Shalla Flores

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“Caregiver #2, who had been employed for three weeks, did not have a sworn statement on file. She was observed providing care for the children on 04/29/2026. She was not present during today’s inspection.”

Rule 22.1-289.035-B-1.

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 three weeks, did not have a completed national criminal background check. She was observed providing care for the children on 04/29/2026. She was not present during today’s inspection.”

Rule 22.1-289.035-B-2.

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 were no physical exam records available for Child #2, #3, and #7, who had been in care for over 10 months.”

Rule 8VAC20-800-100-A.

The provider shall maintain a record for each caregiver.

“The following information was not available for review for Caregiver #2: home address, age verification, an emergency contact, and at least 2 references.”

Rule 8VAC20-800-120-A.

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 the past three weeks. There was no updated TB documentation on file for Household Member #3 (repeated violation).”

Rule 8VAC20-800-170-A.

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 the past three weeks. There was no updated TB documentation on file for Household Member #3 (repeated violation).”

Rule 8VAC20-800-170-A.

The provider must orient assistants by the end of their first week of assuming job responsibilities.

“Documentation of this training for Caregiver #2 was not available for review. Caregiver #2 has been employed and working with the children in care for the past 3 weeks.”

Rule 8VAC20-800-200-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 obtained a total of 8 hours of annual training for the previous year.”

Rule 8VAC20-800-210-A.

The provider shall ensure that a caregiver does not exceed 16 points by following the point system to determine if an additional caregiver is needed.

“During the unannounced inspection there were 7 children present (a total of 20 points) with 1 caregiver.”

Rule 8VAC20-800-570-A.

The provider shall maintain an up-to-date record at the family day home for each enrolled child.

“A file for Child #4 was not available for review. The Provider stated that the parent took the file home to further complete it.”

Rule 8VAC20-800-60-A.

Children’s records are required to contain the name and policy number of their medical insurance.

“The record for Child #5, and #6 was missing the name and policy number for their medical insurance. Both children were present during the inspection and had been in care for approximately four months.”

Rule 8VAC20-800-60-B.

Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs.

“This information was not available for review for Child #7 who was provided care for the past 10 months.”

Rule 8VAC20-800-80-A.

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 were no physical exam records available for Child #4, #5, #6, and #7, who all had been in care for over 60 days.”

Rule 8VAC20-800-100-A.

Children’s records are required to contain at least two emergency contacts, and the child’s medical insurance information.

“The records for Child #2, #4, #%, and #6 were missing the complete information for at least two emergency contacts; and the medical insurance number for Child #6.”

Rule 8VAC20-800-60-B.

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 were no parent acknowledgements available for the following documents: Information for Parents form - Child #6; Medical Decision to Administer form - Child #4, #5, #6, and #7; Provision of the Emergency Preparedness and Response Plan - Child #6; and the Declaration of Liability form - Child #6.”

Rule 8VAC20-800-70-B.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“Records for children #2, and #6 did not have a parent’s signature for an annual review of the emergency contact information. Child #2 had been in care for over a year. Children #6 had been in care for over three years without any annual review.”

Rule 8VAC20-800-780-B.

Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs.

“This information was not available for Child #7 who was provided care since June 2025.”

Rule 8VAC20-800-80-A.

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for child #7, who was in care during the inspection and had been in care for five months.”

Rule 8VAC20-800-90-A.

Providers must obtain a completed national criminal background check for all household members who are 18 years of age or older.

“Household Member #2, who moved back into the home 6 months ago, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

The Family Day Home must request a search of the central registry ( CPS check) for all adult household members.

“Household Member #2, who had moved back into the home 6 months ago, did not have a CPS check available for review.”

Rule 22.1-289.035-B-3.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Household Member #2, moved back into the home 6 months ago, did not have documentation of requesting a central registry check from a state outside the Commonwealth of Virginia where this household member had resided previously.”

Rule 22.1-289.036-B-4.

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 were no physical exam records available for Child #7, who had been in care for over 2 years.”

Rule 8VAC20-800-100-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“None of the caregivers (Staff #1, and Staff #2) documented any hours for this annual training period.”

Rule 8VAC20-800-210-A.

Children’s records are required to contain the name, address, and phone numbers of two emergency contacts for each child in care.

“The record for Child #2 listed the information for only 1 of 2 emergency contacts.”

Rule 8VAC20-800-60-B.

Annually, the Provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“The record for Children #2 did not have a current parent’s signature for an annual review of the emergency contact information. The last documented review of this information for Child #2 was conducted over 13 months ago.”

Rule 8VAC20-800-780-B.

Children’s records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for Child #2 was missing the information for a second emergency contact. The child was present during the inspection, and had been in care for eight months.”

Rule 8VAC20-800-60-B.

Documentation of additional immunizations is required once every six months for children under the age of two years. ’

“Child #2, 23 months old, last documented immunization was over 8 months ago.”

Rule 8VAC20-800-90-C.

Based on review, 1 of 8 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection (04/30/2024), documentation of a physical examination for Child #4 was not available for review. 2. The start date for Child #4 was listed as 10/18/2023.”

Rule 8VAC20-800-100-A.

Based on review, 1 of 8 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (04/30/2024), the addresses for both emergency contacts listed for Child #8 were not available for review. 2. The start date for Child #8 was listed as 08/22/2023.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 8 children files indicated that not all of the required documentation was on file.

“Evidence - 1. On the date of inspection (04/30/24), the Medication Administration - Decision to Administer form was not available for review for Child #4. 2. The start date for Child #4 was listed as 10/18/23.”

Rule 8VAC20-800-70-A.

Based on review, 1 of 8 children files indicated that annually, the Provider did not conduct a review with the parent of the emergency contact information (required in 8 VAC 20-800-60.B.2) to ensure that the information was correct, and obtained the parent’s signed acknowledgment of this review.

“Evidence - 1. On the date of inspection (04/30/2024), the following children had outdated reviews: Child #2 (last dated - 10/20/21), Child #5 (last dated - 08/02/22), and Child #7 (last dated - 04/05/23). 2. This finding was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-780-B.

Based on review, 3 of 8 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (04/30/2024), the follow children had immunization pages older than 6 months: Child #3 (dated - 03/31/23), Child #4 (dated - 10/17/2023), and Child #5 (dated - 08/07/23). 2. All listed children were under the age of 2 years on the date of inspection.”

Rule 8VAC20-800-90-C.

Based on review, 3 of 9 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection (12/12/2023), the following children did not have documentation of a physical examination available for review: Child #4 (start date - 05/25/2023), Child #5 (start date - 10/18/2023), and Child #9 (start date - 11/10/2022). 2. Child #4, Child #5, and Child #9 were all in attendance on the date of inspection.”

Rule 8VAC20-800-100-A.

Based on review, 4 of 9 children files indicated that not all of the required documentation was contained within each child’s record.

“Evidence - On the date of inspection (12/12/2023), the following documents were not available for review: 1. Information for Parents form was not signed by the parents of: Child #6, and Child #9. 2. Medication Administration - Decision to Administer form was not available for - Child #3, Child #5, Child #6, and Child #9.”

Rule 8VAC20-800-70-A.

Based on review, 5 of 9 children files indicated that documentation of the annual review of each child’s listed emergency contact information was not conducted and recorded by each child’s parent.

“Evidence - On the date of inspection (12/12/2023), the following children did not have documentation of file of their annual emergency contact information review: 1. Child #1 (last dated - 02/12/22), 2. Child #2 (last dated - 08/02/22), 3. Child #3 (last dated - 10/20/21), 4. Child #6 (last dated - 09/07/22), 5. Child #9 (last dated - 11/09/22).”

Rule 8VAC20-800-780-B.

Based on review, 1 of 9 children files indicated that documentation that the proof of identification for each child was reviewed by the provider was not available.

“Evidence - 1. On the date of inspection (12/12/2023), the review of the proof of identification for Child #6 was not documented by the provider. 2. The start date for Child #6 was listed as 09/22/2022.”

Rule 8VAC20-800-80-A.

Based on review, 1 of 9 children files indicated that the Provider did not obtain documentation that a 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).

“Evidence - 1. On the date of inspection (12/18/2023), documentation of an immunization record for Child #4 was not available for review. 2. The start date for Child #4 was listed as 05/25/2023 and was in attendance of the date of inspection.”

Rule 8VAC20-800-90-A.

Based on review, 2 of 2 staff files indicated that it has been more than fire years since documentation was obtained through OBI in regards to a Fingerprint Check (FPC).

“Evidence - 1. On the date of inspection (05/01/2023), the current FPC on file for on site caregivers were dated: Staff #1 (dated - 03/06/2018), and Staff #2 (03/22/2018). 2. The Provider confirmed this finding on the date of inspection.”

Rule 22.1-289.036-B-2.

Based on review, 9 of 9 children files indicated that not all of the required documentation was on file within each child’s file.

Rule 8VAC20-800-70-A.

Based on review, 3 of 9 children files indicated that a signed acknowledgement by the Provider of having viewed each child’s Proof of Identification was not available.

“Evidence - 1. On the date of inspection (05/01/2023), a proof of identification (viewed by the Provider) was not verified for: Child #3 (start date - 09/06/2022), Child #6 (start date - 09/22/2022), and Child #7(start date - 02/27/2022). 2. Both Child #6 and Child #7 were on site during today’s inspection. Child #3 was not.”

Rule 8VAC20-800-80-B.

Based on review, 1 of 9 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for any child under the age of two years.

“Evidence - 1. On the date of inspection (05/01/2023), the last updated immunization page on file for Child #6 was dated - 09/09/2022. 2. On the date of inspection (05/01/2023), Child #6 was under the age of 2 years.”

Rule 8VAC20-800-90-C.

Based on review, 1 of 7 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection (11/17/2022), documentation of a physical examination was not available for review for Child #5. 2. The start date for Child #5 was listed as 09/06/2022. Child #5 was in attendance on the date of inspection.”

Rule 8VAC20-800-100-A.

Based on observation, a portable electric heater was located in an area accessible to children and without a required barrier or screen.

“Evidence - 1. On the date of inspection, a portable electric heater was observed in the child care area near the left side wall as you walk down into the room. 2. There was neither a barrier or screen in front of the device to prevent accessibility to the 6 children in care (mobile infants to preschool age).”

Rule 8VAC20-800-320-E.

Based on review, 2 of 7 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (11/17/2022), 1 of 2 emergency contacts were listed for Child #3. This same non-compliance was cited during the previous inspection conducted on 06/02/2022. 2. On the date of inspection, the information for the doctor of Child #5 was not available for review. The Provider stated (during an interview conducted on the date of inspection) that the parent of Child #5 is currently trying to find a doctor for the child.”

Rule 8VAC20-800-60-B.

Based on review, not all of the required documentation was on file for each child in care.

“Evidence - 1. On the date of inspection (11/17/2022), 7 of 7 children files did not have the Policy for the Administration of Medication form available. This same non-compliance was cited during a previous inspection that was conducted on 06/02/2022. 2. On the date of inspection, 1 of 7 children files did not have the Provisional of the Emergency Preparedness and Response Plan form on file for Child #5. The start date for Child #5 was listed as 09/06/2022.”

Rule 8VAC20-800-70-A.

Based on review, 1 of 7 children files indicated that the Provider did not obtain from each child’s parent proof of their child’s identity within seven business days of the first day of attendance.

“Evidence - 1. On the date of inspection (11/17/2022), the proof of identification was not available for review for: Child #5 (start date - 09/06/2022). 2. Child #5 was in attendance on the date of inspection. 3. The need for the proof of identity for Child #4 is still within the seven day grace period.”

Rule 8VAC20-800-80-A.

Based on review, 1 of 7 children files indicated that the Provider did not 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) prior to their start in the FDH.

“Evidence - 1. On the date of inspection (11/17/2022), an immunization page was not available for review for Child #5. 2. The start date for Child #5 was listed as 09/06/2022. Child #5 was in attendance on the date of inspection.”

Rule 8VAC20-800-90-A.

Based on review, 2 of 5 children files indicated that the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached was not available.

“Evidence - 1. On the date of inspection, the emergency contact information consisting of two individuals, were not available for: Child #4, and Child #5. 2. Both Child #4, and Child #5 had only 1 of the 2 required contacts listed.”

Rule 8VAC20-800-60-B.

Based on review, 5 of 5 children files indicated that not all of the required information was provided in writing.

“Evidence - 1. On the date of inspection (06/02/2022), the Policies for the Administration of Medications form was not available for review for: Child #1, Child #2, Child #3, Child #4, and Child #5.”

Rule 8VAC20-800-70-A.

Based on review, 1 of 5 children records determined that not all of the required information/documentation was contained within each child’s file.

“Evidence - 1. On the date of inspection (11/18/2021), the Policy for the Administration of Medication form was not available for review for Child #4. 2. This was confirmed on the date of inspection by the Provider.”

Rule 22VAC40-111-60-B.