Inspection · 2025-03-06
Licensing Inspector
Eureka Nance
(703) 638-5968
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
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 March 6, 2025 and completed on March 11, 2025. The on-site inspection began at 11:03 am and ended at 1:15 pm. The inspector reviewed compliance in the areas listed above. There were 6 children present and 3 caregivers; the point total was 20. The inspector reviewed 2 children?s records and 1 caregiver/household member(s) records on-site on March 6, 2025.
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.
IF VIOLATIONS ARE CITED, AND A POC HAS NOT BEEN RECEIVED, ADD THIS PARAGRAPH: 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 (5) business days from today, which will be the close of business on March 18, 2025 (date). A POC submitted after this date will not appear on the public website.
Standard 8VAC20-790-480-B
Based on observation and interviews, the provider did not ensure equipment and materials used by a child should be appropriate to the age, size, ability, and interest of the child. A 19 month old was placed in a highchair for lunch time. Provider acknowledged this child is self-feed by staff.
Plan of Correction: children who are self-feed now eat without the assistance of staff
Standard 8VAC20-800-680-A
Staff shall wash hands with soap and running water before and after a diaper change. Staff #1 did not wash hands before or after changing a child?s diaper.
Plan of Correction: taff has been retrained to wash hands accordingly
Standard 8VAC20-800-690-E
The provider should ensure soiled disposable diapers and wipes should be disposed of in a leak-proof or plastic lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Staff #1 touched three doorknobs after diaper changing three children. Staff #1 disposed all the diapers in a plastic bag which was on the floor.
and used hands to lift trash can lid to dispose of diaper.
Plan of Correction: staff has been informed and re-instructed to use foot pedals when operating a trash can
Standard 8VAC20-800-780-A
Annually, the provider shall review with the parent the emergency contact information required in each child?s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Records for Child #2 not have a parent?s signature for an annual review of the emergency contact information. Child #2 had been in care for over a year.
Plan of Correction: emergency contact information has been updated with the updated signature
Standard 8VAC20-800-90-C
Documentation of additional immunizations is required once every six months for children under the age of two years. Child #2, 22 months old, last documented immunization was over 19 months ago.
Plan of Correction: updated immunization record has been received by parent
Standard 8VAC20-800-960-C
The provider shoudl ensure high chairs, infant carrier seats, or feeding tables with safety waist and crotch straps fastened according to the manufacturer's instructions should be used for children under 12 months of age who were not held while being fed. Staff #1 placed a 19 month old in high chair for lunch.
Plan of Correction: 19 month old has been switched to a table and chair environment