VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Virginia Commonwealth University Health System Authority - NS
800 West Graham Road
Richmond, VA 23222
(804) 828-1017

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Nov. 10, 2025

Complaint Related: 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 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. 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.

Technical Assistance:

8VAC20-780-160 Tuberculosis screening for staff 8VAC20-780-510. Medication.

Comments:

An unannounced, on-site renewal inspection was initiated on 11/10/2025 and completed on 11/12/2025. The on-site inspection began at 9:44 am and ended at 12:20 pm. The inspector reviewed compliance in the areas listed above. There were 60 children present and 18 staff. The inspector reviewed 6 children?s records on-site and 6 staff records electronically on 11/12/2025. This inspection included document review, a 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 business days from today, which will be the close of business on 11/19/2025. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	8VAC20-780-40-E
Description:	The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center's procedures to prevent use of outdated medication include a monthly check of medications. Child #2 had an emergency medication that expired over two months ago. Administration acknowledged the monthly checks had not been completed recently.
Plan of Correction:	Center immediately contacted the facility and confirmed that child #2 no longer has an allergy and medication was sent home that day.
Standard #:	8VAC20-780-60-A-8
Description:	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 #5, who has been enrolled for two months, has a diagnosed food allergy and did not have a written care plan in their file.
Plan of Correction:	Allergy action plan was sent to the family to have completed by their provider.
Standard #:	8VAC20-780-70
Description:	REPEAT VIOLATION A record shall be kept for each staff person that contains the required information. The records of Staff #1 and Staff #2 each did not contain an emergency contact address and health information required to be kept on site.
Plan of Correction:	New form to meet compliance created and completed by all staff.
Standard #:	8VAC20-780-520-A
Description:	Nonprescription drugs and over-the-counter skin products shall not be kept or used beyond the expiration date of the product. In the toddler classroom. one sunscreen was kept that expired approximately 10 months ago. In the twos classroom, five diaper creams were kept that expired between two and 17 months ago.
Plan of Correction:	All expired creams were disposed of during the inspection. Moving froward OTC skin products will be reviewed when children transition between age groups.