Ms. Frances Motley

The provider shall obtain documentation of a physical examination by a physician prior to a child’s attendance or withing 30 days after first day of attendance.

“There was no physical examination in the record of Child 1 (enrolled for 7 months).”

Rule 8VAC20-800-100-A.

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

“The menu posted was not dated. This was previously cited on 1/15/2026.”

Rule 8VAC20-800-920.

Providers shall have current certification in cardiopulmonary (CPR) from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“The providers current CPR certification was not from one of the approved organizations.”

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

Providers shall have current certification in cardiopulmonary (CPR) from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“The providers current first aid certification was not from one of the approved organizations.”

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

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

“The menu posted was not dated.”

Rule 8VAC20-800-920.

8VAC20-800-170-B

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. The tuberculosis screening for Caregiver 2, who has been caring for children for over 4 months, was dated 3 months prior to coming in contact with children.”

Rule 8VAC20-800-170-B.

8VAC20-800-320-G

“Fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained and cleaned. The annual inspection was overdue by 2 years.”

Rule 8VAC20-800-320-G.

Repeat violation

“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 was no physical exam record available for Child 3, enrolled for 9 months, who was provided care in January 2025.”

Rule 8VAC20-800-100-A.

8VAC20-800-50-A

“Providers must keep a written record of children in attendance each day. There were no attendance records on the date of inspection. The provider did not take written attendance for Child 2 and Child 3 between December 30, 2024 ? January 14, 2025; Child 1 between January 4-January 14, 2025; Child 4 and Child 5 between January 3-January 14, 2025.”

Rule 8VAC20-800-50-A.

22.1-289.036-A

“Household members 18 years of age and older must have repeat background checks conducted every 5 years. Household member 1 did not have 5 year repeat check results during the inspection on 7/3/2024.”

Rule 22.1-289.036-A.

8VAC20-800-100-A

“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 was no physical exam record available for Child 2 and Child 3 who were provided care in July 2024. Child 2 and Child 3 have been enrolled for 3 months.”

Rule 8VAC20-800-100-A.

8VAC20-800-90-A

“Before a child can attend, the provider shall obtain documentation that the child has been adequately immunized. There was immunization record available for Child 3 who was provided care in July 2024. Child 3 have been enrolled for 3 months.”

Rule 8VAC20-800-90-A.

Repeat violation

“Based on the review of two caregiver records, the provider failed to ensure for assistants and substitute providers documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: Caregiver 2 start date was 9/26/2022 and on the day of the inspection did not have two or more references documented prior to employment.”

Rule 8VAC20-800-120-B.

Based on observation and discussion, the provider failed to review the emergency plan at least annually and update the plan as needed.

“Evidence: The emergency plan was dated 2022 and on the day of the inspection did not have an annual update documented.”

Rule 8VAC20-800-800-B.

Based on the review of two caregiver records, the provider failed to ensure that all background checks were complete.

“Evidence: Caregiver 1 most recent criminal background was dated 2/27/2018 and on the day of the inspection did not have the required 5 year repeat check documented.”

Rule 22.1-289.036-A.

Based on the review of two caregiver records, the provider failed to ensure for assistants and substitute providers documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: Caregiver 2 start date was 5/15/2023 and on the day of the inspection did not have two or more references documented prior to employment.”

Rule 8VAC20-800-120-B.

Based on the review of one caregiver record, the provider failed to ensure that central registry results were obtained by the end of the 30th day of employment.

“Evidence: Caregiver 1 start date was 9/26/2022 and on the day of the inspection did not have the required central registry results documented.”

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

Based on review of three children’s records, the provider failed to ensure that all immunization records obtained were signed by a physician.

“Evidence: Child #2 first date of attendance was 04/11/2022 and on the day of the inspection the immunization form that was in the child’s record was not signed by a physician.”

Rule 8VAC20-800-110-B.