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Sophronia Twyman

Inspection · 2025-09-09

Date
2025-09-09
Complaint Related
No
Licensing Inspector
LaTasha Smith
(804) 588-2362
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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

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 September 9, 2025. The on-site inspection began at 10:00am and ended at 11:00am. The inspector reviewed compliance in the areas listed above. There were 3 children present and 1 caregiver; the point total was 8. The inspector reviewed 5 children?s records and 2 caregiver/household member(s) records on-site. This inspection included observations, a tour of the facility, interviews, and document review.

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

4
Standard 8VAC20-800-180-A
A tuberculosis (TB) screening is required every two years from the last screening.

An updated TB screening for Household member #1 was not completed and was overdue by five months.
Plan of Correction: I will be sure to remind my husband to get it done.
Standard 8VAC20-800-60-B
Children's records are required to contain the required information.

The records for Child #1 and Child #2 were missing the policy number of the children's medical insurance. The children were not present during the inspection. Child #1 has been in care for two weeks and child #2 has been in care for four months. The record for child #2 was missing a second emergency contact.
Plan of Correction: I will have parent's sign this week.
Standard 8VAC20-800-780-B
Annually, the provider shall review with the parent the emergency contact information required in each child's record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

Records for Child #3 and Child #5 did not have the parent's signature for annual review of the emergency contact information. Child #3 and Child #5 had been in care for over a year without any annual review.
Plan of Correction: I will have the parents to complete.
Standard 8VAC20-800-830-A
The emergency evacuation procedures shall be practiced monthly.

There was no documentation of practiced emergency evacuation drill procedures for August 2025.
Plan of Correction: Will complete immediately.
View original record on Virginia Department of Social Services