Inspection · 2025-01-30
Licensing Inspector
Julia Kimbrough
(804) 921-7596
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
8VAC20-780 Administration
8VAC20-780 Staff Qualifications and Training
8VAC20-780 Physical Plant
8VAC20-780 Staffing and Supervision
8VAC20-780 Programs
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services
8VAC20-820 THE LICENSE
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
8VAC20-790 Subsidy Regulations
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 1/30/25 and completed on 1/30/25. The on-site inspection began at 9:15am and ended at 11:20am. The inspector reviewed compliance in the areas listed above. There were 34 children present and 8 staff. The inspector reviewed 5 children?s records and 5 staff records on-site.
This inspection included document review, tour of the facility, and observations.
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.
Standard 22.1-289.035-B-1
There was no sworn disclosure statement on file for staff #2 who was hired 4 months ago and has actively been working with the children since hire.
Plan of Correction: The staff member will immediately complete the sworn statement.
Standard 22.1-289.035-B-2
There was no finger print results letter on file for staff #3 who was hired 4 months ago and has been actively working with the children since hire.
Plan of Correction: The fingerprint letter will be printed and placed in the file.
Standard 22.1-289.035-B-3
There was no Central Registry letter on file for staff #1 and #3 who were hired 4 months ago and have been actively working since hire.
Plan of Correction: The central registry letters will be printed and placed in the file.
Standard 8VAC20-780-140-A
There was no completed physical in the record of child #5 who was enrolled 3 months ago and has been receiving care.
Plan of Correction: Another copy of the physical will be obtained and placed in the file.
Standard 8VAC20-780-160-A
There were no tuberculosis testing statements on file for staff #1, #2, and #3 who were hired 4 months ago and have been actively working with the children since hire.
Plan of Correction: TB results will be located and placed in the file.
Standard 8VAC20-780-550-E
Documentation showed that there was only 1 of the 2 required shelter-in-place drills conducted in 2024.
Plan of Correction: The date of the last shelter drill for 2024 will be documented on the drill sheet.
Standard 8VAC20-780-60-A
There was only 1 of the required 2 emergency contacts documented in the file of child #2 who was enrolled 4 months ago and has been receiving care.
Plan of Correction: The second emergency contact will be obtained from the parent and documented in the child's file.
Standard 8VAC20-780-70
There were no references or proof of education on file for staff #1, #2, and #3 who were hired 4 months ago and have been actively working with the children.
There was no proof of education on file for staff #4 who was hired over 8 months ago and has been actively working with the children.
Plan of Correction: The proof of education and completed references will be located and placed in the files.