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Bettina Myrick-Bergan

Inspection · 2026-03-23

Date
2026-03-23
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
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 initiated on 03/23/2026 and completed on 03/23/2026. The on-site inspection began at 9:50 am and ended at 11:45 am. The inspector reviewed compliance in the areas listed above. There were 11 children present and 2 caregivers; the point total was 29. The inspector reviewed 10 children?s records and 5 caregiver/household member records on-site on 03/24/2026.
This inspection included:
? document review,
? tour of the downstairs areas of the home,
? interviews,
? observations (this would include observations.

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.

The 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

4
Standard 8VAC20-790-250-F
Caregivers who work directly with children shall annually attend the department's health and safety update course.
Caregiver 1 and caregiver 2 have not completed the subsidy 3 hour annual update training for 2025.
Plan of Correction: The provider stated that both caregivers will complete the 3-hour annual preservice training over the weekend.
Standard 8VAC20-800-180-A
The provider shall obtain for each caregiver a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening.
The most recent screening for tuberculosis for caregiver 1 was completed more than 30 months ago.
Plan of Correction: The provider stated that caregiver 1 will obtain an updated TB screening the first week of April 2026.
Standard 8VAC20-800-530-B
Cribs when being used by infants shall have a tight-fitting bottom cover.
The crib sheet in the crib assigned to child 1 was loose fitting.
Plan of Correction: The provider stated the loose fitting crib sheet was removed immediately before nap.
Standard 8VAC20-800-540-A
Infant carrier seats, swings, strollers, feeding or activity tables, and high chairs shall be used according to the manufacturer's instructions and when occupied by a child, a safety strap shall be used and securely fastened.
Child 1 was observed sitting inside of an infant feeding seat without the safety strap securely fastened.
Plan of Correction: The provider stated that children will use floor chair with straps at all times.
View original record on Virginia Department of Social Services