VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Claudia Tramontana
6614 Winstead Manor Court
Lorton, VA 22079
(703) 407-8199

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: Aug. 8, 2025

Complaint Related: 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 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 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 program 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.

Technical Assistance:

Discussed the medication policy, and that it should be reflected as the same in all children's records.

Comments:

An unannounced, on-site renewal inspection was conducted on 8/8/25 . The on-site inspection began at 9:19amand ended at 11:38pm. The inspector reviewed compliance in the areas listed above. There were 10 children present and 3 caregivers; the point total was 23. The inspector reviewed 18 children?s records and 6 caregiver/household member(s) records while on-site. The inspection included document review, tour of the home and interview. 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 (5) business days from today, which will be the close of business on 8/20/25. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.011-F
Description:	The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recently issued inspection violation notice was not posted in the home. The acknowledgement form from the 6/6/25 inspection was posted and the violation notice from the 7/18/24 inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-2
Description:	All caregivers must have completed a national fingerprint background check (CRC) prior to employment. There was documentation of a CRC on-file for Caregiver #3.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-3
Description:	All caregivers must have completed a central registry search (CRS) prior to employment. There was no documentation of a CRS on-file for Caregiver #3.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-40-D-5
Description:	Persons living in the home that are 14 years of age and older must have a central registry search (CRS) within 30-days of moving into the home or turning 14. Household member #3 did not have a completed CRS.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-770
Description:	Repeat violation and systemic deficiency. A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times. There was no working portable battery-operated weather band radio in the home.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-B
Description:	Shelter-in-place procedures shall be practiced a minimum of twice per year. There was no documentation of shelter-in-place drills practiced in the last year.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Repeat violation and systemic deficiency. The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. 1. Child #14-There was no documentation of a physical exam. The child's began attending in July 2024. 2. Child #15-There was no documentation of a physical exam. The child's began attending in July 2024. 3. Child #16-There was no documentation of a physical exam. The child's began attending in June 2025. 4. Child #17-There was no documentation of a physical exam. The child's began attending in April 2025. 5. Child #18-There was no documentation of a physical exam. The child's began attending in June 2025.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	Assistants' and substitute providers' records shall contain a minimum of 2 reference checks. The record for Caregiver #3 included no documentation of reference checks.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-50-A
Description:	The family day home shall keep a written record of children in attendance each day. The daily attendance record did not include Children #3 and #20. The provider said she had not included them as they both attend periodically as space permits.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-A
Description:	The provider shall maintain an up-to-date record at the family day home for each enrolled child. There was no record of enrollment for Child #20.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Repat violation and systemic deficiency. A child's record shall contain required information and there was no documentation of the following: 1. Child #5-Frist date of attendance,1 of 2 emergency contacts was left blank and the emergency medical authorization was not signed by the parents. 2. Child #6-Frist date of attendance, 1 of 2 emergency contacts was left blank, the emergency medical authorization, wasnot signed by the parents. 3. Child #10-Frist date of attendance, parents did not sign the enrollment agreement form, there were no addresses for 2 of 2 emergency contacts, no documentation of health insurance information, and the emergency medical authorization was not signed by the parents. 4. Child #11-Frist date of attendance,, parents did not sign the enrollment agreement form, 1 of 2 emergency contacts was left blank, and parents did not sign the emergency medical authorization. 5. Child #14-The physician information was left blank. 6. Child #15-The physician information was left blank. 7. Child #17-The child's mother was listed as 1 of 2 emergency contacts and the 2nd emergency contact was left blank, and the emergency medical authorization was not signed by the parent.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-B
Description:	Repeat violation. The provider shall obtain the parent's written acknowledgement of the receipt of the information in this section. The following policy documents were not signed by the parents. 1. Child #5-The medication policy. 2. Child #6-The medication policy and information for parents form. 3. Child #10-The emergency preparedness plan was not signed by the parents. 4. Child #11-The information for parents form. 5. Child #16-The parent signed a blank information for parents form.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-80-B
Description:	Repeat violation and systemic deficiency. Within 7 business days of the child's 1st day of attendance the provider shall verify the identity and age of a child. 1. Child #6-There was no documentation verifying the child's proof of identity. First day of attendance was September 2024. 2. Child #7-A social security number was used as proof of identity. First day attendance was August 2023. 3. Child #9-A social security number was used as proof of identity. First day of attendance was July 2023. 4. Child #10-There was no documentation verifying the child's proof of identity. First day of attendance was December 2024. 5. Child #11-There was no documentation verifying the child's proof of identity. First day of attendance was December 2024. 6. Child #16-There was no documentation verifying the child's proof of identity. First day of attendance was June 2025. 7. Child #17-There was no documentation verifying the child's proof of identity. First day of attendance was April 2025. 8. Child #18-There was no documentation verifying the child's proof of identity. First day of attendance was June 2025.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	Before a child may attend the family day home, the provider shall obtain documentation of immunizations. 1. Child #14-There was no documentation of immunizations signed by a physician. 2. Child #15-There was no documentation of immunizations signed by a physician. 3. Child #16-There was no documentation of immunizations. 4. Child #17-There was no documentation of immunizations. 5. Child #18-There was no documentation of immunizations.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-C
Description:	The family day home shall obtain documentation of additional immunizations for a child every 6 months until the age of 2 years old. 1. Child #1-Immunizations on-file were dated September 2021 when the child was 3 months old. 2. Child #8-Immunizations on-file were dated August 2024 when the child was 6 months old. 3. Child #10-Immunizations on-file were dated November 2024 when the child was 12 months old. 4. Child #19-Immunizations on-file were dated August 2024 when the child was 12 months old.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	Repeat violation and systemic deficiency. The provider shall obtain for each caregiver and adult household member a TB test/screening and documentation of results every 2 years. 1. Caregiver #1-The previous TB test was dated as completed 7/24/23. 2. Caregiver #2-The previous TB test was dated as completed 2/9/22. While there was a receipt of payment for a TB test on 8/9/24, there was no documentation of test results. 3. Household member #2-The previous TB test was dated as completed 8/1/23.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-200-A
Description:	The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. There was no documentation of orientation training completed for Caregiver #3.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-210-A
Description:	In addition to satisfactory completion of First Aid/ CPR training, caregivers shall obtain a minimum of 16 hours of annual training in areas relevant to their job responsibilities. 1. Caregiver #1-0 of 16 hours of annual training were documented as completed. 2. Caregiver #2-0 of 16 hours of annual training were documented as completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-220-A
Description:	To safely perform medication administration practices listed in 8VAC20-800-710 whenever the family day home has agreed to administer prescription medications or nonprescription medications, the administration shall be performed by a caregiver who satisfactorily completed a medication administration training (MAT) course developed by the Board of Nursing. Child #12 has an emergency medication in the home though no caregiver has completed MAT.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-460-D
Description:	The provider shall maintain documentation of the current rabies vaccination for pets living in the home. The rabies vaccination for the family pet expired 7/10/25.
Plan of Correction:	Not available online. Contact Inspector for more information.