Inspection · 2026-03-04
Licensing Inspector
Trisha Brown
(757) 404-2601
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
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
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 monitoring inspection was initiated and completed on 3/4/26, as a part of the conditional licensure period. The on-site inspection began at 7:00am and ended at 8:30am. The inspector reviewed compliance in the areas listed above. There were 12 children present and 2 staff. The inspector reviewed 6 children?s records and 2 staff records on-site. 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 3/12/26. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.011-F
The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 12/10/2025, were not posted in a conspicuous place on the premises.
Plan of Correction: Management will ensure that inspections are posted as soon as they are received or the information will be downloaded from the department website and posted as soon as possible.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver #2, who had been employed for more than 5 months, did not have a completed national criminal background check.
Plan of Correction: Going forward management will ensure that all records remain at the site and accessible during program hours.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment. Staff #2, who had been employed for more than five months, did not have a central registry search requested.
Plan of Correction: Going forward management will ensure that all records remain at the site and accessible during program hours.
Standard 8VAC20-780-140-A
Each child shall have a physical examination by or under the direction of a physician. There is no documentation of physical examination in the record of Child #1.
Plan of Correction: Going forward children will not attend the program unless all paperwork including physical exams have been received. The missing physical will be obtained from the parent as soon as possible.
Standard 8VAC20-780-160-A
Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. There is no documentation of tuberculosis screening in the record of Staff #2.
Plan of Correction: Going forward management will ensure that all records remain at the site and accessible during program hours.
Standard 8VAC20-780-510-B
Prescription and nonprescription medication shall be given to a child according to the center's written medication policies and only with written authorization from the parent Staff #1 stated that for five consecutive days he administered prescription medication to a child in care but did not follow the center?s policies. Furthermore, Staff #1 stated that he administered prescription medication for 5 days without obtaining written authorization from the parent.
Plan of Correction: Going forward center staff will ensure that all center policies regarding the administration of medication are followed and that written authorization is obtained prior to administering medication All staff will be retrained in center policies and standards for licensed child day center for medication administration.
Standard 8VAC20-780-510-I
The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided the center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container. Staff #1 stated that he accepted five prescription pills in a clear plastic, zip-lock baggie which he did administer five times
Plan of Correction: Going forward center staff will administer medication provided they are in the original container and prescription medications have the prescription label attached and readable. Additionally, all staff will be retrained in center policies and standards for licensed child day center for medication administration.
Standard 8VAC20-780-510-N
Centers shall keep a record of medication given children, which shall include all required information. There was no record of medication that was administered for five days.
Plan of Correction: Going forward center staff will document each time a medication is administered along with all required information. Furthermore, all staff will be retrained in center policies and standards for licensed child day center for medication administration.
Standard 8VAC20-780-530-A-1
Current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. The CPR training documentation for Staff #1 is from an online serve without an in-person component.
Plan of Correction: Going forward management will ensure that all staff complete CPR training that includes an in-person component. Class is scheduled for 3/21/26
Standard 8VAC20-780-550-C
Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. The emergency evacuation and shelter-in-place maps were not posted as required.
Plan of Correction: Management will ensure that emergency evacuation routes are always posted in the child care room during hours of operation.