forward.
Standard 8VAC20-780-500-B
Disposable diapers shall be disposed of in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.
1. In the infant room there is a step-can that has a locking mechanism and staff #1 touched the lid with their hand to unlock it and then used the step mechanism.
1. In the infant room there is a step-can that has a locking mechanism and staff #1 touched the lid with their hand to unlock it and then used the step mechanism.
Plan of Correction: The diaper disposal system in the infant room was reviewed for proper use, and staff were instructed to keep the container unlocked during care times or use an approved hands-free method.
Standard 8VAC20-780-510-L
SYSTEMIC VIOLATION
Medication shall be kept in a locked place using a safe locking method that prevents access by children.
1. Several prescription medications were in an unlocked cabinet in the office, which was left unattended several times during the inspection, and accessible to children.
2. A prescription medication was on a counter in the office from 8:01 a.m. until 12 p.m. This medication was accessible to children.
Medication shall be kept in a locked place using a safe locking method that prevents access by children.
1. Several prescription medications were in an unlocked cabinet in the office, which was left unattended several times during the inspection, and accessible to children.
2. A prescription medication was on a counter in the office from 8:01 a.m. until 12 p.m. This medication was accessible to children.
Plan of Correction: All medications were immediately secured in a locked cabinet using an approved locking method and removed from counters and other unsecured areas. Staff were reminded of medication storage requirements and supervision expectations.
Standard 8VAC20-780-70
The center failed to have required documentation in each staff file.
1. The record of staff #3, employed for over six weeks, did not contain documentation to demonstrate the individual possesses the education required for the job position. Staff #2 was working as a program lead at the time of inspection.
2. The record of staff #4, employed for over two weeks, did not contain documentation to demonstrate the individual possesses the education required for the job position. Staff #4 was working as a program lead at the time of inspection.
1. The record of staff #3, employed for over six weeks, did not contain documentation to demonstrate the individual possesses the education required for the job position. Staff #2 was working as a program lead at the time of inspection.
2. The record of staff #4, employed for over two weeks, did not contain documentation to demonstrate the individual possesses the education required for the job position. Staff #4 was working as a program lead at the time of inspection.
Plan of Correction: College transcripts for staff #3 and staff #4 were requested at the time of employment and have since been received and placed in their personnel files.