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DElaine Steele

Inspection · 2026-03-03

Date
2026-03-03
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.
Yes

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
8VAC20-821 Licensure Requirements
8VAC20-821 Renewal
8VAC20-821 Application Fees
8VAC20-821 Background Checks
8VAC20-821 Standards of Conduct
8VAC20-821 Violation Review
8VAC20-821 Sanctions
8VAC20-821 Appeals
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
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 General Qualifications
8VAC20-790 Building or Home Maintenance
8VAC20-790 Supervision and Ratio Requirements
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services

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 March 3, 2026. The on-site inspection began at 10:00am and ended at 11:10am. The inspector reviewed compliance in the areas listed above. There were 11 children present and 2 caregivers; the point total was 23. The inspector reviewed 5 children?s records and 4 caregiver/household member(s) records on-site. This inspection included a tour of the facility, interviews, observations, and document review.

A subsidy health and safety inspection (SHSI) was conducted in conjunction with the licensing inspection. Subsidy standards that are not covered in licensing standards were reviewed during this SHSI.

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 12, 2026. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.057-B
The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.
Plan of Correction: I emailed my water results to the health department on 3/6/2026. Waiting for them to respond.
Standard 8VAC20-800-110-B
Each report shall include the date of the physical examination and dates
immunizations were received and shall be signed by a licensed physician, the
physician?s designee, or an official of a local health department.

The record for child #2 contained a physical examination and physical that were not signed or dated by a licensed physician, physician designee, or an official of a local health department.
Plan of Correction: I talked to the parents and she bring in a new form by the end of the week.
Standard 8VAC20-800-120-B
Documentation of at least two references to character, reputation, and competency are to be checked prior to employment.

Caregiver 2, who has been actively working at the family day home for over three months, had one of two completed reference verifications on file.
Plan of Correction: Caregivers references have been completed.
Standard 8VAC20-800-170-A
(Repeat Violation) Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

There was no tuberculosis screening for Caregiver 2, who has been caring for children for over three months.
Plan of Correction: An appointment has been made to get the screening.
Standard 8VAC20-800-680-A
Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting.

Caregiver 2 did not wash their hands after changing a child?s diaper.
Plan of Correction: I did let my employee know about this the same day as my inspection. I also let her complete the training again.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children?s hands are washed with liquid soap and
warm running water after toileting or diapering.

Caregiver 2, did not wash a child?s hands with liquid soap and warm running water after a diaper change.
Plan of Correction: This matter have been taken care of. We watched the training over again of diaper change and hand washing.
View original record on Virginia Department of Social Services