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Sandra Scruggs

Inspection · 2026-03-25

Date
2026-03-25
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 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.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on March 25, 2026 and completed on March 25, 2026, as a part of current licensure period. The on-site inspection began at 9:40am and ended at 10:30am. The inspector reviewed compliance in the areas listed above. There were 9 children present and 2 caregivers. The inspector reviewed 3 children?s records and 3 caregiver/household member records. This inspection included document review, tour of the facility, interviews, observations, and measurements.

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.

Violations

4
Standard 8VAC20-800-180-A
A tuberculosis (TB) screening is required every two years from the last screening.

An updated TB screening for Caregiver #2 was not completed and was overdue by two months.
An updated TB screening for Household Member #1 was not completed and was overdue by two weeks.
Plan of Correction: Both individuals have TB screening appointments for today.
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided required information in writing.'

The parents of Child C were not provided in writing the following required information until two months after the date of enrollment: schedule of fees and payment plans, whether or not there is liability insurance in force on the family day home operation, and provisions of the family day home?s emergency preparedness and response plan. Children had been in care for seven months.
Plan of Correction: We will have parents sign needed forms before the child's start date.
Standard 8VAC20-800-70-B
Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration.

The parent acknowledgement for Child C was not signed until two months after the date of enrollment.
Plan of Correction: We will have parents sign needed forms before the child's start date.
Standard 8VAC20-800-780-B
Annually, the provider shall review with the parent the emergency contact information required in each child?s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

Records for children A and B did not have a parent?s signature for an annual review of the emergency contact information, both had been in care for over one year.
Plan of Correction: Parents will review records today and sign update.