Inspection · 2025-05-07
(804) 629-2691
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
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 program 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 conducted on 5/7/25. The on-site inspection began at 10:30am and ended at 11:43am. The inspector reviewed compliance in the areas listed above. There were 4 children present, 2 caregivers and 1 household member/caregiver present with the children; the point total was 13. The inspector reviewed 5 children?s records and 4 caregiver/household member(s) records while on-site and electronically on 5/8/25. The inspection included document review, tour of the home and interviews 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 5/16/25. A POC submitted after this date will not appear on the public website.
Violations
10The findings from the most recent inspection (11/14/24) was not posted in the home.
There was no documentation of a sworn disclosure statement for household member #2.
There was no documentation of a completed CRC for household member #2.
There was no documentation of a completed CRS for household member #2.
There was no documentation of a completed out-of-state CRC, CRS and SOR for household member #2 who reportedly has lived in another State.
There was no TB test/screening on-file for household member #2.
The TB test for Caregiver #3 was dated as completed on 7/18/22.
1 of 4 children's records did not have the parent's annual signature. The record for Child #9 was last signed by the parent in February 2024.
There was no documentation of evacuation drills for December 2024 and March 2025.
Documentation of immunizations were not updated every 6 months for 3 of 4 children enrolled. Child #7-Immunizations were dated April 2024, when the child was 9 months old.
Child #8-Immunizations were dated July 2024, when the child was 9 months old. Child #9-Immunizations were dated October 2024, when the child was 12 months old.