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Ms. Letitia Paige

Inspection · 2026-03-12

Date
2026-03-12
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.
Yes

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
8VAC20-821 Licensure Requirements
8VAC20-821 Renewal
8VAC20-821 Application Fees
8VAC20-821 Background Checks
8VAC20-821 Standards of Conduct
8VAC20-821 Violation Review
8VAC20-821 Sanctions
8VAC20-821 Appeals
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
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 General Qualifications
8VAC20-790 Building or Home Maintenance
8VAC20-790 Supervision and Ratio Requirements
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services

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 monitoring inspection was completed on 03/12/2026, as a part of the licensure period. The on-site inspection began at 12:00 pm and ended at 1:15 pm. 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 5 children?s records and 2 caregiver/household member(s) records. This inspection included document review, tour of the facility, interviews, observations, and measurements. A subsidy health and safety inspection (SHSI) was conducted in conjunction with the licensing inspection. Subsidy standards that are not covered in licensing standards were reviewed during this SHSI. Information gathered during the inspection determined noncompliance with applicable standards o r law, and violations are documented on the violation notice issued to the program.

Violations

5
Standard 8VAC20-790-250-F
Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department's health and safety update course.

Assistant provider #2 did not complete the department's annual health and safety update course.
Plan of Correction: Assistant provider #2 will complete the 3 hr annual update course.
Standard 8VAC20-800-200-A
The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

There was no documentation of the assistant provider #2 receiving orientation training.
Plan of Correction: Provider will get orientation documentation for assistant provider #2.
Standard 8VAC20-800-60-B
Children's records are required to contain the parents contact information, the name, phone number, and address of two emergency contacts, and medical insurance policy information.
The record for Child #1 was missing one of the two required emergency contacts. The record for child #4 did not contain the mother's contact information and the medical insurance policy for the child.
Plan of Correction: Provider will request information from parent.
Standard 8VAC20-800-790
Emergency telephone numbers are to be posted in a visible area close to the phone.

The emergency numbers had been moved and were not posted during this inspection.
Plan of Correction: Provider will re-post emergency numbers.
Standard 8VAC20-800-90-C
Documentation of additional immunizations is required every six months until a child is two years of age.

The records for child #3 and #5 did not contain updated immunization documentation. Both of the updates were overdue by at least six months.
Plan of Correction: Provider will request information from parent.
View original record on Virginia Department of Social Services