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Nattaya Cleary

Inspection · 2025-03-11

Date
2025-03-11
Complaint Related
No
Licensing Inspector
Alyssa Simons
(571) 423-6392
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
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-800 Personnel
8VAC20-770 Background Checks
8VAC20-800 Household Members
20 Access to minor?s records
8VAC20-800 Physical Health of Caregivers and
Household members
22.1 Early Childhood Care and Education
8VAC20-800 Caregiver Training
54.1 Provider must be MAT certified to administer prescription medication.
8VAC20-800 Physical Equipment and Environment
63.2 Child abuse and neglect
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.
8VAC20-820 THE LICENSING PROCESS.

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 and completed on March 11, 2025. The on-site inspection began at 1:50pm and ended at 3:20pm. The inspector reviewed compliance in the areas listed above. There were 8 children present and 3 caregivers; the point total was 21. The inspector reviewed 5 children?s records and 3 caregiver records on-site. This inspection included document review, tour of the facility, interviews and observation.

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 March 20, 2025. A POC submitted after this date will not appear on the public website.

Violations

3
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 the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: Bought the lead kit and will be sending to the lab.
Standard 8VAC20-800-180-A
Repeat Violation

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 two weeks.
Plan of Correction: Caregiver #1 has an appointment on Saturday,
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.

There was no documentation of immunizations for child #1, who was in care during the inspection and had been in care for a month.
Plan of Correction: Have parents sign on pick up that same day, received vaccination record.