Mia Stewart

8VAC20-800-140-B-3

“Current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Caregiver #1 and #2 did not have current CPR as required. The document on file expired 12/31/2025.”

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. There was no practiced lockdown drill for 2025.”

8VAC20-800-460-C

“Dogs or cats, where allowed, shall be vaccinated for rabies and shall be treated for fleas, ticks, or worms as needed. Repeat Violation: The dog did not have the required rabies vaccination.”

8VAC20-800-140-B-4

“Current certification in first aid. Caregiver #1 and #2 did not have current FA certification. The document on file expired 12/31/2025.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. There were no practiced shelter-in-place drills for 2025.”

8VAC20-800-60-B

“A child’s records shall contain all of the components required by the standards. The records for Child 1, Child 2, Child 3, and Child 4 did not all of the components as required by the standards.”

8VAC20-800-170-A

“REPEAT VIOLATION The provider shall obtain from each adult household member a current report of Tuberculosis screening. Household Member 2 did not have a Tuberculosis screening.”

8VAC20-800-460-C

“Dogs shall be vaccinated for rabies. The rabies vaccination for Pet 2 was overdue by 8 months.”

8VAC20-800-60-B

“A child’s records shall contain all of the components required by the standards. The records for Child 1, Child 2, Child 3, and Child 4 did not all of the components as required by the standards.”

8VAC20-800-170-A

“REPEAT VIOLATION The provider shall obtain from each adult household member a current report of Tuberculosis screening. Household Member 2 did not have a Tuberculosis screening.”

8VAC20-800-460-C

“Dogs shall be vaccinated for rabies. The rabies vaccination for Pet 2 was overdue by 8 months.”

8VAC20-800-170-A Complaint related: No

“The provider shall obtain from each adult household member a current report of Tuberculosis screening. Household Member 1 did not have a Tuberculosis screening.”

22.1-289.035-B-4 Complaint related: No

“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.”

22.1-289.035-B-1 Complaint related: No

“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.”

8VAC20-800-120-B Complaint related: No

“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.”

8VAC20-800-570-A Complaint related: No

“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.”

8VAC20-800-140-D Complaint related: No

“A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works. Caregiver 1 confirmed that there was no documentation of Caregiver 2 serving as the substitute provider on 05/12/2025.”

8VAC20-800-570-A Complaint related: Yes

“The provider shall ensure that a caregiver does not exceed 16 points. On 05/12/2025, Caregiver 2 was the only caregiver providing supervision to 11 children (ages 6 months-3 years), totaling 33 points, for approximately 25 minutes. A total of 3 caregivers were required for this number.”

8VAC20-800-680-A Complaint related: No

“Caregivers shall wash their hands with liquid soap and running water before feeding or helping children with feeding. On 05/22/2025, Caregiver 2 did not wash their hands before serving Child 2 (age 12 months) a bottle.”

8VAC20-800-680-B Complaint related: No

“Caregivers shall ensure that children’s hands are washed with liquid soap and running water before eating. Child 1 (age 12 months) did not wash their hands before being served their bottle.”

8VAC20-800-540-A Complaint related: No

“When infant carriers are occupied by a child, a safety strap shall be used and securely fastened. On 05/22/2025, Child 1 (age 7 months), was in an infant carrier without the safety strap securely fastened.”

8VAC20-800-200-A

“The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. Caregiver 2, Caregiver 3 and Caregiver 4, all of which have been working in the family day home since 11/2024, have not received orientation.”

8VAC20-800-250-A

“Hanging items including window blind or curtain cords shall be out of reach of children under five years of age. There was a blind cord within the reach of Child 4 (10 months old) while the child was observed lying in their crib.”

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child’s full name and the date, when more than one infant is in care. There were 5 infants in care on 02/21/2025; a total of 3 unrefrigerated and undated bottles were observed during the inspection.”

8VAC20-800-120-B

“Assistant and substitute caregiver records shall contain the components required by the standards. The records for Caregiver 2, Caregiver 3, and Caregiver 4 were missing required components.”

8VAC20-800-60-B

“A child’s record shall contain the components required by the standards. The records for Child 4 and Child 5 were missing required components.”