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Carla Seay

Inspection · 2025-08-28

Date
2025-08-28
Complaint Related
No
Licensing Inspector
Christina Bakonyi
(571) 596-3655
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 of8VAC20 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 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.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on August 28, 2025 and completed on August 28, 2025, as a part of the current licensure period. The on-site inspection began at 11:00am and ended at 11:45am. The inspector reviewed compliance in the areas listed above. There were 12 children present and 2 caregivers. The inspector reviewed 2 child files and 1 caregiver file.
This inspection included: document review, 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 (5) business days from today, which will be the close of business on September 4. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.035-B-1
The provider is required to obtain a completed sworn statement prior to the employee's first day of employment.

The sworn statement for Caregiver 1, who is currently working, was dated 2 months after the date of hire.
Plan of Correction: Going forward we will obtain the signed sworn statement prior to the start date.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Caregiver 1 had a completed national criminal background check dated 2 months after date of hire.
Plan of Correction: Going forward we will obtain the completed national criminal background check prior to the start date.
Standard 22.1-289.035-B-3
Providers must obtain a completed central registry background check prior to the employee's first day of employment.

Caregiver 1 had a completed central registry background check dated 2 months after date of hire.
Plan of Correction: Going forward we will obtain the completed central registry background check prior to start date.
Standard 8VAC20-800-170-A
Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

The tuberculosis screening for Caregiver 1, was obtained 2 months after date of hire.
Plan of Correction: Going forward we will obtain the completed screening prior to start date.
Standard 8VAC20-800-200-A
The provider must orient substitute assistants by the end of their first week of assuming job responsibilities.

Assistant Caregiver 1 did not have orientation documentation on file.
Plan of Correction: We will ensure everyone receives orientation within their first 7 days of employment.
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.

Child A did not have verification of identity on hand. Child has been in attendance for 2 months.
Plan of Correction: We will verify the information given.