Inspection · 2025-01-16
(540) 359-5244
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
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 and completed on 01/16/2025. The on-site inspection began at 9:30 am and ended at 1:30 pm. The inspector reviewed compliance in the areas listed above. There were (7) children present and (3) caregivers; the point total was (19). The inspector reviewed (3) children?s records, (3) caregivers records, and (5) household members records on-site on 01/16/2025.
This inspection included: document review (files, policies and procedures, emergency drill logs, medication administration logs, authorization forms); tour of the facility; interviews; 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
8The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.
The program did not have evidence of submitting test results to VDH.
There was no physical exam records available for Child #3, who had been in care for over 2 years.
Staff #2 and Staff #3, both have provided care for children for more than 2 years without having a documented orientation on file.
The record for Child #1 was missing 1 address for an emergency contact. Child #1 was present during the inspection and had been in care for one year. The record for Child #2 was missing 1 address for an emergency contact, the medical policy information, and a written authorization for emergency medical care. Child #2 was present during the inspection and had been in care for 11 months.
There were no parent acknowledgements available for: Information for Parents form, Decision to Administer Medication form; and the Provisional form for the Emergency Preparedness and Response was not available for Child #1 (1 year from start date), Child #2 (11 months from start date), and Child #3 (2 years from start date).
This information was not available for Child #2 who has been in care for 11 months.
Child #1, 15 months old, last documented immunization was over 8 months ago. Child #2, 16 months old, last documented immunization was over 10 months ago.