Inspection · 2025-06-03
Licensing Inspector
Mark Davis
(804) 629-7103
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 6/3/2025. The on-site inspection began at 10:40am and ended at 12:05pm. The inspector reviewed compliance in the areas listed above. There were seven children present and two caregivers; the point total was 17. The inspector reviewed five children?s records and three 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 22.1-289.035-A
The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #2 was overdue by five months.
Plan of Correction: The provider will have a search of the central registry completed for staff #2.
Standard 8VAC20-800-180-A
A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1, #2, and #3 was not completed and was overdue by six months.
Plan of Correction: The provider will ensure all staff have their TB screenings completed and will ensure that TB screenings are renewed every two years.
Standard 8VAC20-800-700-C
When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days shall be taken to a pharmacy for proper disposal. The provider did not notify the parent of child #2 that the authorization to administer medication had expired 11 months ago.
Plan of Correction: The provider will return the medication to the parent and ask them to obtain new authorization to administer medication if appropriate.
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 and #3 did not have a parent?s signature for an annual review of the emergency contact information. Child #1 and #3 had been in care for over a year without an annual review.
Plan of Correction: The provider will have the parents of the children review their emergency contact information and sign-off on this in the children's file.