Inspection · 2025-03-21
Licensing Inspector
Christine Mahan
(757) 404-0568
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
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor's records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
During the inspection, the inspector reviewed the areas listed above. 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 and completed on 3/21/2025.
The on-site inspection began at 3:15 pm and ended at 5:35 pm. The inspector reviewed compliance in the areas listed above. There were 6 children present and 2 caregivers; the point total was 15. The inspector reviewed 6 children?s records and 5 caregiver/household member(s) records on-site.
This inspection included document review, tour of the facility, interviews, observations, and measurements.
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 8VAC20-800-180-A
The licensee must obtain from each caregiver updated documentation of a tuberculosis screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.
The rerecord for caregiver #1 contained the most recent Tuberculosis screening results which were overdue by 3 months.
Plan of Correction: Caregiver #1 will obtain an updated tuberculosis screening within 2 weeks and will place the results in the records upon receipt.
Standard 8VAC20-800-50-A
The family day home is required to keep a written record of children in attendance each day.
There was no an attendance record documenting the arrival of the 6 children in care at the time of the inspection.
Plan of Correction: The attendance clipboard normally hangs at the entry door where parents are required to sign their children in at arrival and out at pick up. The board had inadvertently been moved and the provider was not aware that parents had not signed in that morning. Children's names were added to the report during the inspection and will be signed out by parents upon pick up.
Standard 8VAC20-800-680-B
Caregivers are required to wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Caregiver #4 changed a child's diaper and did not wash her hands before moving on to other tasks.
Plan of Correction: The licensee will review hand washing procedures with caregiver #4 to ensure that she washed her hands immediately after diapering a child and before the she moves on to other activities or touches objects or children.
Standard 8VAC20-800-690-D
The diapering surface must be cleaned and sanitized after each use.
Caregiver #4 changed a child's diaper at the diapering table and did not clean or sanitize the diapering pad afterward.
Plan of Correction: The licensee will review diapering procedures with caregiver #4 to ensure that she cleans and sanitizes the diapering pad after every use.
Standard 8VAC20-800-700-C
When an authorization for medication expires, the licensee must notify the parent that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days must be taken to a pharmacy for proper disposal. There were 2 medications present in the family day home for child #2 which had an authorization form that was signed and dated by the parent on 7/9/2024 and was good for a maximum of 10 days without a physician's signature. The medication had not been returned to the parent or disposed of after 10 days.
Plan of Correction: A new authorization form will be obtained from the parent completed and signed by the physician to allow the medication to be available for an extended amount of time.
Standard 8VAC20-800-880
When family day homes provide meals or snacks the licensee must follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Food Program of the United States Department of Agriculture (USDA). The children were served potato chips, graham crackers and flavored water for afternoon snack. Only one food component was met (grain via graham crackers) of the minimal requirement that 2 components from 2 different food groups must be served for a snack.
Plan of Correction: The provider will consult her USDA food guides and adjust menus to ensure that the requirements are met at each snack or meal.