Sangeeta Sarkar

Before the child’s first day of attendance, parents shall be provided in writing whether or not there is liability insurance in force on the HBCC.

“The record for Child #2 did not contain documentation of the HBCC liability insurance.”

Rule 8VAC20-800-70-A.

When topical skin products are used, written parent authorization shall be obtained.

“There was no authorization for topicals for Child #1, and Child #6 through Child #9.”

Rule 8VAC20-800-750-A.

When topical skin products are used, the product shall not be used beyond the expiration date of the product.

“Topical products found that were being used, showed expiration dates as follows: Aquaphor and Aveeno Lotion for Child #7 expired in /2025; Superbalm for Child #8 expired 04/2025.”

Rule 8VAC20-800-750-D.

*REPEAT VIOLATION* Annually, the provider shall review with the parent the emergency contact information in the record to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“The annual update was overdue for 20 days in Child #4’s record and by two months in Child #5’s record.”

Rule 8VAC20-800-780-B.

The provider shall verify the identity and age of a child.

“Documentation that an acceptable proof of identification was viewed by the provider was not available in the records for Child #1, Child #2 and Child #3.”

Rule 8VAC20-800-80-B.

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

“The findings from the most recent inspection, dated 09/08/2025, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Staff #3 completed only 7.5 training hours from the required 16 hours of annual training, for the 2025 training period.”

Rule 8VAC20-800-210-A.

Small electrical appliances shall be unplugged unless being used by the caregiver or with children under close supervision.

“An electric kettle was plugged-in while not in use.”

Rule 8VAC20-800-320-A.

Child-resistant protective covers shall be installed on all unused electrical outlets.

“2 outlets in the bathroom and 1 outlet in the dining room area did not have covers installed.”

Rule 8VAC20-800-320-B.

Children’s records are required to contain parental employment information, addresses and phone numbers.

“The record for Child #2 was missing the employment information for one parent. The child was present during the inspection.”

Rule 8VAC20-800-60-B.

Medication, shall be kept in a locked place using a safe locking method that prevents access by children.

“Various bottles of household member’s medication were observed inside an unlocked shelving unit.”

Rule 8VAC20-800-730-D.

Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and shall obtain the parent’s signed acknowledgment of the review.

“The annual review for Child #2 was overdue for 16 months and for Child #3 was overdue by 12 months.”

Rule 8VAC20-800-780-B.

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. ‘Child #3, 24 months old, last documented immunization was over 15months ago.”

Rule 8VAC20-800-90-C.

The provider shall obtain a current Report of Tuberculosis (Tb) Screening form, every two years.

“A current Tb screening form was overdue by six months.”

Rule 8VAC20-800-180-A.

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.”

Rule 22.1-289.057-A.

The program is required to submit results of potable water testing to VDH.

“The program did not have evidence of submitting test results to VDH.”

Rule 22.1-289.057-B.

The provider shall maintain an up to date record for each child enrolled that contains all the required information.

“Child #4’s record (enrolled for two months) was missing the name, address and telephone number of a second designated person to contact in case of an emergency.”

Rule 8VAC20-800-60-B.

22.1-289.011-F

“Based on documentation review, the provider did not ensure to post the current inspection notice as required. Evidence: 1) On the date of inspection, the most recent inspection report posted was dated 02/13/2023 instead of the inspection report from 09/26/2023.”

Rule 22.1-289.011-F.

8VAC20-800-210-A

“Based on record review, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1) On the date of inspection, documentation in the record for Caregiver #1 showed completion of 10.5 hours out of the 16 required annual training hours for the year 2022.”

Rule 8VAC20-800-210-A.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis (Tb) Screening form every two years. Evidence: 1) The most recent Tb screening form in the record for Household Member #1was dated 10/16/2020.”

Rule 8VAC20-800-180-A.

8VAC20-800-50-A

“Based on documentation review, the family day home did not keep a written record of children in attendance. Evidence: 1) On the date of inspection, 11 children were present in the family day home. At the time of entrance (11:15 am) the attendance record had 0 children listed as present for the day.”

Rule 8VAC20-800-50-A.

8VAC20-800-50-C

“Based on observation, the provider did not keep children’s records confidential. Evidence: 1) The “Supplemental Page” of the previous licensing inspection containing confidential information about children in care was posted on the bulletin board of the family day home.”

Rule 8VAC20-800-50-C.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1) The record for Child #1 did not contain the phone number of the place of employment for a second custodial -parent. The record for Child #2 did not contain signed authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-B

“Based on record review, the provider did not review, annually, with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review. Evidence: 1) The most recent review documented in the record for Child #1 was dated 12/036/2020 and for Child #2 was dated 12/05/2020.”

Rule 8VAC20-800-780-B.

8VAC20-800-800-B

“Based on documentation review, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: 1) The most recent emergency plan update documented was dated 08/22/2020.”

Rule 8VAC20-800-800-B.

8VAC20-800-830-A

“Based on review of emergency procedures, the provider did not practice the emergency evacuation procedures monthly with all caregivers and children. Evidence: 1) On the date of inspection, the emergency drills log provided for review, did not have evacuation (fire) drills documented for the months of September, October, November and December 2021, and January 2022.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Based on review of emergency procedures, the provider did not practice shelter-in-place procedures a minimum of twice per year. Evidence: 1) On the date of inspection, the emergency drills log provided for review, have a shelter-in-place drill documented for 01/24/2021. A second shelter-in-place for the year 2021 was not documented.”

Rule 8VAC20-800-830-B.

8VAC20-800-900-B

“Based on observation, children were allowed to eat or drink while walking. Evidence: 1) On the date of inspection, Child #3 was observed walking away from the table were they had been having lunch to the bathroom and back again to the table. Child #3 was observed still chewing the last bite of his lunch while walking from and to the table. An approximate of 10 minutes later, Child #3 was observed walking down the stairs to the downstairs care area still with food in his mouth.”

Rule 8VAC20-800-900-B.

8VAC20-800-920

“Based on review of required posted documents, the one-week period menu posted did not meet the requirements. Evidence: 1) The menu posted on the date of inspection was dated for the week of 01/03/2022.”

Rule 8VAC20-800-920.