Inspection · 2025-01-23
(540) 340-2672
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
8VAC20-820 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 monitoring inspection was initiated and completed on 1/23/2025. The on-site inspection began at 10:20am and ended at 12:40pm. The inspector reviewed compliance in the areas listed above. There were 7 children present and 2 caregivers; the point total was 16. The inspector reviewed 5 children?s records and 3 caregiver/household member(s) records on-site. This inspection included document review, tour of the facility 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 2/4/2025. A POC submitted after this date will not appear on the public website.
Violations
13Caregiver A?s fingerprinting results were dated over one month after their first day of employment.
Caregiver A has been actively employed for 4 months and the search of central registry has not been requested or received.
The home did not have a carbon monoxide detector on site at the time of the inspection.
Caregiver A?s TB screening was dated 17 days after they began employment and came into contact with children.
One child was present with emergency medication. Documentation shows the provider has agreed to administer nonprescription medications. Caregiver B?s MAT training expired over 2 years ago therefore there was no one currently trained to administer medication.
In the bathroom designated for child use is a spray bottle of antiseptic in an unlocked cabinet accessible to children.
1. A 12-month-old child was sleeping in a separate room on the same level with the door closed.
2. There was no baby monitor being used and caregivers did not do an in-person observation every 15 minutes.
Child A age 2 years was placed in time out for approximately 10 minutes.
Caregiver A was observed serving food to children without washing their hands prior to serving.
1. Children were observed receiving snack, but handwashing was not done prior to eating.
2. After diapering, a child?s hands were not washed after.
2 medications were observed in an unlocked upper cabinet.
1. The annual review of emergency information along with parental signature for Child A was overdue by a year and a half.
2. The annual review of emergency information along with parental signature for Child B was overdue by 3 years.
3. The annual review of emergency information along with parental signature for Child C was overdue by 3 years.
Emergency evacuation procedures were not practiced monthly. Monthly drills were not documented for July, August, September and October of 2024.