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Ms. Sarah Cox

Inspection · 2025-09-03

Date
2025-09-03
Complaint Related
No
Licensing Inspector
Todd Scott
(276) 608-3749
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

Inspector Notes

An unannounced, on-site renewal inspection was initiated on and completed on 9/3/2025. The on-site inspection began at 10:15 am and ended at 11:35 am. The inspector reviewed compliance in the areas listed above. There were 11 children present for a point total of 18, the Provider and two assistants. The inspector reviewed five children?s records and four caregiver 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.

Violations

6
Standard 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 3/11/2025, were not posted in a conspicuous place on the premises.
Plan of Correction: The findings of the inspection on 9/3/2025 will be posted when they are received by the provider.
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.

There was not a sworn statement in Assistant #2's record.
Plan of Correction: A sworn statement will be completed and put in the assistant's file by the end of the week.
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.

There was not a completed national criminal background check in Assistant #2's record.
Plan of Correction: A national criminal background check will be completed and placed in the assistant's record.
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.

There was no tuberculosis screening for Assistant #2, who has been caring for children for over two months.
Plan of Correction: A completed TB screening will be obtained by Assistant #2.
Standard 8VAC20-800-520-B
Cribs shall not be used as a play space for infants.

Upon arrival to the provider's home an infant was observed in a crib playing with various toys.
Plan of Correction: Corrected during the inspection.
Standard 8VAC20-800-60-B
Children's record are required to contain proof of the child's age and identity.

Child #2's record did not contain proof of the child's age and identity.
Plan of Correction: Proof of age and identity was received the following day.
View original record on Virginia Department of Social Services