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Natalia C. Quiroga

Inspection · 2025-07-11

Date
2025-07-11
Complaint Related
No
Licensing Inspector
Christina Jones
(540) 340-2672
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education

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 renewal inspection was initiated and completed on 7/11/2025, The on-site inspection began at 11:30am and ended at 12:45pm. The inspector reviewed compliance in the areas listed above. There were 7 children present and 3 caregivers; the point total was 16.
The inspector reviewed 4 children?s records and 5 caregiver/household member(s) records on-site. This inspection included document review, tour of the facility and interviews.

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 violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 7/18/2025. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.057-A
The provider is required to submit to VDH and implement a plan to test potable water for lead.

The provider did not have evidence of a testing plan submitted to VDH and/or the provider did not have evidence of the implementation of the required testing plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

1. Staff A only had documentation for 5 out of 16 hours completed for annual training.
2. Staff B only had documentation for 5 out of 16 hours completed for annual training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-50-A
The family day home shall keep a written record of children in attendance each day.

Child A, who was in care, was not signed in on the written record of attendance for 7/11/2025.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-780-B
Annually, the provider shall obtain the parents signed acknowledgment of the review emergency contact information.

1. Child A was overdue by 2 years and 3 months for parent signature acknowledging the review of emergency contact information.
2. Child B was overdue by 2 years and 7 months for parent signature acknowledging the review of emergency contact information.
3. Child C was overdue by 1 year and 2 months for parent signature acknowledging the review of emergency contact information.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-A
The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

There were no evacuation drills practiced for the month of May and June of 2025.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-C
The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements, once every six months for children under the age of two years and once between each child?s fourth and sixth birthdays.

1. The record for Child A (age 3) did not contain immunizations once every 6 months for a child under the age of 2 years. The last immunization documentation contained in the record was dated over 2 years ago.
2. The record for Child B (age 2) did not contain immunizations once every 6 months for a child under the age of 2 years. The last immunization documentation contained in the record was over 2 year ago.
3. The record for Child C (age 2) did not contain immunizations once every 6 months for a child under the age of 2 years. The last immunization documentation contained in the record was from 2 years ago.
Plan of Correction: Not available online. Contact Inspector for more information.