Elizabeth Tsamah

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The findings from the most recent inspection, dated 12/04/2025, were not posted in a conspicuous place on the premises. In addition, the most current license was not posted.”

Rule 22.1-289.011-F.

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

“The provider did not have documentation of completing any training hours on the premises.”

Rule 8VAC20-800-210-A.

Child-resistant protective covers shall be installed on all unused electrical outlets accessible to children under five years of age.

“An outlet located next to the infant bouncer was observed to be missing both outlet covers.”

Rule 8VAC20-800-320-B.

A first aid kit should contain a pair of scissors as well as a pair of tweezers.

“The caregiver’s first aid kit did not contain scissors or tweezers.”

Rule 8VAC20-800-760-A-1.

The license and previous inspection reports, required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The posted license on premises was expired by 6 months, and the most recent inspection posted was from over one year ago.”

Rule 22.1-289.011-F.

A child’s record shall contain name, address and telephone number of two designated persons to contact in case of an emergency.

“The records for Child #1 and Child #2 did not have contact information for a second emergency contact.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not maintain written documentation of 1 out of 1 caregiver’s annual training.

“Evidence: There was no written documentation of Caregiver #1’s 2023 trainings.”

Rule 8VAC20-800-230-A.

Based on observation, areas and furnishings of the family day home, outside, were not maintained in a safe and operable condition.

“Evidence: In the backyard of the family day home, a panel of the fence was broken and leaning in the direction of the area where the children play.”

Rule 8VAC20-800-240-A.

Based on observation and caregiver interview, the provider did not equip the home, that was built before 2015 and serves preschool-age children, with at least one carbon monoxide detector.

“Evidence: When asked about the location of the carbon monoxide detector, Caregiver #1 stated that there is not a carbon monoxide detector in the home.”

Rule 22.1-289.058.

Based on record review, not all caregivers obtained results of background checks every five years.

“Evidence: 1. Caregiver #1?s most recent fingerprinting results was dated 02/13/2018. 2. Caregiver #2?s most recent fingerprinting results was dated 02/13/2018.”

Rule 22.1-289.036-B-2.

Based on observation, potentially poisonous substances were accessible to children.

“Evidence: One bottle of multi-purpose cleaner, one bottle of window wash and two cans of air freshener (warning label states to keep out of reach of children) were located in an unlocked cabinet, under the sink in the bathroom that is used by the children.”

Rule 8VAC20-800-280.

Based on observation and caregiver interview, the provider did not equip the home, that was built before 2015 and serves preschool-age children, with at least one carbon monoxide detector.

“Evidence: When asked about the location of the carbon monoxide detector, Caregiver #1 stated that there is not a carbon monoxide detector in the home.”

Rule 22.1-289.058.

Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age.

“Evidence: 1. There were two uncovered electrical outlets next to the patio doors, accessible to Child #1 (age: 2 years). 2. There were two uncovered electrical outlets next to the toddler bed, accessible to Child #1.”

Rule 8VAC20-800-320-B.

Based on caregiver interview, daily age-appropriate activities did not include opportunities for vigorous outdoor play daily.

“Evidence: Caregiver #1 stated that the children have not been outside to play since the summer.”

Rule 8VAC20-800-580-C.

Based on observation and caregiver interview, the diapering surface was not nonabsorbent and washable or cleaned and sanitized after each use.

“Evidence: 1. Caregiver #1 stated that they change Child #1?s diaper on the bathroom rug located inside the bathroom used by the children. 2. The fabric bathroom rug was absorbent. 3. The diapering surface was not cleaned and sanitized after each use.”

Rule 8VAC20-800-690-D.

22.1-289.036-A

“Based on record review and interview, the provider has not obtained a repeat central registry background check every five years for each adult household member. Evidence: Household member #1’s most recent central registry background check is dated 11/9/2016. The provider stated that they have not yet requested for the household member to complete a repeat background check.”

Rule 22.1-289.036-A.

8VAC20-800-210-A

“Based on interview, the provider did not obtained a minimum of 16 hours of training annually in areas relevant to their job responsibilities. Evidence: The provider was not able to provide documentation for any training completed during 2021.”

Rule 8VAC20-800-210-A.