Julia Mallma

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

“The central registry check was obtained 23 days after expiration for Caregiver #1 and the central registry check was obtained 24 days after expiration for Caregiver #2.”

Rule 22.1-289.035-A.

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

“The record for Child #1 (enrolled over 6 months) did not contain documentation that the provider verified the child’s proof of identity. This was previously cited during the inspection on 5/12/2026 and not corrected.”

Rule 8VAC20-800-80-C.

Documentation of additional immunizations is required once every six months for children under the age of two years.

“The last documented immunization record for Child #3 (2 years old), was over 10 months ago and overdue by 4 months.”

Rule 8VAC20-800-90-C.

Equipment used by children shall be assembled, maintained, and used in accordance with the manufacturer’s instructions.

“Child #3 (15 months old) was asleep in an infant rocking chair during nap time for over 1 hour. The manufacturer’s instructions state that it is not to be used for ?prolonged periods of sleep.?”

Rule 8VAC20-800-480-D.

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

“The supplemental page from the most recent inspection on 12/9/2025 containing confidential information was posted on the parent bulletin board.”

Rule 8VAC20-800-50-C.

Cribs shall be provided for children from birth through 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot, rest mat, or bed.

“Child #1 (17 months old) was asleep in their assigned crib during the inspection and the provider stated they have yet transitioned to a cot. There was no documentation that the child is not developmentally ready to sleep on a cot.”

Rule 8VAC20-800-520-A.

No soft bedding of any kind shall be used under or around infants.

“Child #2 (10 months old) was asleep in a crib with a blanket over them and the backside of their head.”

Rule 8VAC20-800-530-F.

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 (enrolled over 1 year) did not have a parent’s signature for an annual review of the emergency contact information.”

Rule 8VAC20-800-780-B.

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

“The record for Child #2 (enrolled over 4 months) and Child #5 (enrolled over 1 month) did not contain documentation that the provider verified the child’s proof of identity.”

Rule 8VAC20-800-80-C.

The family day home is required to obtain a completed sworn statement prior to a caregiver’s first day of employment.

“The sworn statement for Caregiver #3, who is currently working, was dated six weeks after their first day of employment.”

Rule 22.1-289.035-B-1.

Providers must maintain a record for each caregiver with the required information.

“The record for Caregiver #3 (employed over 2 months) and the record for Caregiver #4 (employed over 1 month) was missing their verification of age, date of employment, and the name, address, and telephone number of an emergency contact.”

Rule 8VAC20-800-120-B.

Providers shall ensure that small electrical appliances are unplugged unless being used.

“The blender in the upstairs kitchen was plugged in and not in use.”

Rule 8VAC20-800-320-A.

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

“The provider had the supplemental page from the previous inspection posted on the parent board that contained confidential information.”

Rule 8VAC20-800-50-C.

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

“The menu for the current week was not posted and had not been given out to parents.”

Rule 8VAC20-800-920.

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 #1 (9 months old) were missing the date and one bottle for Child #2 (22 months old) was missing the child’s name and date.”

Rule 8VAC20-800-960-E.

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 were no physical exam records available for Child #3, who had been in care for over 6 months.”

Rule 8VAC20-800-100-A.

8VAC20-800-50-A

“The family day home shall keep a written record of children in attendance each day. At the time of the inspection, there was no written record of the ten children in attendance. The last documentation on the daily attendance record was 2/12/25.”

Rule 8VAC20-800-50-A.

8VAC20-800-780-B

“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. Records for children #5, and #6 did not have a parent’s signature for an annual review of the emergency contact information and had been in care for over three years without an annual review.”

Rule 8VAC20-800-780-B.

8VAC20-800-330-A

“Based on observation and interview with the provider, a landline telephone is not available during the family day home’s hours of operation. Evidence: 1. No landline is available in the family day home. 2. The Provider acknowledge there is no landline available because she had it disconnected.”

Rule 8VAC20-800-330-A.

8VAC20-800-80-A

Rule 8VAC20-800-80-A.

8VAC20-800-210-A

“Based on record review and interview, the caregivers failed to obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Staff #1, #2, #3 do not have documentation on file of required annual training. 2. The provider acknowledged none of the staff (3/3) had completed the required annual training hours (16 hours minimum).”

Rule 8VAC20-800-210-A.

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: The outlet on the left wall located in the reading area did not have a child-resistant protective cover installed.”

Rule 8VAC20-800-320-B.

8VAC20-800-330-A

“Based on observation and interview, a landline telephone was not operable during the family day home’s hours of operation. Evidence: 1. The telephone would not operate when it was plugged into the phone wall outlet. 2. The provider acknowledged the landline service was discontinued 3 months ago and is using a cellphone exclusively.”

Rule 8VAC20-800-330-A.

8VAC20-800-50-A

“Based on record review and interview with the provider, a written record of child in attendance was not maintained for each day. Evidence: 1. At the time of inspection (11/22/22) the 7 children in attendance were not written on the attendance sheet. 2. The provider acknowledge they did not write the children on the daily attendance sheet.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on record review and interview with the provider, a child’s record did not have a written authorization to administer prescription medication to the child. Evidence: 1. The record for Child #3 does not have a written medication authorization for a prescribed medication that is for emergency use. 2. The provider acknowledged the parent brought the medication but did not complete the medication authorization form.”

Rule 8VAC20-800-60-B.

8VAC20-800-60-B

“Based on record review and interview with the provider, a child’s record did not have information on allergies and intolerance to food and the actions to take in an emergency situation. Evidence: 1. Child #3 has an allergy to food. 2. Child #3?s record does not have information on the actions to take in an emergency situation. 3. The provider acknowledged Child #3?s record does not have documentation on the actions to take in an emergency.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 12 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (05/20/2022), Child #7 had an immunization page dated - 10/15/2021. 2. On the date of inspection, based on the information on file, Child #7 was under 2 years of age.”

Rule 8VAC20-800-90-C.

Based on observation and interview, there was not at least one carbon monoxide detector on site within the Family Day Home (FDH).

“Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 12/13/2021) that while a smoke detector was installed, a carbon monoxide detector was not. 2. The FDH currently severs preschool age children in a home built prior to 2015.”

Rule 22.1-289.058.

Based on review, 1 of 11 children files indicated that 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 - 1. On the date of inspection (12/13/2021), documentation of a physical examination was not available for review for Child #7. 2. Based on the information on file, the start date listed for Child #7 was 08/26/2021.”

Rule 8VAC20-800-100-A.

Based on review, 1 of 11 children files indicated that annually, the Provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“Evidence - 1. On the date of inspection (12/13/2021), the last review for Child #4 was dated - 07/22/2019. 2. An additional signature was observed on the following line. Because the signature was not dated, it could not be discerned from what year it was meant to represent (ie. - 2020 or 2021).”

Rule 8VAC20-800-780-B.