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Ms. Cynthia Holmes

Inspection · 2025-07-16

Date
2025-07-16
Complaint Related
No
Licensing Inspector
Kelly Adriazola
(804) 840-8245
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection.

Inspector Notes

The Department issued a Special Order on April 22, 2025, to Place Licensee on Probation and Require Licensee to Contact Parents, Guardians or Other Responsible Persons Regarding Health and Safety Violations, as a result of high-risk violations. An unannounced, on-site renewal inspection was initiated and concluded by two inspectors on July 16, 2025. The on-site inspection began at 10:57 a.m. and ended at 12:10 p.m. The inspectors reviewed compliance in the areas listed above. There were 10 children present and 3 caregivers; the point total was 20. The inspectors reviewed 2 children?s records, 1 household member and 2 caregivers records on-site. This inspection included document review, tour of the home, 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 July 30, 2025. A POC submitted after this date will not appear on the public website.

Violations

9
Standard 22.1-289.011-F
The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 06/10/25, were not posted in a conspicuous place on the premises.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.036-A
Every adult living in a family day home shall undergo a background check every five years. The sworn disclosure statement for household member #1 was overdue by a month.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
Repeat Violation
Systemic Violation
The provider shall obtain documentation of a physical examination prior to the child's attendance or within 30 days after the first day of attendance. There was no physical exam record available for child #1, who had been in care for ten months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 and household member #1 was not completed and was overdue by three weeks.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregivers #1 and #2 completed three hours of training for 2024.
Plan of Correction: Not available online. Contact Inspector for more information.
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. There were ripped and torn floor mats in the threshold leading to the kitchen and there were two bags full of trash in the kitchen accessible to children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-280
Repeat Violation
Poisonous materials shall be stored in an area inaccessible to children. There was hand sanitizer and Rustoleum on the porch where children enter the home and Miracle Grow in the yard, all accessible to children. There was air freshener in the living room that was accessible to the children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-540-A
Repeat Violation
High chairs, when occupied by a child, a safety strap shall be used and securely fastened. A child was observed unstrapped in a high chair.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-820-120-E-6
A copy of any special order issued by the department shall be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. The Special Order dated 04/22/2025 was not posted at any public entrance of the licensed premises during the inspection on 07/16/2025.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services