Olivia Gomes

A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.

“There was no documentation of the substitute provider’s work hours for days she has been working in the provider’s absence. The substitute was unaware of this requirement.”

Rule 8VAC20-800-140-D.

A working battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times.

“The weather-band radio did not work by battery.”

Rule 8VAC20-800-770.

Records of emergency evacuation and shelter-in-place drills shall be maintained for one year.

“There was no documentation of an emergency evacuation drill for July 2025, or 2 shelter-in-place drills for the past year.”

Rule 8VAC20-800-830-D.

The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements according every 6 months until the age of 2 years old.

“The immunizations on-file for Child #1 were dated as completed May 2024 when the child was 12 months old.”

Rule 8VAC20-800-90-C.

Based on a review of children’s records, 4 out of 4 children’s records did not contain the required information:

“1. Child #1 was missing the Information for Parents form, Emergency Preparedness form, and Medication Policy at the time of the inspection. 2. Child #2 was missing the Emergency Preparedness form and the Medication Policy at the time of the inspection. 3. Child #3 was missing the Emergency Preparedness form and the Medication Policy at the time of the inspection. 4. Child #4 was missing the Emergency Preparedness form and the Medication Policy at the time of the inspection.”

Rule 8VAC20-800-60-B.

Based on a review of records, all caregivers and adult household members did not have a current Report of Tuberculosis Screening conducted every two years from the date of the first screening.

“Evidence: 1. Caregiver #3’s (doh: 1/20/2022) last tuberculosis screening on file at the time of the inspection was dated 9/22/2021. 2. Household Member #1’s last tuberculosis screening on file at the time of the inspection was dated 9/22/2021.”

Rule 8VAC20-800-180-A.

Based on a review of records, 1 out of 3 child records did not contain the required information.

“Evidence: 1. Child #1 (doe: 10/30/2023) did not have documentation of name, phone number, and address of 2 out of 2 required emergency contacts at the time of the inspection.”

Rule 8VAC20-800-60-B.

Based on a review of child records, 1 out of 3 children did not have the required documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“Evidence: 1. Child #1 (doe: 10/30/2023) did not have documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations at the time of the inspection.”

Rule 8VAC20-800-90-A.

Based on a review of children’s records, the provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #5’s first day of attendance was 9/7/21, physical examination documentation is dated 5/9/22.”

Rule 8VAC20-800-100-A.

Based on a review of training documents, the provider failed to ensure that all caregivers shall obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: Caregiver #1 and #2 did not obtain 16 hours of training for 2021-2022.”

Rule 8VAC20-800-210-A.

Based on observation, the provider failed to ensure that potentially poisonous substances such as but not limited to cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, petroleum distillates shall be stored in areas inaccessible to children.

“Evidence On the bathroom counter, deodorizer was in an area accessible to children.”

Rule 8VAC20-800-280.

Based on observation, the provider failed to ensure that infants shall be placed on their backs when sleeping or napping unless otherwise ordered by a written statement signed by the child’s physician.

“Evidence: Child #1 was asleep on his stomach. I asked the provider if he was able to turn over on his own, her response was no.”

Rule 8VAC20-800-590-A.

Based on a review of children’s records, the provider failed to obtain all required documents for each child enrolled.

“Evidence: Child #4’s record does not contain documentation of the name, address and phone number for one designated person to contact in case of an emergency if the parent cannot be reached. Child #2, #4 and #5’s records do not contain documentation of the review of the child’s emergency contact information as required by 8VAC20-800-960-A.”

Rule 8VAC20-800-60-B.

Based on observation, a caregiver failed to wash their hands with liquid soap and warm running water after diapering a child.

“Evidence: Caregiver #2 did not wash hands after diapering a child.”

Rule 8VAC20-800-680-A.

Based on observation, the provider failed to ensure that when food is brought from home the food container shall be clearly labeled in a way that identifies the owner.

“Evidence: On the counter were two containers, one with dry cereal and one with fruit that were not labeled in a way that identified the owner.”

Rule 8VAC20-800-890.

Based on a review of children’s records, the provider failed to obtain documentation that the child has been adequately immunized according to the Code of Virginia and applicable State Board of Health regulations, prior to or by the first day of attendance.

“Evidence: Child #4’s first day of attendance was 9/27/21 and immunization records are dated 9/29/2021. Child #5’s first day of attendance was 9/7/21 and immunization records are dated 05/09/22”

Rule 8VAC20-800-90-A.

Based on a review of children’s records, the provider failed to obtain all required documentation for each child enrolled.

“Evidence: Child #1’s record did not contain documentation of liability insurance form, medication policy or emergency plan. Child #3’s record did not contain documentation of a second emergency contact, liability insurance form or the emergency plan. Child #5’s record did not contain the phone number for the physician.”

Rule 8VAC20-800-60-A.

Based on observation the provider did not ensure that the diapering surface will be nonabsorbent and washable.

“Evidence: The changing pad had holes in it and therefore was not nonabsorbent.”

Rule 8VAC20-800-690-D.

Based on observation, the provider failed to ensure that all required supplies were contained within the first aid kit.

“Evidence: The first aid kit did not contain an instructional manual.”

Rule 8VAC20-800-760-A.

8VAC20-800-920

“Based on observation, the provider failed to have a current menu posted or placed in an areas accessible to parents.”

Rule 8VAC20-800-920.

Based on a review of caregiver records, the Family Day Home failed to obtain a criminal record history.

“Evidence: Caregiver #1’s record does not contain documentation of a criminal record .”

Rule 8VAC20-770-40-D-1-b.

Based on a review of caregiver records, the Family Day Home failed to obtain a sworn statement from every caregiver.

“Evidence: Caregiver #1 and #2’s records do not contain documentation of a sworn statement.”

Rule 8VAC20-770-60-B.

Based on a review of caregiver records, the Family Day Home failed to obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening form or a form consistent with it documenting the absence of tuberculosis in a communicable form.

“Evidence: Caregiver #3’s record does not contain documentation of a tuberculosis test or screening.”

Rule 8VAC20-800-170-A.

Based on a review of caregiver records, the Family Day Home did not have documentation of orientation of assistant caregiver.

“Evidence: Caregiver #3’s record did not contain documentation of orientation.”

Rule 8VAC20-800-200-C.

Based on observation, the Family Day Home did not have a written record of attendance each day.

“Evidence: The provider did not have written attendance record for the day of inspection,”

Rule 8VAC20-800-50-A.

Based on a review of child records, the Family Day Home did not obtain all written information for parents.

“Evidence: Child #1’s record did not contain documentation of whether or not there is liability insurance in force on the Family Day Home. Child #1 and #2’s records did not contain documentation of the policy for the administration of medicines. Child #1 and #2’s records did not contain documentation of the provisions of the Family Day Home’s emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.