Inspection · 2025-05-15
(703) 309-3963
Areas Reviewed
8 VAC 20-800 Administration
8 VAC 20-800 Personnel
8 VAC 20-800 Household Members
8 VAC 20-800 Physical Health of Caregivers and Household members
8 VAC 20-800 Caregiver Training
8 VAC 20-800 Physical Equipment and Environment
8 VAC 20-800 Care of Children
8 VAC 20-800 Preventing the Spread of Disease
8 VAC 20-800 Emergencies
8 VAC 20-800 Nutrition
8 VAC2 0-820 THE LICENSE
8 VAC 20-820 THE LICENSING PROCESS
8 VAC 20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
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 renewal inspection was initiated and completed on 05/15/2025. The on-site inspection began at 9:45 am and ended at 12:30 pm. The inspector reviewed compliance in the areas listed above. There were no children present (4 children are enrolled) and (1) caregiver. The inspector reviewed (4) children?s records, (2) caregivers records, and (2) household members records on-site on 05/15/2025.
This inspection included: document review (i.e. Files, injury logs (none), policies and procedures, emergency drill logs); tour of the facility; interviews; 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.
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 05/25/2025. A POC submitted after this date will not appear on the public website.
Violations
11The most recent central registry checks for Staff #1, Staff #2, and Household Member #1 were overdue by two months.
A sworn statement or affirmation for Household Member #2 was not available for review.
Household Member #2 did not have a completed national criminal background check available for review.
The program did not have evidence of submitting test results to VDH.
There were no physical exam records available for Child #3, who had been in care for over 21 months.
There was no tuberculosis screening available for review for Household Member #2.
The children's bathroom (downstairs) was not in a clean condition where all four walls and door (inside) appear to have a heavily stained and dirty surface, and the floor tile is both heavily worn with several tiles that are loose posing as a tripping hazard.
The record for Child #1, #2, #3, and #4 had the information for 1 of 2 emergency contacts. The record for Child #3, and #4 did not have the child's insurance information available. The record for Child #1, #2, and #4 did not have written authorization for emergency medical care.
The record for Child #3 did not have a parent?s signature for an annual review of the emergency contact information. The last review was documented 2 years ago.
This information was not available for two children who were provided care since 2023.
There was no documentation of immunizations for Child #4, who has been in care for 6 months.