Ms. Roxana Nelson-Snaith

The provider shall post the program license and the findings of the most recent inspection in a conspicuous place on the licensed premises.

“The most recent licensing inspection for the facility was not posted in the family day home available for review.”

Rule 22.1-289.011-F.

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

“Monthly emergency evacuation drills were not completed for December 2025 and January 2026.”

Rule 8VAC20-800-830-A.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall list any substituted food.

“The menu for the current one-week period was not dated and did not list the substituted food being served during the inspection.”

Rule 8VAC20-800-920.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“There were two outlets in the bathroom designated for child use that were not covered.”

Rule 8VAC20-800-320-B.

The provider is required to obtain a completed sworn statement for household members 18 years or older.

“There was no documentation of a completed sworn statement for a Household Member A, who turned 18 years of age 5 months ago.”

Rule 22.1-289.036-B-1.

The provider shall obtain from each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening.

“Household Member A did not obtain a TB screening when turning 18 years of age. The TB screening was required to be completed 5 months ago.”

Rule 8VAC20-800-170-A.

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

“The daily attendance had 5 children documented as present but there were 6 children in care.”

Rule 8VAC20-800-50-A.

The provider will obtain the parent’s signed acknowledgement that the emergency contacts have been reviewed annually.

“1. Child A’s file did not have documentation of parent’s review in over three years. 2. Child B’s file did not have documentation of parent’s review in over two years. 3. Child C’s file did not have documentation of parent’s review in over one year.”

Rule 8VAC20-800-780-B.

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

“The emergency plan review was overdue by 12 years.”

Rule 8VAC20-800-800-B.

8VAC20-800-50-A

“Based on review of documentation, and interview, the provider did not keep a written record of attendance that accurately included all children in care. Evidence: there was no written record of attendance for the eight children in care on 9/10/2024, or since April 2024.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-A

“Based on review of documentation, and interview, the provider did not maintain an up-to-date record for each enrolled child. Evidence: Child #2, who was observed in care, did not have a record.”

Rule 8VAC20-800-60-A.

8VAC20-800-70-A

“Based on review of documentation, and interview, the provider failed to provide all parents, in writing, all required information before the child’s first day of attendance. Evidence: Child #2, who was observed in care, did not have documentation acknowledging written information for parents was received.”

Rule 8VAC20-800-70-A.

8VAC20-800-90-A

“Based on review of 2 child records, the provider did not obtain documentation that each child has been adequately immunized prior to the child’s first attendance. Evidence: child #2, who was observed in care, did not have documentation of immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-770-40-D-5

“Based on review of four applicant/household member records, it was determined that not all household members had an original central registry report, within 30 days of becoming 14 years old, as required. Evidence: the record for household member #4 (date of birth: 12/29/2009) did not contain documentation of a central registry search report.”

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

22.1-289.035-A

“Based on review of three provider/household member records, and an interview with the provider, it was determined that not all repeat Office of Background Investigations (OBI) fingerprinting-based criminal history record checks were completed every five years as required. Evidence: the record for provider #1 and household member #2 contained an expired OBI fingerprint determination letter dated: 7/17/2018.”

Rule 22.1-289.035-A.

8VAC20-800-180-A

“Based on review of three provider/household member records, and an interview with the provider, not all providers/household members had a current Tuberculosis (TB) screening/test every two years as required. Evidence: the record for caregiver #1 and household member #2 had TB tests/screenings dated: 12/21/2020.”

Rule 8VAC20-800-180-A.

8VAC20-800-100-A

“Based on a review of four child records, the provider did not obtain documentation that each child has received a physical examination by or under the direction of a physician prior to the child’s first attendance or within one month after attendance. Evidence: the record for child #2 (date of first attendance: 7/19/2021) and child #4 (date of first attendance: 8/22/2022) did not have documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-430-A

“Based on observation, children under two years of age had access to stairs. Evidence: When the LI arrived a 17 month old child was observed playing on the stairs. The provider stated that the group of children had been upstairs playing in a nearby room.”

Rule 8VAC20-800-430-A.

8VAC20-800-690-E

“Based on observation, not all diapers were disposed of in a leak-proof or plastic lined storage system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper touches the exterior surface of the storage system during disposal. Evidence: 1) the provider stated that the trash can in the bathroom was used for soiled diapers, however there was not a liner in the can, 2) The provider stated that she takes the diapers outside to dispose of them.”

Rule 8VAC20-800-690-E.

8VAC20-800-100-A

“Based on a review of two child records, the provider did not obtain documentation that each child has received a physical examination prior to the child’s first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 2/22/22) did not contain documentation of a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-580-C

“Based on observation, and an interview with the provider, the provider failed to ensure that all children have daily opportunities for one or more rest or nap periods. Evidence: the provider stated that the children don’t take naps, or have a rest period daily.”

Rule 8VAC20-800-580-C.

8VAC20-800-690-D

“Based on observation, and an interview with the provider, it was determined that the diapering surface is not cleaned and sanitized after each use. Evidence: the provider stated, and demonstrated, that Lysol wipes are used after a child’s diaper is changed.”

Rule 8VAC20-800-690-D.

8VAC20-800-830-C

“Based on observation, and an interview with the provider, the provider failed to maintain documentation of emergency evacuation and shelter-in-place drills as required: Evidence: Documentation of the provider’s emergency drills did not contain 1) the method used for notification of the drill, 2) any special conditions simulated, 3) the time it took to complete the drill, 4) problems encountered, if any, and 5) the weather conditions (for emergency evacuation drills only.)”

Rule 8VAC20-800-830-C.

8VAC20-800-920

“Based on observation, and an interview with the provider, the provider failed to ensure that the menu was dated, given to parents, listed any substituted foods, and kept on file for one week, as required. Evidence: the posted menu was for the week of 2/14/22 - 2/18/22.”

Rule 8VAC20-800-920.

8VAC20-800-880

Rule 8VAC20-800-880.