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Gissela Medina Maldonado

Inspection · 2026-03-09

Date
2026-03-09
Complaint Related
Yes
Licensing Inspector
Lauren Captain
(571) 835-0599
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
8VAC20-800 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

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 inspection was initiated on 3/9/2026 and completed on 3/9/2026 in response to a complaint received by the licensing office on 3/6/2026 relating to allegations of licensed capacity. The inspector reviewed 5 children?s record, 3 caregiver, and 1 household member records on-site. This inspection included document review, tour of the facility, interviews, and observations. The preponderance of evidence gathered during the investigation supports the allegation; 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.

Violations

13
Standard 22.1-289.011-F
The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

The findings from the most recent inspection, dated 1/8/2026, were not posted in a conspicuous place on the premises.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-1
Providers are required to obtain a sworn statement for all adult household members disclosing whether he has ever been convicted of or is the subject of pending charges for any
offense within or outside the Commonwealth and whether he has been the subject of a
founded complaint of child abuse or neglect within or outside the Commonwealth.

There was no sworn statement available at the time of inspection for household member #1.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-110-B
Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

The immunization record for child #1 was not signed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-B
For assistants who are hired after June 30, 2010, documentation that two or more
references as to character and reputation as well as competency were check before
employment.

Caregiver #2 had 0 of 2 references and has been employed for over nine months.
Caregiver #3 had 1 of 2 references and has been employed for over nine months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-130
Caregivers shall be able to be able to speak, read, and write in English as necessary to carry out assigned job responsibilities.

During the inspection, while the provider was off-site, Caregiver #2 and Caregiver #3 were asked the age of a child and were unable to provide an answer.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-3
Providers shall maintain current certification in cardiopulmonary resuscitation (CPR), as
appropriate to the age of the children in care, from the American Red Cross, American Heart
Association, American Safety and Health Institute, or the National Safety Council, or
current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

The record of Caregiver #1 contained documentation of CPR certification that expired nine months ago.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-4
Providers shall maintain current certification in first aid from the American Red Cross,
American Heart Association, American Safety and Health Institute, or the National Safety
Council, or current first aid certification issued within the past three years by a community
college, a hospital, a rescue squad, or a fire department.

The record of Caregiver #1 contained documentation of first aid certification that expired nine months ago.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
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 by two years. An updated TB screening for Household member #1 was not completed and was
overdue by over nine months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-40-A
The provider shall ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home, excluding the provider's own children.

The maximum licensed capacity of the home is 12 and there were 13 children, plus one of the provider's own children. The 13th child left during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-50-A
The provider shall maintain a written hard copy record of daily attendance each day.

The provider has not taken written attendance since February 18, 2026.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-570-A
The provider shall ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed:
1. Children from birth through 15 months of age count as four points each;
2. Children from 16 months through 23 months of age count as three points each;
3. Children from two through four years of age count as two points each;
4. Children from five years through nine years of age count as one point each;

Caregiver #2 and Caregiver #3 were observed supervising 14 children, including one provider's child, (45 points) without a third caregiver. The caregivers were over the supervision requirements by 13 points for approximately 30 minutes during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-A
An up to date record for each child enrolled shall be maintained by the provider.

There was no record for Child #1, who was in care during the inspection and had been in care for one week.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-70-B
Before the child's first day of attendance, parents shall be provided in writing the
declaration of liability.

Child #3 who has been in care for over nine months did not have a declaration of liability in their record.
Plan of Correction: Not available online. Contact Inspector for more information.