Elizabeth Appiah

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 was no documentation of a physical examination in Child 1 (six months overdue), 5 (4 years overdue), and 8 (two months overdue).”

Rule 8VAC20-800-100-A. From a complaint.

Poisonous substances shall be stored away from food in areas of inaccessible to children.

“The provider had four bottles of medication and a bottle of Pepto-Bismol on the counter behind the couch that was accessible to children. Additionally, the provider had a basket of ten medication bottles on the lower kitchen counter accessible to children.”

Rule 8VAC20-800-280. From a complaint.

Sharp kitchen utensils and other sharp objects shall be inaccessible to children.

“A knife block set was observed on the edge of the counter by the sink at the time of inspection.”

Rule 8VAC20-800-290. From a complaint.

Children’s records were missing the following: 1. authorization for emergency medical treatment, 2. names of persons authorized to pick up children, 3. names, address and telephone number for two designated persons to contact in emergency.

“1. Child 7 had no emergency medical authorization. 2. Child 7, 8, 10 and 11 had no names of persons authorized to pick up children. Child 1 was released to a person who did not have pick up authorization on January 29, 2026 3. Child 7 had no second designated person to contact in case of emergency.”

Rule 8VAC20-800-60-B. From a complaint.

The following act is forbidden. Verbal remarks that are demeaning to the child.

“Staff A admitted to yelling at Child 1 in a demeaning manner for jumping on a couch.”

Rule 8VAC20-800-640-5. From a complaint.

Annually, the provider shall review with the parent the emergency contact information.

“9 of 12 children’s records reviewed were missing documentation of an annual review of emergency contacts.”

Rule 8VAC20-800-780-B. From a complaint.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“Child 1 did not have documentation the child had been adequately immunized. The child has been there for over 6 months.”

Rule 8VAC20-800-90-A. From a complaint.

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.

“The provider had no documentation of a physical examination for Child A who has been attending for over three months.”

Rule 8VAC20-800-100-A.

Household member to submit to fingerprinting and provide personal descriptive information.

“Household member A had no documentation of a fingerprint report in the file as required.”

Rule 22.1-289.036-B-2.

The employee shall provide a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside of the Commonwealth and whether he has been subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.

“Staff B had no documentation in the record of a sworn statement of affirmation.”

Rule 22.1-289.035-B-1.

The staff member will submit to fingerprinting and provide personal descriptive information.

“Staff B had no current documentation of the required fingerprint record. The last one expired last year.”

Rule 22.1-289.035-B-2.

The staff member authorizes the family day home to obtain a copy of the results of a search of the central registry for any founded complaint of child abuse or neglect against him.

“Staff B had no record of a search of the central registry for any founded complaint or child abuse of neglect.”

Rule 22.1-289.035-B-3.

The provider shall obtain documentation of a physical examination prior to the child’s attendance or within 30 days after the first day of attendance.

“There was no documentation of a physical examination for Child A, who started over two and half years ago, in the record.”

Rule 8VAC20-800-100-A.

The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

“Staff B had no documentation of orientation in the record.”

Rule 8VAC20-800-200-A.

Annually, the provider shall review the emergency contact information and obtain the parent’s signed acknowledgment of the review.

“Child A’s last emergency contact information documentation review was 15 months prior to the date of this inspection.”

Rule 8VAC20-800-780-B.

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

“There was no documentation of the emergency evacuation drill for the prior month.”

Rule 8VAC20-800-830-A.

Based on review of records, the provider did not ensure all required background checks were current.

“Evidence: Staff#2 Fingerprints were expired.”

Rule 22.1-289.036-B-2.

8VAC20-800-240-A

“Based on observation, the provider did not ensure areas of the family day home were maintained in a clean, safe, and operable condition. Evidence: There was chipped paint observed approximately 3 t0 4 inches in length, on the right wall between the staircase and bathroom and on the left wall at the bottom of the staircase approximately 1 to 2 inches in length.”

Rule 8VAC20-800-240-A.

8VAC20-800-830-A

“REPEAT VIOLATION Based on a review of documentation, the emergency evacuation procedures were not practiced monthly. Evidence: The last drill was on 11/15/2023.”

Rule 8VAC20-800-830-A.

8VAC20-800-920

“Based on a review of documentation, the provider did not ensure all menu requirements were met. Evidence: The menu was not dated for the one week period.”

Rule 8VAC20-800-920.

Based on record review, the vendor did maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: The attendance was not complete on the day of the inspection.”

Rule 8VAC20-790-180-B.

Based on record review, a caregiver did not have repeat fingerprints.

“Evidence: The fingerprints of Caregiver A expired July 2023.”

Rule 22.1-289.035-A.

Based on record review, the provider did not obtain documentation of a physical examination.

“Evidence: The provider did not obtain documentation of a physical exam for Child A.”

Rule 8VAC20-800-100-A.

Based on observation, the bathroom was not kept clean and contain a working toilet and sink, toilet tissue, liquid soap, and paper towels.

“Evidence: The bathroom in the main childcare are was missing paper towels.”

Rule 8VAC20-800-340-C.

Based on record review, a child’s record was missing required information.

“Evidence: The record of Child A was missing the insurance policy number.”

Rule 8VAC20-800-60-B.

Based on observation, caregivers did not ensure that children’s hands are washed with liquid soap and warm running water.

“Evidence: A child did not wash their hands after using the bathroom.”

Rule 8VAC20-800-680-B.

Based on record review, the provider did not review the emergency plan at least annually and update the plan as needed.

“Evidence: The emergency plan was last updated May 2022.”

Rule 8VAC20-800-800-B.

Based on record review, the vendor did not maintain a written record of attendance as it occurs.

“Evidence: The attendance records on sight were not completed as the children arrived in care.”

Rule 8VAC20-790-180-B.

Based on record review, the caregivers did not complete the annual health and safety update.

“Evidence: Caregivers A and B did not complete the annual health and safety update for 2022.”

Rule 8VAC20-790-250-F.

Based on record review, the provider did not obtain documentation of a physical exam for each child in care.

“Evidence: Child A and Child B did not have a physical examination on file.”

Rule 8VAC20-800-100-A.

Based on record review, a child’s record was missing required information.

“Evidence: 1) The record of Child A was missing the following required information: physicians information, insurance information and the 2nd emergency contact address. 2) The record of Child B was missing the following required information: 2nd emergency contact address.”

Rule 8VAC20-800-60-B.

Based on record review, the emergency evacuation procedures were not practiced monthly.

“Evidence: Evacuation procedures were not practiced in may of 2023.”

Rule 8VAC20-800-830-A.

Based on record review, the provider did not obtain immunization record for each child in care.

“Evidence: Child A and Child B did not have documentation of immunization on file.”

Rule 8VAC20-800-90-A.

Based on record review, caregivers did not complete the preservice training annually.

“Evidence: Caregiver A and Caregiver B did not complete the annual preservice update for 2021.”

Rule 8VAC20-790-250-F.

Based on record review, a repeat sworn statement was not completed.

“Evidence: The sworn statement for Caregiver A expired 5/2021.”

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

Based on record review, the provider did not obtain documentation of a physical exam for each child in attendance.

“Evidence: Child A and Child B did not have documentation of a physical exam on file.”

Rule 8VAC20-800-100-A.

Based on record review, caregivers did not complete 16 hours of annual training.

“Evidence: Caregivers A and B did not complete 16 hours of annual training.”

Rule 8VAC20-800-210-A.

Based on observation, small electrical appliances were not unplugged while not in use.

“Evidence: A rice cooker and a blender were plugged in and not in use during the inspection.”

Rule 8VAC20-800-320-A.

Based on record review, children’s records were missing required information.

“Evidence: The record of children A, B and C were missing permission to go of the premises.”

Rule 8VAC20-800-60-B.

Based on interview, documentation of the emergency drills were not kept.

“Evidence: Caregiver A stated she was unable to locate the documentation for emergency drills.”

Rule 8VAC20-800-830-C.

Based on observation, the most recent license was not prominently displayed.

“Evidence: The license posted in the facility expired in 2021.”

Rule 8VAC20-820-120-E-1.

Based on observation, the findings of the most recent inspection were not posted.

“Evidence: The findings of the inspection that took place 1/2022 was not posted.”

Rule 8VAC20-820-120-E-2.

Based on record review, caregivers did not complete the required annual subsidy preservice training.

“Evidence: Caregivers A and B did not complete the annual preservice training in 2021.”

Rule 22VAC40-665-230-C.

Based on record review, the provider did not ensure all caregivers had current central registry search results.

“Evidence: The central registry search of Caregiver B was last completed 6.2016.”

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

Based on record review, an adult household member did not have a repeat sworn statement or disclosure.

“Evidence: The sworn statement of Household Member A was last completed 06.2016”

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

Based on record review, the provider did not keep a record of tuberculosis results for all caregivers.

“Evidence: Caregiver A did not have tuberculosis results on file.”

Rule 8VAC20-800-170-A.

Based on record review, the provider did not obtain tuberculosis results every two years.

“Evidence: Caregiver B’s last tuberculosis results were submitted 03/25/2019.”

Rule 8VAC20-800-180-A.

Based on record review, caregivers did not complete 16 hours of annual training.

“Evidence: Caregiver A completed 14 hours of annual training. Caregiver B completed 15 hours of annual training.”

Rule 8VAC20-800-210-A.

Based on record review, children’s records did not contain required information.

“Evidence: 1) Children A and B were missing the father’s employer, father’s employer address, father’s employer phone number. 2) Child C was missing the address of one emergency contact.”

Rule 8VAC20-800-60-B.