Jayanthi Samarasekara

Repeat violation:

“Sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision. During the inspection, the children’s bathroom contained three shaving razors (two sitting on the back of the toilet and one on the ledge of the bathtub) that were accessible to children and not being used by the caregiver.”

Rule 8VAC20-800-290.

Children’s records are required to contain parental employment addresses and phone numbers.

“The record for Child #3 was missing the employment addresses and phone numbers for both parents. The child was present during the inspection and had been in care for one week.”

Rule 8VAC20-800-60-B.

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The findings of the most recent inspection completed on July 2, 2025 were not posted.”

Rule 22.1-289.011-F.

The children’s information shall include a written care plan for each child with a diagnosed food allergy.

“Child #2?s (age:17 months) physical examination (dated: 01/20/2025) indicates a food allergy. At the time of inspection, there was no written care plan on file. Child #2 has been enrolled for one year.”

Rule 8VAC20-790-190-B-12.

Furnishings inside of the family day home shall be maintained in a safe condition.

“Paint on the top railings of three infant cribs were chipped and peeling. Two of the cribs were observed being used by Child #1 (age: 13 months) and Child #2 (age: 17 months).”

Rule 8VAC20-800-240-A.

Potentially poisonous substances shall be stored in an area inaccessible to children.

“In the children’s bathroom, there were disinfectant wipes, hand sanitizer (warning label says to keep out of reach of children), dish soap (warning label says to keep out of reach of children), and an acne cleanser accessible to children.”

Rule 8VAC20-800-280.

Sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision.

“During the inspection, the children’s bathroom had three replaceable razor heads and two razors in an unlocked cabinet that were accessible to children and not being used by the caregiver.”

Rule 8VAC20-800-290.

A landline telephone, excluding a cordless or cell phone, shall be operable during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone.

“The family day home’s landline phone was not operable during the inspection.”

Rule 8VAC20-800-330-A.

Infant carrier seats, swings, strollers, feeding or activity tables, and high chairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened.

“During the inspection, it was observed that the safety strap on the feeding chair occupied by child #3 was not used or securely fastened.”

Rule 8VAC20-800-540-A.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating.

“During the inspection, it was observed that Child #1, 2, and 3 did not have their hands washed with liquid soap and warm running water before eating. Caregiver #1 stated that they use soap and a bowl of water to wash the children’s hands.”

Rule 8VAC20-800-680-B.

The diapering surface shall be nonabsorbent and washable, and be cleaned and sanitized after each use.

“Caregiver #1 stated that they change the children’s diapers on the carpeted stair landing, without the use of a nonabsorbent and washable surface. Caregiver #1 also confirmed that the area is not cleaned and sanitized after each use.”

Rule 8VAC20-800-690-D.

When topical skin products such as diaper ointment are used, the following requirements shall be met: Written parent authorization noting any known adverse reactions shall be obtained at least annually and, if provided by the parent, labeled with the child’s name.

“Written authorization was not obtained for two topical skin products provided by the parents of Child #1. The products also were not labeled with the child’s name. A topical skin product provided by the parents of Child #2 was not labeled with the child’s name. Written authorization was not obtained for two topical skin products provided by the parents of Child #3. The products also were not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

When topical skin products such as diaper ointment are used, the product shall be inaccessible to children.

“During the inspection, there were five topical products being stored in bins on the stair landing accessible to children.”

Rule 8VAC20-800-750-B.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated; be given to parents or posted or placed in an area accessible to parents; list any substituted food; and be kept on file one week at the family day home.

“The menu for the current one-week period was not dated and did not list the substituted food being served during the inspection.”

Rule 8VAC20-800-920.

Pressure mounted gates shall not be used as protective barriers at stair openings.

“A pressure mounted gate was being used as a protective barrier at the stair opening.”

Rule 8VAC20-800-430-B.

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #1, 16 months old, last documented immunization was over eight months ago.”

Rule 8VAC20-800-90-C.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for child #1, who was in care during the inspection and had been in care for over two weeks.”

Rule 8VAC20-800-90-A.

8VAC20-800-180-A

“Based on record review and interview, the provider failed to obtain from household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening. Evidence: 1. Household Member #2 did not have a current TB screening on file. The last documentation on file was dated 12/27/2020 (Expired 12/27/2022). 2. The provider acknowledged the file did not have a current TB screening results.”

Rule 8VAC20-800-180-A.

8VAC20-800-50-B

“Based on record review and interview, the provider’s records are not maintained in the home and accessible to the department’s representative. Evidence: 1. Attendance records for previous weeks were not accessible. 2. The provider acknowledged she did not maintain attendance records and disposed of them weekly.”

Rule 8VAC20-800-50-B.

Based on record review, it was determined documentation of additional immunizations was not obtained every 6 months for children under the age of 2 years. Evidence: The record for Child #1 (DOB 07/2021) did not have documentation of additional immunizations. Last update was 12/2/2022.

“This is a repeat violation.”

Rule 8VAC20-800-90-C.

8VAC20-800-210-A

“Based on record review and interview, the family day home failed to have caregivers complete 16 hours of annual training. Evidence: 1. Caregiver #2 (DOH 12/24/2020) record did not have documentation of additional annual training. 2. The Provider acknowledge that caregiver #2 did not complete the minimum of 16 hours of additional training.”

Rule 8VAC20-800-210-A.

8VAC20-800-750-A

“Based on observation, the provider failed to ensure that when topical skin products such as diaper ointments are used, the products shall be labeled with the child’s name. . Evidence: 1. Balmex ointment was not labeled with a child’s name.”

Rule 8VAC20-800-750-A.

8VAC20-800-750-B

“Based on observation, the provider failed to keep topical diaper ointment inaccessible to children. Evidence: Three topical diaper ointments (Balmex, A & D, and Vaseline) was stored in an open container that was sitting on the floor.”

Rule 8VAC20-800-750-B.

8VAC20-800-90-C

“Based on record review and interview, 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) Child #6 (DOB 7/23/20) most recent documented immunization record is dated 11/15/21. 2) Child #8 (DOB 6/1/22) most recent documented immunization record is dated 6/1/22. 3) The provider acknowledged additional immunization record had not been obtained for child #6 and child #8.”

Rule 8VAC20-800-90-C.

22.1-289.035-A

“Based on record review, the the family day home did not obtain documentation of a central registry of Child Abuse and Neglect search every five years. Evidence: Caregiver #1 did not have documentation of an updated central registry search. The central registry search on file expired on 9/1/2021.”

Rule 22.1-289.035-A. From a complaint.

22.1-289.035-A

“Based on record review, the provider did not have documentation of an updated central registry finding. Evidence: Central registry finding are good for 5 years. Caregiver #2 record contained a central registry finding that expired on 9/1/2021.”

Rule 22.1-289.035-A.

8VAC20-800-180-A

“Based on record review, the provider did not have documentation of a current Tuberculosis (TB) Screening or test as required every two years from the date of the first initial test or screening. Evidence: Caregiver #1 TB test result was dated 9/12/20 (expired on 9/12/22).”

Rule 8VAC20-800-180-A.

8VAC20-800-280

“Based on observation, potentially poisonous materials are accessible to children. Evidence: The cabinet under the kitchen sink has poisonous materials and cleaning supplies that are accessible to children.”

Rule 8VAC20-800-280.

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under 5 years of age. Evidence: 1. Electrical outlet behind crib accessible to child did not have protective cover. 2. Electrical outlet in the first play room did not have protective cover on it and was accessible to children. 3. Electrical outlet in the dining/living room did not have protective cover on it.”

Rule 8VAC20-800-320-B.

8VAC20-800-430-A

“Based on observation, children have access to stairs with three or more risers that do not have protective barriers or guardrails on each side. Evidence: 1. The stairs leading to the upstairs are accessible to all children (ages 1-4). 2. Stairs do not have a protective barrier.”

Rule 8VAC20-800-430-A.

8VAC20-800-50-A

“Based on record review and interview with the provider, a written record of children in attendance was not maintained for each day. Evidence: 1. At the time of inspection (9/20/22) children were not written on the daily attendance sheet. 2. The provider acknowledged she had not kept a written attendance sheet since June 2022.”

Rule 8VAC20-800-50-A.

8VAC20-800-600-B

“Based on observation, Infants and toddlers shall not spend more than 30 minutes of consecutive time during waking hours confined in a crib, play, pen, high chair or other confining piece of equipment. Evidence: Child #5 was confined to a highchair, crib, then a bouncer for 60 minutes.”

Rule 8VAC20-800-600-B.

8VAC20-800-830-A

“Based on record review and interview, emergency evacuation procedures were not practiced monthly with all caregivers and children in care. Evidence: 1. The last drill recorded was June 2022. 2. The provider acknowledged that emergency evacuation drills were done after June 2022.”

Rule 8VAC20-800-830-A.

8VAC20-800-90-C

“Based on record review, documentation of additional immunizations were not obtained every 6 months for children under the age of 2 years. Evidence: 1. Child #2 (DOB 7/20/19) did not have additional immunizations. Last update was 1/25/21. 2. Child #3 (DOB 6/14/19) did not have additional immunizations. Last update was 9/14/2020. 3. Child #5 (DOB 7/23/20) did not have additional immunizations. Last update was 11/15/21.”

Rule 8VAC20-800-90-C.

Based on review, 2 of 2 staff files and 1 of 2 household files, indicated that a search of the central registry finding ( CPS check) was older than 5 years.

“Evidence - 1. On the date of inspection (12/16/2021), the following CPS checks were observed: Staff #1 (dated - 09/18/2016), Staff #2 (dated - 09/18/2016), and Household Member #1 (dated - 09/18/2016). 2. This observation was confirmed on the date of inspection by the Provider.”

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

Based on observation, the Provider did not document in writing each review of the emergency preparedness and response plan (EP&RP).

“Evidence - 1. On the date of inspection (12/16/2021), the last documented review of the EP&RP was dated - 11/29/2018. 2. The EP&RP was posted on the parent bulletin board located to the right of the front door to the home.”

Rule 8VAC20-800-800-B.

Based on review, 1 of 8 children’s 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 a child under the age of two years.

“Evidence - 1. On the date of inspection (12/16/2021), updated immunization documentation was not available for review for Child #3. 2. The most current immunization documentation for Child #3 on file at the FDH was dated - 01/25/2021. 3. It was confirmed on the date of inspection that Child #3 was under to years of age.”

Rule 8VAC20-800-90-C.