Patricia Martinez

A child’s record shall contain the following information: Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

“Child #4 did not have a signed authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

REPEAT VIOLATION Before the child’s first day of attendance, parents shall be provided required information in writing.

“At the time of the inspection, Child #4 family day home’s emergency preparedness and response plan is missing the physical address of the relocation site.”

Rule 8VAC20-800-70-A.

Documentation of the orientation shall be signed and dated by the provider and assistant.

“At the time of the inspection, Caregiver #3?s record was missing documentation of orientation. Caregiver #3 had been employed for over two months.”

Rule 8VAC20-800-200-C.

Children’s records are required to contain the emergency contact’s home address and policy number of the child’s medical insurance.

“At the time of the inspection, Child #1 was missing the emergency contact’s home address. The child had been in care for fifteen days. Child #6 was missing the policy number of the child’s medical insurance. The child had been in care for four months.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided required information in writing.

“At the time of the inspection, Child #1?s family day home’s emergency preparedness and response plan is missing the physical address of the relocation site.”

Rule 8VAC20-800-70-A.

Areas and furnishings of the family day home inside shall be maintained in a safe condition.

“During the inspection, Child #2 was observed awake, lying on their stomach on a play mat inside a playpen. The play mat was scrunching up underneath the child’s face, creating a potential suffocation hazard.”

Rule 8VAC20-800-240-A.

Small electrical appliances were not unplugged when not being used.

“Two hair blow dryers, an electric water kettle, and a blender were observed plugged in when not in use.”

Rule 8VAC20-800-320-A.

The family day home is required to have household members undergo a background check every five years.

“The most recent central registry check for household member #1 was overdue by over a month.”

Rule 22.1-289.035-A.

The family day home is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The family day home did not request a search of the child abuse and neglect registry from one state for Household member #2, who has been living in the home for six days. The family day home did not complete an out-of-state sex offender registry search from one state for Household member #2, who has been living in the home for six days.”

Rule 22.1-289.036-B-4.

Repeat violation

“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 12 days.”

Rule 8VAC20-790-180-A.

Repeat violation

“Before the child’s first day of attendance, parents shall be provided required information in writing. The parents of Child #2, who has been in care for nine months, were not provided in writing the following required information: whether or not there is liability insurance in force on the family day home operation”

Rule 8VAC20-800-70-A.

The following emergency supplies shall be in the family day home: triangular bandages

“The first aid kit did not contain triangular bandages.”

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

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is up to date.

“The last annual review was over a year ago for Child #4.”

Rule 8VAC20-800-780-B.

Family day homes shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).

“The weekly menu for 7/7/2025- 7/11/2025 does not consistently meet USDA CACFP nutritional requirements. AM and PM snacks include only water and fruit, missing a second required component. Milk is not listed with snacks, which is a required part of the meal pattern.”

Rule 8VAC20-800-880.

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 7/23/2024, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service.

“Caregiver #3 did not have central registry search results during the inspection and has been employed for over 189 days.”

Rule 8VAC20-770-60-C-2.

Repeat violation

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Household Member #1 was not completed and was overdue by 178 days.”

Rule 8VAC20-800-180-A.

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

“Caregiver #1 obtained 2 hours of training hours in 2024. Caregiver #2 obtained 9 hours of training in 2024. Caregiver #3 obtained 6 hours of training in 2024.”

Rule 8VAC20-800-210-A.

Appliance cords shall be out of reach of children under five years of age.

“A drawer of loose appliance cords was found in the children’s bathroom, next to the toilet, and it was not out of reach of children under five.”

Rule 8VAC20-800-250-A.

Children’s records are required to contain two emergency contacts and parent work phone numbers.

“The record for Child #1 is missing 1 out of 2 emergency contact information and two parent work phone numbers. Child #1 was present during the inspection and had been in care for over 108 days. The record for Child #3 is missing two parent work phone numbers. Child #3 was present during the inspection and had been in care for over 142 days.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided required information in writing.

Rule 8VAC20-800-70-A.

When topical skin products such as diaper ointment are used the following requirements shall be met: The product shall be labeled with the child’s name, if provided by the parent.

“Child #6’s diaper cream was not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

The provider did not ensure that documentation of verifying children’s proof of identity was completed.

“There was no documentation of date documentation viewed and person viewing documentation for Children #1, 2, 3, 4, and 5 records.”

Rule 8VAC20-800-80-C.

Documentation shall be maintained of emergency evacuation drills.

“Documentation was not maintained for emergency evacuation for July, August, September, October, November, and December 2024.”

Rule 8VAC20-800-830-C.

Based on record review and interview,, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening.

“Evidence: Caregiver #2 (employment date-07/18/2024) did not have results of a negative tuberculosis screening on file.”

Rule 8VAC20-800-170-A.

Based on record review and interview, not all Report of Tuberculosis (TB) Screening forms were completed within the last 30 days of the caregivers start date.

“Evidence: The TB screening form for Caregiver #4 (start date: 05/6/2024) was dated 5/28/2024.”

Rule 8VAC20-800-170-B.

Based on record review and interview, the provider failed to obtain updated tuberculosis (TB) tests or screenings for each household member every two years.

“Evidence: The TB screening for Household member #3 is dated 7/21/2022 and expired on 7/21/2024.”

Rule 8VAC20-800-180-A.

Based on record review and interview, the provider did not ensure that pets had current vaccinations for rabies.

“Evidence: The most recent rabies vaccination documentation reviewed during the inspection for the provider’s dog expired on 7/22/2024.”

Rule 8VAC20-800-460-C.

Repeat violation

“Based on record review and interview, the provider did not provide the family day home policies to parents in writing before the child’s first day of attendance. Evidence: 2 out of 5 children’s records did not contain the family day home policies for medication administration.”

Rule 8VAC20-800-70-A.

Based on record review and staff interview, not all required documentation was posted.

“Evidence: The findings of the most recent inspection of the home were not posted.”

Rule 22.1-289.011-F.

Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: 1. Between July 2022 and June 2023, Caregiver #2 received 4 hours of annual training. 2. Between July 2022 and June 2023, Caregiver #3 received 4.5 hours of annual training. 3. The provider confirmed that the annual training period for the family day home begins in July.”

Rule 8VAC20-800-210-A.

Repeat violation

“Based on record review, the provider did not provide the family day home policies to parents in writing before the child’s first day of attendance. Evidence: 1. 3 out of 5 children’s records did not contain the family day home policies for medication administration. 2. 1 out of 5 children’s records did not contain the family day home liability insurance.”

Rule 8VAC20-800-70-A.

Based on observation and interview, the provider did not obtain written parent authorization for topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent.

“Evidence: 1. There was no documentation of written parent authorization for Child #3’s diaper ointment. 2. Child #3’s diaper ointment was not labeled with their name.”

Rule 8VAC20-800-750-A.

Based on record review and interview, the provider did not document the method of verification of the child’s age and identity.

“Evidence: 5 out of 5 children’s records do not have signed documentation of viewing the proof of identity for the child.”

Rule 8VAC20-800-80-C.

Based on record review and interview, the family day home did not have a written emergency preparedness and response plan.

“Evidence: There was no documentation of a written emergency preparedness and response plan.”

Rule 8VAC20-800-800-A.

Based on observation and interview, menus were not dated.

“Evidence: The menu posted on the home bulletin board was not dated.”

Rule 8VAC20-800-920.

Based on observation and inteview, high chairs, infant carrier seats, or feeding tables with safety waist and crotch straps were not fastened according to the manufacturer’s instructions.

“Evidence: Five infants and toddlers were observed by the inspector not fastened in their high chairs.”

Rule 8VAC20-800-960-C.

Based on record review and interview, background checks were not repeated every five years.

“Evidence: The most recent criminal history result on file for Caregiver #1 is dated 6/13/2018 and expired on 6/13/2023.”

Rule 22.1-289.035-A.

Based on record review, 2 out of 5 children records did not contain 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.

“Evidence: There was no 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 for Child #1 (start date 2/3/2023) and Child #2 (start date 2/13/2023).”

Rule 8VAC20-800-100-A.

Based on record review, the provider did not orient their assistant by the end of their first week of assuming job responsibilities.

“Evidence: There was no documentation of Caregiver #3’s orientation training. The start date for Caregiver #3 is 9/20/2022.”

Rule 8VAC20-800-200-A.

Based on record review, 5 out of 5 children records did not contain the family day home policies for medication administration to parents in writing prior to the child’s first day of attendance.

“Evidence: Child #1 (start date: 2/3/2023), Child #2 (start date 2/13/2023), Child #3 (start date 5/30/2022), Child #4 (start date 2/22/2021), and Child #5 (start date 2/9/2022) records did not contain the family day homes policies for medication administration.”

Rule 8VAC20-800-70-A.

Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review.

“Evidence: 1. Child #3’s last annual emergency contact review was on 1/28/2022. 2. Child #4’s last annual emergency contact review was on 2/22/2021. 3. Child #5’s last annual emergency contact review was on 2/9/2022.”

Rule 8VAC20-800-780-B.

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

“Evidence: A evacuation drill was not practiced in June 2023.”

Rule 8VAC20-800-830-A.

Based on record review, the provider did not obtain updated tuberculosis (TB) tests or screenings for each household member every two years.

“Evidence: The tuberculosis test for household member #1 expired on 8/27/2019.”

Rule 8VAC20-800-180-A.

Based on record review, the provider did not orient their assistant by the end of their first week of assuming job responsibilities.

“Evidence: There was no documentation of caregiver #2’s orientation training. The start date for Caregiver #2 is September 20, 2022.”

Rule 8VAC20-800-200-A.

Based on record review, the provider did not provide the family day home policies for medication administration to parents in writing prior to the child’s first day of attendance.

“Evidence: 5 out of 5 children records did not contain the family day homes policies for medication administration.”

Rule 8VAC20-800-70-A.

Based on record review and interview, the family day home did not have a written emergency preparedness and response plan.

“Evidence: There was no documentation of a written emergency preparedness and response plan.”

Rule 8VAC20-800-800-A.

Based on observation, bottles were not labeled with the child’s full name and the date.

“Evidence: 1. 6 out of 7 bottles were not dated. 2. 1 out of 7 bottles was not labeled with the child’s full name.”

Rule 8VAC20-800-960-E.

Based on observation and interview, the program did not have a carbon monoxide detector.

“Evidence: There was no carbon monoxide detector available. The provider stated that she had one, however she is unsure where it is.”

Rule 22.1-289.058.

Based on record review and interview, staff records were missing two references.

“Evidence: Staff #3 record is missing documentation that two or more references as to character and reputation as well as competency were checked before employment. Employment date of staff #3 was 7/25/2022.”

Rule 8VAC20-800-120-A.

Based on record review and interview, the provider did not obtain for each adult household member a current report of tuberculosis screening form, every two years from the date of the first screening.

“Evidence: Household member #1 and #2 had expired tuberculosis screenings. Household member #1 tuberculosis screening expired on 8/27/2019 and Household member #2 tuberculosis screening expired on 2/4/2022”

Rule 8VAC20-800-180-A.

Based on observation and interview, a landline telephone was not operable during the family day home’s hours of operation.

“Evidence: The provider had a landline phone available, but it was not operable.”

Rule 8VAC20-800-330-A.

Based on observation, there were mattresses used that were not covered with a waterproof material that can be cleaned and sanitized.

“Evidence: There were 2 out of 7 mattresses that were not covered with a waterproof material that could be cleaned and sanitized. The two mattresses were a foam material and were being used for crib bedding.”

Rule 8VAC20-800-530-I.

Based on observation and interview, 911, poison control, and responsible person for emergency backup phone numbers were not posted in a visible area close to the telephone.

“Evidence: The provider stated that she did not have the phone number for 911, poison control, and a responsible person for emergency backup posted.”

Rule 8VAC20-800-790.

Based on record review and interview, shelter-in-place procedures were not practiced a minimum of twice per year.

“Evidence: The provider stated that she did not practice a shelter in place drill during the 2021 calendar year.”

Rule 8VAC20-800-830-B.

Based on records reviewed and information received, it was determined that the provider has agreed to give over-the-counter medications though she is not currently trained in medication administration training (MAT).

“Evidence: 1. Child #5 - Has written consent from parents to administer Tylenol. Signed by parent on 1/11/22. 2. The providers MAT certification expired 6/21/21.”

Rule 8VAC20-800-220-A.