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Milenka Rivera

Inspection · 2025-09-17

Date
2025-09-17
Complaint Related
No
Licensing Inspector
Kara Vaughan
(703) 537-6241
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
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 focused inspection was initiated on September 17, 2025 and completed on September 17, 2025, as a part of the provisional licensure period. The on-site inspection began at 10:30am and ended at 11:15am. The inspector reviewed compliance in the areas listed above. There were 3 children present and 1 caregiver the point total was 11. The inspector reviewed 3 children?s records and 2 caregiver/household member(s) records on-site.and electronically on September 17, 2025.
This inspection included: document review, 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 (5) business days from today, which will be the close of business on September 29, 2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Child 2 has been enrolled for 13 months without documentation of a physical.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-210-A
REPEAT VIOLATION

In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

Caregiver 1 has completed fifteen hours of training.
Caregiver 2 has completed seven hours of training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
REPEAT VIOLATION
A child's record shall contain all required information.

Child 2's record did not contain a health insurance policy number.
Child 3's record did not contain the Child's enrollment date; the names, phone numbers and work information of the child's parent's; the names, addresses and phone number's of two emergency contacts; the name and policy number of the child's heath insurance; and the name and contact information of the child's physician.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-690-D
The diapering surface shall be cleaned and sanitized after use.

The diapering surface was not cleaned and sanitized after one of the two observed diaper changes.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-70-A
REPEAT VIOLATION

Before the child's first day of attendance, parents shall be provided in writing all required information.

Child 2's record did not contain documentation that parents were provided the provisions of the emergency plan.
Child 3's record did not contain documentation that the parents were informed whether the provider carries liability insurance.
Plan of Correction: Not available online. Contact Inspector for more information.