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Mia Stewart

Inspection · 2025-09-15

Date
2025-09-15
Complaint Related
Yes
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
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT

Inspector Notes

An unannounced inspection was initiated on 09/15/2025 and completed on 09/23/2025 with a local agency in response to a complaint received by the licensing office on 09/11/2025 relating to allegations of the care of children. The inspector reviewed 1 caregiver record and 1 household member record on-site. The inspection included document review, tour of the facility, interviews, and observations.

The preponderance of evidence during the investigation does not support the allegations; therefore, the complaint is determined to be not valid. Though not a part of the original complaint, violations that were not reported were found related to administration, physical health of caregivers and household members, care of children, and the Code of Virginia and are documented on the violation notice issued to the program.

Violations

5
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee?s first day of employment.

The sworn statement for Caregiver 1 was dated 4 days after their first day of employment.
Plan of Correction: Will make the request.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Caregiver 1, employed for more than 3 months, did not have documentation requesting a child abuse and neglect check from one state.
Plan of Correction: Moving forward will get before employment.
Standard 8VAC20-800-120-B
The records for assistant providers who are not the spouse, parent, sibling, or child of the provider, shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment.

The record for Caregiver 1 did not contain documentation that character references were checked before employment.
Plan of Correction: Contacted references.
Standard 8VAC20-800-170-A
The provider shall obtain from each adult household member a current report of Tuberculosis screening.

Household Member 1 did not have a Tuberculosis screening.
Plan of Correction: Will get this scheduled.
Standard 8VAC20-800-570-A
REPEAT VIOLATION

The provider shall ensure that a caregiver does not exceed 16 points.

09/11/2025, Caregiver 4 was the only caregiver providing direct care and supervision to a total of 19 points for approximately 15 minutes until Caregiver 3 arrived. Caregiver 2 confirmed that they were in the home but not providing direct care and supervision to the children that day.
Plan of Correction: Will make sure to be up until the 2nd caregiver arrives.