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Maria Giraldez

Inspection · 2026-02-03

Date
2026-02-03
Complaint Related
No
Licensing Inspector
Shahana Green
(571) 423-6735
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
8VAC20-821 Licensure Requirements
8VAC20-821 Renewal
8VAC20-821 Application Fees
8VAC20-821 Background Checks
8VAC20-821 Standards of Conduct
8VAC20-821 Violation Review
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

Inspector Notes

An unannounced monitoring inspection was initiated on 2/3/2026 and completed on 2/23/2026 with a local agency in response to a self-report received by the licensing office on 1/23/2026 relating to supervision and forbidden actions. The inspector reviewed 2 children?s records and 4 staff records on-site on 2/3/2026. This inspection included document review, tour of the facility, 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. Though not a part of the original self report, violations that were not reported were found related to background checks and 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 2/28/2026. A POC submitted after this date will not appear on the public website.

Violations

6
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.

Staff D, who had been employed for one week, did not have a completed national criminal background check.
Plan of Correction: I sent you the background check the same day. I won't be trying any employee until all documents arrive.
Standard 8VAC20-800-250-C
Items tied across the top or corner of a crib or playpen or toys hung from the sides with strings or cords are required to be removed when the child begins to push up on hands and knees or is five months of age, whichever occurs first.

A crib tent was attached to the corners of the cribs with strings that were tied to secure the crib tent to the wooden crib. Child A, who was over five months of age and able to stand up, was then placed inside the crib tent.
Plan of Correction: I removed items that were accessible to the child's reach.
Standard 8VAC20-800-30-E
The provider is required to ensure that the home's activities, services, and facilities are
conducive to the welfare of children in care.

The morning of January 23rd, 2026, Staff A placed Child A, an awake toddler, inside a crib with a crib tent attached in the nap room. Child B, an infant, was asleep in the nap room in a crib next to the crib of Child A. Child A was awake when placed in the crib with a crib tent.
Placing Child A in a crib, next to a sleeping infant, without supervision is not conducive to the welfare of the children in care. Child A had transitioned to a cot earlier in the week for nap time and was no longer sleeping in a crib, Staff placed Child A in the crib tent because Child A has climbed out of the crib in the past, and prior to January 23, 2026, Child A had bitten other children in the family day home.
Plan of Correction: Although we notified the parents about previous bites, it was verbal. Now I created a follow-up sheet to update parents about children's behaviors.
Standard 8VAC20-800-560-A
A caregiver shall be physically present on site and provide direct care and supervision of each child at all times. Direct care and supervision of each child includes awareness of and responsibility for each child in care, including being near enough to intervene if needed; and monitoring of each sleeping infant in one of the following ways: a. By placing each infant for sleep in a location where the infant is within sight and hearing of a caregiver; b. By in-person observation of each sleeping infant at least once every 15 minutes; or c. By using a baby monitor.

The morning of January 23rd, 2026, Staff A placed Child A, an awake toddler, inside a crib tent, a mesh canopy that fits over a crib with a zippered opening, in the nap room. Child B, an infant, was asleep in the nap room in a crib next to the crib where Child A was placed.
Staff A left the nap room and returned to the story time area in the main room down the hall
from the nap room. Approximately 20 minutes after Staff A placed Child A in the crib tent, Staff A, B, and C heard loud screams from the nap room. Staff A ran to the nap room and observed Child A inside of Child B's crib, biting Child B on the chest. Staff A and Staff C discovered 10-13 bite marks on Child B's chest, stomach, and back. The bite marks were red and purple. Staff did not check on Child B while asleep at least once every 15 minutes, the infant was not in a location within the sight of caregiver, and a monitor was not in use.
Plan of Correction: I placed a camera in the nap room. We have a timer for 15 minutes when a child is in the nap room the teachers are interchanging after each check.
Standard 8VAC20-800-640-2
The following acts or threats thereof are forbidden: enclosure in a small, confined space
or any space that the child cannot freely exit himself.

The morning of January 23rd, 2026, Staff A placed Child A inside of a crib with a crib net attached. Staff A stated that Child A was taking toys from children and Child A did not respond to commands from the caregiver to stop. The crib net was zipped all the way up and was intended to keep Child A from being able to climb out of the crib. Cribs and crib nets are not intended to be used for behavior guidance or as part of a discipline technique.
Plan of Correction: Meanwhile the child calm down one of the other teacher will have one on one time apart from the group.
Standard 8VAC20-800-750-A
When topical skin products such as sunscreen, diaper ointment are used, the manufacturer's instructions for application are required to be followed.

Staff A put diaper ointment onto Child B's 10-13 bite marks located on Child B's chest, stomach and back. The manufacturer's instructions on the diaper ointment used stated that the uses for the ointment are: "helps treat and prevent diaper rash; protects chafed skin due to diaper rash and helps seal out wetness." Staff A did not use the diaper ointment according to the manufacturer's instructions.
Plan of Correction: We will not use any ointments on children's skin.
View original record on Virginia Department of Social Services