Inspection · 2025-01-22
(571) 596-3656
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 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE.
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 January 22, 2025 and completed on January 22, 2025, as a part of the licensure period. The on-site inspection began at 1:15pm and ended at 2:25pm. The inspector reviewed compliance in the areas listed above. There were twelve children present and two caregivers; the point total was 28. The inspector reviewed seven children?s records and four caregiver/household member(s) records on-site. This inspection included document review and a tour of the family day home.
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 1/30/2025. A POC submitted after this date will not appear on the public website.
Violations
8The 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.
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.
There were no physical exam records available for Child #2, #3, #4, #5 and #6. Child #2 had been in care for three months, Child #3 and #4 for one year and three months, Child #5 for three years and four months, and Child #6 for two years and eleven months.
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.
Staff #3, who has been actively working at the center for the past two years and six months, did not have one of two completed reference verifications on file.
The provider shall ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.
The maximum licensed capacity of the home is ten and there were twelve children in care during the inspection.
The provider did not maintain an accurate written record of children in attendance compared to the number of children enrolled. During the inspection, only ten children were recorded in attendance, while twelve children were enrolled and present. Written attendance records from January 13 to January 22 reflected ten children, when twelve children were enrolled and in attendance during this period.
Children's records are required to contain addresses for emergency contacts, parent's employment phone numbers, policy number for medical insurance, and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.
The record for Child #2, who had been in care for 3.5 months, was missing the policy number of the child's medical insurance. Child #3 and #4, who had been in care for one year and 3 months, were missing written authorization for emergency medical care. Child #6, who had been in care for two years and eleven months, was missing the employment phone numbers for both parents and the address of one emergency contact. The children were all present during the inspection.
Records for child #7's annual review of the emergency contact information was overdue by seven months.
Before attendance, documentation of immunizations is to be obtained for each child.
There was no documentation of immunizations for child #6, who was in care during the inspection and had been in care two years and eleven months.