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Ms. Roxana Nelson-Snaith

Inspection · 2025-04-14

Date
2025-04-14
Complaint Related
No
Licensing Inspector
Christina Jones
(540) 340-2672
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 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
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 4/14/2025. The on-site inspection began at 12:10pm and ended at 1:05pm. The inspector reviewed compliance in the areas listed above. There were 6 children present and 1 caregiver; the point total was 10. The inspector reviewed 4 children?s records, and 4 caregiver/household members records on-site.

This inspection included document review, tour of the facility 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

5
Standard 22.1-289.036-B-1
The provider is required to obtain a completed sworn statement for household members 18 years or older.

There was no documentation of a completed sworn statement for a Household Member A, who turned 18 years of age 5 months ago.
Plan of Correction: Sworn statement has been obtained.
Standard 8VAC20-800-170-A
The provider shall obtain from each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening.

Household Member A did not obtain a TB screening when turning 18 years of age. The TB screening was required to be completed 5 months ago.
Plan of Correction: TB Screening completed.
Standard 8VAC20-800-50-A
The family day home shall keep a written record of children in attendance each day.

The daily attendance had 5 children documented as present but there were 6 children in care.
Plan of Correction: Corrected during the inspection.
Standard 8VAC20-800-780-B
The provider will obtain the parent's signed acknowledgement that the emergency contacts have been reviewed annually.

1. Child A's file did not have documentation of parent's review in over three years.
2. Child B's file did not have documentation of parent's review in over two years.
3. Child C's file did not have documentation of parent's review in over one year.
Plan of Correction: Parents have signed the emergency contact information after reviewing.
Standard 8VAC20-800-800-B
The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review.

The emergency plan review was overdue by 12 years.
Plan of Correction: Emergency Plan has been reviewed and updated.