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Sophronia Twyman

Inspection · 2026-03-09

Date
2026-03-09
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
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
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, on-site renewal inspection was initiated and completed on March 9, 2026. The on-site inspection began at 11:30am and ended at 12:50pm. The inspector reviewed compliance in the areas listed above. There were 2 children present and 1 caregivers; the point total was 6. The inspector reviewed 3 children?s records and 2 caregiver/household member(s) records on-site. This inspection included document review, a 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

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 March 18, 2026. A POC submitted after this date will not appear on the public website.

Violations

4
Standard 8VAC20-800-110-B
Children's immunization records are to contain the dates immunizations were received and shall be signed by a licensed physician, the designee, or an official of a local health department. All required information.

The updated immunization record for Child #2 was not dated or signed by the physician's signature. Child #2 has been in care for one year and three months.
Plan of Correction: I will speak with parents about it being signed and dated.
Standard 8VAC20-800-180-A
(Repeat Violation) 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 12 months.
Plan of Correction: Plan better record keeping.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children?s hands are washed with liquid soap and
warm running water before eating.

Children?s hands were not washed with liquid soap and warm running water before eating lunch.
Plan of Correction: I will make this apart of our daily routine.
Standard 8VAC20-800-830-A
(Repeat Violation) The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

The emergency evacuation procedures for the month of February 2026 were not completed. Caregiver #1 confirmed that the December emergency evacuation drill was not completed.
Plan of Correction: Plan at the beginning of the month so that they will be done.
View original record on Virginia Department of Social Services