Inspection · 2026-03-10
(276) 698-9981
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 and completed on 03/10/2026. The on-site inspection began at 11:50amand ended at 1:30. The inspector reviewed compliance in the areas listed above. There were 9 children present and 2 caregivers; the point total was16. The inspector reviewed 5 children?s records and 4 caregiver records on site.
This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms),
? tour of the facility,
? interviews,
? observations (this would include observations of photos, recordings, etc.), and
? measurements
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.
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
2Caregiver #1 and #2 did not have central registry results and they have been employed for 5 months.
Caregiver #3 and #4 had central registry checks on file that had been expired for 2 months.