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DElaine Steele

Inspection · 2025-09-04

Date
2025-09-04
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 4, 2025. The on-site inspection began at 9:20am and ended at 10:30am. The inspector reviewed compliance in the areas listed above. There were 11 children present and 27 caregivers; the point total was 27. The inspector reviewed 5 children?s records and 4 caregiver/household member(s) records on-site. This inspection included a tour of the facility, document review, 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 11, 2025. A POC submitted after this date will not appear on the public website.

Violations

1
Standard 8VAC20-800-60-A
An up-to-date record for each child enrolled shall be maintained by the provider.

The record for child #1 was missing the parents work phone number and a second emergency contact. Child #1 has been enrolled for over a month.
The record for child #5 did not have addresses documented for two emergency contacts. Child # 5 has been enrolled for 9 months.
Plan of Correction: I will give the parents a new form so that they can update their information and add whatever contacts that are missing.