Inspection · 2025-03-24
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
8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
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
54.1 Provider must be MAT certified to administer prescription medication.
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 renewal inspection was initiated on March 24, 2025 and completed on March 24, 2025. The on-site inspection began at 10:45 a.m. and ended at 12:55 p.m. The inspector reviewed compliance in the areas listed above. There were ten children present and three caregivers; the point total was 25. The inspector reviewed five children?s records and three caregiver/household member(s) records on-site. The inspection included: tour of the facility, record review, interview, 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-A
The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #2 was overdue by one month.
Plan of Correction: The updated background check was obtained 3/27/25 and provided to the licensing inspector. In the future the provider will ensure background checks are updated every five years.
Standard 22.1-289.036-A
The center is required to have licensee undergo a background check every five years. The most recent central registry check for staff #1 was overdue by one month.
Plan of Correction: The updated background check was obtained 3/27/25 and provided to the licensing inspector. In the future the provider will ensure background checks are updated every five years.
Standard 8VAC20-800-110-B
Each report shall include the dates immunizations were received and shall be signed by a licensed physician, the physician's designee, or an official of a local health department.
The record for child 1 did not have a signed immunization record.
Plan of Correction: The parent was contacted the day of the inspection and advised to provide an updated signed immunization. In the future the provider will review immunizations when received to ensure they are signed.
Standard 8VAC20-800-570-A
The provider shall ensure that a caregiver does not exceed 16 points to determine if an additional caregiver is needed.
At 10:45 a.m. only one provider was present with 10 children totaling 25 points. Another provider arrived at 11:00 a.m.
Plan of Correction: In the future the provider will ensure the staff are within the required points.
Standard 8VAC20-800-60-B
A child's record shall contain the following information: Name, home address, and telephone number of each parent who has custody; and Name, address and telephone number of each custodial parent's place of employment.
The record for child 5 did not contain information regarding the child's father.
Plan of Correction: The parent was contacted the day of the inspection and advised to either complete the paperwork providing the father's information or provide court papers. In the future the paperwork will be reviewed upon receipt to ensure all information is provided.