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Ms. Letitia Paige

Inspection · 2025-08-27

Date
2025-08-27
Complaint Related
No
Licensing Inspector
Kimberly Sampson
(757) 354-7307
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 Nighttime Care
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced, on-site monitoring inspection was completed on 08/27/2025, as a part of the licensure period. The on-site inspection began at 11:30 am and ended at 12:30 pm. The inspector reviewed compliance in the areas listed above. There were 10 children present and 3 staff. The inspector reviewed 5 children?s records and 5 staff records. This inspection included a document review, tour of facility, interviews, observations and measurements. 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

5
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years.

The most recent central registry check for staff #2 was overdue by three months.
Plan of Correction: Provider will request the central registry for staff #2.
Standard 8VAC20-800-140-B-3
Providers shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

Staff #2 did not have current certification in cardiopulmonary resuscitation. Their certification had been expired for four months.
Plan of Correction: Staff will get recertified.
Standard 8VAC20-800-140-B-4
Providers shall have current certification in first aid.

Staff #2 did not have current certification in first aid. Their certification had been expired for four months.
Plan of Correction: Staff will get re-certified.
Standard 8VAC20-800-60-B
The record for each child should contain all of the required information.

The record for child #2 did not contain the contact information for their mother's employer and medical insurance policy number.
The record for child #4 did not contain the medical insurance policy number and one of the two emergency contacts.
The record for child #5 did not contain the contact information for their parent(s), the contact information for their parent's employer, medical insurance policy number, the address for one of the two emergency contacts.
All three children above were in care during this inspection.
Plan of Correction: Provider will request information from parents.
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 #1, who was in care during the inspection and had been in care for two weeks.
Plan of Correction: Provider will request documentation from parent.
View original record on Virginia Department of Social Services