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Donna Conway

Inspection · 2025-09-17

Date
2025-09-17
Complaint Related
Yes
Licensing Inspector
Kelly Adriazola
(804) 840-8245
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 Physical Health of Caregivers and Household Members
8VAC20-800 Caregiver Training
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks

Inspector Notes

An unannounced inspection was initiated on September 17, 2025 and completed on October 1, 2025 in response to a complaint received by the licensing office on August 20, 2025 relating to allegations of administration, personnel, physical health of caregivers, and caregiver training. The inspector reviewed 1 caregiver record. This inspection included document review, tour of the home, interviews, and observations.

The preponderance of evidence gathered during the investigation supports the allegation(s); therefore, the complaint is determined to be valid. Information gathered during the inspection determined non-compliance with applicable standards or law and the 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 (5) business days from today, which will be the close of business on October 8, 2025. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.035-B-1
Repeat Violation
The family day home is required to obtain a completed sworn statement prior to the employee's first day of employment. Caregiver #1, who had been employed for over a month, had not completed a sworn statement.
Plan of Correction: SEE INTENSIVE PLAN OF CORRECTION
Standard 22.1-289.035-B-2
Repeat Violation
Providers must obtain a completed national criminal background check prior to the employee's first day of employment. The provider had not obtained a national criminal background check for caregiver #1, who had been employed for over a month.
Plan of Correction: SEE INTENSIVE PLAN OF CORRECTION
Standard 22.1-289.035-B-3
The family day home must request a search of the central registry prior to the employee's first day of employment. The provider had not requested a search of the central registry for caregiver #1, who had been employed for over a month.
Plan of Correction: SEE INTENSIVE PLAN OF CORRECTION
Standard 22.1-289.036-B-4
Repeat Violation
The family day home is required to obtain background checks from any state in which the individual has resided in the preceding five years. The provider had not requested a search of an out-of-state sex offender check and an out-of-state child abuse and neglect registry check for caregiver #1, who had been employed for over a month.
Plan of Correction: SEE INTENSIVE PLAN OF CORRECTION
Standard 8VAC20-800-120-A
Repeat Violation
Providers must maintain a record for each caregiver. There was no record for Caregiver #1 who has been caring for children for over a month.
Plan of Correction: SEE INTENSIVE PLAN OF CORRECTION
Standard 8VAC20-800-120-B
Caregiver #1 had been providing care for over a month and did not have two references checked prior to employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-170-A
Repeat Violation
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 #1, who has been caring for children for over a month.
Plan of Correction: SEE INTENSIVE PLAN OF CORRECTION
Standard 8VAC20-800-200-A
The provider must orient assistants by the end of their first week of assuming job responsibilities. Caregiver #1 had been providing care for over a month and had not received orientation.
Plan of Correction: Not available online. Contact Inspector for more information.