Ms. Joni Roberts

8VAC20-800-830-C

“Documentation shall be maintained of emergency evacuation drills that include the required information. Provider was not able to provide for review the evacuation drills completed in the home.”

Rule 8VAC20-800-830-C.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-A.

Documentation shall be maintained of emergency evacuation drills that include the required information.

“An evacuation drill was not documented in April of 2025. The provider stated that the drill was completed but not written in the drill log.”

Rule 8VAC20-800-830-C.

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

“Child #4’s immunization update was missing and overdue by over two months.”

Rule 8VAC20-800-90-C.

Based on observation, the provider failed to provide direct care and supervision of each child at all times.

“Evidence: A 3-month-old infant was placed in a crib located in a room out of the sight of the caregiver to nap while the caregiver provided care to children in another room.”

Rule 8VAC20-800-560-A.

Repeat violation Based on record review, the provider did not ensure children’s records contained all required information.

“Evidence: The record for C3 did not contain the name, address, and telephone number of a second designated person to contact in case of an emergency if the parent can not be reached.”

Rule 8VAC20-800-60-B.

Based on observation, the provider failed to ensure that children’s hands are washed with liquid soap and warm running water after toileting or diapering.

“Evidence: The provider failed to wash C1?s hands after a diaper change.”

Rule 8VAC20-800-680-B.

Based on interview, the provider did not ensure the annual review of the emergency plan.

“Evidence: S1 reported not being able to locate documentation of the annual review of the emergency plan.”

Rule 8VAC20-800-800-B.

Based on observation, the provider did not ensure the menu for meals or snacks provided by the family day home was posted.

“Evidence: Licensing inspector did not observe a menu posted for the current one-week period.”

Rule 8VAC20-800-920.

22.1-289.035-A

“Based on record review, the provider failed to ensure that staff underwent criminal background checks every 5 years. Evidence: The record for P1, contained national criminal background checks dated 07/18/2018 and 04/18/2024. The record for HHM1, contained a national criminal background check dated 07/19/2018.”

Rule 22.1-289.035-A.

22.1-289.035-B-2

“Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment. Evidence: The record for staff P2, employed 04/08/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check was dated 04/10/2024.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for P2, employed 04/08/2024 did not contain findings of a central registry search.”

Rule 8VAC20-770-60-C-2.

8VAC20-800-110-B

“Based on child record review, the provider failed to assure that each report of immunizations received were signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: The immunization record for C1 was not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

8VAC20-800-120-A

“Based on record review, the provider did not keep the required records for each staff person. Evidence: The record for P2 did not contain documentation that two or more references as to P2?s character, reputation, and competency were checked before employment. The record for P2 did not contain verification of P2?s age.”

Rule 8VAC20-800-120-A.

8VAC20-800-180-A

“Based on record review, the provider failed to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the previous tuberculosis screening. Evidence: The TB screening for P1 was dated 04/05/2022 and for HHM1, the screening was dated for 02/28/2022.”

Rule 8VAC20-800-180-A.

Based on observation, the provider failed to ensure that potentially poisonous substances were stored away in areas inaccessible to children.

“Evidence: Licensing inspectors observed laundry detergent, dryer sheets, and mosquito repellent with warning labels to keep out of reach of children accessible to children in the home’s kitchen.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

“Based on child record review, the provider failed to ensure that two of five records contained required documentation. Evidence: The record for C1, enrolled 06/03/2024 did not contain a signed parental acknowledgement of the receipt of the information required by 8VAC20-800-70. The record for C2 did not document the first day of attendance at the family day home.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-A

“Based on review of emergency drill documentation, the provider failed to practice monthly the emergency evacuation procedures. Evidence: The drill records did not document a March 2024 drill.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-C

“Based on review of emergency evacuation drills documentation, the provider failed to maintain records that included required information. Evidence: The drill record for 12/2023, 04/2024, and 05/2024 did not document information required by 8VAC20-800-830- C-1 -9. The P1 reported conducting the drills but not completing the form with the required information.”

Rule 8VAC20-800-830-C.

Based on review of five children’s records, the provider did not ensure one record contained all of the required information.

“Evidence: The record for Child #1 (first date of attendance 08/29/2022) did not contain the name, address and phone number for two people to contact in an emergency when parents cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-180-A

“Based on record review, the provider did not ensure to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance every two years from the date of the first screening. Evidence: 1. The record of caregiver/household member #1, had documentation of a tuberculosis screening dated 8/20/2019. 2. The record of household member #2, had documentation of a tuberculosis screening dated 8/26/2012.”

Rule 8VAC20-800-180-A.

8VAC20-800-830-A

“Based on record review, the center did not ensure to practice monthly emergency evacuation procedures. Evidence: The center did not have documentation of evacuation drills during the months of April, July and September in the year 2021.”

Rule 8VAC20-800-830-A.