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Ruwani Ranatunga

Inspection · 2025-08-06

Date
2025-08-06
Complaint Related
No
Licensing Inspector
Jessica Willis
(571) 352-1453
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
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks
22.1 Early Childhood Care and Education
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 renewal inspection was initiated and completed on 8/6/2025, as a part of the licensure period. The on-site inspection began at 10am and ended at 11:25am. The inspector reviewed compliance in the areas listed above. There were 7 children present and a substitute provider and 2 assistant caregivers; the point total was 21. The inspector reviewed 5 children?s records and 5 caregiver/household members 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.

Violations

4
Standard 8VAC20-800-750-A
When topical skin products such as sunscreen, diaper ointment and lotion are used, the provider must obtain written parent authorization noting any known adverse reactions at least annually.

The record for Child #1 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #1. Child #1 was present for the inspection and has been attending the family day home for 5 days.
The record for Child #2 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #2. Child #2 was present for the inspection and has been attending the family day home for 5 months.
The record for Child #3 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #3. Child #3 has been attending the family day home for two years.
The record for Child #4 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #4. Child #4 was present for the inspection and has been attending the family day home for more than one year.
The record for Child #5 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #5. Child #5 was present for the inspection and has been attending the family day home for more than one year.
Plan of Correction: The family day home will request parent authorization for all topical skin products for children in care.
Standard 8VAC20-800-760-A
First aid kits shall be in the family day home, accessible to outdoor play areas, on field trips, in vehicles used for transportation and wherever children are in care, and contain all required components.

The first aid kit was missing antiseptic cleaning solution or pads.
Plan of Correction: Antiseptic cleaner will be added to the first aid kit.
Standard 8VAC20-800-800-B
Providers are required to review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. The last documented review of the emergency plan was completed 14 months ago.
Plan of Correction: The provider will review the emergency plan.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.
Documentation of immunizations for Child #2 were obtained 10 days after the child's first day.
Plan of Correction: Immunizations will be requested before a child starts.
View original record on Virginia Department of Social Services