Luisa Cottle

Information contained in a child’s record shall be privileged and confidential.

“The supplemental page from the most recent inspection on 11/3/2025 containing confidential information was posted.”

Rule 8VAC20-800-50-C.

Children’s records are required to contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

“The record for Child #2 (enrolled over 1 year) was missing written authorization for emergency medical care.”

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.

“-The record for Child #2 (enrolled for over 1 year) was missing a parent’s signature for an annual review of the emergency contact information and was overdue by over 9 months. -The record for Child #3 (enrolled for over 1 year) was missing a parent’s signature for an annual review of the emergency contact information and was overdue by over 5 months.”

Rule 8VAC20-800-780-B.

The provider shall document in the child’s record that they verified the child’s proof of identity.

“The record for Child #1 (enrolled over 2 months), Child #2 (enrolled over 1 year), and Child #3 (enrolled over 1 year), did not contain documentation that the provider verified the child’s proof of identity.”

Rule 8VAC20-800-80-C.

The provider shall ensure that high chairs with safety waist and crotch straps are fastened according to the manufacturer’s instructions for children under 12 months of age who are not held while being fed.

“Child #1 (8 months old) was being fed breakfast in a high chair and did not have the safety straps fastened.”

Rule 8VAC20-800-960-C.

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

“Caregiver #1 and Caregiver #2 had a total of 6 training hours and were missing the additional 10 required hours.”

Rule 8VAC20-800-210-A.

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.

“-The record for Child #4 (enrolled for over 1 year) was missing a parent’s signature for an annual review of the emergency contact information and was overdue by over 2 months. -The record for Child #5 (enrolled for over 2 years) was missing a parent’s signature for an annual review of the emergency contact information and was overdue by over 1 month.”

Rule 8VAC20-800-780-B.

Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child.

“The record for Child #4 (enrolled for over 1 year) did not contain verification of the identity and age of the child.”

Rule 8VAC20-800-80-A.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The emergency plan was missing written documentation of an annual review and update and was overdue by over 1 year.”

Rule 8VAC20-800-800-B.

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

“The inspection notice dated 02/2023 was posted instead of the current inspection that was conducted on 09/2024.”

Rule 22.1-289.011-F.

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. None of the caregivers (#1,and #2) completed 16 hours of training in 2024.”

Rule 8VAC20-800-210-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 last documentation of a practiced emergency evacuation was conducted in August 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. There was documentation only for one practiced shelter-in-place for 2024.”

Rule 8VAC20-800-830-B.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for child #2, who was in care during the inspection and had been in care for more than 8 days.”

Rule 8VAC20-800-90-A.

Caregivers shall wash their hands with liquid soap and warm running water before feeding or helping children with feeding, and after contact with any body fluids.

“Caregiver #2 did not wash their hands before helping children with feeding, and after diapering children.”

Rule 8VAC20-800-680-A.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after diapering.

“Caregiver #2 did not have Child #1, #2, #4 wash their hands after diapering.”

Rule 8VAC20-800-680-B.

The diapering surface shall be cleaned and sanitized after each use.

“Caregiver #2 did not clean and sanitize the diapering surface after diapering Child #1, #2, and #4.”

Rule 8VAC20-800-690-D.

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.

“Records for children #1, and #2, did not have a parent’s signature for an annual review of the emergency contact information. Child #1 and Child #2 had been in care for over a year.”

Rule 8VAC20-800-780-B.

Before attendance, documentation of immunizations is to be obtained for each child.

“The record for Child #4, who was in care during the inspection, and had been in care for three (3) weeks, did not have documentation of immunization.”

Rule 8VAC20-800-90-A.

Repeat Violation: Documentation of additional immunizations is required once every six (6) months for children under the age of two years.

“Child #2, age 22 months, last immunization documentation was over seven (7) months ago.”

Rule 8VAC20-800-90-C.

8VAC20-800-780-B

“Based on record review, the provider did not review with the parent the emergency contact information to ensure the information was correct and obtain the parent’s singed acknowledgement of the review. Evidence: The record for Child #2 did not have documentation of a review of the emergency contact information.”

Rule 8VAC20-800-780-B.

8VAC20-800-90-C

“Based on record review and interview, the family day home did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The last documented immunization record for Child #2 was dated 1/24/23. 2. Provider confirmed additional immunization records were not obtained after 1/24/23.”

Rule 8VAC20-800-90-C.

22.1-289.035-A

“Based on record review and interview, the provider failed to ensure the criminal history background check was repeated every five (5) years. Evidence: 1. The record for Caregiver #2 did not contain documentation of a 5 year repeat for a criminal history background check (expired on 8/29/2023). 2. The provider acknowledged the 5 year repeat search had not been completed.”

Rule 22.1-289.035-A.

22.1-289.036-A

“Based on record review and interview, the provider failed to ensure the criminal history background check was repeated every five (5) years. Evidence: 1. The record for Caregiver #1 did not contain documentation of 5 year repeat for criminal history background check (expired on 10/09/23). 2. The provider acknowledged the 5 year repeat had not been completed.”

Rule 22.1-289.036-A.

8VAC20-800-760-A-1

“Based on observation, the first aid kit did not contain the minimum supplies. Evidence: The first aid kit did not have more than 1 triangular bandage.”

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

8VAC20-800-90-A

“Based on record review, the provider failed to obtain documentation that the child had been adequately immunized before the child’s first day of attendance at the family day home. Evidence: 1. The date of enrollment for Child #3 was 5/01/23 and the immunization record was dated 05/05/23.”

Rule 8VAC20-800-90-A.

8VAC20-800-780-B

“Based on record review and interview, the provider did not review annually with the parent the emergency contact information to ensure the information is correct. Evidence: 1. Records for Child #2 and Child #3 did not have documentation that the emergency contact information was reviewed with the parent.. 2. The Provider confirmed the emergency contact information was not reviewed annually with the parent.”

Rule 8VAC20-800-780-B.

8VAC20-800-800-B

“Based on review of the family day home’s emergency preparedness plan and interview, it was determined the provider did not review the emergency plan at least annually and update the plan as needed. The provider did not document in writing each review and update to the emergency plan. Evidence: 1. The last documented review of the emergency preparedness plan was dated 10/1/2021. 2. The provider acknowledged she had not reviewed the emergency preparedness plan.”

Rule 8VAC20-800-800-B.

8VAC20-800-320-B

“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. The outlet in the main play area did not have a child-resistant protective cover. 2. The outlet in bedroom where children sleep did not have a child-resistant protective cover.”

Rule 8VAC20-800-320-B.

8VAC20-800-680-A

“Based on observation, the caregiver did not wash their hands with liquid soap and warm running water before feeding or helping children with feeding. Evidence: 1. Caregiver #2 did not wash their hands before feeding or helping children with feeding during lunch time.”

Rule 8VAC20-800-680-A.

8VAC20-800-780-B

“Based on record review, annually, the provider did not review with the parent the emergency contact information to ensure the information is correct. Evidence: 1. The record of Child #1 did not have documentation the emergency contact information had been reviewed. Last update was 10/1/21. 2. The record of Child #2 did not have documentation the emergency contact information had been reviewed. Last update was 11/2020.”

Rule 8VAC20-800-780-B.

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation of immunization before a child attends the family day home. Evidence: Child #4 started on 8/15/22 and immunization record is dated 8/31/22.”

Rule 8VAC20-800-90-A.