Inspection · 2025-03-03
Licensing Inspector
Kelly Adriazola
(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.
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.
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.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and concluded on March 3, 2025. The on-site inspection began at 11:32 a.m. and ended at 1:11 p.m. The inspector reviewed compliance in the areas listed above. There were 40 children present and 9 staff. The inspector reviewed 5 children?s records and 6 staff records on-site. This inspection included document review, tour of the facility, interviews, and observations.
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 March 17, 2025. A POC submitted after this date will not appear on the public website.
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. Staff #6, who had been employed for over six months, did not have a completed national criminal background check completed by the center.
Plan of Correction: The director attempted to submit a portability request for the employee, who is eligible for portability per 22.1-289.035-J, on 3/04/25. Technical issues regarding the submission have not been resolved as of 3/14/25. The director has also reviewed current background check requirements and is updating information on background check requirements for use by administrative staff.
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 #6, who had been employed for over six months, did not have a central registry search requested by the center.
Plan of Correction: The director attempted to submit a portability request for the employee, who is eligible for portability per 22.1-289.035-J, on 3/04/25. Technical issues regarding the submission have not been resolved as of 3/14/25. The director has also reviewed current background check requirements and is updating information on background check requirements for use by administrative staff.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening. Staff #3 updated the screening over two months late and staff #5 updated the screening two weeks late.
Plan of Correction: Staff files are being reviewed regularly by administrative staff (see Inspection of Staff Records for Licensing form) and staff are regularly notified of needed updates (see Staff Licensing Requirements Information form). The center has also set up shared admin Google calendar (see BELC Admin Calendar Screenshots) to track staff-related licensing requirements (e.g. TB screenings, annual training, etc.)