Helen Jayasinghe

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

“Caregiver #1 and Household Member #1’s subsequent TB screenings are overdue by two months.”

Rule 8VAC20-800-180-A.

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.

“Caregiver #1 did not have documentation of sixteen hours of training for 2025.”

Rule 8VAC20-800-210-A.

Repeat violation

“Assistants’ records shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment. Caregiver #2’s record did not contain documentation that two or more references were checked before employment. Caregiver #2 has been employed for five days.”

Rule 8VAC20-800-120-B.

The provider shall maintain an up-to-date record at the family day home for each enrolled child.

“The provider does not have a record for Child #3 who has been enrolled for one week.”

Rule 8VAC20-800-60-A.

Repeat violation

“A child’s record shall contain name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached and the policy number of the child’s medical insurance. Child #1’s record did not contain a name, address and telephone number for 1 out of 2 emergency contacts. Child #2’s record did not contain a policy number for the child’s insurance.”

Rule 8VAC20-800-60-B.

Repeat violation

“Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent verification of identity and age of the child. The provider did not obtain verification of identity and age of Child #1. Child #1 has been attending the family day home for six weeks.”

Rule 8VAC20-800-80-A.

Repeat violation

“Areas and furnishings of the family day home, inside and outside, are required to be maintained in a clean, safe, and operable condition. There were two chairs with chipped and peeling paint on the playground.”

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Potentially poisonous substances are required to be inaccessible to children. A spray bottle containing a bleach/water solution was accessible to children.”

Rule 8VAC20-800-280.

Repeat violation

“When used and provided by the parent, topical skin products are required to be labeled with the child’s name. A diaper cream brought from home was not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

8VAC20-800-750-B

“Topical skin products are required to be inaccessible to children. A diaper cream was accessible to children.”

Rule 8VAC20-800-750-B.

Repeat violation

“The provider is required to obtain from the parent verification of the identity and age of the child within seven business days of the child’s first day of attendance at the family day home. The provider did not obtain verification of the identity and age of Child #1 and Child #2. Child #1 has been enrolled for 21 months and Child #2 has been enrolled for 9 months.”

Rule 8VAC20-800-80-A.

22.1-289.035-B-2

“Based on review, the provider did not ensure that they obtained verification of fingerprint results prior to the staff member coming into contact with children. Evidence: reviewed the assistant’s records and found that there was no documentation of fingerprint verification.”

Rule 22.1-289.035-B-2.

8VAC20-800-120-B

“Based on review, the provider did not ensure that the assistant’s records contained the required minimum information. Evidence: reviewed the provider’s records and found that the assistant did not have documentation of 2 reference checks, emergency contact information, verification of age, date of employment,”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Based on review, the provider did not ensure that they obtained from each caregiver at the time of hire, a current report of tuberculosis screening. Evidence: reviewed the provider’s records and found that the assistant did not have documentation of a tuberculosis screening at the time of hire. The assistant was on site and working at the time of the inspection.”

Rule 8VAC20-800-170-A.

8VAC20-800-200-A

“Based on review, the provider did not ensure that the assistant had orientation training by the end of their first week of assuming job responsibilities. Evidence: reviewed the provider’s records and found that there was no documentation of orientation training for the assistant who started March 15th, 2024.”

Rule 8VAC20-800-200-A.

8VAC20-800-240-A

“Based on observation, the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1) observed a blue table and a blue chair on the playground with large cracks and missing pieces accessible to children. 2) observed a child’s climbing castle with a broken edge that was sharp and accessible to children.”

Rule 8VAC20-800-240-A.

8VAC20-800-320-B

“Based on observation, the facility did not ensure that child resistant protective covers are installed on all unused electrical outlets and surge protectors accessible to children under 5 years of age. Evidence: observed 1 uncovered electrical outlet in the childcare bathroom.”

Rule 8VAC20-800-320-B.

8VAC20-800-500-F

“Based on observation, the provider did not ensure that trampolines shall not be used during the hours children are in care. Evidence: observed that the provider had a trampoline that was being used by child care children in the backyard play space.”

Rule 8VAC20-800-500-F.

8VAC20-800-60-B

“Based on review, the provider did not ensure that children’s records were maintained with the required minimum information. Evidence: reviewed 5 children’s records and found the following: 1) Child 1 did not have documentation of their first day of attendance 2) Child 4 did not have documentation of parental authorization of emergency medical care 3) Child 4 did not have documentation of the parent’s annual review/update and emergency contact information.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on observation, the provider did not ensure that the diapering surface was nonabsorbent and washable. Evidence: observed that the diaper changing surface was torn, exposing the foam-like absorbent interior.”

Rule 8VAC20-800-690-D.

8VAC20-800-750-A

“Based on observation, the provider did not ensure that when topical skin products such as sunscreen, diaper ointment are labeled with the child’s name. Evidence: observed 2 diaper creams in the diaper changing area that were not labeled with a child’s name, but was identified by the provider as belonging to children in care.”

Rule 8VAC20-800-750-A.

8VAC20-800-80-A

“Based on review, the provider did not ensure that they obtained from the parent, within 7 business days of the child’s first day of attendance at the family day home, proof of identity. Evidence: reviewed 5 children’s records and found that Child 4 did not have documentation of proof of identity.”

Rule 8VAC20-800-80-A.

Based on observation, small electrical appliances were not unplugged unless being used by the caregiver or with children under close supervision.

“Evidence: A toaster oven and blender located in the kitchen were plugged in and not in use.”

Rule 8VAC20-800-320-A.

22.1-289.035-B-2

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“1. The provider stated that Caregiver # 1 started working at the family day home in July 2022. Caregiver # 1’s record indicated her first day of employment was 7/26/21. 2. Caregiver # 1’s Sworn Statement was completed on 7/28/21.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-B

“Based on records review and staff interview, the provider did not obtain two references for an assistant before the first day of employment. 1. The provider stated that Caregiver # 1 started working at the family day home in July 2022. Caregiver # 1’s record indicated her first day of employment was 7/26/21. 2. The first written reference check for Caregiver # 1 was completed on 8/5/21. 3. The second written reference check for Caregiver # 1 was completed on 8/11/21.”

Rule 8VAC20-800-120-B.

8VAC20-800-690-D

“Based on observation, the diapering surface was not non absorbent. Evidence: The diaper pad was observed to have small tears, exposing the internal absorbent padding.”

Rule 8VAC20-800-690-D.