Ms. Tamara Gilchrist

(Repeat Violation) Every adult living in a family day home is required to undergo a background check every five years.

“The record of Household Member #1 had a sworn statement that was overdue by over three months; a central registry check that was overdue by three days; and a national fingerprint background check that was overdue by 17 days.”

Rule 22.1-289.036-A.

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

“The emergency evacuation procedures were not practiced in January 2026.”

Rule 8VAC20-800-830-A.

Records of emergency evacuation and shelter-in-place drills shall be maintained for one year.

“Documentation of the emergency evacuation drill practiced in December 2025 was not maintained.”

Rule 8VAC20-800-830-D.

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.

“Caregiver #1 has been providing transportation to children on a regular basis for over a month. Verbal permission was obtained, but the provider does not have the required general written permission to take Child #1, Child #2, Child #3, and Child #4 off the premises.”

Rule 8VAC20-800-980-A.

Every applicant for licensure as a family day home is required to undergo a background check every five years.

“The record of Caregiver #1 had a central registry check that was overdue by 24 days.”

Rule 22.1-289.036-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #1 was not completed and was overdue by 29 days.”

Rule 8VAC20-800-180-A.

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

“The shelter-in-place procedures were only practiced once in 2024.”

Rule 8VAC20-800-830-B.

Based on observation, the Provider did not ensure that children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs.

“Evidence: There was no barrier to block children under the age of 2 years old from climbing or stairs to the deck outdoors next to the play structure.”

Rule 8VAC20-800-430-A.

Based on observation, the Provider did not ensure that the highest climbing rung or platform on outdoor climbing equipment or top of a slide does not exceed 6 feet for school age children and 4 feet for preschool children.

“Evidence: The climbing structure that the children of all ages use at the home has a spiral slide and long straight slide that are 82 inches in height from the ground.”

Rule 8VAC20-800-500-B.

Based on observation and staff interview, the provider did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children.

“Evidence: An antibiotic ointment was stored on the table in an unlocked area as you enter the space where the children were playing.”

Rule 8VAC20-800-730-D.

Based on review of the written attendance record and interview with the Provider, the Provider did not ensure they maintained a written record of children in attendance each day.

“Evidence: During the inspection in was determined there were 4 children present, but the written record reflected there were 7 children present.”

Rule 8VAC20-800-50-A.

Based on observation, the Provider did not ensure that the diaper trash can is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.

“Evidence: The diaper trash can foot pedal was broken, and the trash can could not be operated with the foot. To dispose of a diaper, the exterior of the trash can would have to be touched by either the diaper or the caregiver’s hand.”

Rule 8VAC20-800-690-E.

Based on review of the Caregiver record, the Provider did not obtain a criminal history background check report every five years from the date of the last check.

“Evidence: The record for the Caregiver #1 did not contain documentation that a criminal history background check report had been completed every five years from the date of the last check. The last criminal check was completed 3/14/18.”

Rule 22.1-289.036-A.

8VAC20-800-90-A

“Based on review of documentation, it was determined that the provider did not obtain documentation of immunizations before a child’s attendance. Evidence: Child #1, start date 3/23/2022 did not have documentation of immunizations in the record.”

Rule 8VAC20-800-90-A.