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Irma Puza

Inspection · 2026-04-09

Date
2026-04-09
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(703) 479-4675
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
8VAC20-821 Licensure Requirements
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

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 April 9, 2026, as a part of the licensure period. The on-site inspection began at 10:30 a.m. and ended at 12:00p.m. The inspector reviewed compliance in the areas listed above. There were 9 children present and 3 caregivers; the point total was 23. The inspector reviewed 5 children?s records and 5 caregiver/household members records on-site. This inspection included document review, tour of the home, 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.

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 business days from today, which will be the close of business on April 17, 2026. A POC submitted after this date will not appear on the public website.

Violations

18
Standard 22.1-289.035-B-1
Providers must obtain a completed sworn statement prior to the employee?s first day of employment.

Caregiver #3 (employed 9 days) did not have a completed sworn statement.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Caregiver #3 (employed 9 days) did not have a completed national criminal background check.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-3
Providers must request a search of the central registry prior to the employee?s first day of employment.

Caregiver #3 (employed 9 days) did not have a central registry search requested.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
Systemic Deficiency
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

There were no physical exam records available for Child #2, who had been in care for over 60 days.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-A
Systemic Deficiency
The provider shall maintain a record for each caregiver.

The provider did not have a record with the required information for Caregiver #3 (employed 9 days).
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-170-A
Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

There was no tuberculosis screening for Caregiver #3, who has been caring for children for 9 days.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
Repeat Violation
A tuberculosis (TB) screening is required every two years from the last screening.

An updated TB screening for Caregiver #1 was not completed and was overdue for over 8 months. This was previously cited during the last inspection on November 5, 2025, and was not corrected.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-200-A
The provider shall orient the assistant by the end of their first week of assuming job responsibilities.

The provider had not completed orientation with Caregiver #3 (employed 9 days) by the end of their first week.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-280
Repeat Violation
Poisonous materials shall be stored in an area inaccessible to children.

Poisonous cleaning chemicals were in a cabinet under the sink of the children?s restroom that had a broken lock, making it accessible to children. This was previously cited during the last inspection on November 5, 2025, and was not corrected.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-30-A
The provider shall ensure compliance with these standards and the terms of the current license issued by the department and with relevant state laws, and other relevant regulations.

The provider was operating outside the terms of their license when Child #1 (6 years old) was in attendance during the inspection and the license states 3 months through 5 years old.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-50-C
Information contained in a child?s record shall be privileged and confidential.

The supplemental page from most recent inspection on November 5, 2025, contained confidential information and was posted on the parent bulletin board.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Systemic Deficiency
Children?s records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

The record for Child #5 (enrolled 1 month) was missing the name, address, and telephone number of one emergency contact.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-780-B
Systemic Deficiency
Annually, the provider shall review with the parent the emergency contact information required in each child?s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

The record for Child #1 did not have a parent?s signature for an annual review of the emergency contact information. The child was previously enrolled two years ago and had returned for drop in care, without a review of the information.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-80-C
Systemic Deficiency
The provider shall document in the child's record that they verified the child's proof of identity.

The record for Child #2 (enrolled 2 months), Child #3 (enrolled 6 months), and Child #5 (enrolled 1 month) did not contain documentation that the provider verified the child?s proof of identity.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-A
The emergency evacuation procedures shall be practiced monthly.

The provider stated the fire drills had not been done and the last documented drill was 5 months ago.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
Systemic Deficiency
Before attendance, the provider shall obtain documentation that the child has been adequately immunized.

There was no documentation of immunizations for Child #2, who was in care during the inspection and had been in care for 2 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-C
Systemic Deficiency
Documentation of additional immunizations shall be obtained once every six months for children under the age of two years.

Child #5 (3 ? years) last documented immunization was over 3 years ago. The provider did not obtain additional immunization records.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-960-E
Bottles shall be refrigerated and labeled with the child?s full name and the date, if more than one infant is in care.

Two bottles for Child #2 (14 months old) were not labeled with the child?s name or date. Two bottles for Child #3 (17 months old) and two bottles for Child #6 (16 months old) were not labeled with the date.
Plan of Correction: Not available online. Contact Inspector for more information.