Inspection · 2025-11-20
Date
2025-11-20
Complaint Related
No
Licensing Inspector
Cathy Aylor
(540) 222-6352
(540) 222-6352
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
Violations
7Standard 22.1-289.035-B-4
Out of state background checks must be requested before hire.
The out of state child abuse and neglect and sex offender searches has not been requested for Caregiver A who has been employed for two weeks,
The out of state child abuse and neglect and sex offender searches has not been requested for Caregiver A who has been employed for two weeks,
Plan of Correction: I will immediately send off for these two background checks.
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
There was no physical on file for child A, the physical was over due by 7 weeks.
There was no physical on file for child A, the physical was over due by 7 weeks.
Plan of Correction: I will get the physical from the parent.
Standard 8VAC20-800-170-A
The provider shall obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.
There was no Tuberculosis test./screening on file for Caregiver A, this tuberculosis test was overdue by 15 days.
There was no Tuberculosis test./screening on file for Caregiver A, this tuberculosis test was overdue by 15 days.
Plan of Correction: I will get the caregiver's Tuberculosis test/screening.
Standard 8VAC20-800-180-A
The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.
Caregiver B's tuberculosis test was overdue by one month.
Caregiver B's tuberculosis test was overdue by one month.
Plan of Correction: I will repeat my tuberculosis test/screening.
Standard 8VAC20-800-200-A
The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.
Caregiver A was not provided orientation training, the training was overdue by 1 week.
Caregiver A was not provided orientation training, the training was overdue by 1 week.
Plan of Correction: I will give the orientation training.
Standard 8VAC20-800-700-A
Repeat Violation
Systemic Deficiency
Prescription and non prescription medications shall be given to a child only with authorization from the parent.
There was no parental authorization for emergency medications for child B and C. The authorization for child B was overdue by 3 weeks and by 5 months for child C.
Systemic Deficiency
Prescription and non prescription medications shall be given to a child only with authorization from the parent.
There was no parental authorization for emergency medications for child B and C. The authorization for child B was overdue by 3 weeks and by 5 months for child C.
Plan of Correction: I will get the parent authorization and make sure it is renewed every 10 days.
Standard 8VAC20-800-90-A
Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.
There were no immunization record on file for child A who has been enrolled for 11 weeks.
There were no immunization record on file for child A who has been enrolled for 11 weeks.
Plan of Correction: I will get the shot record from the parent.