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Elzena Ross

Inspection · 2025-07-07

Date
2025-07-07
Complaint Related
No
Licensing Inspector
Morgan Bryson
(540) 270-0057
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
8VAC20-770 Background Checks
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 7/7/2025. The on-site inspection began at 10:35am and ended at 12:05pm. The inspector reviewed compliance in the areas listed above. There were 3 children present and 2 caregivers; the point total was 6. The inspector reviewed 3 children?s records and 2 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.

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 08/12/2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.036-B-2
Applicants for licensure shall submit to a fingerprint-based national criminal history background check prior to operation.

The fingerprint-based national criminal history background check results for Staff #1 could not be located at the time of inspection.
Plan of Correction: Both staff went on Jul. 7th to get B.G. renewed.
Standard 8VAC20-800-100-A
Repeat Violation

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.

Child #2, enrolled for over four months, and Child #3, enrolled for over two years, did not have physical examinations on file and both children were present at the time of inspection.
Plan of Correction: Child #3 brought physical in with updated date.
Standard 8VAC20-800-60-B
The provider shall ensure children's records contain all required information.

Child #2's record was missing the parent's signed acknowledgement of receiving the family day home's liability insurance declaration. Child #3's record was missing documentation of the annual review of the child's emergency contact information. Child #3's record was last reviewed by the parent on 4/26/2023.
Plan of Correction: Signed and received physical.

Parent signed bottom of paper.

Had parent sign with new record.
Standard 8VAC20-800-800-B
The provider is required to review the emergency preparedness and respond plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

There was no documentation of an annual review of the emergency plan. The most recent documented review was completed 9/20/2023.
Plan of Correction: Resubmitted emergency preparedness with recent date.
Standard 8VAC20-800-90-A
Repeat Violation

The provider shall obtain documentation that children have been adequately immunized according to the requirements of the Code of Virginia and applicable State Board of Health regulations before they may attend.

Child #2 has attended the family day home for over four months and did not have the immunization record on file.
Plan of Correction: Child #2 brought in updated immunization records.
View original record on Virginia Department of Social Services