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Ms. Carolyn Dowdy

Inspection · 2025-05-29

Date
2025-05-29
Complaint Related
No
Licensing Inspector
Julia Kimbrough
(804) 921-7596
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
8VAC20-800 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.
8VAC20-770 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.
63.2 Child abuse and 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 05/29/25 and completed on 05/29/25. There were 2 repeat and systemic violations, and 2 other repeat violations cited today. The on-site inspection began at 9:30am and ended at 10:45am. The inspector reviewed compliance in the areas listed above. There were 7 children present and 1 caregiver; the point total was 14. The inspector reviewed 5 children?s records and 2 caregiver/household member(s) records on-site.
This inspection included document review, tour of the facility, 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.

Violations

7
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Child #5 who enrolled and began care over 4 months ago did not have proof of physical.
Plan of Correction: Documentation of physical will be obtained.
Standard 8VAC20-800-140-B-3
Caregivers shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

The caregivers CPR had expired, over 4 months ago, and has not been renewed as required.
Plan of Correction: CPR and FA will be renewed as soon as possible.
Standard 8VAC20-800-140-B-4
Caregivers shall have current certification in first aid.

The caregivers FA had expired, over 4 months ago, and has not been renewed as required.
Plan of Correction: CPR and FA will be renewed as soon as possible.
Standard 8VAC20-800-170-A
REPEAT: The provider shall obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis Screening form.

Caregiver #2, who was hired and began working 2 months ago, did not have a TB screening on file.
Plan of Correction: TB screening proof will be placed in the file.
Standard 8VAC20-800-330-A
REPEAT and SYSTEMIC: A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone.

There is no landline telephone as required.
Plan of Correction: A landline phone will be installed.
Standard 8VAC20-800-80-A
REPEAT VIOLATION: Within seven business days of the child's first day of attendance at the family day home, the provider shall obtain from the parent proof of birth documentation.

Child #5 was enrolled and began care over 4 months ago and there was no proof of birth verification on file.
Plan of Correction: Proof of Birth will be obtained and documented.
Standard 8VAC20-800-90-A
REPEAT and SYSTEMIC: Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

Child #5 who was enrolled and began care over 4 months ago did not have proof of immunizations.
Plan of Correction: Documentation of immunizations will be obtained.
View original record on Virginia Department of Social Services