Yvette Williams-Patterson

Providers must maintain a record for each caregiver.

“Caregiver #2 ,who has been caring for children for over 10 years, did not have record of references or emergency contact information.”

Rule 8VAC20-800-120-B.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: work phone number and place of employment of each parent who has custody, and name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

“1. Child #1 did not have work phone numbers for either parent. 2. Child #3 did not have place of employment or phone numbers for either parent. 3. Child #5 did not have addresses for emergency contacts.”

Rule 8VAC20-800-60-A.

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

“A fire/evacuation drill was not completed in May 2026.”

Rule 8VAC20-800-830-A.

Repeat Violation: 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 were no physical exam records available for Child #4, who had been in care for more than two years.”

Rule 8VAC20-800-100-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #2 was not completed and was overdue by over six months.”

Rule 8VAC20-800-180-A.

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

“Caregiver #1 completed five hours of annual training in 2025.”

Rule 8VAC20-800-210-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 provider did not have an annual review of the emergency preparedness plan. Plan was last reviewed 3/1/2025.”

Rule 8VAC20-800-800-B.

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 were no physical exam records available for Child #4, who had been in care for approximately six months.”

Rule 8VAC20-800-100-A.

At least one caregiver in the home where children are present shall have current certification in both CPR and First Aid.

“Caregiver #1 and Caregiver #2 did not have up to date certifications in CPR. Staff #1 CPR certification expired 03/20/2025.”

Rule 8VAC20-800-140-B-3.

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 and name and location of previous day care programs.

“This information was not available for Child #4 who was in care during the inspection and had attended the daycare for approximately six months.”

Rule 8VAC20-800-80-A.

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

“There was no documentation of immunizations for Child #1, who was in care during the inspection and had been in care for approximately two months.”

Rule 8VAC20-800-90-A.

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

“Caregiver #1 obtained nine training hours in 2024. Caregiver #2 obtained four training hours in 2024.”

Rule 8VAC20-800-210-A.

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

“The point value reached 33 points with only two providers. The provider was over ratio by one point. The ages of the children ranged from five months to three years old.”

Rule 8VAC20-800-570-A.

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 and name and location of previous day care programs.

“This information was not available for two children who have been enrolled since August of 2023.”

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 last recorded emergency preparedness plan review was dated 9/12/2022.”

Rule 8VAC20-800-800-B.

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 recorded fire drill was dated 08/2024.”

Rule 8VAC20-800-830-A.

Shelter-in-place procedures shall be practiced a minimum of twice per year.

“The only recorded shelter-in-place drill was documented as 1/10/2024. There was no second drill recorded for the 2024 year.”

Rule 8VAC20-800-830-B.

Documentation of additional immunizations is required once every six months for children under the age of two years. ’

“Child #3, 18 months old, last documented immunization was over 16 months ago.”

Rule 8VAC20-800-90-C.

Based on record review, staff failed to provide emergency contact information in staff files.

“Evidence: Staff #1 and Staff #2 had no record of emergency contacts on file.”

Rule 8VAC20-800-120-B.

Based on record review, staff failed to provide proof of education/training in staff files.

“Evidence: 1. Staff #1 did not have any record of qualifications or education on file. 2. Provider stated they did not have copies of any qualifications/education to provide.”

Rule 8VAC20-800-140-B-1.

8VAC20-800-210-A

“Based on record review, staff failed to maintain 16 hours of annual training. Evidence: 1. Staff #1 had six hours of training documented from 08/2023-08/2024. 2. Staff #2 had nine hours of training documented from 08/2023-08/2024.”

Rule 8VAC20-800-210-A.

Based on interviews and classroom observation, provider failed to ensure rest mats are cleaned on a weekly basis.

“Evidence: Provider stated that all children sleep on rest mats in the home. When asked how frequently they are washed they stated every other week.”

Rule 8VAC20-800-510-E.

Based on record review, the emergency preparedness plan was not updated annually.

“Evidence: Provider failed to annually review emergency preparedness plan. The last signature update was dated 9/12/2022.”

Rule 8VAC20-800-800-B.

Based on child record review, additional immunization records were not recorded for children in care every six months for children under the age of two.

“Evidence: 1. Child #1?s (DOB 8/5/2023) last documented immunization in the record were dated 10/04/2023. 2. Child #2?s (DOB 1/26/2023) last documented immunizations in the record were dated 09/06/2023. 3. Child #5?s (DOB 9/6/2023) last documented immunizations in the record were dated 09/10/2023.”

Rule 8VAC20-800-90-C.

Based on record review and interview, two staff records did not have documentation of an updated central registry finding every five years from the date of the most recent central registry finding.

“Evidence: 1. The most recent criminal records check in the record for staff #1 was dated 07/31/18. A repeat criminal records check was required by 07/31/2023. 2. The most recent criminal records check in the record for staff #2 was dated 08/20/18. A repeat criminal records check was required by 08/20/2023. 3. The provider stated that the criminal records check had not been updated for staff #1 and staff #2.”

Rule 22.1-289.036-A.

Based on a review of staff records, the provider did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.

“Evidence: 1. The records for staff #1(last TB screening 07/13/21) and staff #2 (last TB screening 07/16/21) did not contain updated TB screening results.”

Rule 8VAC20-800-180-A.

Based on documentation review, the family day home did not keep an accurate written record of children in attendance each day.

“Evidence: 1) On the date of inspection, the inspector observed nine children in attendance. The attendance record only had seven children documented in attendance for the day.”

Rule 8VAC20-800-50-A.

Based on record review, the provider did not maintain an up-to-date record at the family day home for each enrolled child.

“Evidence: The record for child #8, (enrolled 08/28/23) did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

Rule 8VAC20-800-60-A.

Based on record review, the provider did not ensure that written information was provided to parents/guardian’s prior to the first day of attendance.

“Evidence: 1. The record for child #8 did not contain medication policy; whether or not there is liability insurance as required by ? 22.1-289.050 of the Code of Virginia; and provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

Based on a review of child records, the provider did not review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“Evidence: The records for child #1, child #2, child #3, child #6, child #7, and child #8 did not have the annual review.”

Rule 8VAC20-800-780-B.

Based on review of documentation and interview, the provider did not ensure that in addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: 1. The records for staff #1 and staff #2, did not have documentation of annual training hours. 2. The provider stated that staff #1 and staff #2 did not have the required annual training hours.”

Rule 8VAC20-800-210-A.

Based on observation of the family day home, one area of the home was not maintained in a safe condition.

“Evidence: The bottom of the dishwasher is missing the cover exposing wires and other parts to the motor of the dishwasher.”

Rule 8VAC20-800-240-A.

Based on documentation review, the family day home did not keep and accurate written record of children in attendance each day.

“Evidence: 1) On the date of inspection, the inspector observed seven children in attendance, however, the attendance record only had five children documented in attendance for the day.”

Rule 8VAC20-800-50-A.

Based on documentation review, the provider did not ensure that additional immunizations were obtained once every six months for children under the age of two years.

“Evidence: The records for child #3 (birthdate: 6/11/20) and child #5 (birthdate 8/27/21) did not contain updated immunizations every six months.”

Rule 8VAC20-800-90-C.

Based on record review, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: The record for child #1 (start date: 8/18/21) did not have documentation of a physical examination on file.”

Rule 8VAC20-800-100-A.

Based on observation and interview, the provider did not ensure that when a child is placed in a feeding or activity table, the protective belt shall be fastened securely.

“Evidence: 1. Six children were seated at the feeding or activity table and six children did not have a protective belt securely fastened. 3. The children in care were infants, toddlers and preschoolers.”

Rule 8VAC20-800-540-A.

Based on record review and interview, the provider failed to obtain verification of identity within seven business days of a child’s first day of attendance for one out of three children.

“Evidence: 1. The record for child #2 (start date: 9/07/21) did not contain documentation of a physical examination. 2. The provider stated that the proof of birth had not been reviewed for child #2.”

Rule 8VAC20-800-80-A.