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Salma Nab

Inspection · 2025-09-30

Date
2025-09-30
Complaint Related
No
Licensing Inspector
Kimberly Weaver
(571) 596-3662
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
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
22.1 Potable Water Lead Testing
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. 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 conducted 9/30/2025 from 9:37am - 10:55am. There were 7 children and 3 caregivers present during the time of the inspection; totaling 21 points. The inspector reviewed 3 child records and 3 caregiver/household records onsite. The inspection included document review, interviews, observations, and a tour of the facility. Information gathered during the inspection determined noncompliance 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 10/14/2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a childs attendance or within 30 days after the first day of attendance.

The record for Child #2, enrolled for more than 30 days, did not contain a physical examination.
Plan of Correction: I will obtain documentation of a physical examination for Child #2 from the childs parent or guardian immediately. I will review all current child files to ensure that each enrolled child has a documented physical exam completed by or under the direction of a physician. Going forward, I will verfiy that physical examination documentation is received prior to or within 30 days of a childs first day of attendance.
Standard 8VAC20-800-240-A
Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

In the infant sleeping area, 7 out of 7 cribs had a thick layer of dust around the base of the frame where the mattresses sit. Multiple cribs had white droplets that had dried around the base of the frame.
Plan of Correction: I cleaned and sanitized all seven cribs immediately, removing the dust and white residue from the frames and surrounding areas. I will continue to inspect and clean all cribs weekly to ensure they remain in a clean, safe, and operable condition. Moving forward, I will add a crib cleaning checklist to my weekly cleaning schedule to make sure this area is regularly maintained.
Standard 8VAC20-800-60-B
REPEAT VIOLATION
A childs record shall contain the name, address, and telphone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

The record for Child #1, enrolled for more than 30 days, was missing the address for one emergency contact.
Plan of Correction: I will review all childrens records to ensure that each file includes complete emergency contact information, including names, addresses, and phone numbers for at least two designated individuals. I will contact any parents with missing information and update the records accordingly. Moving forward, I will verfiy that all emergency contact sections are fully completed before a child begins attendance to prevent future violations.
Standard 8VAC20-800-70-A
REPEAT VIOLATION
Before the childs first day of attendance, parents shall be provided required information in writing.

The parents of Child #2, enrolled for more than 30 days, were not provided in writing the following required information: provisions of the family day homes emergency preparedness plan, decision to aminister medication policy, and whether or not there is liability insurance as required by the Code of Virginia. At the time of the inspection, the record for Child #2 contained forms used to notify parents but they were blank.
Plan of Correction: I will immediately provide the parents of Child #2 wiht all required written information, including my emergecny preparedness plan, my decision to admniister medication policy, and whether or not I carry liability insurance as required by the Code of Virginia. I will make sure all parent notification forms are completed, signed, and dated. Moving forward, I will review all enrollment packets to confirm these forms are properly filled out and signed before a childs first day of attendance.
Standard 8VAC20-800-800-B
The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

The last documented review of the emergency preparedness plan was dated 2023. A review was not documented for 2024. The 2025 review was completed with the Licensing Inspector during the inspection.
Plan of Correction: A recurring annual calendar reminder has been established to ensure the emergency preparedness plan is reviewed by September 30th of each year.