Sarita Dhakal

The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“The attendance sheet for the current week was missing arrival and departure times for children who attended yesterday and today, March 4-5, 2026.”

Rule 8VAC20-790-180-B.

Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department’s health and safety update course.

“Caregiver #1 and #2 did not have documentation that showed completion of the department’s health and safety update training course for 2025.”

Rule 8VAC20-790-250-F.

The provider shall 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.

“Child #2, who has been enrolled more than 30 days, did not have documentation of a physical examination.”

Rule 8VAC20-800-100-A.

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

“There was no record for Child #4 who was enrolled and attending the program on the day of the inspection.”

Rule 8VAC20-800-60-A.

Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“The files for Child #3 and Child #5 did not contain signed acknowledgement of an annual review of emergency contact information. Child #3’s was signed by not dated and Child #5’s was last acknowledged over 14 months ago.”

Rule 8VAC20-800-780-B.

8VAC20-800-430-B

“Based on observation, a pressure mounted gate was used as a protective barrier at the stair opening. Evidence: A pressure mounted gate is used at the bottom of the basement stairs that leads into the daycare area.”

Rule 8VAC20-800-430-B.

8VAC20-800-50-A

“Based on record review and interview, the family day home failed to keep a written record of children in attendance each day. Evidence: 1. The last documentation of written attendance is dated 03/12/2023. 2. The provider acknowledged written daily attendance had not been done.”

Rule 8VAC20-800-50-A.

8VAC20-800-790

“Based on observation and interview, it was determined the family day home failed to post 911 or local dial number for police, fire and emergency medical responders in a visible area close to the telephone. Evidence: 1. There was no evidence of posted emergency telephone numbers. 2. The provider confirmed the emergency numbers were not posted.”

Rule 8VAC20-800-790.

8VAC20-800-830-C

“Based on record review and interview, the provider failed to maintain documentation of emergency evacuation. Evidence: 1. The last documentation for evacuation drill was on 02/03/23. 2. The provider confirmed the documentation had not been maintained but stated the drills were practiced monthly.”

Rule 8VAC20-800-830-C.

8VAC20-800-90-C

“Based on record review, it was determined the family day home did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for Child #2 (DOB 08/2021) did not have additional immunization documentation. Last update was 08/11/22. 2. The record for Child #3 (DOB 05/2022) did not have additional immunization documentation. The last update was 11/18/2022. 3. The record for Child #4 (DOB 02/2022) did not have additional immunization documentation. The last update was 08/19/2022.”

Rule 8VAC20-800-90-C.

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation of immunization before a child attends the family day home. Evidence: 1. Child #4 started 11/7/22 and immunization record is dated 2/16/23. 2. Child #1started 10/1/722 and immunization record is dated 10/25//22.”

Rule 8VAC20-800-90-A.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations every six (6) months for a child under the age of 2 years. Evidence: Child #5 (DOB 2/19/22) record did not have additional immunization. The last update was 8/19/22.”

Rule 8VAC20-800-90-C.

8VAC20-800-180-A

“Based on observation, the provider did not obtain a current Report of Tuberculosis Screening form as required every two years from the date of the first screening. Evidence: Caregiver #1 Tuberculosis Screening form (dated 8/6/2020) expired on 8/6/2022.”

Rule 8VAC20-800-180-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: 2 outlets in bathroom used by children did not have protective covers and 6 outlets in the crib / sleeping room did not have protective covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-690-D

“Based on observation and interview with the provider, the diaper changing pad was not cleaned and sanitized after each use. Evidence: 1. The provider acknowledged she does not use bleach water solution to sanitize the diapering pad. She only uses a cleaning wipe. 2.The provider’s method does not meet the definition of cleaned and sanitized as stated in 8VAC20-800-10 3. A cleaning wipe was used to clean the diapering pad.”

Rule 8VAC20-800-690-D.

8VAC20-800-320-B

“Based on observations, it was determined that the provider has not installed child resistant protective covers larger than 1-1/4 inches in diameter on all unused electrical outlets. Evidence: The Inspector observed three electrical outlets in the children’s nap room that were not covered, and two electrical outlets in the upstairs play area that were not covered.”

Rule 8VAC20-800-320-B.

8VAC20-800-690-D

“Based on observations and provider interviews, it was determined that the diapering surface is not cleaned and sanitized as required in between each use. Evidence: The provider wipes the diapering pad with pre-packaged wipes in between each diaper change. The provider does not spray the diapering surface, followed by sanitizing it in between each use as required.”

Rule 8VAC20-800-690-D.

8VAC20-800-80-C

“Based on a review of children’s records, it was determined that the provider did not document in each child’s record verification of their age and identity. Evidence: Child record A and record B do not include documentation showing that the provider viewed each child’s proof of identification.”

Rule 8VAC20-800-80-C.