Inspection · 2025-05-24
Licensing Inspector
Lynn Powers
(804) 840-8260
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. 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 on 05/24/2025 and completed on 05/28/2025. The on-site inspections began at 3:00pm and ended at 6:00pm on 05/23/2025. There were 95 children present with 10 staff. The licensing inspector was onsite from 3:15pm and 4:30pm on 05/28/2025. The inspector reviewed compliance in the areas listed above. The inspector reviewed 10 children?s records and 10 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.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for one year, did not have documentation of requesting a criminal history record, sex offender registry, and child abuse and neglect search from two states.
Plan of Correction: We will obtain the required background checks and ensure all documentation is requested for all new hires going forward.
Standard 8VAC20-780-160-A
The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment. The documentation of the TB screening for Staff #1 was obtained four months after their first day of employment. The documentation of the TB screening for Staff #2 was obtained 11 days after their first day of employment. The documentation of the TB screening for Staff #7 was obtained 10 days after their first day of employment. The documentation of the TB screening for Staff #4 was obtained four months before their first day of employment.
Plan of Correction: Going forward, we will ensure TB screenings are obtained within the required timeframe.
Standard 8VAC20-780-60-A-8
A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #6, who has been enrolled for nine months, has a diagnosed food allergy and did not have a written care plan in their file. Child #10, who has been enrolled for nine months, has a diagnoses food allergy and did not have a written care plan in their file.
Plan of Correction: The center has requested this information from the children's family members. We will request the information again and add the information to the record.