Inspection · 2025-05-27
Licensing Inspector
Trisha Brown
(757) 404-2601
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 renewal inspection was initiated and completed on 5/27/2025, as a part of the licensure period. The on-site inspection began at 10:45sm and ended at 12:30am. The inspector reviewed compliance in the areas listed above. There were 5 children present and 2 caregivers; the point total was 8. The inspector reviewed 2 children?s records and 4 caregiver/household record 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 business days from today, which will be the close of business on 6/28/2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.011-F
The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The license was not posted in a conspicuous place as required.
Plan of Correction: As of 5/30/2025, the license was relocated higher up on the entry wall.
Standard 22.1-289.035-B-1
The family day home is required to obtain a completed sworn statement prior to licensure. There was not a sworn statement available for review for the provider, who has been a licensed provider for more than five years.
Plan of Correction: All staff have completed up to date sworn statements as of 6/27/2025.
Standard 22.1-289.035-B-2
The family day home is required to have employees and household members undergo a background check every five years. There were not any central registry background checks available for review for the provider, household member #1 and caregiver #1. The provider, household member and caregiver have been part of the family day for more than five years and should have updated checks available for review.
Plan of Correction: The provider has completed a background check dated November 28, 2022, and a copy will be made available for review. Caregiver #1 has a background check dated December 6, 2022. Household member background check is dated June 21, 2024, and Caregiver #2 has one on file dated October 18, 2023. Moving forward, all background checks and sworn statements will be maintained in an organized manner and made readily accessible for licensing reviews to ensure continued compliance.
Standard 8VAC20-800-140-B-3
Providers shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate
to the age of the children in care. The provider?s and caregiver #1 CPR expired on 3/19/2024. Caregiver # 2 does not have any documentation of completing CPR. The provider and caregiver #2 were the only staff present during the inspection.
Plan of Correction: As of 06/07/2025, all staff and house members have certification in CPR.
Standard 8VAC20-800-140-B-4
Providers shall have current certification in first aid. The provider?s and caregiver #1 First Aid expired on 3/19/2024. Caregiver # 2 does not have any documentation of completing First Aid. The provider and caregiver #2 were the only staff present during the inspection.
Plan of Correction: As of 06/07/2025, all staff and house members have a certification in First Aid.
Standard 8VAC20-800-140-D
A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works. There is no documentation of substitute provider hours available for review.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-200-C
Documentation of the orientation shall be signed and dated by the provider and assistant. There is not any documentation that orientation was completed in the records of caregiver #1 and #2.
Plan of Correction: Orientation has been completed in the staff meeting on 6/28/2025. All orientation is completed via staff meeting.
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. There is not any documentation of annual training on file for any of the caregivers including the provider and caregivers #1 and #2.
Plan of Correction: The provider and each assistant completed a 3-hour CDA on 6/11/2025 and will continue to take CDA?s throughout the year.
Standard 8VAC20-800-240-A
Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. There is an electrical lamp cord dangling down within reach of children creating an unsafe toppling hazard. There are two diaper changing tables that stacked with items making both not operable for diaper changing.
Plan of Correction: The exposed electrical lamp cord will be secured out of children?s reach using cord covers and fasteners. It will be routed along the ceiling and wall using proper clips to eliminate dangling sections. The diaper changing table located in the playroom is no longer used for diaper changes. It now serves only as storage for extra diapers, which are kept in the cabinet underneath. The cabinet is clearly labeled ?Extra Diapers? and always locked.
Standard 8VAC20-800-280
Potentially poisonous substances, materials shall be stored away from food in areas inaccessible to children. There are hazardous chemicals stored in areas accessible to children in the child care room on the teacher desk.
Plan of Correction: Hazardous products will be stored, locked away, and high from children at all times.
Standard 8VAC20-800-320-B
Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. There are outlets in the family day home child care areas that do have outlet covers.
Plan of Correction: All outlets that are not in use have covers.
Standard 8VAC20-800-560-A
A caregiver shall be physically present on site and provide direct care and supervision of each child at all times. Direct care and supervision of each child includes awareness and monitoring. A toddler, age unknow as there was not any record for the child, was observed in the living room of the home for approximately 10 minutes unattended. The room is not childproofed and is partially gated off from the child care space.
Plan of Correction: While I was preparing a bottle for one of the children, another child briefly moved away from the caregiver who was supervising him at the time. I heard the child pushing a toy car nearby and was aware of his presence while finishing the bottle. At no point was the child completely unattended or out of earshot for 10 minutes. Moving forward, we will ensure that one staff member remains fully focused on active supervision while another completes necessary tasks like bottle preparation.
Standard 8VAC20-800-60-A
The provider shall maintain an up-to-date record at the family day home for each enrolled child. There are three children in care without any record available for review.
Plan of Correction: As of 6/23/2025, parents of children submitted proper paperwork for each child.
Standard 8VAC20-800-690-D
The diapering surface shall be separate from the kitchen, food preparation areas, or surfaces used for children?s activities, nonabsorbent and washable and cleaned and sanitized after each use. The provider changed a child?s soiled diaper while child was preparing to nap on his cot. The surface was used for the activity of napping, it was absorbent and not washable and could not be cleaned or sanitized. The child was put sleep on the same cot after the soiled diaper was changed.
Plan of Correction: The provider will comply with the regulation by ensuring that all children are changed only on the designated diaper changing table moving forward. This table will be used exclusively for diapering purposes as required, and all staff will be reminded of this policy to maintain consistency and compliance.
Standard 8VAC20-800-760-B
The first aid kit shall be readily accessible to caregivers and inaccessible to children. There is a first aid kit on a teacher?s desk within reach of children.
Plan of Correction: First aid kits will be added to the locked first aid kits.