Michelle Henderson

Repeat Violation & Systemic Deficiency:

“Providers must obtain a sworn statement for each caregiver prior to employment or permitting to serve as a volunteer. A sworn statement was not obtained for caregiver #2. Caregiver #2 has been serving as a caregiver since at least 4/16/2026 and 06/17/2026, the dates of the previous inspections.”

Rule 22.1-289.035-B-1.

Repeat Violation & Systemic Deficiency:

“Providers must obtain a completed national criminal background check for each caregiver prior to employment or permitting to serve as a volunteer. A national criminal background check was not completed for caregiver #2. Caregiver #2 has been serving as a caregiver since at least 4/16/2026 and 06/17/2026, the dates of the previous inspections.”

Rule 22.1-289.035-B-2.

Repeat Violation & Systemic Deficiency:

“Providers must request a search of the central registry for each caregiver prior to employment or permitting to serve as a volunteer. A search of the central registry was not requested for caregiver #2. Caregiver #2 has been serving as a caregiver since at least 4/16/2026 and 06/17/2026, the dates of the previous inspections.”

Rule 22.1-289.035-B-3.

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.

“Child #2, enrolled for six months, had a physical dated seven weeks after date of enrollment.”

Rule 8VAC20-800-100-A.

Repeat Violation & Systemic Deficiency:

“Assistants? and substitute providers’ records shall contain all required information. Caregiver #2 did not have the following required documentation on file at the time of inspection: name; address; verification of age; job title; date of employment or volunteering; name, address, and telephone number of an emergency contact; and references. Caregiver #2 has been serving as a caregiver since at least 4/16/2026 and 06/17/2026, the dates of the previous inspections.”

Rule 8VAC20-800-120-B.

The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child # 3, 21 months old, last documented immunization was over 11 months ago.”

Rule 8VAC20-800-90-C.

Repeat Violation & Systemic Deficiency:

“Providers must obtain a sworn statement for each caregiver prior to employment or permitting to serve as a volunteer. A sworn statement was not obtained for caregiver #2, who was counted in the point system as a caregiver at the time of the inspection. Caregiver #2 has been serving as a caregiver since at least 4/16/2026, the date of the previous inspection.”

Rule 22.1-289.035-B-1.

Repeat Violation & Systemic Deficiency:

“Providers must obtain a completed national criminal background check for each caregiver prior to employment or permitting to serve as a volunteer. A national criminal background check was not completed for caregiver #2, who was counted in the point system as a caregiver at the time of the inspection. Caregiver #2 has been serving as a caregiver since at least 4/16/2026, the date of the previous inspection.”

Rule 22.1-289.035-B-2.

Repeat Violation & Systemic Deficiency:

“Providers must request a search of the central registry for each caregiver prior to employment or permitting to serve as a volunteer. A search of the central registry was not requested for caregiver #2, who was counted in the point system as a caregiver at the time of the inspection. Caregiver #2 has been serving as a caregiver since at least 4/16/2026, the date of the previous inspection.”

Rule 22.1-289.035-B-3.

Repeat Violation & Systemic Deficiency:

“Assistants’ and substitute providers’ records shall contain all required information. Caregiver #2 did not have the following required documentation on file at the time of inspection: name; address; verification of age; job title; date of employment or volunteering; name, address, and telephone number of an emergency contact; and references. Caregiver #2 was counted in the point system as a caregiver at the time of inspection. Caregiver #2 has been serving as a caregiver since at least 4/16/2026, the date of the previous inspection.”

Rule 8VAC20-800-120-B.

Repeat Violation & Systemic Deficiency:

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. Caregiver #2 did not have a tuberculosis screening. Caregiver #2 was counted in the point system as a caregiver at the time of inspection. Caregiver #2 has been serving as a caregiver since at least 4/16/2026, the date of the previous inspection.”

Rule 8VAC20-800-170-A.

A notice of intent shall be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations.

“A notice of intent to place the licensee on probation, mandate training, and require the licensee to contact parents, guardians, or other responsible persons regarding health and safety violations was issued on 3/05/2026. The licensee acknowledged receipt of the notice of intent on 03/05/2026. The notice of intent and accompanying violation notices (01/14/2025, 12/17/2025, 01/12/2026) were not posted.”

Rule 22.1-289.023-A.

Systemic Deficiency:

“Providers must obtain a sworn statement for each caregiver prior to employment or permitting to serve as a volunteer. A sworn statement was not obtained for Caregiver #2, who was counted in the point system as a caregiver. Caregiver #2 was observed supervising a group of children alone outside while caregiver #1 was inside of the home. Caregiver #2 was also observed supervising children alone inside the home while caregiver #1 was outside cleaning the playground.”

Rule 22.1-289.035-B-1.

Repeat Violation & Systemic Deficiency:

Rule 22.1-289.035-B-2.

Repeat Violation & Systemic Deficiency:

“Providers must request a search of the central registry for each caregiver prior to employment or permitting to serve as a volunteer. A search of the central registry was not requested for Caregiver #2, who was counted in the point system as a caregiver. Caregiver #2 was observed supervising a group of children alone outside while caregiver #1 was inside of the home. Caregiver #2 was also observed supervising children outside alone on the playground while caregiver #1 was inside with additional children.”

Rule 22.1-289.035-B-3.

Repeat Violation & Systemic Deficiency:

“Assistants’ and substitute providers’ records shall contain all required information. Caregiver #2 did not have the following required documentation on file at the time of inspection: name; address; verification of age; job title; date of employment or volunteering; name, address, and telephone number of an emergency contact; and references. Caregiver #2 was counted in the point system as a caregiver at the time of inspection.”

Rule 8VAC20-800-120-B.

Repeat Violation & Systemic Deficiency:

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. Caregiver #2 did not have a tuberculosis screening. Caregiver #2 was counted in the point system as a caregiver at the time of inspection.”

Rule 8VAC20-800-170-A.

The family day home shall keep a written record of children in attendance each day.

“One child that was in attendance did not have written record of arrival at the time of the inspection.”

Rule 8VAC20-800-50-A.

Any special order issued by the department shall be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations.

“A special order placing the licensee on probation, mandating training, and requiring the licensee to contact parents, guardians, or other responsible persons regarding health and safety violations was issued on 04/10/2026. The licensee acknowledged receipt of the special order on 04/13/2026. The special order was not posted.”

Rule 8VAC20-821-270-6-f.

Repeat Violation:

“The provider shall ensure that a caregiver does not exceed 16 points. There were a total of eight children present at the time of inspection with one caregiver totaling 19 points for approximately 52 minutes before one child was picked up bringing the points down to 16.”

Rule 8VAC20-800-570-A.

A child’s record shall contain documentation of the review of the child’s emergency contact information.

“Child # 1, enrolled for over three years, did not have an annual review update documented in the record.”

Rule 8VAC20-800-60-B.

Documentation shall be maintained of emergency evacuation and shelter-in place drills.

“Provider could not locate documentation of emergency evacuation and shelter-in-place drills at the time of inspection.”

Rule 8VAC20-800-830-C.

Repeat Violation:

“The center must request a search of the central registry prior to the employee’s first day of employment. Caregiver #2, employed for 11 months, did not have documentation of a central registry search requested and did not have central registry search results at the time of inspection. Caregiver #2 works with children at the home.”

Rule 22.1-289.035-B-3. From a complaint.

Providers must have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“Provider #1 did not have a current CPR certification on file at the time of inspection.”

Rule 8VAC20-800-140-B-3. From a complaint.

Providers must have a current certification in first aid.

“Provider #1 did not have a current first aid certification on file at the time of inspection.”

Rule 8VAC20-800-140-B-4. From a complaint.

The provider shall orient the assistant by the end of their first week of assuming job responsibilities.

“The record for caregiver #2, employed for 11 months, did not contain documentation of orientation.”

Rule 8VAC20-800-200-A. From a complaint.

Repeat Violation:

“Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver #1, hired over two years ago, had two of the 16 required hours for 2025.”

Rule 8VAC20-800-210-A. From a complaint.

Complaint Violation: The provider will ensure compliance with the home’s policies that have been disclosed to the parents.

“In the written information for parents, the discipline policy states: “Positive reinforcement and positive redirection will be used”. Provider #1 reported using a yardstick as a method of redirection and stated they tapped child #1 on the behind because the child was misbehaving.”

Rule 8VAC20-800-30-B. From a complaint.

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

“There were 10 children in care totaling 25 points with only one caregiver upon the inspector’s arrival. The inspector was onsite for approximately 25 minutes before a second caregiver arrived.”

Rule 8VAC20-800-570-A. From a complaint.

Complaint Violation: Caregivers shall use positive methods of discipline that are constructive in nature.

“Provider #1 reported using a yardstick as a method of redirection and stated they tapped child #1 on the behind because the child was misbehaving. Provider #1 stated this was the only way to get the attention of child #1.”

Rule 8VAC20-800-630-A. From a complaint.

Complaint Violation: Physical punishment, including striking a child, shall be forbidden.

“Provider #1 tapped child #1 on the behind with a yard stick to manage the child’s behavior.”

Rule 8VAC20-800-640-1. From a complaint.

Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Caregiver #1, employed for two years, only had 1.5 hours documented for 2024.”

Rule 8VAC20-800-210-A.

Hot water at taps available to children shall be maintained within a range of 105?F to 120?F.

“The water from the sink where children wash their hands was measured at 126?F”

Rule 8VAC20-800-350-A.

A working battery-operated flashlight, 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 battery-operated flashlight at the time of inspection.”

Rule 8VAC20-800-770.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver #2, who had been employed for one day, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

Providers must request a search of the central registry prior to the employee’s first day of employment.

“Caregiver #2, who had been employed for one day, did not have a central registry search requested prior to employment.”

Rule 22.1-289.035-B-3.

Assistants’ and substitute providers’ records shall contain all required information.

“There were no references documented for Caregiver #2.”

Rule 8VAC20-800-120-B.

Providers must have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“CPR certification for Caregiver #1 expired in November 2024.”

Rule 8VAC20-800-140-B-3.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“There was no tuberculosis screening for Caregiver #2, who has been caring for children for one day.”

Rule 8VAC20-800-170-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #1 was not completed and was overdue by five months.”

Rule 8VAC20-800-180-A.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There was no parent acknowledgement for whether or not there is liability insurance for the family day home operations for child #1, who has been enrolled for eight days.”

Rule 8VAC20-800-70-B.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“The monthly evacuation drill was not conducted in October of 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-500-F

“Based on observation, the provider failed to ensure trampolines shall not be used during the hours children are in care. Evidence: 1. A mini trampoline with a handlebar was observed in the backyard play area. 2. The provider acknowledged that there was a trampoline in the outside area for the children to use.”

Rule 8VAC20-800-500-F.

Based on a review of records and interview, the provider did not ensure to obtain the results of a repeat fingerprint background check every five years as required.

“Evidence: 1. The record of caregiver #1 contained a fingerprint background check dated 9/4/2018. 2. The provider acknowledged that the repeat fingerprint background check was not completed.”

Rule 22.1-289.036-A.

Based on observation and interview, the provider did not ensure that stationary outdoor equipment was placed at least six feet from the perimeter of other play structures or obstacle.

“Evidence: 1. A blue climbing structure was observed. One corner of the structure measure approximately 5 feet 2 inches from a wooden border. 2. The provider acknowledged that the structure was not placed six feet from an obstacle.”

Rule 8VAC20-800-500-C.

Based on observation and interview, the provider did not ensure to not exceed 16 points by using the point system.

“Evidence: 1. Upon arrival at 9:43 am, the provider was observed with 10 children in care that equaled 21 points. Two children were picked up shortly after the inspectors arrived leaving the provider with 16 points. 2. The provider acknowledged that she exceeded her points by five for approximately 25 minutes.”

Rule 8VAC20-800-570-A.

Based on a review of five child records and interview, the provider did not ensure to annually review the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review for two children as required.

“Evidence: 1. The record of child #4 (date of enrollment: 8/29/2022) and child #5 (date of enrollment: 9/26/2022) did not contain documentation of the parents’ signed acknowledgement of the required annual review. 2. The provider acknowledged that the information was missing.”

Rule 8VAC20-800-780-B.

Based on observation, the provider failed to maintain the hot water at taps available to children at a temperature within the range of 105 degrees to 120 degrees.

“Evidence: During the inspection, the licensing inspector used a digital thermometer to obtain the water temperature at the hand washing sink located in the bathroom used by the children in care. The water temperature at the hand washing sink registered 134.0 degrees Fahrenheit.”

Rule 8VAC20-800-350-E.

Based on observation, review of documentation and interview, the provider did not ensure that a caregiver did not exceed 16 points by using the point system to determine if an additional caregiver was needed as required.

Rule 8VAC20-800-570-A.

Based on record review and interview, the provider did not ensure to obtain for each caregiver a current Report of Tuberculosis (TB) Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Evidence: 1. The record of caregiver #1 contained a tuberculosis screening dated 06/24/2020. 2. The provider acknowledged that the subsequent TB screening had not been obtained every two years.”

Rule 8VAC20-800-180-A.

Based on observation and interview, the provider did not ensure that temperatures were maintained at or below 40 degrees F in refrigerator compartments.

“Evidence: 1. Two refrigerators were observed. Refrigerator #1 contained a thermometer with a temperature reading of 43 degrees and refrigerator #2 read at 45 degrees. 2. The provider acknowledged that the temperatures were not maintained at the required levels.”

Rule 8VAC20-800-940-A.

Based on observation and interview, the provider did not ensure that the finding of the most recent inspection were posted.

“Evidence: 1. The most recent inspection findings were not observed during the inspection. 2. The provider acknowledged that they were not posted.”

Rule 8VAC20-820-120-E-2.

Based on record review and interview, the provider did not ensure to obtain the results of a fingerprint background check prior to the first date of employment for each staff as required.

“Evidence: 1. The record of staff #1 (DOH: 1/4/2022) contained fingerprint background check results dated 1/10/2022. 2. The provider acknowledged that the fingerprint results were not received prior to the caregiver’s first day of employment.”

Rule 22.1-289.035-B-2.

Based on record review and interview, the provider did not ensure to maintain a record for each enrolled child that contained all of the required information.

“Evidence: 1. The record of child #1 (DOE: 1/4/2022) did not contain the policy number of the child’s medical insurance and written authorization for emergency medical care should an emergency occur. 2. The provider acknowledged that the policy number and written authorization for emergency medical care had not been obtained.”

Rule 8VAC20-800-60-B.

Based on record review and interview, the provider did not ensure to obtain proof of age and identity for one child within seven business days of the first date of attendance as required.

“Evidence: 1. The record of child #1 (DOE: 1/4/2022) did not contain verification of age and identity. 2. The provider acknowledged that it has not been obtained from the parent.”

Rule 8VAC20-800-80-A.