Susan Cassidy

Hot water at taps available to children shall be maintained within a range of 105?F to 120?F.

“The bathroom sink water temperature measured 126 ?F.”

Rule 8VAC20-800-350-E.

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

“There was no documentation that emergency evacuation procedures had been practiced January - April 2026.”

Rule 8VAC20-800-830-A.

The provider shall verify the identity and age of a child by documenting that they have viewed an approved document verifying age and identity within 7 days of enrollment.

“The record for child #3 and #5, did not contain documentation that the child’s age and identity were verified.”

Rule 8VAC20-800-80-B.

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 10 months.”

Rule 22.1-289.035-B-3.

The provider must orient assistants by the end of their first week of assuming job responsibilities.

“Assistant Caregiver #3 provided care for children without receiving orientation.”

Rule 8VAC20-800-200-A.

The family day home shall keep a written record of children in attendance each day.

“At the time of inspection, sixteen children were in care but only ten children were included in the attendance list as present.”

Rule 8VAC20-800-50-A.

The provider shall ensure that a caregiver does not exceed 16 points.

“At the time of entrance, two assistant caregivers was alone with 16 children for a total of 29 points.”

Rule 8VAC20-800-570-A.

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

“There was no documentation of emergency evacuation procedures practiced in May 2025.”

Rule 8VAC20-800-830-A.

Household members 14 years of age and older must obtain the results of a central registry search by the end of the 30th day or residency.

“1. Household member #2 did not have a central registry search completed. 2. The provider verified that a central registry had not been completed for household member #2.”

Rule 8VAC20-770-40-D-5.

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

“1. There was no documentation that emergency evacuation drills were practiced between May-August 2024. 2. The provider verified that drills had not been conducted during the summer months.”

Rule 8VAC20-800-830-A.

8VAC20-800-210-A

“Based on record review and interview, the provider did not ensure that all staff obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record for caregiver #1, caregiver #2, and caregiver #3 did not contain documentation of a minimum of sixteen clock hours of training annually in areas relevant to their responsibilities. 2. Caregiver #1 confirmed that sixteen hours of training had not been completed for caregiver #1, caregiver #2, and caregiver #3.”

Rule 8VAC20-800-210-A.

8VAC20-800-60-B

“Based on record review, the provider did not ensure that all children’s records were complete with the required information. Evidence: 1. The record for child #3 (date of enrollment 8/2/2022), did not contain documentation two emergency contacts, and persons authorized to pick up.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not ensure that all required documentation was on file with a written acknowledgement from the child’s parent.

“Evidence 1. The record for child # 5 did not contain authorization of emergency medical care, information for parents, policy on medication, provisions or emergency preparedness, and liability insurance declaration. 2. The provider stated that the forms were completed but was unable to find the missing documents.”

Rule 8VAC20-800-70-B.

Based on record review, the provider did not obtain proof of identification of all children within seven business days of the child’s first day of attendance at the family day home.

“Evidence: 1. The record for child #1 (enrollment date 8/21/2023), there was no documentation that proof of identity for child #1 was verified.”

Rule 8VAC20-800-80-A.

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for all staff as required. Evidence: 1. The record of staff #2 (DOH: 6/17/2022) did not contain the results of a central registry background check. 2. The provider acknowledged that the background checks were completed but had not been received.”

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

8VAC20-800-50-A

“Based on record review, and interview, the provider did not keep a written record of children in attendance each day. Evidence: 1. There was not a written record that documented children’s attendance each day. 2. The provider stated that she is currently using a board that displays the children’s name and picture.”

Rule 8VAC20-800-50-A.

8VAC20-800-80-D

“Based on record review, 1 of 5 children’s records reviewed did not contain documentation of viewing proof of child’s identity (ID) and age. Evidence: 1. Child # 2?s file did not contain documentation proof of ID was reviewed as required within 7 days of enrollment. 2. Child #2?s date of enrollment was 09/2/2022.”

Rule 8VAC20-800-80-D.

8VAC20-800-240-A

“Based on observation, the provider did not ensure that all areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable conditions. Evidence: 1. The wooden play structure had a broken floor board creating a tripping hazard. The floor board was cracked and splintered creating a hazard that could snag skin. The play structure had two missing balusters from the raised platform.”

Rule 8VAC20-800-240-A.

8VAC20-800-250-A

“Based on observation, the provider did not ensure hanging items were kept out of reach of children under five years of age. Evidence: In room #4 there was a camera cord unplugged hanging beside a crib. There was a child napping in the crib within reach of the camera’s cord.”

Rule 8VAC20-800-250-A.