Inspection · 2025-06-13
Licensing Inspector
Shahana Green
(571) 423-6735
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
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 and completed on 6/13/2025. The on-site inspection began at 10:20am and ended at 12:00pm. The inspector reviewed compliance in the areas listed above. There were nine children present and three caregivers; the point total was 22. The inspector reviewed five children?s records and four 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.
Standard 22.1-289.036-B-4
The provider is required to obtain background checks from any state in which a household member has resided in the preceding five years. Household member #4, who had been residing in the home for more than three months, did not have documentation of a request of a central registry check, criminal history check, or an out of state sex offender registry search from a different state they had resided in outside of Virginia in the preceding five years.
Plan of Correction: I will obtain the background checks for my husband.
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.
Plan of Correction: We have sent our lead testing plan to VDH.
Standard 8VAC20-800-180-A
A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #3 was not completed and was overdue by over one month.
Plan of Correction: The staff will have their TB screening completed.
Standard 8VAC20-800-60-B
Children's records are required to contain parental employment phone numbers. The records for Child #3 and #4 were missing the employment phone number for the parents. The children were present during the inspection and had been in care for over four months.
Plan of Correction: We have obtained the work phone numbers for the parents.
Standard 8VAC20-800-780-B
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 children #1 did not have a parent?s signature for an annual review of the emergency contact information. Child #1 was overdue for an annual review for over 15 months.
Plan of Correction: The provider will have the parent check their emergency contact information.
Standard 8VAC20-800-830-A
The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. There had not been a monthly evacuation drill practiced for over three months.
Plan of Correction: The provider will log monthly evacuation drills going forward.