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Ms. Sandra Nicholas

Inspection · 2026-02-18

Date
2026-02-18
Complaint Related
No
Licensing Inspector
LaTasha Smith
(804) 588-2362
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.
Yes

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
8VAC20-821 Licensure Requirements
8VAC20-821 Renewal
8VAC20-821 Application Fees
8VAC20-821 Background Checks
8VAC20-821 Standards of Conduct
8VAC20-821 Violation Review
8VAC20-821 Sanctions
8VAC20-821 Appeals
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
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 General Qualifications
8VAC20-790 Building or Home Maintenance
8VAC20-790 Supervision and Ratio Requirements
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services

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 monitoring inspection was initiated and completed on February 18, 2026. The on-site inspection began at 9:20am and ended at 11:00am. The inspector reviewed compliance in the areas listed above. There were 7 children present and 3 caregivers; the point total was 25. The inspector reviewed 5 children?s records and 3 caregiver/household member(s) records on-site. This inspection included a tour of the facility, interviews, observations and document review

A subsidy health and safety inspection (SHSI) was conducted in conjunction with the licensing inspection. Subsidy standards that are not covered in licensing standards were reviewed during this SHSI.

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 March 3, 2026. A POC submitted after this date will not appear on the public website.

Violations

7
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 Staff #3, who is currently working, did not have a completed sworn statement.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.057-A
(Repeat Violation) 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 and/or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Caregiver #3 did not have central registry search results during the inspection and has been employed for over 30 days.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-250-F
(Repeat Violation) Staff who work directly with children shall annually complete the department's health and safety update course. Caregiver #2 have not completed the 3-hour subsidy health and safety update course for 2025.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-A
Providers must maintain a record for each caregiver. There was no record for Caregiver 3 who has been caring for children for over one month.
Plan of Correction: Not available online. Contact Inspector for more information.
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 Caregiver 3, who has been caring for children for over one month.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
(Repeat Violation) Children's records are required to contain parental home and employment addresses and phone numbers. The record for Child #3 was missing the employment information and the employment phone number, and the addresses for two emergency contacts. The child was present during the inspection and had been in care for five months.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services