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Mary Carter

Inspection · 2025-07-30

Date
2025-07-30
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
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 July 30, 2025 and completed on July 30, 2025. The on-site inspection began at 2:00 PM and ended at 3:20 PM. The inspector reviewed compliance in the areas listed above. There were four children present and two caregivers; the point total was 11. The inspector reviewed four children?s records and two caregiver/household member(s) 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 August 12, 2025. A POC submitted after this date will not appear on the public website.

Violations

8
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 were no physical exam records available for Child #2 who had been in care for over two months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-D
A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.

1. Caregiver #2 was operating as a substitute provider in the provider's absence on the day of inspection. There was not a record available that documented the Caregiver #2's hours of working as a substitute.
2. The provider confirmed there was no record for the substitute provider?s arrival and departure.
Plan of Correction: Sub records has started 08/01/2025, Substitute also lives there.
Standard 8VAC20-800-240-A
Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Unsafe conditions shall include, but not be limited to, the presence of poisonous plants; tripping hazards; unstable heavy equipment, furniture, or other items that a child could pull down on himself; splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; and protruding nails, bolts, or other components that could entangle or could snag skin.

1.In room #1, within reach of children, one electrical outlet cover was missing exposing the outlet and wires.
2. In the bathroom, a hole in the wall exposing drywall and chipped paint.
Plan of Correction: Electric panel was reported to be repaired.
Standard 8VAC20-800-330-A
A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home?s hours of operation. An operable landline telephone is one that does not require electricity to operate.

1. The landline telephone was not operable.
2. The provider confirmed that the landline telephone was not working.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-430-A
***Repeat Violation***
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.

Two children under two years of age were present during the inspection with access to stairs.
Plan of Correction: A gate was ordered 08/01/25
Standard 8VAC20-800-540-A
Highchairs shall be used according to the manufacturer's instructions and when occupied by a child, a safety strap shall be used and securely fastened.

On the date of the inspection, an infant was observed in a highchair and the safety strap was not securely fastened.
Plan of Correction: High Chair was fast at the time of inspection
Standard 8VAC20-800-770
A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times.

1. A battery - operated weather band radio was not available during the inspection.
2. The provider stated that she was unable to locate the battery-operated radio.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.

There was no documentation of immunizations for child #2, who was in care during the inspection and had been in care for two months.
Plan of Correction: Parent has a Doc appointment for new immunizations.