Inspection · 2026-03-27
(757) 404-1784
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 03/27/2026 and completed on 03/27/2026. The on-site inspection began at 9:36 am and ended at 11:55 am. The inspector reviewed compliance in the areas listed above. There were 9 children present and 2 caregivers; the point total was 27. A third caregiver arrived during the inspection. The inspector reviewed 9 children?s records and 5 caregiver/household member records on-site on 03/27/2026.
This inspection included:
? document review,
? tour of the facility,
? interviews,
? 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.
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 04/10/2026. A POC submitted after this date will not appear on the public website.
Violations
131. The record for caregiver 1 lacked a job title, date of employment and name, address and telephone number of a person to be notified in an emergency.
2. The record for caregiver 2 lacked a job title and date of employment.
Caregiver 2 has completed 13 of 16 hours of required annual training for 2025 according to written documentation provided.
2 of 4 cribs reviewed lacked any type of documentation to demonstrate that they meet CPSC mandatory federal standards for full-size and non-full size cribs. Both cribs were occupied at different times during the inspection.
A crib was placed directly beside the electrical cord from a portable heating unit. The crib was occupied by two different infants during the inspection.
A portable heating device was placed beside a crib in the child care area of the home. The heater did not have any barrier to prevent access by children.
The written attendance record did not contain documentation of the 9 children in care.
The crib sheet in one occupied crib was loose.
Child 1 and child 3 were placed in the same crib, at separate times, without changing the crib sheet.
1. The enrollment record for child 1, 2 and 3 lacked the policy number for the child's medical insurance.
2. The enrollment record for child 1 lacked documentation of allergies, proof of age and identity and the first date of attendance.
3. The enrollment record for child 1and child 4 lacked written authorization for emergency medical care.
Caregiver 1 did not wash her hands with soap and water after cleaning child 5's face and nose.
Soiled disposable diapers and wipes shall be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.
The diaper disposal system in use requires caregivers to use their hands to push the diaper down into the diaper disposal container.
The snack served to children contained one food component which was a fruit squeeze of applesauce. USDA requires two separate food components for snack.
The lunch served to children did not include the required five food components. The lunch lacked fluid milk and a fruit or second vegetable serving. Each child received two or three pizza rolls which did not contain the required protein serving for the ages of children in care.
The most recent immunizations for child 5 were administered on 01/27/2025. Child 5 is under the age of two years.