Lia Johnson

Each building that was built before 2015 and that houses a child day program that is licensed and serves preschool-age children shall be equipped with at least one carbon monoxide detector.

“The building in which the home based child care is located was built before 2015. There was no carbon monoxide detector present during the inspection. There were 11 preschool-age children attending the program on the day of the inspection.”

Rule 22.1-289.058.

Areas of the home-based child care, inside, shall be maintained in a safe condition.

“The home-based child care operates inside of a wood barn. At the time of inspection, there was no smoke detector installed inside of the barn.”

Rule 8VAC20-800-240-A.

A child’s record shall contain the following information: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.

“Child #1’s record did not contain the addresses for two emergency contacts. Child #3’s record did not contain the name, address, and phone number for one out of two emergency contacts. Child #5’s record did not contain written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

Every applicant for licensure as a family day home and adult living in the family day home shall undergo a background check every five years.

“The most recent central registry background checks for caregiver #1 and household member #1 are dated 2/24/2021. The background checks have been expired for approximately 2 months.”

Rule 22.1-289.036-A.

Substitute providers records shall contain all required information.

“Caregiver #2s record does not contain verification of education.”

Rule 8VAC20-800-120-B.

Substitute providers’ records shall contain documentation of the time of arrivals and departures that the substitute provider is working in the absence of the provider.

“The provider confirmed that they were out of the country during the months of July and August. There was no documentation of the arrival and departure times that the substitute provider was working on behalf of the provider.”

Rule 8VAC20-800-120-C.

The provider shall obtain a subsequent tuberculosis (TB) screening every two years for each caregiver.

“Caregiver #2s most recent TB screening is dated 101/2023. The TB screening has been expired for approximately one week.”

Rule 8VAC20-800-180-A.

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

“There were four uncovered outlets observed accessible to children under the age of five years.”

Rule 8VAC20-800-320-B.

Children’s records shall contain all required information.

“Child #3 record does not contain documentation of the families medical insurance policy number.”

Rule 8VAC20-800-60-B.

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

“The most recent documented fire drill is dated May 2025. The provider confirmed that fire drills were not practiced June, July, August and September.”

Rule 8VAC20-800-830-A.

Children’s records shall contain all required information.

“Child #3s record did not contain the addresses of two emergency contacts, the families medical insurance policy number, and actions to be taken in case of the accidental ingestion of a food allergy.”

Rule 8VAC20-800-60-B.

8VAC20-800-100-A

“Based on record review, each child’s record did not contain documentation of a physical exam. Evidence: Child #4’s record did not contain a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“Based on interview, the provider did not obtain a subsequent tuberculosis (TB) screening every two years for each employee. Evidence: The most recent documented TB screening for Caregiver #3 is dated 4/16/2021. Caregiver #3 confirmed that they had not yet received a repeat TB screening.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: Child #5’s record does not contain the families medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-500-D

“Based on observation, equipment with platforms over 30 inches high were not designed with guardrails or barriers to prevent falls. Evidence: There is wood “cabin” with a large platform approximately 5 feet tall in the back corner of the family day home backyard. The platform has four edges, however there is railing on two of the four edges. There is no barrier preventing children from falling off the two unprotected edges.”

Rule 8VAC20-800-500-D.

8VAC20-800-870-G

“Based on observation and interview, tables were not cleaned at least daily. Evidence: The children were observed transition outside to eat their morning snack. The children walked to two outdoor tables and began eating. The tables were not cleaned before the children began eating, and the provider stated that they do not currently clean those tables because they are metal with holes.”

Rule 8VAC20-800-870-G.

8VAC20-800-210-A

“Based on record review and interview, caregivers have not obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider completed 6.5 hours of job related training during the 2020-2021 school year.”

Rule 8VAC20-800-210-A.

22.1-289.036-A

“Based on record review and interview, the provider has not obtained a repeat sworn disclosure statement for each caregiver and/or household member every five years. Evidence: 1. Caregiver #1’s most recent sworn disclosure statement is dated 8/20/2015. 2. Household member #1’s most recent sworn disclosure statement is dated 8/20/2015.”

Rule 22.1-289.036-A.

22.1-289.058

“Based on interview, the child day program was not equipped with at least one carbon monoxide detector. Evidence: When asked if a carbon monoxide detector had been installed, the provider stated that they did not have one.”

Rule 22.1-289.058.

8VAC20-800-180-A

“Based on record review and interview, the provider has not obtained a subsequent Tuberculosis (TB) Screening for each caregiver and/or each household member every two years. Evidence: 1. Caregiver #1’s most recent TB screening is dated 10/24/2019. 2. Household member #1’s most recent TB screening is dated 10/24/2019.”

Rule 8VAC20-800-180-A.