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Shavon Lyseight-McPherson
5719 Rocky Run Drive
Centreville, VA 20120
(703) 830-4147

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: April 9, 2024

Complaint Related: No

Areas Reviewed:
22.1 Background Checks Code
63.2 Child abuse and neglect
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Technical Assistance:
The inspector provided electronically the Vendor with model forms.

Comments:
An unannounced annual Unlicensed Subsidy Health and Safety (USHSI) inspection was conducted on 04/09/2024. At the time of arrival, there were 4 children present with the vendor, one of them being a resident of the home. An additional child arrived during the inspection for a total of 5 children (14 points). The children were observed playing and napping during the inspection. The inspector reviewed 4 children's records and the Vendor's member record to ensure compliance with the health and safety regulations.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at Maria.Robles@doe.virginia.gov.

Violations:
Standard #: 8VAC20-790-190-B
Description: Based on record review, children's records did not contain all required information.
Evidence:
The following information was missing:
1) The records for Child #1 and Child #4 did not contain: Proof of the child's identity; and the address and telephone number for custodial parent's place of employment.
2) The records for Child #2 and Child #3 did not contain: Proof of the child's identity.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-250-F
Description: *REPEAT VIOLATION*
Based on record review, the vendor did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence:
1) On the date of inspection, the vendor did not provide documentation of having completed any of the required sixteen clock hours of annual training during the 2023 year.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-250-F
Description: *REPEAT VIOLATION*
Based on record review and interview, caregivers who work directly with children did not annually attend the department's health and safety update course.
Evidence:
1)The vendor did not provide documentation of having completed the health and safety update course for 2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-260-I
Description: Based on documentation review, the vendor did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed.
Evidence:
1)The vendor did not provide documentation of having completed an inspection of the wood burning fireplace in the living room.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-430-A-1
Description: Based on documentation review, emergency evacuation procedures were not practiced monthly.
Evidence:
1) On the date of inspection, the 2024 emergency drills log provided for review, did not have evacuation (fire) drills documented for the months of February 2024 and March 2024.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-430-A-2
Description: *REPEAT VIOLATION*
Based on documentation review and interview with the vendor, shelter-in-place procedures were not practiced a minimum of twice per year.
Evidence:
1) On the date of inspection, the 2023 emergency drills log provided for review, had no shelter-in-place drills documented.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-430-A-3
Description: *REPEAT VIOLATION*
Based on documentation review and interview with the provider, lockdown procedures were not practiced at least annually.
Evidence:
1) On the date of inspection, the 2023 emergency drills log provided for review, had no lockdown drills documented.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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