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Lan Chi Nguyen

Inspection · 2025-10-17

Date
2025-10-17
Complaint Related
No
Licensing Inspector
Cathy Aylor
(540) 222-6352
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 renewal inspection was initiated and completed on 10/17/25. The on-site inspection began at 9:10 am and ended at 10:05 am. The inspector reviewed compliance in the areas listed above. There were 10 children present and 2 caregivers; the point total was 18. The inspector reviewed no children?s records and 2 caregiver/household member(s) records on-site.
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 11/20/25. A POC submitted after this date will not appear on the public website.

Violations

10
Standard 22.1-289.035-B-2
Prior to employment, caregivers must obtain a fingerprint background check.

There was no documentation to show that staff B has obtained a satisfactory fingerprint background check. This was overdue by 3 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-3
Central registry background checks must be requested prior to hire.

There was no central registry background checks on file for caregiver A and B nor was there any documentation to show that these background check were requested. This was overdue by 3 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-B
Assistants and substitute providers'records shall contain date of employment, and two references.

There were no references on file for the two caregivers (A and B) present . This information was overdue by 3 months
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-1
Substitute providers employed after June 20, 2010 shall have a high school program completion or the equivalent or (ii) evidence of having met the requirements for admission to an accredited college or university.
There was no documentation to show that the substitute provider ( A) has a high school diploma or equivalency.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-2
Substitute providers shall have 3 months of programmatic experience.

There was no documentation in the substitute provider's file of programmatic experience. This was overdue by 3 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-3
Substitute providers shall have a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

There was no documentation to show that staff A or B has CPR certification.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-4
The substitute provider shall have a 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.

On 10/17/25 the substitute provider was present with a second caregiver. There was no documentation to show that the substitute provider has First Aid.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-170-A
Each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.

There was no documentation of Tuberculosis screening or test for caregivers A and B. This was overdue by 3 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-A
The provider shall maintain an up-to-date record at the family day home for each enrolled child.

The two caregivers (A & B) present could not access any of the children's files. There were 10 children present.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-B
Repeat Violation:
Shelter-in-place procedures shall be practiced a minimum of twice per year.

Since licensure in May 2024 there have been no shelter in place drills documented.
Plan of Correction: Not available online. Contact Inspector for more information.