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Susan Cassidy

Inspection · 2025-06-04

Date
2025-06-04
Complaint Related
No
Licensing Inspector
LaTasha Smith
(804) 588-2362
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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

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 and completed on June 4, 2025. The on-site inspection began at 11:20 am and ended at 12:30 pm. The inspector reviewed compliance in the areas listed above. There were 16 children present and 2 caregivers; the point total was 29. The inspector reviewed 5 children?s records and 6 caregiver/household member(s) records on-site. This inspection included interviews, observation document review, and a tour of the facility.

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 June 18, 2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-B-3
For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service.

Caregiver #3 did not have central registry search results during the inspection and has been employed for over 10 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-200-A
The provider must orient assistants by the end of their first week of assuming job responsibilities.

Assistant Caregiver #3 provided care for children without receiving orientation.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-50-A
The family day home shall keep a written record of children in attendance each day.

At the time of inspection, sixteen children were in care but only ten children were included in the attendance list as present.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-570-A
The provider shall ensure that a caregiver does not exceed 16 points.

At the time of entrance, two assistant caregivers was alone with 16 children for a total of 29 points.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-A
(Repeat Violation) The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

There was no documentation of emergency evacuation procedures practiced in May 2025.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services