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Michelle Hairston

Inspection · 2025-10-14

Date
2025-10-14
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
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 EMERGENCIES
8VAC20-800 NUTRITION
8VAC20-770 BACKGROUND CHECKS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 10/14/2025. The on-site inspection began at 9:00 am and ended on 10:00 am. The inspector reviewed compliance in the areas listed above. There were 6 children present and 1 caregiver; the point total was 17. The inspector reviewed 5 children?s records, and 3 caregiver/household members records on-site.

The 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.

Violations

5
Standard 8VAC20-800-570-A
The provider shall ensure that a caregiver does not exceed 16 points.

Caregiver 1 had a total of 17 points in care on 10/14/2025.
Plan of Correction: Will dismiss a child to reduce the point total.
Standard 8VAC20-800-60-B
Children?s records shall contain all of the elements as required by the standards.

The records for Child 1 and Child 2 did not contain all of the elements required by the standards.
Plan of Correction: Will get the information today.
Standard 8VAC20-800-90-A
Documentation of immunizations shall be obtained prior to the child?s first day of attendance.

The immunization record for Child 1 was obtained more than 2 weeks after the child?s first day of attendance.
Plan of Correction: Will make sure to get before the 1st day.
Standard 8VAC20-800-90-C
Documentation of obtaining additional immunizations is required once every 6 months for children under the age of two years.

The immunization record for Child 5 was not updated every 6 months until the child turned 2 years old; the updated immunization record was overdue by 5 months.
Plan of Correction: Will request those today.
Standard 8VAC20-800-960-E
Bottles shall be refrigerated and labeled with the child?s full name and the date, if more than one infant is in care.

There was an unlabeled, undated bottle on the kitchen counter; there were two infants in care.
Plan of Correction: Will label and date them.
View original record on Virginia Department of Social Services