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Miriam Medina

Inspection · 2025-07-22

Date
2025-07-22
Complaint Related
No
Licensing Inspector
Shahana Green
(571) 423-6735
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
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 and completed on 7/22/2025. The on-site inspection began at 11:10am and ended at 1:25pm. The inspector reviewed compliance in the areas listed above. There were 15 children present and 4 caregivers; the point total was 40.
The inspector reviewed 6 children?s records and 6 caregiver/household members records on-site on 7/22/2025. 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.

Violations

8
Standard 22.1-289.035-B-2
All employees must submit to fingerprinting prior to employment as described in
subdivision B 2 of ? 19.2-392.02. Caregiver #3 did not have submit to fingerprinting within the required timeframe.

There was no documentation available of the results of fingerprints testing at the time of the
inspection for the caregiver.
Plan of Correction: It's done already.
Standard 22.1-289.035-B-4
The Provider is required to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Caregiver #4 did not have documentation of a search of the child abuse and neglect registry or equivalent registry for another state (outside of Virginia) in which the caregiver resided in the preceding 5 years.
Plan of Correction: I am going to request it.
Standard 8VAC20-800-120-B
Assistants' and substitute providers' records shall contain documentation that two or more
references as to character and reputation as well as competency were checked before
employment.

There were no references on file for staff #4 at the time of the inspection.
Plan of Correction: It's already done.
Standard 8VAC20-800-210-A
Caregivers are required to obtain a minimum of sixteen clock hours of training annually in
areas relevant to their job responsibilities, in addition to the first aid and CPR training.

Caregiver #2 did not have documentation on file to show that they obtained a minimum of sixteen clock hours of training annually for 2024.
Plan of Correction: She's in process.
Standard 8VAC20-800-240-A
Areas and furnishings of the family day home, inside and outside, are required to be maintained in a clean, safe, and operable condition.

The gate used to enter and exit the deck area which leads to the daycare was broken at the time of the inspection. A hinge was broken with exposed nails and the door was falling when unlatched to enter the deck area where the children were at the beginning of the inspection.
Plan of Correction: The gate was repaired during the inspection.
Standard 8VAC20-800-30-A
The provider is required to ensure compliance with these standards and the terms of the
current license issued by the department and with relevant federal, state or local laws, and
other relevant regulations.

At the time of the inspection, the Provider was over the capacity allowed by the terms of the
license. The capacity listed on the Provider's license is 12 children and the Provider was
found to have 15 children in care.
Plan of Correction: I'll comply with all licensing terms and local state and federal regulations.
Standard 8VAC20-800-40-A
The provider is required to ensure that the total number of children receiving care at any one
time does not exceed the maximum licensed capacity of the home.

The Provider was observed to have 15 children in care at the time of the inspection when the
Provider's maximum licensed capacity is 12 children.
Plan of Correction: There has been a confusion with the part-time children.
Standard 8VAC20-800-60-A
The Provider is required to maintain an up-to-date record at the family day home for each
child enrolled.

Child #1, Child #2, and Child #3 were all missing the Emergency Preparedness Plan.
Child #3 was also missing the Information for Parents form.
Plan of Correction: It's already done.
View original record on Virginia Department of Social Services