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Millstone of Ivy

Inspection · 2025-04-08

Date
2025-04-08
Complaint Related
No
Licensing Inspector
Michelle Argenbright
(540) 848-4123
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.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
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 April 8, 2025 and completed on April 8, 2025. The on-site inspection began at 12:30 p.m. and ended at 2:45 p.m. The inspector reviewed compliance in the areas listed above. There were 73 children present and 13 staff. The inspector reviewed seven children?s records and five staff records on-site. This inspection included tour of facility, record review, observations, and interviews. 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.

Violations

3
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
The center has not have immunization records for Child 3, at the center for two years and seven months, and Child 4, at the center for five months.
Plan of Correction: The parents of both children will be contacted to provide immunization records. In the future no child will be allowed to start at the center until the immunizations are received.
Standard 8VAC20-780-140-A
Each child shall have a physical examination by or under the direction of a physician: Before the child's attendance; or Within 30 days after the first day of attendance.
The center has not have physical examination documents for Child 3, at the center for two years and seven months, and Child 4, at the center for five months.
Plan of Correction: The parents of both children will be contacted to provide physical examination documents. In the future administration will ensure the documents are received within 30 days of attendance.
Standard 8VAC20-780-160-A
Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted 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 and be signed by a physician, physician's designee, or an official of the local health department.
The TB screening was completed for staff 4 was completed four months after coming into contact with children at the center.
Plan of Correction: In the future no staff will be allowed to come into contact with children until the TB results are obtained.