Sasanavadee Adam

Each household member over the age of 18 years shall complete a national criminal record check ( CRC ) by the end of the 30th day of living in the home.

“There was no documentation of a completed CRC for household member #1.”

Rule 22.1-289.036-B-2.

Each household member over the age of 18 years shall complete a central registry search (CRS) by the end of the 30th day of living in the home.

“There was no documentation of a completed CRS for household member #1.”

Rule 22.1-289.036-B-3.

Repeat violation. 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.

“There was no documentation of a physical exam on-file for Child #18 who has been attending since April 2026.”

Rule 8VAC20-800-100-A.

The provider shall obtain from each adult household member a current TB screening.

“There was no documentation of a current TB test/screening for household member #1.”

Rule 8VAC20-800-170-A.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days shall be properly disposed of.

“An over-the-counter medicinal product belonging to Child #16 has been on-site since January 2026 with intermittent written authorization. The most recent authorization for the product expired in May 2026. The parent has not been notified to pick up the product or renew the written authorization.”

Rule 8VAC20-800-700-C.

Repeat violation. Medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“A medicinal product belonging to a child in care was not stored in a locked place. It was stored in a box kept in an upper level cabinet with no locking mechanism.”

Rule 8VAC20-800-730-D.

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

“The last evacuation drill was documented as completed in April 2026.”

Rule 8VAC20-800-830-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“There was no documentation of immunizations on-file for Child #18 who has been attending since April 2026.”

Rule 8VAC20-800-90-A.

Repeat violation. The family day home shall obtain documentation of additional immunizations for a child every 6 months until the age of 2 years old.

“Immunizations on-file for Child #11 were dated March 2025 when the child was 13 months of age. Immunizations on-file for Child #15 were dated October 2025 when the child was 9 months of age.”

Rule 8VAC20-800-90-C.

Assistant caregiver records shall contain name, address, verification of age, job title, employment date and emergency contact information.

“The record for Caregiver #4 did not include the required personal information.”

Rule 8VAC20-800-120-B.

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

“There was no documentation of orientation training including all of the required topics for Caregiver #4, who began working part-time in 2024. The document on file covered a portion of the topics.”

Rule 8VAC20-800-200-A.

General written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home. The general written permission shall be on a form that lists regularly scheduled trips and the driver, if the child is to be transported.

“There was no written parental permission on-file for Child #3 to be transported by a caregiver to/from school daily.”

Rule 8VAC20-800-980-A.

In addition to satisfactory completion of First Aid/CPR training, caregivers shall obtain a minimum of 16 hours of training annually in areas relevant to their job responsibilities.

“0 of 16 hours of annual training was documented for caregivers #1, #2 and #3 between the period of 7/26/24-7/25/25.”

Rule 8VAC20-800-210-A.

Areas and furnishings of the family day home, shall be maintained in a safe condition.

“An occupied crib had a cot, table and safety gate blocking access on the service side of the crib.”

Rule 8VAC20-800-240-A.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The emergency plan was last reviewed by the provider on 12/13/23.”

Rule 8VAC20-800-800-B.

Repeat violation. The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements every 6 months until the age of 2 years old.

“The immunizations on-file for Child #5 were dated August 2023 when the child was 1 year old.”

Rule 8VAC20-800-90-C.

Repeat and systemic violation. Caregivers who work directly with children shall annually attend the department’s health and safety update course.

“There was no documentation that Caregiver #3 completed the Virginia Health and Safety course since 3/24/22.”

Rule 8VAC20-790-250-F.

Repeat violation. The license and violation notice from the most recent inspection report shall be posted in a conspicuous place on the licensed premises.

“The violation notice from the 7/12/24 inspection report were not posted in the home.”

Rule 22.1-289.011-F.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There was no documentation of a physical exam on-file for Child #1 who began attending in November 2024.”

Rule 8VAC20-800-100-A.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“An over-the-counter pain reliever medication belonging to a child was found to be not locked and sitting on top of the copy machine located in 1 of 3 child activity areas of the home.”

Rule 8VAC20-800-730-D.

Annually, the provider shall obtain the parent’s signed acknowledgement for having reviewed the child’s emergency contact information.

“1. There was no documentation of the parents annual review of emergency information since the Child #9 enrolled in September 2023. 2. There was no documentation of the parents annual review of emergency information for Child #10 since 1/19/24. .”

Rule 8VAC20-800-780-B.

The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every 6 months for children under the age of 2 years old.

“1. The most recent immunizations on-file for Child #9 were dated May 2024, when the child was 9 months old. 2. The most recent immunizations on-file for Child #10 were dated January 2024, when the child was 10 months old. 3. The most immunizations on-file for Child #11 were dated February 2024, when the child was 12 months old.”

Rule 8VAC20-800-90-C.

Based on records reviewed, caregivers did not complete the department’s annual health and safety training.

“Evidence: 1. Caregiver #1 last completed the training on 3/16/22. 2. Caregiver #2 last completed the training on 3/16/22. 3. Caregiver #3 last completed the training on 3/24/22.”

Rule 8VAC20-790-250-F.

8VAC20-800-830-A

“Based on record reviewed and interviewed conducted, it was determined that emergency evacuation drills have not been practiced monthly. Evidence: The last recorded drill was documented as 12/15/23. Caregiver #2 reported that drills had not been practiced since that date.”

Rule 8VAC20-800-830-A.

Based on records reviewed, caregivers did not complete the department’s health and safety training annually.

“Evidence: 1. Caregiver #1 last completed the training on 3/16/22. 2. Caregiver #2 last completed the training on 3/16/22. 3. Caregiver #3 last completed the training on 3/24/22.”

Rule 8VAC20-790-250-F.

8VAC20-770-60-B

“Based on records reviewed, 1 of 11 children’s records did not include required information. Evidence: The record for Child #14 did not include written authorization for emergency medical care.”

Rule 8VAC20-770-60-B.

8VAC20-800-100-A

“Based on records reviewed, 1 of 11 children’s records did not include documentation of physical exam within the first 30-days of attendance. Evidence: The record for Child #14 did not include a physical exam. Child enrolled April 2021.”

Rule 8VAC20-800-100-A.

8VAC20-800-70-A

“Based on records reviewed, 1 of 11 children’s records did not include required documentation. Evidence: The record for Child #14 did not include documentation that parents received the Information for Parents form.”

Rule 8VAC20-800-70-A.

8VAC20-800-80-A

“Based on records reviewed, 1 of 11 children’s records did not include required documentation with 7 business days of the child’s first day of attendance. Evidence: The record for Child #14 did not include documentation that the child’s proof of identity was verified.”

Rule 8VAC20-800-80-A.

8VAC20-800-90-A

“Based on records reviewed, 1 of 11 children’s records did not include documentation of immunizations prior to attendance. Evidence: The record for Child #14 did not include a record of immunizations, nor did it document a religious exemption. Child enrolled April 2021.”

Rule 8VAC20-800-90-A.

Based on records reviewed, 4 of 11 children’s records did not include documentation of immunizations every 6 months until the age of 2 years old.

“Evidence: 1. Child #3-Immunizations were dated January 2023 when the child was 9 months old. 2. Child #4-Immunizations were dated April 2022 when the child was 1 month old. 3. Child #13-Immunizations were dated March 2022 when the child was 12 months old. 4. Child #14-Immunizations were dated April 2021 when the child was 13 months old.”

Rule 8VAC20-800-90-C.

Based on records reviewed, the licensee failed to ensure that 3 of 3 caregiver records included a criminal record check ( CRC ) within 5 years of the previous completed CRC .

“Evidence: 1. Caregiver #1 - The previous CRC was completed 1/29/18. 2. Caregiver #2 - The previous CRC was completed 2/10/18. 3. Caregiver #3 - The previous CRC was completed 5/18/18.”

Rule 22.1-289.035-A.

8VAC20-800-100-A

“Based on records reviewed, it was determined that 1 of 3 children’s records did not include documentation of a physical exam within the first 30-days of attendance. Evidence: Child #5-Began attending in August 2022 and to-date a physical exam is not on-file.”

Rule 8VAC20-800-100-A.

8VAC20-800-80-A

“Based on records reviewed, it was determined that 1 of 3 children’s records did not include documentation that the child’s proof of identity was verified within the first 7 business days of attendance. Evidence: Child #4-Began attending in August 2022 and to-date verification has not been documented.”

Rule 8VAC20-800-80-A.

Based on records reviewed, it was determined that caregivers did not obtain a minimum of 16 hours of annual training.

“Evidence: 1. Provider - Obtained 7 of 16 hours of training. 2. Assistant #1 - Obtained 9 of 16 hours of training. 3. Assistant #2 - Obtained of of 16 hours of training.”

Rule 8VAC20-800-210-A.

8VAC20-800-830-A

“Based on records reviewed and interview conducted, it was determined that a monthly emergency evacuation drill was not conducted. Evidence: No drills were conducted in April, May, and June of 2022.”

Rule 8VAC20-800-830-A.