Inspection · 2025-02-11
Licensing Inspector
Anita Drewry
(757) 404-5261
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 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
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 2/11/2025 and completed on 3/11/2025. The on-site inspection began at 9;30 am and ended at 11:40 am. The inspector reviewed compliance in the areas listed above. There were 11 children present and 2 caregivers; the point total was 22. The inspector reviewed 5 children?s records and 4 caregiver/household member(s) records on-site on 2/11/2025.
This inspection included document review, tour of the facility, interviews, observations and measurements
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-B-1
The center is required to obtain a completed sworn statement for any adult household member. There was no sworn statement for household member #4 who is currently residing in the home was overdue by just under 4 months.
Plan of Correction: The provider will have household member #4 compete and sign the sworn disclosure by the end of the week.
Standard 22.1-289.036-B-2
Providers must obtain a completed national criminal background check for each adult household member. Household member #4, did not have a completed national criminal background check which was overdue by just under 4 months,
Plan of Correction: The provider will make appointments for fingerprints to be taken this weekend and have the requests completed by next Friday.
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 and/or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: The testing kit for the water sample was dropped off on 2/17/2025 and will be picked up for testing on 2/24/2025. Results will be emailed to VDOH upon receipt.
Standard 8VAC20-800-170-A
Providers must obtain a current tuberculosis screening for each adult household member and from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening for Caregiver 3, who has been caring for children for over two months. There was no tuberculosis screening for household member # 4 who turned 18 years old over 4 months ago.
Plan of Correction: The provider will make an appointment for TB screening this weekend and will have the results to be placed in the family day home records by next Friday.
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 was not completed and was overdue by more than 2 months.
Plan of Correction: The provider will make appointments for fingerprints to be taken this weekend and have the requests completed by next Friday.