Irma Puza

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

“The Violation Notice from the most recent inspection, dated 6/16/2026, was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

Assistants’ and substitute providers’ records shall contain the required information.

“The record for Caregiver #2 (employed over 2 weeks) was missing documentation of two reference checks, verification of age, and the name, address, and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-800-120-B.

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

“The record for Caregiver #2 (employed over 2 weeks) did not contain documentation of orientation being completed.”

Rule 8VAC20-800-200-C.

Repeat Violation Information contained in a child’s record shall be privileged and confidential.

“The supplemental page from the inspection on April 9, 2026, contained confidential information and was posted on the parent bulletin board.”

Rule 8VAC20-800-50-C.

When food is brought from home, the food container shall be clearly labeled in a way that identifies the owner

“-One food container for Child #3 did not contain a name or date. -Two cup containers for Child #5 did not contain the date.”

Rule 8VAC20-800-890.

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

“The posted menu was not current and dated for two weeks prior.”

Rule 8VAC20-800-920.

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

“The Violation Notice from the most recent inspection, dated 4/9/2026, was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

Repeat Violation, Systemic Deficiency 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 #3, who had been in care for 4 months. This was previously cited during the inspection on April 9, 2026 for the same child, and the violation was not corrected.”

Rule 8VAC20-800-100-A.

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

“Caregiver #1 was over 16 points on June 16, 2026 for 39 minutes. During morning drop off on June 16, 2026, Caregiver #1 was within 16 points until Child #1 (19 months old) arrived at 8:15 a.m. Caregiver #1 then had 19 points from 8:15 a.m. to 8:45 a.m. Child #2 (3 years old) arrived at 8:45 a.m., which was then 21 points. Caregiver #2 arrived at 8:54 a.m.”

Rule 8VAC20-800-570-A.

Repeat Violation, Systemic Deficiency Children’s records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The records for Child #2 (enrolled 3 months) and Child #6 (enrolled 6 months) were missing the name, address, and telephone number of one emergency contact. This was previously cited for Child #2 during the inspection on April 9, 2026, and the violation was not corrected.”

Rule 8VAC20-800-60-B.

Infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour.

“Child #6 (8 months old) was in an infant rocker chair for 30 minutes. Caregiver #2 then moved the infant to a highchair with a toy for over 45 minutes with no intervening time in between the confining equipment.”

Rule 8VAC20-800-600-B.

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

“The parents of Child #6 (enrolled 6 months) were not provided in writing the following required information: Requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life- threatening diseases, which must be reported immediately.”

Rule 8VAC20-800-70-A.

Topical skin products such as diaper ointment shall be inaccessible to children.

“Two diaper ointments were underneath the changing table in the children’s restroom and accessible to children.”

Rule 8VAC20-800-750-B.

Repeat Violation, Systemic Deficiency Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for Child #3, who was in care during the inspection and had been in care for 4 months. This was previously cited during the inspection on April 9, 2026 for the same child, and the violation was not corrected.”

Rule 8VAC20-800-90-A.

Providers must obtain a completed sworn statement prior to the employee’s first day of employment.

“Caregiver #3 (employed 9 days) did not have a completed sworn statement.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver #3 (employed 9 days) did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

Providers must request a search of the central registry prior to the employee’s first day of employment.

“Caregiver #3 (employed 9 days) did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

Systemic Deficiency 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 #2, who had been in care for over 60 days.”

Rule 8VAC20-800-100-A.

Systemic Deficiency The provider shall maintain a record for each caregiver.

“The provider did not have a record with the required information for Caregiver #3 (employed 9 days).”

Rule 8VAC20-800-120-A.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“There was no tuberculosis screening for Caregiver #3, who has been caring for children for 9 days.”

Rule 8VAC20-800-170-A.

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 for over 8 months. This was previously cited during the last inspection on November 5, 2025, and was not corrected.”

Rule 8VAC20-800-180-A.

The provider shall orient the assistant by the end of their first week of assuming job responsibilities.

“The provider had not completed orientation with Caregiver #3 (employed 9 days) by the end of their first week.”

Rule 8VAC20-800-200-A.

Repeat Violation Poisonous materials shall be stored in an area inaccessible to children.

“Poisonous cleaning chemicals were in a cabinet under the sink of the children’s restroom that had a broken lock, making it accessible to children. This was previously cited during the last inspection on November 5, 2025, and was not corrected.”

Rule 8VAC20-800-280.

The provider shall ensure compliance with these standards and the terms of the current license issued by the department and with relevant state laws, and other relevant regulations.

“The provider was operating outside the terms of their license when Child #1 (6 years old) was in attendance during the inspection and the license states 3 months through 5 years old.”

Rule 8VAC20-800-30-A.

Information contained in a child’s record shall be privileged and confidential.

“The supplemental page from most recent inspection on November 5, 2025, contained confidential information and was posted on the parent bulletin board.”

Rule 8VAC20-800-50-C.

Systemic Deficiency Children’s records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for Child #5 (enrolled 1 month) was missing the name, address, and telephone number of one emergency contact.”

Rule 8VAC20-800-60-B.

Systemic Deficiency Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“The record for Child #1 did not have a parent’s signature for an annual review of the emergency contact information. The child was previously enrolled two years ago and had returned for drop in care, without a review of the information.”

Rule 8VAC20-800-780-B.

Systemic Deficiency The provider shall document in the child’s record that they verified the child’s proof of identity.

“The record for Child #2 (enrolled 2 months), Child #3 (enrolled 6 months), and Child #5 (enrolled 1 month) did not contain documentation that the provider verified the child’s proof of identity.”

Rule 8VAC20-800-80-C.

The emergency evacuation procedures shall be practiced monthly.

“The provider stated the fire drills had not been done and the last documented drill was 5 months ago.”

Rule 8VAC20-800-830-A.

Systemic Deficiency Before attendance, the provider shall obtain documentation that the child has been adequately immunized.

“There was no documentation of immunizations for Child #2, who was in care during the inspection and had been in care for 2 months.”

Rule 8VAC20-800-90-A.

Systemic Deficiency Documentation of additional immunizations shall be obtained once every six months for children under the age of two years.

“Child #5 (3 ? years) last documented immunization was over 3 years ago. The provider did not obtain additional immunization records.”

Rule 8VAC20-800-90-C.

Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“Two bottles for Child #2 (14 months old) were not labeled with the child’s name or date. Two bottles for Child #3 (17 months old) and two bottles for Child #6 (16 months old) were not labeled with the date.”

Rule 8VAC20-800-960-E.

Repeat Violation The provider is required to ensure all household members undergo a background check every five years.

“The most recent central registry check for Household member #1 was overdue by over 11 months.”

Rule 22.1-289.036-A.

The provider must ensure that a sworn statement is completed by the end of 30th day of residence for new household members over the age of 14.

“Household member #2 did not have a completed sworn statement by the end of their 30th day of residence.”

Rule 22.1-289.036-B-1.

Household members 14 years of age and older must obtain the results of a national fingerprint check by the end of the 30th day of residence.

“Household member #2 did not have the results of a national fingerprint check by the end of their 30th day of residence.”

Rule 22.1-289.036-B-2.

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

“Household member #2 did not have the results of a central registry check by the end of their 30th day of residence.”

Rule 22.1-289.036-B-3.

Providers must obtain a current tuberculosis screening from each caregiver and adult household member, prior to coming into contact with children.

“There was no tuberculosis screening for Household member #2 who was in the residence over 30 days.”

Rule 8VAC20-800-170-A.

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 for over 2 months.”

Rule 8VAC20-800-180-A.

No equipment, materials, or furnishings shall be used if recalled or identified by the U.S. Consumer Product Safety Commission as being hazardous.

“The infant swing in the play area was recalled and was still in use in the family day home.”

Rule 8VAC20-800-240-B.

Poisonous materials shall be stored in an area inaccessible to children.

“Poisonous cleaning chemicals were in a cabinet under the sink of the children’s restroom that had a broken lock, making it accessible to children.”

Rule 8VAC20-800-280.

The provider shall maintain documentation of the current rabies vaccination for dogs or cats in the home.

“The provider did not have documentation of Pet #1?s current rabies vaccination.”

Rule 8VAC20-800-460-D.

The provider is required to have caregivers undergo a background check every five years.

“The most recent central registry check for caregiver #1 was overdue by over 3 months.”

Rule 22.1-289.035-A.

The provider 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 3 months.”

Rule 22.1-289.036-A.

Child-resistant protective covers are required to be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“There were three uncovered electrical outlets in the play and eating area where children were present.”

Rule 8VAC20-800-320-B.

Cribs are required to meet the U.S. Consumer Product Safety Commission standards at the time they were manufactured and not have been recalled.

“One crib in the children’s nap area did not meet the U.S Consumer Product Safety Commission standards.”

Rule 8VAC20-800-520-C.

Documentation shall be maintained of emergency evacuation and shelter-in place drills that includes the required information.

“There was no documentation of emergency evacuation and shelter-in place drills at the time of inspection.”

Rule 8VAC20-800-830-C.

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 4/24/2024, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

8VAC20-770-60-B

“Based on record review and interview, an employee of a family day home did not complete a sworn statement or affirmation. Evidence: 1. Caregiver #3’s record (Date of hire 01/02/2024) did not contain documentation of a completed sworn statement or affirmation. 2. Caregiver #1 confirmed that Caregiver #3 did not complete a sworn statement or affirmation.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on record review and interview, the family day home does not have a central registry finding within 30 days of employment. Evidence: 1. Caregiver #3’s record (Date of hire-01/02/2024) did not have documentation of a central registry finding within 30 days of employment. 2. Caregiver #1 confirmed that a central registry search was conducted, but the results have not returned.”

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

8VAC20-800-120-B

“Based on record review, required records were not kept for each staff person. Evidence: 1. Caregiver #3’s record (Date of hire-01/02/2024) did not have documentation of verification of age, name, address and telephone number of a person to be notified in an emergency, and documentation of two or more references as to character and reputation as well as competency checked before employment.”

Rule 8VAC20-800-120-B.

8VAC20-800-140-B-3

“Based on record review and interview, the provider did not obtain current certification in cardiopulmonary resuscitation(CPR). Evidence: 1. Caregiver #1’s record did not have documentation of current CPR certification. Caregiver #1 CPR expired on 01/23/2024. Caregiver #1 confirmed that CPR certification was expired.”

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

8VAC20-800-140-B-4

“Based on record review and interview, the provider did not obtain current certification in first aid. Evidence: 1. Caregiver #1’s record did not have documentation of current first aid certification. Caregiver #1’s first aid certification expired on 01/23/2024. Caregiver #1 confirmed that certification in first aid was expired.”

Rule 8VAC20-800-140-B-4.

8VAC20-800-180-A

Rule 8VAC20-800-180-A.

8VAC20-800-200-C

“Based on record review, documentation of the orientation was not signed and dated by the provider and the assistant. Evidence: 1. Caregiver #3’s record (Date of hire-01/02/2024) did not have documentation of orientation.”

Rule 8VAC20-800-200-C.

8VAC20-800-70-A

“Based on record review, parents were not provided required information before the child’s first day of attendance. Evidence: 1. Child #2’s record (Start date-08/14/2023) did not have documentation of provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

8VAC20-790-250-F

“Based on documentation review and interview, caregivers who work directly with children did not complete the department’s health and safety update course. Evidence: 1. Caregiver #1 and Caregiver #2 did not complete the department’s health and safety update course. 2. Caregiver #1 confirmed that the department’s health and safety update course was not completed at the time of the inspection.”

Rule 8VAC20-790-250-F.

22.1-289.035-A

“Based on record review and interview, the family day home did not update central registry record check every five years. Evidence: 1. Caregiver #2’s record (Date of hire-09/16/2016) did not contain documentation of an updated central registry results. Documentation of the central registry results was dated 11/1/2018 and expired on 11/1/2023. 2. Caregiver #1 stated that Caregiver #2’s central registry results were not obtained due to them having difficulty with the online portal system.”

Rule 22.1-289.035-A.

Repeat Violation

“Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1’s record (Start date-05/08/2023) did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

Repeat Violation

“Based on record review and interview, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form. Evidence: 1. Household Member #1’s record did not contain documentation of a current Report of Tuberculosis Screening form. Documentation of a Report of Tuberculosis form was dated 12/02/2020. 2. Caregiver #1 confirmed that Household Member #1 did not obtain a current Tuberculosis Screening.”

Rule 8VAC20-800-180-A.

Repeat Violation

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #1’s, Child #2’s, and Child #3’s records did not contain the name, address, and phone number of a second emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-A

“Based on observation, caregivers did not wash their hands with soap and warm running water after contact with body fluids and before feeding children. Evidence: 1. Caregiver #1 wiped Child #4’s nose and did not wash their hands with soap and warm running water. 2. Caregiver #2 did wash their hands with soap and warm running water before feeding Child #1, Child #2, and Child #4.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that children’s hands were washed with liquid soap and warm running water before eating. Evidence: 1. Child #1’s, Child #2’s and Child #4’s hands were not washed with liquid soap and warm running water before eating.”

Rule 8VAC20-800-680-B.

Repeat Violation

“Based on documentation review and interview, the family day home did not obtain written authorization for diaper creams and topical skin products. Evidence: 1. Child #1, Child #2, Child #3, Child #4, Child #5, and Child #6 have diaper creams on site at the family day home, but written parent authorization was not obtained for each. 2. Caregiver #1 confirmed that Child #1, Child #2, Child #3, Child #4, Child #5, and Child #6 did not have written parent authorization of diaper creams and topical skin products.”

Rule 8VAC20-800-750-A.

8VAC20-800-90-A

“Based on record review and interview, the provider did not obtain documentation that a child had been adequately immunized before the first day of attendance. Evidence: 1. Child #4’s record (Start date-11/20/2023) did not contain immunization records. 2. Caregiver #1 confirmed that Child #4 did not have immunization records before the child’s first day of attendance.”

Rule 8VAC20-800-90-A.

8VAC20-790-250-D-1

“Based on record review, all caregivers did not have current certification in cardiopulmonary resuscitation(CPR) appropriate of children in care. Evidence: 1. Caregiver #3’s (Start date-09/16/2016) record had documentation of expired CPR. Caregiver #3’s CPR expired on 11/16/2020.”

Rule 8VAC20-790-250-D-1.

8VAC20-790-250-D-2

“Based on record review, all caregivers did not have current certification in first aid appropriate to children in care. Evidence: 1. Caregiver #3’s record (Start date-09/16/2016) did not have documentation of current certification in first aid. Caregiver #3’s first aid certification expired on 11/16/2020.”

Rule 8VAC20-790-250-D-2.

22.1-289.035-B-2

“Based on record review and interview, a criminal history check was not conducted every five years. Evidence: 1. Caregiver #1’s record contained an expired fingerprint results report. Caregiver #1’s record contained a fingerprint results reports dated 12/02/2020. Caregiver #1 confirmed that a new fingerprint search had not been conducted at the time of the inspection.”

Rule 22.1-289.035-B-2.

22.1-289.036-B-2

“Based on record review and interview, a criminal history check was not conducted for a household member every five years. Evidence: 1. Household Member #1’s record contained an expired fingerprint results report. The report was dated 04/02/2018. Caregiver #1 confirmed that a new criminal history check had not been conducted at the time of the inspection.”

Rule 22.1-289.036-B-2.

8VAC20-800-100-A

“Based on record review, the provider did not obtain 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: Child #2’s record (Start date-02/03/2023) did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #1’s record (Start date-02/01/2023) did not contain the name, address, and phone number for a second emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-750-A

“Based on observation and interview, four of four diaper creams did not have written parent authorization. Evidence: 1. Four of four containers of diaper cream did not have written parent authorization for Child #3, #4, #5, and #6. 2. Caregiver #1 confirmed that Child #3, #4, #5, and #6 did not have written parent authorization for the diaper creams.”

Rule 8VAC20-800-750-A.

8VAC20-800-830-C

“Based on record review and interview, documentation was not maintained of emergency evacuation drills. Evidence: 1. Documentation of emergency evacuation drills were not maintained for the months of January, February, and March. 2. Caregiver #1 confirmed that the evacuation drills for the months of January, February, and March were completed, but the documentation was not completed.”

Rule 8VAC20-800-830-C.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child’s full name and date. Evidence: 1. Three bottles of breast milk were located in the refrigerator without a child’s name or current date.”

Rule 8VAC20-800-960-E.

8VAC20-790-250-D-1

“Based on record review and interview, all caregivers did not have current certification in cardiopulmonary resuscitation appropriate to the ages of the children in care. Evidence: 1. Staff #2 did not have a current cardiopulmonary resuscitation (CPR). Staff #2’s record had an expired CPR certificate that expired on 11/16/2022. 2. Staff #2 stated that the CPR certificate was expired and that they have signed up for a class next month.”

Rule 8VAC20-790-250-D-1.

8VAC20-790-250-D-2

“Based on record review and interview, all caregivers did not have current certification in first aid appropriate to the ages of children in care. Evidence: 1. Staff #2 is not current in first aid certification. Staff #2’s record contained an expired first aid certificate that expired on 11/16/2022. 2. Staff #2 stated that first aid certification was expired and that they are signed up for a class next month.”

Rule 8VAC20-790-250-D-2.

8VAC20-800-180-A

“Based on record review and interview, the provider did not obtain for each caregiver a current report of tuberculosis screening every two years from the date of the first screening. Evidence: 1. Staff #2’s record contained an expired tuberculosis(TB) screening report. Staff #2’s record contained a TB screening report dated 11/2/2020. 2. Staff #2 confirmed that the TB screening was expired and that an appointment will be set to get a new one.”

Rule 8VAC20-800-180-A.

8VAC20-800-750-A

“Based on observation and interview, a diaper cream container was not labeled with the child’s name. Evidence: 1. A container of diaper cream was located under the diaper changing table without a child’s name. Staff #2 confirmed that it belonged to Child #5, but had not been labeled.”

Rule 8VAC20-800-750-A.

8VAC20-770-40-D-4-a

“Based on record review, two household members do not have a current Central Registry Finding. Evidence: 1. Household Member #2’s record contains an expired Central registry Finding dated 01/10/2017. The Central registry Finding expired on 01/10/2022. 2. Household Member #3’s record contained an expired Central Registry Finding dated 12/06/2016. The Central Registry Finding expired on 12/06/2021.”

Rule 8VAC20-770-40-D-4-a.

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates was not be stored away in areas inaccessible to children. Evidence: 1. Toilet cleaners, sanitizing wipes and other cleaning agents were found in a low cabinet in the bathroom without a lock.”

Rule 8VAC20-800-280.

8VAC20-800-320-B

“Based on observation, child-resistant protective covers larger than 1-1/4 inches in diameter were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1. Two electrical outlets were not covered with child resistant covers in the area where the children play.”

Rule 8VAC20-800-320-B.

8VAC20-800-830-A

“Based on record review and interview, the family day home did not practice monthly emergency evacuation procedures. Evidence: 1. Documentation for emergency evacuation drills were missing for the months of November, December, January, and February. 2. Staff # 1 stated that the emergency evacuation drills were conducted but not documented in the log.”

Rule 8VAC20-800-830-A.

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: 1. The findings of the most recent inspection of the facility was not posted in the facility.”

Rule 8VAC20-820-120-E-2.