Inspection · 2025-12-03
Date
2025-12-03
Complaint Related
No
Licensing Inspector
Sharon Allen
(540) 272-2941
(540) 272-2941
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
8Standard 8VAC20-800-100-A
The provider shall obtain documentation that each child has obtained a physical examination by the direction of a physician within the first 30 days of attendance.
The record for child A who had been enrolled in the program for more than three months did not have documentation of a completed physical.
The record for child A who had been enrolled in the program for more than three months did not have documentation of a completed physical.
Plan of Correction: The provider has obtained documentation that each child has obtained a physical examination by the direction of physician.
Standard 8VAC20-800-180-A
REPEAT VIOLATION
A tuberculosis (TB) screening is required to be updated every two years.
1.) An updated TB screening for Household Member A was overdue by 15 months. 2.) An updated TB screening for Household Member B was overdue by 21 months.
A tuberculosis (TB) screening is required to be updated every two years.
1.) An updated TB screening for Household Member A was overdue by 15 months. 2.) An updated TB screening for Household Member B was overdue by 21 months.
Plan of Correction: 1.) An updated TB screening for Household Member provided dated 12/18/2024.
2.) An updated TB screening for Household Member B was provided on 12/07/2025.
2.) An updated TB screening for Household Member B was provided on 12/07/2025.
Standard 8VAC20-800-60-B
The provider is required to maintain a record for each child that shall contain required components.
The following components were missing from the file of child A who had been enrolled for over three months: 1.) Emergency Contact Information including the name, address and telephone number of each custodial parent's place of employment. 2.) Name, office address and telephone number of the child's physician. 3.) Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. 4.) Information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation. 5.) Name and policy number of the child's medical insurance. 6.) Names of persons other than the custodial parents who are
authorized to pick up the child. 7.) Chronic physical problems, pertinent developmental information, and any special accommodations needed. 8.) Written authorization for emergency medical care.
The following components were missing from the file of child A who had been enrolled for over three months: 1.) Emergency Contact Information including the name, address and telephone number of each custodial parent's place of employment. 2.) Name, office address and telephone number of the child's physician. 3.) Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. 4.) Information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation. 5.) Name and policy number of the child's medical insurance. 6.) Names of persons other than the custodial parents who are
authorized to pick up the child. 7.) Chronic physical problems, pertinent developmental information, and any special accommodations needed. 8.) Written authorization for emergency medical care.
Plan of Correction: The provider has the following information from the parent:
1.) Emergency contact information including the name, address and telephone number of each custodial parents place of employment.
2.) Name, office address and telephone number of the child's physician
3.) Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.
4.) Information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation.
5.) Name and policy number of the child's medical insurance.
6.) Names of persons other than the custodial parents who are authorized to pick up the child.
7.) Chronic physical problems pertinent developmental information, and any special accommodations needed. (this is not applicable for the child)
8.) Written authorization for emergency medical care.
1.) Emergency contact information including the name, address and telephone number of each custodial parents place of employment.
2.) Name, office address and telephone number of the child's physician
3.) Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.
4.) Information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation.
5.) Name and policy number of the child's medical insurance.
6.) Names of persons other than the custodial parents who are authorized to pick up the child.
7.) Chronic physical problems pertinent developmental information, and any special accommodations needed. (this is not applicable for the child)
8.) Written authorization for emergency medical care.
Standard 8VAC20-800-70-B
The provider shall obtain the parent's written acknowledgement of the receipt of the information required to be provided to parents specific to the program before the child's first day of attendance.
The record for child A who had been enrolled for over three months did not have signed documentation that the parent had received the required program specific information.
The record for child A who had been enrolled for over three months did not have signed documentation that the parent had received the required program specific information.
Plan of Correction: The provider has obtained the parent's written acknowledgment of the receipt of the information required to be provided.
Standard 8VAC20-800-760-A
The provider is required to keep a first aid kit in the family day home.
The first aid kit was not accessible during the inspection.
The first aid kit was not accessible during the inspection.
Plan of Correction: The provider has a first aid kit in the family day home.
Standard 8VAC20-800-80-A
The provider is required to obtain documentation of proof of identity within the first 7 days of attendance for children in care.
The record for child A who had been enrolled for more than three months did not have documentation that the provider reviewed the child's proof of identity.
The record for child A who had been enrolled for more than three months did not have documentation that the provider reviewed the child's proof of identity.
Plan of Correction: The provider obtained documentation of proof of identity of attendance for children in care.
Standard 8VAC20-800-830-A
Emergency evacuation procedures are required to be practiced monthly with all caregivers and children in care.
The provider has had one child in care for over three months and has not practiced emergency evacuation procedures during this time.
The provider has had one child in care for over three months and has not practiced emergency evacuation procedures during this time.
Plan of Correction: Provider practiced emergency evacuation procedures plan.
Standard 8VAC20-800-90-A
The provider shall obtain documentation that each child has been adequately immunized before the child's first day of attendance.
There was no documentation of an immunization record on file for child A, who had been attending the program for over three months.
There was no documentation of an immunization record on file for child A, who had been attending the program for over three months.
Plan of Correction: The provider has obtained documentation that each child has been adequately immunized before the child's first day of attendance.