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Elizabeth Appiah

Inspection · 2026-02-03

Date
2026-02-03
Complaint Related
Yes
Licensing Inspector
Laura Lunceford
(571) 835-5058
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 Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Emergencies
8VAC20-821 Licensure Requirements
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 inspection was initiated on February 3, 2026 and completed on February 6, 2026 in response to a complaint received by the licensing office on February 2, 2026 relating to allegations of forbidden actions. The inspector reviewed 12 children?s records and 2 staff records on-site on February 3, 2026. This inspection included document review, tour of the facility,
interviews, and observations.
The preponderance of evidence gathered during the investigation supports the allegation; therefore, the complaint is determined to be valid. Information gathered during the inspection determined non-compliance with applicable standards or law, and the violations are documented on the violation notice issued to the program. Other non-related violations were cited during the complaint inspection.
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 February 18, 2026. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

There was no documentation of a physical examination in Child 1 (six months overdue), 5 (4 years overdue), and 8 (two months overdue).
Plan of Correction: Provider has asked parent to obtain documents.
Standard 8VAC20-800-280
Poisonous substances shall be stored away from food in areas of inaccessible to children.

The provider had four bottles of medication and a bottle of Pepto-Bismol on the counter behind the couch that was accessible to children. Additionally, the provider had a basket of ten medication bottles on the lower kitchen counter accessible to children.
Plan of Correction: Provider has removed all medication-both expired and current out of children reach.
Standard 8VAC20-800-290
Sharp kitchen utensils and other sharp objects shall be inaccessible to children.

A knife block set was observed on the edge of the counter by the sink at the time of inspection.
Plan of Correction: All sharp objects including knives have been removed.
Standard 8VAC20-800-60-B
Children's records were missing the following: 1. authorization for emergency medical treatment, 2. names of persons authorized to pick up children, 3. names, address and telephone number for two designated persons to contact in emergency.

1. Child 7 had no emergency medical authorization.
2. Child 7, 8, 10 and 11 had no names of persons authorized to pick up children. Child 1 was released to a person who did not have pick up authorization on January 29, 2026
3. Child 7 had no second designated person to contact in case of emergency.
Plan of Correction: Parents has been advised of medical treatment and needing two name for emergency contacts along with required documents.
Standard 8VAC20-800-640-5
The following act is forbidden. Verbal remarks that are demeaning to the child.

Staff A admitted to yelling at Child 1 in a demeaning manner for jumping on a couch.
Plan of Correction: Provider will participate in training to control of voice.
Standard 8VAC20-800-780-B
Annually, the provider shall review with the parent the emergency contact information.

9 of 12 children's records reviewed were missing documentation of an annual review of emergency contacts.
Plan of Correction: Provider will review annual documents with parents.
Standard 8VAC20-800-90-A
Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

Child 1 did not have documentation the child had been adequately immunized. The child has been there for over 6 months.
Plan of Correction: Parent has been informed of needed document.
View original record on Virginia Department of Social Services