Inspection · 2025-05-08
Date
2025-05-08
Complaint Related
No
Licensing Inspector
Pamela Sneed
(804) 629-2691
(804) 629-2691
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
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
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 program 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.
Violations
14Standard 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 documentation of a physical exam on-file for Child #11 who has been attending for over 30-days.
There was no documentation of a physical exam on-file for Child #11 who has been attending for over 30-days.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-150-D-1
An assistant caregiver who is left alone with children in care shall have a current certification in cardiopulmonary resuscitation (CPR).
Household member #2, who does not have CPR certification, was left alone with Child #11 in the home while the provider took the other children outside to the playground.
Household member #2, who does not have CPR certification, was left alone with Child #11 in the home while the provider took the other children outside to the playground.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-150-D-2
An assistant caregiver who is left alone with children in care shall have a current certification in first aid.
Household member #2, who does not first aid certification, was left alone with Child #11 in the home while the provider took the other children outside to the playground.
Household member #2, who does not first aid certification, was left alone with Child #11 in the home while the provider took the other children outside to the playground.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-240-A
REPEAT VIOLATION.
Furnishings shall be maintained in a safe condition. Unsafe conditions shall include chipped or peeling paint.
1 of 2 cribs had chipped/peeling paint on the top rails and top portion of end panels.
Furnishings shall be maintained in a safe condition. Unsafe conditions shall include chipped or peeling paint.
1 of 2 cribs had chipped/peeling paint on the top rails and top portion of end panels.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-70-A
REPEAT VIOLATION AND SYSTEMIC DEFICIENCY:
Before the child's first day of attendance, parents shall be provided in writing the policies and procedures to include the relocation site in the emergency plan.
Parents for children enrolled signed an incomplete or blank emergency plan form.
Before the child's first day of attendance, parents shall be provided in writing the policies and procedures to include the relocation site in the emergency plan.
Parents for children enrolled signed an incomplete or blank emergency plan form.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-70-B
The provider shall obtain the parent's written acknowledgement of the receipt of the information in this section.
The parent did not sign the enrollment form(s) for Child #11.
The parent did not sign the enrollment form(s) for Child #11.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-700-A
Prescription and nonprescription medications shall be given to a child according to the home's written medication policies and only with written authorization from the parent.
Although the current medication policy signed by parents indicates that the provider will only give prescription medications, there were 2 non-prescription medication/supplement items on-site today. Additionally, there was no written authorization from the parents for these items.
There was a medicinal product for gas, colic and hiccups on-site for Child #11; and a supplement for Child #9.
Although the current medication policy signed by parents indicates that the provider will only give prescription medications, there were 2 non-prescription medication/supplement items on-site today. Additionally, there was no written authorization from the parents for these items.
There was a medicinal product for gas, colic and hiccups on-site for Child #11; and a supplement for Child #9.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-720-A
The family day home may administer nonprescription medication provided the medication is labeled with the child's name and given only at the dose, duration and method of administration specified on the manufacturer's label.
Neither medicinal item was labeled with the child's name. While the provider said she had not given the medicine to Child #11; it is not known when or how much of the supplement was given to Child #9, as there was no medication administration record.
Neither medicinal item was labeled with the child's name. While the provider said she had not given the medicine to Child #11; it is not known when or how much of the supplement was given to Child #9, as there was no medication administration record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-730-D
Medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication shall be kept in a locked place using a safe locking method that prevents access by children.
Both medicinal items were not kept in a locked place. They were in diaper bags sitting on the floor near the food area. There was a safety gate across the area however, a child could have reached through the gate to the bags.
Both medicinal items were not kept in a locked place. They were in diaper bags sitting on the floor near the food area. There was a safety gate across the area however, a child could have reached through the gate to the bags.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-740
The provider shall keep a record of prescription and nonprescription medication given children, which shall include the following: name of child, amount and type of medication administered, the day and time the medication was administered to the child, name of the caregiver administering the medication, any adverse reactions and any medication administration errors.
There was no documentation of medication/supplement given to Child #9.
There was no documentation of medication/supplement given to Child #9.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-800-A
The family day home shall have a written emergency preparedness and response plan that addresses relocation.
The emergency plan did not specify the relocation site. It stated "a nearby shelter, church or school."
The emergency plan did not specify the relocation site. It stated "a nearby shelter, church or school."
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-800-B
The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.
The emergency plan was last reviewed by the provider on 3/2/24.
The emergency plan was last reviewed by the provider on 3/2/24.
Plan of Correction: Not available online. Contact Inspector for more information.
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.
There was no documentation of immunizations on-file for Child #11.
There was no documentation of immunizations on-file for Child #11.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-C
REPEAT VIOLATION AND SYSTEMIC DEFICIENCY:
The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every 6 months for children under the age of 2 years old.
The immunizations on-file for Child #8 were dated as completed in September 2024, when the child was 6 months old.
The immunizations on-file for Child #10 were dated as completed in October 2024, when the child was 2 months old.
The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every 6 months for children under the age of 2 years old.
The immunizations on-file for Child #8 were dated as completed in September 2024, when the child was 6 months old.
The immunizations on-file for Child #10 were dated as completed in October 2024, when the child was 2 months old.
Plan of Correction: Not available online. Contact Inspector for more information.