Inspection · 2025-01-09
Date
2025-01-09
Complaint Related
No
Licensing Inspector
Dominick Fields
(540) 359-5244
(540) 359-5244
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
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 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 and completed on 1/09/2025. The on-site inspection began at 9:23am and ended at 10:40am. The inspector reviewed compliance in the areas listed above. There were three children present and one caregivers; the point total was six. The inspector reviewed two children?s records and four caregiver/household members records on-site on 1/09/2025.
This inspection included document review, tour of the home 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 business days from today, which will be the close of business on 1/16/2025. A POC submitted after this date will not appear on the public website.
Violations
15Standard 22.1-289.011-F
The license and any other documents required shall be posted in a conspicuous place on the licensed premises.
The findings from the most recent inspection, dated 7/12/2024, were not posted in a conspicuous place on the premises.
The findings from the most recent inspection, dated 7/12/2024, were not posted in a conspicuous place on the premises.
Plan of Correction: The license and other documents have been moved to a conspicuous location where they are clearly visible to everyone
Standard 22.1-289.036-B-1
Repeat Violation
The family day home is required to obtain a completed sworn statement by the end of the 30th day for new adult household members..
Adult Household Member #2 did not have a Sworn Statement or affirmation during the inspection and had been residing in the home over 1 year and two months.
The family day home is required to obtain a completed sworn statement by the end of the 30th day for new adult household members..
Adult Household Member #2 did not have a Sworn Statement or affirmation during the inspection and had been residing in the home over 1 year and two months.
Plan of Correction: A new sworn statement has been completed and signed for household member #2
Standard 22.1-289.036-B-2
The family day home is required to obtain a completed national criminal background check by end of 30th Day for new adult household members.
Adult Household Member #2 did not have a national criminal background check results during the inspection and had been residing in the home over 1 year and 2 months.
Adult Household Member #2 did not have a national criminal background check results during the inspection and had been residing in the home over 1 year and 2 months.
Plan of Correction: The adult household member #2 provided fingerprints for a background check at Fieldprint on 1/9/2025, and we expect to receive the results soon
Standard 8VAC20-770-40-D-5
Household members 14 years of age and older must obtain the results of a central registry search by the end of the 30th day of residence.
Household Member #3 did not have central registry results during the inspection and has been residing in the home for 5 months 2 weeks.
Household Member #3 did not have central registry results during the inspection and has been residing in the home for 5 months 2 weeks.
Plan of Correction: The CRS applications for both household members #2 and #3 have been completed. However, the payment could not be processed due to a payment error. We are currently working with the CRS support team to resolve the issue and submit the applications
Standard 8VAC20-800-100-A
Repeat Violation
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.
Child #2 attended the family day home 2 months and two weeks before the family day home provider received the child's physical and was past due by 1 month and 2 weeks.
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.
Child #2 attended the family day home 2 months and two weeks before the family day home provider received the child's physical and was past due by 1 month and 2 weeks.
Plan of Correction: A request was made for the latest physical examination and immunization record to ensure up-to-date medical records.
Standard 8VAC20-800-330-A
A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate.
The provider had a cordless phone that required electricity and a cell phone only.
The provider had a cordless phone that required electricity and a cell phone only.
Plan of Correction: Installed a new phone. Black OF-990 Slimline Telephone Wall-Mountable Basic Corded Telephone No AC Power Required, Corded Home Phone
Standard 8VAC20-800-50-C
Information contained in a child's record shall be privileged and confidential.
The provider had the supplemental page dated 1/29/2024 posted on the parent bulletin board. This page is considered confidential.
The provider had the supplemental page dated 1/29/2024 posted on the parent bulletin board. This page is considered confidential.
Plan of Correction: We will ensure that all the child's records are kept confidential and secure
Standard 8VAC20-800-60-B
Children's records are required to contain all of the required information.
The record for Child #1, enrolled for five months, was missing the following required components: one parent's home address, medical insurance policy number, Parent's signed acknowledgement of the receipt of the information required by 8VAC20-800-70, the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80 and written authorization for emergency medical care should an
emergency occur and the parent cannot be located immediately unless
the parent presents a written objection to provision of medical treatment
on religious or other grounds.
The record for Child #2, enrolled for five months, was missing the following required components: one parent's home address, medical insurance policy number, Parent's signed acknowledgement of the receipt of the information required by 8VAC20-800-70, proof of the child's age and identity and written authorization for emergency medical care should an
emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.
The record for Child #1, enrolled for five months, was missing the following required components: one parent's home address, medical insurance policy number, Parent's signed acknowledgement of the receipt of the information required by 8VAC20-800-70, the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80 and written authorization for emergency medical care should an
emergency occur and the parent cannot be located immediately unless
the parent presents a written objection to provision of medical treatment
on religious or other grounds.
The record for Child #2, enrolled for five months, was missing the following required components: one parent's home address, medical insurance policy number, Parent's signed acknowledgement of the receipt of the information required by 8VAC20-800-70, proof of the child's age and identity and written authorization for emergency medical care should an
emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.
Plan of Correction: The following items have been completed for Child #1:
1. One parent's home address
2. Medical insurance policy number
3. Parent's signed acknowledgment
4. Name and address of previously attended childcare
5. Written authorization for emergency medical care
1. One parent's home address
2. Medical insurance policy number
3. Parent's signed acknowledgment
4. Name and address of previously attended childcare
5. Written authorization for emergency medical care
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided required information in writing.'
The parents of Children #1 and #2, were not provided in writing the following required information: Information for parent's form, policy for administering medication, liability insurance declaration and provisions of the family day home?s emergency preparedness and response plan. Children had been in care for five months.
The parents of Children #1 and #2, were not provided in writing the following required information: Information for parent's form, policy for administering medication, liability insurance declaration and provisions of the family day home?s emergency preparedness and response plan. Children had been in care for five months.
Plan of Correction: The following items have been completed for Child #1 and Child #2:
1. Information for Parent's Form
2. Policy for Administering
Medication
3. Liability Insurance Declaration
4. Emergency Preparedness and Response Plan
1. Information for Parent's Form
2. Policy for Administering
Medication
3. Liability Insurance Declaration
4. Emergency Preparedness and Response Plan
Standard 8VAC20-800-790
The following telephone numbers shall be posted in a visible area close to the
telephone: 911 or local dial number for police, fire, and emergency medical responders, the responsible person for emergency backup care as required in 8VAC20-800- A 3; and the regional poison control center.
The provider did not have the responsible person for emergency backup care posted.
telephone: 911 or local dial number for police, fire, and emergency medical responders, the responsible person for emergency backup care as required in 8VAC20-800- A 3; and the regional poison control center.
The provider did not have the responsible person for emergency backup care posted.
Plan of Correction: An emergency backup phone number, along with the 911 and poison control numbers, has been added and posted in a visible area near the telephone
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.
Child #1, enrolled 5 months, did not have the name and location of previous day care programs.
Child #2, enrolled 5 months, did not have the verification of the identity and age of the child.
Child #1, enrolled 5 months, did not have the name and location of previous day care programs.
Child #2, enrolled 5 months, did not have the verification of the identity and age of the child.
Plan of Correction: For Child #1, the name and location of the previous child care programs have been corrected.
For Child #2, the identity and age of the child have been verified.
For Child #2, the identity and age of the child have been verified.
Standard 8VAC20-800-800-A
The family day home shall have a written emergency preparedness and response plan that includes all required components.
The provider had an emergency plan that did not Include provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents.
The provider had an emergency plan that did not Include provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents.
Plan of Correction: The emergency plan has been updated to designate a responsible person who can arrive at the family day home within 10 minutes. Emergency backup care has also been added to ensure children are cared for until their parents can pick them up.
Standard 8VAC20-800-800-B
The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.
The provider's emergency plan was last updated on 5/11/2022.
The provider's emergency plan was last updated on 5/11/2022.
Plan of Correction: The provider's emergency plan has been reviewed and updated as needed. It was reviewed and signed on 01/10/2025 for the current year.
Standard 8VAC20-800-830-C
Documentation shall be maintained of emergency evacuation and shelter-in-place drills that include the following:.Identity of the person conducting the drill, the date and time of the drill, the method used for notification of the drill, the number of caregivers participating, the number of children participating, any special conditions simulated, the time it took to complete the drill and problems encountered, if any; and for emergency evacuation drills only, weather conditions.
The provider stated they completed two shelter in place drills in 2024, but did not document the required information.:
The provider stated they completed two shelter in place drills in 2024, but did not document the required information.:
Plan of Correction: The shelter-in-place drill was completed on 1/10/2025 for the current year and documented for the previous year, 2024, as well.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.
Child #1 attended five days at the family day home before the provider received the immunization record.
Child #2 attended 2 months and two weeks at the family day home before the provider received the immunization record.
Child #1 attended five days at the family day home before the provider received the immunization record.
Child #2 attended 2 months and two weeks at the family day home before the provider received the immunization record.
Plan of Correction: We will ensure that documentation of immunization is obtained on the child's first day of school attendance