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Adelaide Nyamedi

Inspection · 2025-07-29

Date
2025-07-29
Complaint Related
No
Licensing Inspector
Mark Davis
(804) 629-7103
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
8VAC20-770 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 on and completed on 7/29/2025. The on-site inspection began at 11:10am and ended at 12:40pm. The inspector reviewed compliance in the areas listed above. There were eight children present and two caregivers; the point total was 22. The inspector reviewed five children?s records and three caregiver/household members records on-site. 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.

Violations

5
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 12/19/2024, were not posted in a conspicuous place on the premises.
Plan of Correction: All required documentation is posted in an open space for easy access of viewership. I will be placing the most updated version of the inspection in the front.
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.
Plan of Correction: The provider will submit a testing plan to VDH, and has been contacting several testing services but has not yet found a company that will either come to their home to test the water or mail them a testing kit.
Standard 8VAC20-800-430-A
Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. Three children under the age of two had access to the stairs because the gate to the stairs was left open.
Plan of Correction: Gates are usually closed and I will make sure they are secured and closed moving forward.
Standard 8VAC20-800-560-A
A caregiver shall provide direct care and supervision of each child at all times. The assistant (staff #2) was observed looking at a laptop screen and typing on the keyboard while children needed supervision.
Plan of Correction: A conversation was had with the assistant and will be mindful of that moving forward.
Standard 8VAC20-800-800-A
The family day home shall have a written emergency preparedness and response
plan that includes 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 emergency preparedness and response plan did not have someone other than the provider listed.
Plan of Correction: Corrected during the inspection.
View original record on Virginia Department of Social Services