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Williamsburg-James City County Community Action Agency - CCES

Inspection · 2026-03-24

Date
2026-03-24
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
8VAC20-821 Licensure Requirements
8VAC20-821 Renewal
8VAC20-821 Application Fees
8VAC20-821 Background Checks
8VAC20-821 Standards of Conduct
8VAC20-821 Violation Review
8VAC20-821 Sanctions
8VAC20-821 Appeals
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services

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 renewal inspection was initiated on 3/24/2026 and completed on 3/24/2026, as a part of the conditional licensure period. The on-site inspection began at 10:20am and ended at 11:55am. The inspector reviewed compliance in the areas listed above. There were 14 children present and 2 staff. The inspector reviewed 5 children?s records onsite and 2 staff records onsite and electronically on 3/30/2026. This inspection included document review, tour of the facility, interviews, and observations.

A subsidy health and safety inspection (SHSI) was conducted in conjunction with the licensing inspection. Subsidy standards that are not covered in licensing standards were reviewed during this SHSI, and this single inspection report reflects findings related to licensing standards and subsidy standards.

Information gathered during the inspection determined noncompliance 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 4/14/2026. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening.

Staff #1 updated screening was due more than one week prior to inspection. Staff #2 updated screening was due more than three months ago. The updated screenings have not yet been completed.
Plan of Correction: 1.Both staff members were immediately notified of the overdue TB screening requirement.
2. Upon completion, documentation will be reviewed and placed in each staff member?s personnel file.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

The record for Child #3, enrolled for more than 6 months, was missing the following required components: verification of age and identity.
Plan of Correction: The child file was reviewed, and the required verification of age and identity documentation was obtained from the family. The documentation was added to Child #3?s record, ensuring the file is now complete and compliant with licensing requirements.
Standard 8VAC20-790-600-F
Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course.

Staff #1 did not have an up to date 2026 3-hour health and safety training completed. Staff #2 did not have a 2025 or 2026 3-hour health and safety training completed.
Plan of Correction: Both staff members were immediately notified of the lapse in required Health and Safety training. Documentation of completed training will be placed in each staff member?s personnel file upon completion.
View original record on Virginia Department of Social Services