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James Smith

Inspection · 2025-05-15

Date
2025-05-15
Complaint Related
No
Licensing Inspector
Charles Perkins
(703) 309-3963
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

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

11
Standard 22.1-289.035-A
The center is required to have employees and household members undergo a background check every five years.

The most recent central registry checks for Staff #1, Staff #2, and Household Member #1 were overdue by two months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-1
The center is required to have all household members provide a sworn statement or affirmation disclosing whether he has ever been convicted or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.

A sworn statement or affirmation for Household Member #2 was not available for review.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check for all adult household members.

Household Member #2 did not have a completed national criminal background check available for review.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.057-B
The Family Day Home is required to submit results of potable water testing to VDH.

The program did not have evidence of submitting test results to VDH.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

There were no physical exam records available for Child #3, who had been in care for over 21 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-170-A
Providers must obtain a current tuberculosis screening for all adult household members and from a caregiver at the time of hire and prior to coming into contact with children.

There was no tuberculosis screening available for review for Household Member #2.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-240-A
Areas of the Family Day Home (FDH), inside and outside, shall be maintained in a clean, safe, and operable condition.

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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Children's records are required to contain: The name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; name and policy number of the child's medical insurance; and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-780-B
Annually, the provider shall review with the parent the emergency contact information required in each child?s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-80-A
Within seven business days of the child's first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs.

This information was not available for two children who were provided care since 2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.

There was no documentation of immunizations for Child #4, who has been in care for 6 months.
Plan of Correction: Not available online. Contact Inspector for more information.