Ms. Sandra Nicholas

Repeat violation

“Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children. A bottle of cleaner and two bottles of sanitizing alcohol were located in an unlocked cabinet below the handwashing sink in the bathroom used by children.”

Rule 8VAC20-800-280.

Repeat violation

Rule 8VAC20-800-60-B.

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.

“Household Member #1 has unlocked medications that were stored out of the reach of children on the top of the refrigerator and on a high shelf in the refrigerator.”

Rule 8VAC20-800-730-D.

22.1-289.035-B-1

“The provider is required to obtain a completed sworn statement prior to the employee’s first day of employment. The sworn statement for Staff #3, who is currently working, did not have a completed sworn statement.”

Rule 22.1-289.035-B-1.

22.1-289.057-A

“(Repeat Violation) 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 and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Caregiver #3 did not have central registry search results during the inspection and has been employed for over 30 days.”

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

8VAC20-790-250-F

“(Repeat Violation) Staff who work directly with children shall annually complete the department’s health and safety update course. Caregiver #2 have not completed the 3-hour subsidy health and safety update course for 2025.”

Rule 8VAC20-790-250-F.

8VAC20-800-120-A

“Providers must maintain a record for each caregiver. There was no record for Caregiver 3 who has been caring for children for over one month.”

Rule 8VAC20-800-120-A.

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 3, who has been caring for children for over one month.”

Rule 8VAC20-800-170-A.

8VAC20-800-60-B

“(Repeat Violation) Children’s records are required to contain parental home and employment addresses and phone numbers. The record for Child #3 was missing the employment information and the employment phone number, and the addresses for two emergency contacts. The child was present during the inspection and had been in care for five months.”

Rule 8VAC20-800-60-B.

8VAC20-790-250-F

“Caregivers who work directly with children are required to complete the department’s updated health and safety course. Caregiver #2 is over due to complete the department’s health and safety update course by two years.”

Rule 8VAC20-790-250-F.

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 and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

Poisonous materials shall be stored in an area inaccessible to children.

“Lysol disinfectant spray was stored on the counter near the sink that children use to wash their hands.”

Rule 8VAC20-800-280.

A child’s record shall contain all the required information.

“1.The records for Child #1, was missing the address for 1 of 2 emergency contacts. Child # 2, child #4 and child #5 were missing the address for two emergency contacts listed. 2. The record for child # 4 was missing the place of employment and the work number for both parents listed. 3. The record for child #3 did not contain provisions of the family day home’s emergency preparedness and response plan. 4. The record for Child #5 was missing proof of the child’s age and identity.”

Rule 8VAC20-800-60-B.

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 documentation of practiced emergency evacuation procedures for January 2025 ? July 2025.”

Rule 8VAC20-800-830-A.

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

“Caregiver #2 did not obtain a minimum of 16 hours or training annually for 2024. Caregiver #2 obtained 7 hours of training hours for 2024.”

Rule 8VAC20-800-210-A.

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

“The record for child #2 did not contain an address for 2 emergency contacts.”

Rule 8VAC20-800-60-B.

(Repeat Violation) 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.

“1. Records for children #3, and #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #3 and #4 had been in care for over a year without any annual review. 2. The provider verified that an annual review had not been completed for child #3 and child #4.”

Rule 8VAC20-800-780-B.

Based on a review of five (5) child records, the provider did not ensure that records contained the required documents.

“Evidence: The record for child # 3 did not contain the addresses for two emergency contacts, the name and policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-A.

Based on record review, the provider did not ensure to annually review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and to obtain the parent’s signed acknowledgment of the review.

“Evidence: The record for child # 3 did not contain an annual review.”

Rule 8VAC20-800-780-B.

8VAC20-770-40-D-1-a

“Based on record review and interview, the provider failed to ensure that all staff shall undergo background checks every five years. Evidence: 1. The staff record for Staff #1 contained a central registry background dated 6/8/2018. Staff #1 should have undergone a criminal background check on or before 6/8/2023. 2. The provider verified that a central registry background check had not been completed.”

Rule 8VAC20-770-40-D-1-a.

8VAC20-770-40-D-4

“Based on record review, the provider did not update background check documentation for a household member every 5 years. Evidence: Household member # 1’s record contains a central registry check that was last updated on 12/15/2018. Household member #1 should have completed an updated central registry background on or before 12/15/2023.”

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

8VAC20-800-100-A

“(Repeat Violation) Based on review children records, 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. The record for child # 4, did not contain documentation of a physical examination. Child # 4?s date of enrollment was 8/28/2023.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“Based on record review, the provider did not obtain a current report of tuberculosis screening/test for each household member/caregiver every two years from the date of the last test/screening. Evidence: Staff#1’s record contains a TB test/screening that was last updated on 5/12/2018.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“Based on review of records, the provider did not ensure that all staff receive the required 16 hours of annual training. Evidence: Staff #2 received a total of 4 hours of annual training.”

Rule 8VAC20-800-210-A.

8VAC20-800-60-B

“(Repeat Violation) Based on record review, the record of each child was not complete. Evidence: Child #4 did not have documentation of proof of identification.”

Rule 8VAC20-800-60-B.

(Repeat Violation) Based on review children records, the provider did not obtain documentation of immunizations before a child may attend the family day home.

“Evidence - 1. The record for child #4, did not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-800-100-A

“Based on a review of children records, the provider failed to 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. Evidence: 1. The record for child #1 did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials, and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were not stored away in areas inaccessible to children. Evidence: 1. Cleaning and disinfectant products were stored around the sink accessible to children. The following were unlocked and accessible to children: Clorox disinfectant wipes, Lysol disinfectant spray, Microband, and Lysol Cleaner.”

Rule 8VAC20-800-280.

8VAC20-800-60-A

“Based on record review, children’s records did not contain all required information. Evidence: The record for child #1 did not contain the address and phone number for a second emergency contact.”

Rule 8VAC20-800-60-A.

8VAC20-800-80-C

“Based on review of three children’s records, the provider failed to obtain proof of child identity and age requirements for one child. Evidence: 1. Child #1’s file did not contain documentation of proof of identity. Date of enrollment was 2/27/2023.”

Rule 8VAC20-800-80-C.

8VAC20-800-830-C

“Based on record review and interview with the provider, the provider failed to maintain documentation of emergency evacuation. Evidence: 1. There was no documentation of emergency evacuations drills January 2023 ? July 2023. 2. The provider stated that drills were completed but she was unable to provide documentation that verified drills were done.”

Rule 8VAC20-800-830-C.

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements prior to attending the family day home. Evidence: 1. The record for Child #1 (DOE: 2/27/2023) did not contain a immunization record.”

Rule 8VAC20-800-90-A.

8VAC20-800-680-A

“Based on observation of the diapering process, the caregiver failed to wash their hands with liquid soap and warm running water after toileting. Evidence: 1. The inspector observed staff #1 changing a toddler’s diaper. Staff #1 did not wash their hands with liquid soap and warm running water after toileting. 2. The provider stated that she has instructed staff #1 on proper handwashing before and after toileting.”

Rule 8VAC20-800-680-A. From a complaint.

8VAC20-800-690-D

“Based on observation, the caregiver failed to clean and sanitize the diapering surface after each use. Evidence: Staff 1 did not sanitize the diapering surface after use.”

Rule 8VAC20-800-690-D. From a complaint.

8VAC20-800-840-B

“Based on record review, the injury report did not include all required information. Evidence: The injury report completed by the provider did not include when and how the parents were notified, the time the incident occurred, actions to prevent future occurrences of similar incidents, and the parent and provider’s signature.”

Rule 8VAC20-800-840-B. From a complaint.

8VAC20-800-60-B

“Based on a review, the provider failed to ensure that all required information was documented in children’s record. Evidence: 1. Child #2’s record did not contain a signed written authorization for emergency medical care should an emergency occur and the parent cannot be located. Date of enrollment was 04/12/2021. 2. The provider confirmed that the parent did not sign the emergency medical authorization form.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children’s hands are washed with liquid soap and warm running water. Evidence: 1. The provider failed to ensure that the child’s hands were washed after diapering.”

Rule 8VAC20-800-680-B.

8VAC20-800-60-A

“Based on record review, one of five children’s records was incomplete. Evidence: The record for Child #1 was missing parent signature for emergency authorization and provider signature.”

Rule 8VAC20-800-60-A.

8VAC20-800-80-A

“Based on record review, 5 of 5 children’s records did not contain complete documentation of proof of identification for each child in care.”

Rule 8VAC20-800-80-A.

8VAC20-800-830-B

“Based on interview, it was determined that the provider has not conducted at least two shelter- in -place drills. Evidence: There was no documentation of shelter-in-place drills completed.”

Rule 8VAC20-800-830-B.

8VAC20-800-830-C

“Based on record review, documentation of the emergency evacuation drill was not maintained. Evidence: There was no record of fire drills conducted between January 2022 ?June 2022.”

Rule 8VAC20-800-830-C.

8VAC20-800-90-A

“Based on record review, 1 of 6 children did not have documentation of adequate immunization prior to attendance. Evidence: Child 3 enrolled on 9/8/2021 and no immunization record is available in the child’s record.”

Rule 8VAC20-800-90-A.

Based on a review of two caregivers’ records and interview, the provider did not ensure one caregiver obtained fingerprints prior to hire.

“Evidence: 1) The record for Caregiver #2, hired on 10/21/2021, did not contain a fingerprint-based background check determination letter from the Office of Background Investigation prior to employment. 2) During interview, a Caregiver #1 confirmed the fingerprint-based background check results for Caregiver #2 have not been received.”

Rule 22.1-289.035-B-2.

Based on a review of two caregivers’ records and interview, the provider did not ensure one caregiver had a complete sworn statement or affirmation prior to employment.

“Evidence: 1) The sworn statement in the file for Caregiver #2, hired on 10/29/2021, was dated 01/05/2022. 2) During interview, Caregiver #1 confirmed the sworn statement for Caregiver #2 was completed after their hire date.”

Rule 8VAC20-770-60-B.

Based on a review of two caregivers’ records, the provider did not ensure one caregiver had a central registry finding within 30 days of employment.

“Evidence: 1) The record for Caregiver #2, hired on 10/29/2021, did not contain a central registry finding. 2) During interview, Caregiver #1 reported the central registry finding for Caregiver #2 has not been received.”

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

Based on a review of two caregiver records, one caregiver’s record did not contain the required documentation.

“Evidence: 1) The record for Caregiver #2, hired on 10/29/2021, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. The record did not contain documentation of the Caregivers’ education and training as required by 8VAC20-800-230.”

Rule 8VAC20-800-120-A.

Based on a review of two caregivers’ records and interview, the provider did not obtain from one caregiver at the time of hire a current report of tuberculosis (TB) screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.

“Evidence: 1) The record for Caregiver #2, hired on 10/29/2021, did not contain documentation of a TB screening. 2) During interview, Caregiver #1 reported Caregiver #2 does not have a current TB screening on file.”

Rule 8VAC20-800-170-A.

Based on a review of two children’s records and interview, the provider did not ensure one child’s record contained the required information.

“Evidence: 1) The record for Child #1, enrolled on 01/24/2022, did not contain a second emergency contact. A child’s record should contain the name, address, and telephone number of two designated persons to contact in case of an emergency if a parent cannot be reached. 2) The record for Child #1 did not contain the parent’s signed acknowledgement of the receipt of the information required by 8VAC20-800-70. 3) During interview, Caregiver #1 acknowledged the information was not in the child’s record.”

Rule 8VAC20-800-60-B.

Based on observations and interview, a caregiver did not wash their hands with soap and warm running water after diapering a child.

“Evidence: 1) During the inspection, Caregiver #2 was observed diapering a child. Caregiver #2 did not wash their hands with soap and water after diapering the child. Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. 2) During interview, Caregiver #1 reported Caregiver #2 has been reminded to wash their hands with soap and warm running water after diapering a child.”

Rule 8VAC20-800-680-A.

Based on a review of two children’s records and interview, the provider did not obtain documentation that one child had been adequately immunized before the child may attend the family day home.

“Evidence: 1) The record for Child #1, enrolled on 01/24/2022, did not contain documentation that the child has been adequately immunized. 2) During interview, Caregiver #1 reported the documentation has not been obtained to date.”

Rule 8VAC20-800-90-A.