Virginia
Sign in
Back
Sandra Reardon

Inspection · 2025-07-30

Date
2025-07-30
Complaint Related
No
Licensing Inspector
Sarah Marbert
(703) 479-4678
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 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
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
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 focused inspection was initiated on 7/30/2025 and completed on 8/4/25 as a part of an Intensive Plan of Correction (IPOC). The Department requested that the provider complete an IPOC as result of the last inspection related to posted documents, children's records and emergency evacuation drills. The on-site inspection began at 9:30 AM and ended at 10:50 AM. The inspector reviewed compliance in the areas listed above. There were 5 children present and 2 caregivers; the point total was 13. The inspector reviewed 4 children?s records and 2 caregiver 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.
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 8/11/25. A POC submitted after this date will not appear on the public website.

*Amended Inspection report - 12/09/2025 After further review of the report, two violations were removed.

Violations

7
Standard 22.1-289.011-F
Repeat Violation
The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.
The most recently issued license was not posted.
Plan of Correction: The most recently issued license has been posted in a clearly visible and easily accessible location on the licensed premises. Regular monthly checks will be conducted to ensure all required documents remain properly displayed.
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years.
Caregiver B's repeat central registry check for was overdue by 6 months.
Caregiver B's repeat nationwide fingerprint search results were overdue by 7 months.
Plan of Correction: Caregiver B completed both the central registry recheck and the nationwide fingerprint background check. Going forward, a compliance calendar will be maintained to ensure all required background checks are completed before their due dates.
Standard 8VAC20-800-60-B
Repeat Violation
A child's record shall contain the following information: first date of attendance, proof of birth documentation, emergency contact information, authorization for emergency care.
Four children's records were reviewed. Missing information included:
*Proof of Birth documentation (Children #1, 2)
*First date of attendance (Children #2, 4)
*Emergency authorization for care (Child #2)
*Two emergency contacts (Child #4)
Plan of Correction: All missing information has been obtained and updated in the children's records, including proof of birth, first date of attendance, emergency care authorization and emergency contact details. A checklist system has been implemented to ensure all required documentation is complete and reviewed before a child's first day of attendance. Files will be audited quarterly to maintain compliance.
Standard 8VAC20-800-70-B
Repeat Violation
Systemic Deficiency
The provider shall obtain the parent's written acknowledgement of the receipt of the required information.
Four child records were reviewed. Missing information included:
*Signed acknowledgement of all policies and procedures (Children #1, 2)
*Acknowledgment of the decision to administer medication (Children #1,2)
?Acknowledgment of the provision of the emergency preparedness plan (Children #1,3,4)
?Acknowledgment of the declaration of liability insurance (Children #1,2)
Plan of Correction: All missing parent acknowledgments have been collected and added to the children's records, including signatures for policies and procedures, medication administration decisions, emergency preparedness plans, and declarations. A checklist has been added to each child's enrollment file to ensure all required documents are completed before the child starts care. Files will be reviewed quarterly to prevent future oversights. The provider will be responsible for monitoring compliance.
Standard 8VAC20-800-780-B
Repeat Violation
Annually, the provider shall review with the parent the emergency contact information to ensure the information is correct, and obtain the parent's signed acknowledgment of the review.
Child #3's information update was overdue by 30 months.
Child #4's information update was overdue by 29 months.
Plan of Correction: Emergency contact information for Child #3 and Child #4 has been reviewed and updated with signed acknowledgment from the parents. A tracking system is now in place to ensure annual reviews are completed on time moving forward.
Standard 8VAC20-800-830-D
Records of emergency evacuation and shelter-in-place drills shall be maintained for one year.
There was no documentation of emergency evacuation drills or shelter-in-place drills having been conducted in 2025 for the months of April, May and June.
Plan of Correction: Emergency evacuation and shelter-in-place drills have now been conducted and properly documented for 2025. A drill log has been implemented to ensure all future drills are recorded and maintained for at least one year. The director will review the log monthly to ensure ongoing compliance.
Standard 8VAC20-800-90-C
Repeat Violation
The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements according to subsection B of this section.
Child #3's record did not contain documentation of updated immunizations.
Plan of Correction: Updated immunization records for Child #3 have been obtained and added to the child's file. Moving forward, immunization records will be reviewed semi-annually to ensure all required updates are received and documented. A reminder system has been implemented to follow up with parents before due dates.
View original record on Virginia Department of Social Services