Ms. Carolyn Dowdy

A child day program that is licensed pursuant to this chapter may, in lieu of developing and implementing a plan to test potable water or of remediation, use bottled water, water coolers, or other similar water source that meets the U.S. Food and Drug Administration standards for bottled water. Any program that chooses this option shall notify the Commissioner and the Department of Health’s Office of Drinking Water and the parent of each child in the program of such choice.

“The family day home stated that bottle water is being used in lieu of obtaining potable water testing. There was no parental notification of this nor was this reported to VDH Office of Potable Water as required.”

Rule 22.1-289.057-D.

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

“There was no documented proof of emergency escape drills being conducted for 2026 (January-May) as of this inspection.”

Rule 8VAC20-800-830-A.

Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles.

“During the inspection a child was lying in a crib, in the sleeping room, while drinking a bottle.”

Rule 8VAC20-800-900-B.

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.

“REPEAT Child #4 has been enrolled over a year and does not have a physical on file.”

Rule 8VAC20-800-100-A.

The provider shall maintain a record for each caregiver.

“There was not a complete record for caregiver #2 who has been working the last few days.”

Rule 8VAC20-800-120-A.

Current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“Caregiver #1 did not have current CPR ; it expired January 2025. No caregiver working has current CPR.”

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

Current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

“Caregiver #1 did not have current FA certification; it expire January 2025. No caregiver working has current FA.”

Rule 8VAC20-800-140-B-4.

The provider shall obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.

“Caregiver #2 does not have a PPD screening on file and has been working over the last several days.”

Rule 8VAC20-800-170-A.

A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone.

“REPEAT and SYSTEMIC There is no landline as required.”

Rule 8VAC20-800-330-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.

“REPEAT Child #1 has been enrolled over 2 months and does not have an immunization document on file as required. Child #4 has been enrolled over a year and does not have an immunization document on file as required.”

Rule 8VAC20-800-90-A.

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 #5 who enrolled and began care over 4 months ago did not have proof of physical.”

Rule 8VAC20-800-100-A.

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

“The caregivers CPR had expired, over 4 months ago, and has not been renewed as required.”

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

Caregivers shall have current certification in first aid.

“The caregivers FA had expired, over 4 months ago, and has not been renewed as required.”

Rule 8VAC20-800-140-B-4.

REPEAT: The provider shall obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis Screening form.

“Caregiver #2, who was hired and began working 2 months ago, did not have a TB screening on file.”

Rule 8VAC20-800-170-A.

REPEAT and SYSTEMIC: A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone.

“There is no landline telephone as required.”

Rule 8VAC20-800-330-A.

REPEAT VIOLATION: Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent proof of birth documentation.

“Child #5 was enrolled and began care over 4 months ago and there was no proof of birth verification on file.”

Rule 8VAC20-800-80-A.

REPEAT and SYSTEMIC: 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.

“Child #5 who was enrolled and began care over 4 months ago did not have proof of immunizations.”

Rule 8VAC20-800-90-A.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening.

“Caregiver #1 had an expired TB screening on file. The screening on file had been expired for over 3 weeks.”

Rule 8VAC20-800-180-A.

A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone.

“(REPEAT VIOLATION) There is no working landline phone in the home as required.”

Rule 8VAC20-800-330-A.

Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent proof of birth documentation.

“(REPEAT VIOLATION) Child #1 has been enrolled and attending over 3 weeks and there is no verification of proof of birth as required.”

Rule 8VAC20-800-80-A.

The family day home shall have a written emergency preparedness and response plan.

“The emergency preparedness and response plan could not be located during the inspection.”

Rule 8VAC20-800-800-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“(REPEAT VIOLATION) Child #1 has been enrolled and attending for over 3 weeks and does not have proof of being adequately immunized as required.”

Rule 8VAC20-800-90-A.

8VAC20-800-330-A

“A working landline is to be in place within the home. There was no landline service currently in the home.”

Rule 8VAC20-800-330-A.

8VAC20-800-40-A

“The provider may not exceed the stated capacity of the license. There were 14 children in care during the inspection. The license states only 12 children may be in care at any one time.”

Rule 8VAC20-800-40-A.

8VAC20-800-510-A

“Each child in care shall have an available cot or mat for resting. There were 14 children in care, 12 children required a cot or mat for rest time. There were only 4 cots and 4 mats available during the inspection.”

Rule 8VAC20-800-510-A.

8VAC20-800-530-A

“Linens shall be on napping cots or mats for each child. There were no linens available for the cots or nap mats during this inspection.”

Rule 8VAC20-800-530-A.

8VAC20-800-60-A

“An up to date record for each child enrolled must be maintained by the provider. There was no record for child #6, who was actively in care during the inspection and had been in care for a month.”

Rule 8VAC20-800-60-A.

8VAC20-800-60-B

“Children records are required to contain parental home and employment addresses and phone numbers. Child record #3 did not have employment information for the father; and no employment phone number for the mother. The child was present during the inspection and had been in care for the month.”

Rule 8VAC20-800-60-B.

8VAC20-800-80-A

“Proof of birth documentation must be obtained within seven business days of the first day of attendance. Child record #3 did not have proof of birth verification and the allowed 7 days to obtain had expired. The child was in care during the inspection and had also been in care for the month.”

Rule 8VAC20-800-80-A.

8VAC20-800-800-B

“The provider shall review the emergency preparedness plan annually, and document in writing the review date. The emergency preparedness plan had not been reviewed and dated as required for 2023-2024.”

Rule 8VAC20-800-800-B.

8VAC20-800-90-A

“Before attendance proof of immunizations are to be obtained for each child. There was no proof of immunizations for child #3, who was in care during the inspection and had been in care for the month.”

Rule 8VAC20-800-90-A.

Based on interviews the provider failed to ensure that children were in direct care and supervision at all times as required.

“Evidence: On 12/20/23 around 5pm the children were not in direct care and supervision of staff for approximately 3 minutes due to a bathroom emergency. The children were downstairs in the child care area of the home and the staff was upstairs in the bathroom, as there is no adult size bathroom in the child care area of the home.”

Rule 8VAC20-800-560-A. From a complaint.

The provider failed to ensure that a caregiver does not exceed the allowed 16 points without having an additional caregiver present.

“Evidence: Upon arrival of the licensing inspector on 1/5/23 at approximately 9:05am there were 7 children present totaling 18 points with only the assistant present. The provider was not home due to a doctor appointment. The 7th child was being dropped off when the inspector arrived, which caused the allowed points to go over 16. Interviews determined that the provider left care at approximately 8:20am and returned to care at approximately 9:16am. Therefore, compliance with this standard was not met from approximately 9:05am-9:16am.”

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

Based on discussions the provider failed to ensure that there was a landline phone available and operational as required.

“Evidence: There was no landline phone service active at the time of inspection. The provider confirmed that no service was in place.”

Rule 8VAC20-800-330-A.

Based on review of animal records the provider failed to ensure that rabies vaccinations were up to date as required.

“Evidence: One of the rabies vaccinations is past due, documentation shows it had expired as of 10/18/23.”

Rule 8VAC20-800-460-C.

Based on review of child records the provider failed to ensure that child records contain required enrollment information.

“Evidence: There was no enrollment application or document for child #3 as required. The start date listed for the child was 8/17/23. The child was in care during this inspection, and had been in care since August 2023.”

Rule 8VAC20-800-60-B.

Based on review of child records the provider failed to ensure that proof of immunizations were obtained before the first day of care as required.

“Evidence: Child records #1, #2, and #4 did not have proof of immunizations as required. The listed start dates were 10/10/23 and 10/14/23. All 3 children were actively receiving care.”

Rule 8VAC20-800-90-A.

Based on review of documentation and discussions the provider failed to ensure each caregiver obtained a finger print as required prior to hire.

“Evidence: Caregiver #2 and #3 did not have a fingerprint letter and had not submitted to fingerprinting and both have been working with the children. Caregiver #2 was hired on 3/15/23 and caregiver #3 began working on 4/27/23.”

Rule 22.1-289.035-B-2.

Based on review and discussion the provider failed to ensure that a central registry was submitted and completed within 30 days of employment for a caregiver as required.

“Evidence: Caregiver #2 began working on 3/15/23 and as of this inspection 4/27/23 a central registry request had not been submitted. This staff has been working over 30 days without a central registry finding.”

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

Based on review of records and documentation the provider failed to ensure that each caregiver has a record as required.

“Evidence: There were no records for caregiver #2 or #3.”

Rule 8VAC20-800-120-A.

Based on review of documentation the provider failed to ensure each caregiver has a tuberculosis screening or test as required.

“Evidence: Caregivers #2 and #3 did not have a TB screening or test as required and they both have been working with the children.”

Rule 8VAC20-800-170-A.

Based on discussions the provider failed to ensure there was a working landline phone as required.

“Evidence: There was no longer a working landline phone as required.”

Rule 8VAC20-800-330-A.

Based on review of documentation the provider failed to ensure there was documentation of current rabies vaccinations on the animals as required.

“Evidence: No verification of a rabies record could be located for one of the two dogs at the time of inspection.”

Rule 8VAC20-800-460-D.

Based on review of documentation the provider failed to ensure each child’s record contained the required information.

“Evidence: There was no application or agreement in the record for child #2.”

Rule 8VAC20-800-60-B.

Based on review of documentation and discussions the provider failed to ensure monthly emergency drills were practiced as required.

“Evidence: There was no practiced March 2023 emergency escape drill.”

Rule 8VAC20-800-830-A.

Based on review of staff files, the provider failed to maintain compliance with ensuring fingerprints were completed as a part of the background check prior to employment.

“Evidence: Assistant #1 who has been working since 9-6-2022 did not have a completed fingerprint record.”

Rule 22.1-289.035-B-2.

Based on review of staff files and interview, the provider failed to maintain compliance with ensuring fingerprints were completed as a part of the background check within 30 days of an adult residing in the household.

“Evidence: The provider stated that family member #1 had been residing in the home since summer. Family member #1 did not have a completed fingerprint at the time of inspection.”

Rule 22.1-289.036-B-2.

Based on review of staff files and interview, the provider failed to maintain compliance with ensuring the search of the central registry was completed as a part of the background check within 30 days of an adult residing in the household; and that a Sworn Statement was completed by the first day of an adult residing in the household.

“Evidence: The provider stated that family member #1 had been residing in the home since summer. Family member #1 did not have a completed search of the central registry or sworn statement form completed.”

Rule 8VAC20-770-40-D-4-a.

Based on review of staff files, the provider failed to maintain compliance with ensuring a central registry search was completed as a part of the background check within 30 days of employment.

“Evidence: Assistant #1 who has been working since 9-6-2022 did not have a completed search of the central registry.”

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

Based on review of children files, the provider failed to maintain compliance with obtaining documentation of a physical examination within 30 days of attendance.

“Evidence: The records for children #3-#5 did not contain a physical and the children had been in attendance for more than 30 days. Enrollment date was 9/6/2022.”

Rule 8VAC20-800-100-A.

Based on review of staff files, the provider failed to maintain compliance with ensuring that current CPR certification is maintained.

“Evidence: The provider’s CPR certification had expired on 6/18/2022.”

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

8VAC20-800-140-B-4

“Based on review of staff files, the provider failed to maintain compliance with ensuring that current first aid certification is maintained. Evidence: The provider’s first aid certification had expired on 6/18/2022.”

Rule 8VAC20-800-140-B-4.

Based on review of staff files, the provider failed to maintain compliance with ensuring a current tuberculosis screening is maintained.

“Evidence: The last tuberculosis screening for the provider was completed on 6/12/2020. The screenings are required to be updated every two years.”

Rule 8VAC20-800-180-A.

Based on review of staff files, the provider failed to maintain compliance with ensuring orientation was provided to caregivers by the end of their first week of assuming job responsibilities.

“Evidence: The provider did not have proof of orientation training for the assistant that was hired on 9-6-22.”

Rule 8VAC20-800-200-A.

Based on review of the home and interview, the provider failed to maintain compliance with ensuring that each child from birth through 12 months of age is provided a crib for sleeping.

“Evidence: At the time of inspection there were only two cribs in the home available for use and there were three children under the age of 12 months in care. The provider stated that she had a third crib but that it was not assembled.”

Rule 8VAC20-800-520-A.

Based on review of children files, the provider failed to maintain compliance with ensuring information on children’s allergies were completed upon enrollment.

“Evidence: The records for children #3-#5 did not address any known allergies. The enrollment date for the children was 9/6/2022.”

Rule 8VAC20-800-60-B.

Based on review of children files, the provider failed to maintain compliance with ensuring proof of identity and age was obtained within seven business days.

“Evidence: The records for children #3-#5, who were in attendance at the time of inspection, did not contain any verification of proof of identity. The enrollment date for the children was 9/6/2022.”

Rule 8VAC20-800-80-A.

Based on review of documentation, the provider failed to maintain compliance with ensuring that emergency response drill documentation is maintained.

“Evidence: The provider could not locate documentation of conducted monthly emergency evacuation drills or bi-annual shelter-in-place drills for 2022 at the time of the inspection.”

Rule 8VAC20-800-830-D.

Based on review of children files, the provider failed to maintain compliance with obtaining documentation of immunizations prior to attendance.

“Evidence: The records for children #3-#5, who were in attendance at the time of inspection, did not contain documentation of immunizations. The enrollment date for the children was 9/6/2022.”

Rule 8VAC20-800-90-A.

22VAC40-111-140-B-3

“Based on record review, the provider did not have age appropriate certification in first aid and cpr. Evidence: 1. The inspector reviewed a first aid and cpr card that expires 6/18/2022 but it is not for infants and children.”

Rule 22VAC40-111-140-B-3.