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Shaun Bissett

Inspection · 2025-03-20

Date
2025-03-20
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
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

8 VAC 20-800 Administration
8 VAC 20-800 Personnel
8 VAC 20-800 Household Members
8 VAC 20-800 Physical Health of Caregivers and Household members
8 VAC 20-800 Caregiver Training
8 VAC 20-800 Physical Equipment and Environment
8 VAC 20-800 Care of Children
8 VAC 20-800 Preventing the Spread of Disease
8 VAC 20-800 Emergencies
8 VAC 20-800 Nutrition
8 VAC2 0-820 THE LICENSE
8 VAC 20-820 THE LICENSING PROCESS
8 VAC 20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

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 03/20/2025. The on-site inspection began at 9:30 am and ended at 11 am. The inspector reviewed compliance in the areas listed above. There were (8) children present and (3) caregivers; the point total was (27). The inspector reviewed (5) children?s records and (3) caregiver records on-site on 03/20/2025.

This inspection included: document review (i.e. files, no Injury logs to report, policies and procedures, emergency drill logs); 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

6
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

There were no physical exam records available for Child #4 who had been in care for over 30 days.
Plan of Correction: Documentation of a physical examination will be obtained and placed on file.
Standard 8VAC20-800-60-A
An up to date record for each child enrolled shall be maintained by the provider.

There was no record for Child #2, who was in care during the inspection. The only documentation on file were the child's health forms (physical and immunization page).
Plan of Correction: A child's record will be obtained.
Standard 8VAC20-800-60-B
Children's records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

The record for Child #5 was missing the information for two emergency contacts. Child #5 was present during the inspection and had been in care for over a year. The record for Child #3 did not have a written authorization for emergency medical care on file. Child #3 was present during the inspection and had been in care for over a year.
Plan of Correction: Information missing will be obtained and placed on file.
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 #3 and #4 did not have a current parent?s signature for an annual review of the emergency contact information. The last documented review for both children had been over a year.
Plan of Correction: An annual review shall be conducted for all applicable children.
Standard 8VAC20-800-80-A
Within seven business days of the child's first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs.

The record for Child #3, #4, and #5 were all missing the documentation of each child's Proof of Identification. Child #3 had been in care for over a year; Child #4 had been in care for two months; and Child #5 had been in care for over a year.
Plan of Correction: Proof of Id will be documented and placed on file.
Standard 8VAC20-800-90-C
Documentation of additional immunizations is required once every six months for children under the age of two years. '

Child #1, 22 months old, last documented immunization was over 20 months ago. Child #3, 21 months old, last documented immunization was over 12 months ago.
Plan of Correction: Updated immunization pages will be obtained and placed on file.
View original record on Virginia Department of Social Services