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Sandi Yesmina Rivas De Lemus

Inspection · 2025-10-02

Date
2025-10-02
Complaint Related
Yes
Licensing Inspector
Sarah Zirzow
(703) 479-4675
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

22.1 Background Checks Code
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 inspection was initiated and completed on October 2, 2025 in response to a complaint received by the licensing office on October 1, 2025 relating to allegations of being over capacity. The inspector reviewed 5 vendor/household member records on-site on October 2, 2025. This inspection included document review, tour of the home, interviews, and observations. The preponderance of evidence gathered during the investigation supports the allegation(s); therefore, the complaint is determined to be valid. Information gathered during the inspection determined non-compliance with applicable standards or law and the 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 October 16, 2025. A POC submitted after this date will not appear on the public website.

Violations

12
Standard 22.1-289.035-B-1
The vendor is required to obtain a completed sworn statement prior to a caregiver?s first day working with children.

No Sworn Statement was completed prior to caring for children for Caregiver #2, who indicated they occasionally assisted the vendor over the past few years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
The vendor is required to obtain a completed national criminal background check prior to a caregiver?s first day working with children.

No National Fingerprint Check Results were obtained prior to Caregiver #2 caring for children. Caregiver #2 indicated they occasionally assisted the vendor over the past few years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-3
The vendor is required to request a search of the central registry prior to a caregiver?s first day working with children.

No Central Registry Request was submitted for Caregiver #2, who indicated they occasionally assisted the vendor with caring for children over the past few years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-170-A
The vendor shall ensure compliance with the standards, the terms of the vendor agreement, and all relevant federal, state, or local laws and regulations.

The vendor did not meet the terms of the agreement since a total of 15 children (ages 1 to 11 years old) were in care and exceeded the allowed amount by 11 children. The vendor was not home when the inspection began, Caregiver #2 and #3 were left alone to supervise the children in care for approximately one hour and were unqualified.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-170-D
The vendor shall ensure that the home does not exceed the capacity of children cared for as allowed by law or regulation.

On the date of the inspection, 15 children (ages 1 to 11 years old) were in care, exceeding the allowed amount of 4 children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-180-B
The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

There was no record of attendance for the day of the inspection or any day prior.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-190-A
Vendors shall maintain, and keep information for each enrolled child.

There were no records available with the required information for 15 children in care (ages 1 to 11 years old).
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-200
The following records shall be kept for each caregiver with the required information.

There was no record available for Caregiver #2 with the required information. Caregiver #2 indicated they occasionally assisted the vendor over the past few years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-210-A
Each caregiver must be evaluated by a health professional and be issued a statement
that the individual is determined to be free of communicable tuberculosis (TB) prior
to coming into contact with children.

There was no record of a TB evaluation for Caregiver #2, who indicated they occasionally assisted the vendor over the past few years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-250-D-1
All caregivers shall have current certification in cardiopulmonary resuscitation (CPR).

Caregiver #2 and Caregiver #3, who indicated they occasionally assist the vendor over the past few years, were alone with 15 children and did not have certification in CPR.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-250-D-2
All caregivers shall have current certification in first aid.

Caregiver #2 and Caregiver #3, who indicated they occasionally assist the vendor over the past few years, were alone with 15 children and did not have certification in First Aid.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-300-A-1
The vendor shall ensure awareness of and responsibility for each child in care, including being near enough to intervene if needed.

During the inspection, five additional children (3 to 4 years old) were discovered in a back bedroom with the door closed and not being supervised.
Plan of Correction: Not available online. Contact Inspector for more information.