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Juliana Opoku

Inspection · 2025-09-23

Date
2025-09-23
Complaint Related
No
Licensing Inspector
Tameika King
(804) 629-7486
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 Nighttime Care
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
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 September 23, 2025. The on-site inspection began at 10:20 a.m. and ended at 11:20 a.m. The inspector reviewed compliance in the areas listed above. There were 5 children present and 1 caregiver; the point total was 14. The inspector reviewed 3 children?s records and 2 caregiver/household member(s) records on-site. This inspection included document review, tour of the family day home 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.

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 October 7, 2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-800-240-A
Areas and furnishings of the family day home, inside, shall be maintained in a clean condition.

There were two dead insects in the refrigerator that is used for the family day home.
Plan of Correction: All areas have been thoroughly cleaned and will continue to be maintained moving forward.
Standard 8VAC20-800-340-C
The bathroom shall contain paper towels.

The bathroom used for the family day home did not contain paper towels during the inspection.
Plan of Correction: Paper towel has been replenished.
Standard 8VAC20-800-60-A
The provider shall maintain an up-to-date record at the family day home for each enrolled child.

Child #4 and Child #5 were present at the family day home during the inspection. The provider did not have a record for Child #4 and Child #5.
Plan of Correction: Forms have been given to parents and are awaiting return. Parent have been informed that children will not be accepted without a completed form/folder
Standard 8VAC20-800-60-B
A child's record shall contain the following information: parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70 and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.

Child #1's record did not contain parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70 and written authorization for emergency medical care. Child #1 has been enrolled for 8 days.

Child #2's record did not contain parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70. Child #2 has been enrolled for 5 days.

Child #3's record did not contain parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70 and written authorization for emergency medical care. Child #3 has been enrolled for 8 days.
Plan of Correction: All children's records have been updated.
Standard 8VAC20-800-90-A
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.

The provider did not obtain documentation of immunizations for Child #2, #3, #4 and #5 before the child could attend the family day home. Child #2 has been enrolled for 5 days. Child #3 has been enrolled for 8 days. Child #4 and #5 were attending the family day home on the day of the inspection.
Plan of Correction: All children's records have been updated. Parents have been notified to submit updated immunization after well visits