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Pamela Brown

Inspection · 2025-02-25

Date
2025-02-25
Complaint Related
No
Licensing Inspector
Trisha Brown
(757) 404-2601
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 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 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 2/25/2025, as a part of licensure period. The on-site inspection began at 10:30 and ended at 12:30. The inspector reviewed compliance in the areas listed above. There were 10 children present and 2 caregivers; the point total was 20. The inspector reviewed 10 children?s records and 3 caregiver/household member(s) records on-site.

This inspection included document, 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 business days from today, which will be the close of business on 3/35/2025. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, who had been employed for an unknown length of time, did not have a central registry search requested. Staff #1 was working with children.
Plan of Correction: Staff#1 Start date was on feb-24-25 and central registry was requested on feb-18-25
Central registry check was received/emailed back on march-6-2025
Standard 8VAC20-800-120-B
Providers must maintain a record for each caregiver and shall contain all required information. The record for Staff #2, who was present, did not contain the following required information date of employment, references, documentation of the education and training.
Plan of Correction: Staff #2 required documentation is available as of February-26-25 and file in staff folder includes, reference and documentation of education.
Standard 8VAC20-800-60-B
A child?s record shall contain the required documentation. The record for Child #2 did not include documented first date of attendance.
Plan of Correction: The first day of attendance will be highlighted to ensure attendance is recorded March-24-25
Standard 8VAC20-800-630-B
When time out is used as a discipline technique it shall be used sparingly and shall not exceed one minute for each year of the child's age. A two-year-old was left in time out for six minutes.
Plan of Correction: A clock timer will be permitted for timeouts times, and staff is informed as well to not exceed one minute for each year child age. Feb-25-25
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 was in care during the inspection and had been in care for 3 months.
Plan of Correction: For child#3 the correct and complete immunization was received Feb-27-25
Standard 8VAC20-800-900-B
Children shall not be allowed to eat or drink while walking. Child #1 was observed walking around the child care room while drinking from a sippy cup.
Plan of Correction: Sippy cups will only be permitted while sitting in appropriate sitting area, and informe/reminder other caregivers Feb-25-25