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Williamsburg-James City County Community Action Agency - CCES

Inspection · 2025-10-07

Date
2025-10-07
Complaint Related
No
Licensing Inspector
Sydney Emory
(804) 807-3277
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

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 announced, on-site initial inspection was initiated on 10/7/2025 and completed on 10/7/2025. The on-site inspection began at 11:26 am and ended at 12:35 pm. The inspector reviewed compliance in the areas listed above. There were zero children present and three staff.
The inspector reviewed zero records on-site on 10/7/2025.

This inspection included document review, tour of the facility, interviews 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 (5) business days from today, which will be the close of business on 10/16/2025. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 8VAC20-780-270-A
Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe
and operable condition. Unsafe conditions shall include, but not be limited to chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment.

In the children's restroom, the entry doorway was rusting along the lower borders of the door and hinges.
Plan of Correction: The Operations Coordinator was contacted on 10/07/2025 regarding the rusted area. He confirmed via email on 10/08/2025 that the maintenance team will inspect the site to determine the appropriate corrective steps. Additionally, he assured me that a timeline for the completion of repairs will be provided to the Education Manager as soon as possible.
Standard 8VAC20-780-510-E
The center's procedures for administering medication shall include methods to prevent use of outdated medication.

The center's procedures for administering medication did not include methods to prevent the use of outdated medication.
Plan of Correction: Update the medication administration policy to include specific procedures for checking expiration dates before each use.
Standard 8VAC20-780-550-A
The center shall have a written emergency preparedness plan, which shall be developed
in consultation with local or state authorities.

The center's emergency preparedness plan has yet to be reviewed by the local or state
authorities.
Plan of Correction: The current emergency preparedness plan will be submitted to the appropriate local and/or state emergency management authorities for review.
View original record on Virginia Department of Social Services