Cheryl Morman

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 #1, enrolled for over a year, did not have documentation of a physical at the time of the inspection.”

Rule 8VAC20-800-100-A.

A child’s record shall contain all required information.

“The record for Child #1, enrolled for over one year, was missing the doctor address and phone number. Child #5, enrolled for three days, did not have written authorization if a caregiver is to administer prescription or nonprescription medication to the child. Child #3, enrolled for nine months, was missing parent’s signed acknowledgement of the receipt of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-60-B.

Repeat Violation: Caregivers who work directly with children shall annually attend at least 16 hours of training, to include the department’s health and safety update course.

“The department’s annual health and safety course was due five months ago for staff #2.”

Rule 8VAC20-790-250-F.

Lockdown procedures shall be practiced at least annually.

“There was not a lockdown drill documented for 2025.”

Rule 8VAC20-790-430-A-3.

The provider shall ensure that a caregiver does not exceed 16 points.

“At the start of the inspection on 03/24/2026, Staff #2 was the only caregiver present with 10 children at 19 points, for approximately 19 minutes before staff #1 arrived.”

Rule 8VAC20-800-570-A.

Shelter-in-place procedures shall be practiced a minimum of twice per year.

“There was only one shelter-in-place drill documented for 2025.”

Rule 8VAC20-800-830-B.

Caregivers who work directly with children shall annually attend at least 16 hours of training, to include the department’s health and safety update course.

“The department’s annual health and safety course was due three months ago for staff #1.”

Rule 8VAC20-790-250-F.

8VAC20-800-170-B

“Based on record review, the provider failed to obtain from each caregiver a tuberculosis screening dated within the last 30 days prior to date of hire Evidence: 1. Staff #3 (DOH 12/15/2023) had a documented tuberculosis screening dated 10/03/2023.”

Rule 8VAC20-800-170-B.

Based on a review of records and interview, the provider did not ensure one out of five child records had an annual review with the parent 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: 1. Child #1 (date of enrollment 09/06/2022) did not contain an annually signed review in September of 2023.”

Rule 8VAC20-800-780-B.

Based on record review and interview, the provider failed to maintain documentation for emergency evacuation drills that are to be practiced monthly.

“Evidence: 1. Evacuation drill for April 2024 was not documented. 2. Caregiver confirmed the evacuation drill was conducted and was not documented.”

Rule 8VAC20-800-830-C.

Based on review of caregiver records, the provider failed to ensure that whenever the family day home has a agreed to administer prescription medications or nonprescription medications, the administration shall be performed by a caregiver who has satisfactorily completed a training program for this purpose developed or approved by the Board of Nursing and taught by a registered nurse, licensed practical nurse, doctor of medicine or osteopathic medicine or pharmacist.

“Evidence: 1. The record for provider #1 and provider #2 did not have documentation of Medication Administration Training. The provider accepted emergency medication from the parents of Child #1.”

Rule 8VAC20-800-220-A.

Based on interview, record review and observation, it was determined the provider did not ensure compliance with the home’s policies that have been disclosed to the parents.

“Evidence: 1. The record for provider #1 and provider #2 did not have documentation of a MAT or AMAT certification. 2. The Medication Administration - Decision to Administer provided to families states that the Provider will not administer any medications - prescription and / or non prescription. 3. The provider stated child #1 has a food allergy and there is prescription medication at the home in the event the child has an allergic reaction.”

Rule 8VAC20-800-30-B.

Based on review of household records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening.

“Evidence: The record for household Member #1 had a TB screening dated 03/30/23 (date of last TB screening: 03/19/21). Tuberculosis Screening/ test should be completed every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.”

Rule 8VAC20-800-180-A.

8VAC20-800-240-A

“Based on observation, the provider did not ensure that areas outside of the family day home, were maintained in a clean, safe, and operable condition. Evidence: Lattice under deck was warped and pulled away from the post, cracked, and had exposed nails.”

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Based on observation, the provider did not ensure that potentially poisonous substances such as cleaning agents and disinfectants were inaccessible to children. Evidence: 1) There was a bottle of bleach water and a container of Clorox wipes on top of the children’s cubbies. 2) There was a spray bottle of glass cleaner, a spray bottle of ?Grease Lightening?, and a bottle of ?Cerama Bright?, labeled ?keep out of reach of children? and ?warning?, in an unlocked cabinet under the sink.”

Rule 8VAC20-800-280.

8VAC20-800-290

“Based on observation, the provider did not ensure that sharp kitchen utensils and other sharp objects were inaccessible to children. Evidence: There was a knife block on the counter with four sharp knives in it.”

Rule 8VAC20-800-290.

8VAC20-800-730-D

“Based on observation, the provider did not ensure that medication for household members were kept in a locked place using a safe locking method that prevents access by children. Evidence: There were several prescription and non-prescription medications in an unlocked cabinet in the kitchen.”

Rule 8VAC20-800-730-D.