Mrs. Celia Price

(Repeat Violation) A child’s record shall contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“There was only information for one emergency contact person in the records of Child #2, Child #3, and Child #4.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided information in writing regarding whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation as required by ? 22.1-289.050 of the Code of Virginia and the provisions of the family day home’s emergency preparedness and response plan.

“There was no documentation that parents were informed of whether or not there is liability insurance in the records of Child #1, Child #2, Child #3, and Child #5. There was no documentation that parents were informed of the provisions of the emergency preparedness response plan in the record of Child #4.”

Rule 8VAC20-800-70-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“The immunization records in the file of Child #5 were dated 7 days after the child began attending.”

Rule 8VAC20-800-90-A.

A child’s record shall contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; proof of the child’s age and identity; and documentation of the review of the child’s emergency contact information annually.

“There was only information for one emergency contact person in the record of Child #5. There was no proof of age and identity in the record of Child #5. There was no documentation of an annual review of emergency contact information in the records of Child #1, Child #2, Child #3, Child #4, and Child #5.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Fire drills were completed every other month in 2026 by mistake.”

Rule 8VAC20-800-830-A.

The Caregivers are required to undergo a background check is required every five years.

“Repeat national fingerprint checks were not completed for Caregiver #1, #2, #3, and #4. The fingerprint checks for Caregiver #1, #3, #4 were overdue by more than a year and a half. The fingerprint check for Caregiver #2 was overdue by 15 days.”

Rule 22.1-289.035-A.

(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 were no physical exam records available for Child #1, Child #2, and Child #4 . Child #1 and Child #4 had been in care for 9 days. Child #2 had been in care for 22 days.”

Rule 8VAC20-800-100-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“Updated screenings for Caregiver #1, #2, #3, and #4 were not completed and were more than 6 months overdue.”

Rule 8VAC20-800-180-A.

The provider shall ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

“The maximum licensed capacity of the home is 12 and there were 13 children in care during the inspection.”

Rule 8VAC20-800-40-A.

Animal food dishes and water dishes shall be inaccessible to children.

“The food and water bowls for the caregiver’s dog were on the floor in the dining room. Children were observed in the dining room during the inspection.”

Rule 8VAC20-800-460-I.

Providers must keep a written record of children in attendance each day.

“The record of attendance was incomplete on the date of the inspection. The caregiver added the 13th child present to the attendance record during the inspection.”

Rule 8VAC20-800-50-A.

A working battery-operated flashlight and extra batteries shall be kept in a designated area and be available to caregivers at all times.

“The caregiver could not find a flashlight during the inspection.”

Rule 8VAC20-800-770.

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

“The last documented fire drill was over 6 months ago.”

Rule 8VAC20-800-830-A.

(Repeat Violation) Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for Child #1 who had been in care for 9 days.”

Rule 8VAC20-800-90-A.

Repeat Violation

“Based on a review of five child records and interview with provider, 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: The record for Child #1, with a start date of 8/1/22, had a physical dated 1/5/23; Child #2, with a start date of 5/1/23, had a physical dated 11/28/23; Child #5, with a start date of 10/1/20, had a physical dated 3/8/21.”

Rule 8VAC20-800-100-A.

Repeat Violation

“Based on review of four caregiver records, and interview, the provider did not ensure that they maintained current certification in cardiopulmonary resuscitation (CPR). Evidence: The provider’s previous CPR certification expired on 10/2/23.”

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

Repeat Violation

“Based on review of four caregiver records, and interview, the provider did not ensure that they maintained current certification in first aid. Evidence: The provider’s previous first aid certification expired on 10/2/23.”

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

Based on review of five children’s records, the provider did not ensure that they reviewed with the parent the emergency contact information annually for each child and obtained the parent’s signature acknowledging the review.

“Evidence There was no documentation of an annual review with the parent signature for Child #1, with a start date of 08/01/22; Child #3, with a start date of 7/20/20; and for Child #5, with a start date of 10/1/20.”

Rule 8VAC20-800-780-B.

Based on review of five child records and interview with the provider, the provider did not obtain documentation that children had been adequately immunized before attending the family day home.

“Evidence: The immunizations on record for Child #1, with a start date of 8/1/22, was dated 1/5/23; Child #2, with a start date of 5/1/23, was dated 11/28/23; Child #5, with a start date of 10/1/20 was dated 3/8/21.”

Rule 8VAC20-800-90-A.

Based on review of 5 child records, the Provider did not obtain information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation.

“Evidence: The record for Child #1 did not contain the action to take in an emergency situation for the physician diagnosed food allergies and parent indicated food intolerances.”

Rule 8VAC20-770-60-B.

Based on a review of five child records and interview with the provider, it was determined that one child’s file did not have a physical within 30 days of attendance.

“Evidence: The record for Child #2, with a start date of 05/01/23, had a physical dated 09/29/23.”

Rule 8VAC20-800-100-A.

Based on review of three caregiver records, and interview, the provider did not ensure that they maintained current certification in cardiopulmonary resuscitation (CPR).

“Evidence: The most recent CPR certification on record for the provider was dated 10/02/21 and expired on 10/02/23.”

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

Based on review of three caregiver records and interview, the provider does not have documentation of current certification in first aid.

“Evidence: The most recent First Aid certification on record for the provider was dated 10/02/21 and expired on 10/02/23.”

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

Based on observation and interview, the provider did not ensure that the total number of children receiving care at any one time did not exceed the maximum licensed capacity of the home.

“Evidence: The family day home is licensed to provide care to no more than 12 children at any one time, at approximately 9:00 a.m. on 11/15/23 there were thirteen enrolled children present in the family day home at the time of inspection.”

Rule 8VAC20-800-40-A.

Repeat Violation

“Based on an interview with the provider, the provider did not ensure all children were included on the written attendance record. Evidence: At approximately 8:45 a.m. the attendance record did not contain documentation of the 11 children in care.”

Rule 8VAC20-800-50-A.

22.1-289.035-A

“Based on a review of files and interview, it was determined that there were no repeat fingerprint background checks every five years thereafter. Evidence: Person A’s background check was dated 3/5/18, Person B’s background check was dated 3/6/18 and Person C’s background check was dated 3/14/18. All three background checks had not been renewed within 5 years as required.”

Rule 22.1-289.035-A.

22.1-289.058

“Based on observation and interview, it was determined that the provided did not have a carbon monoxide detector in the licensed family day home.”

Rule 22.1-289.058.

8VAC20-800-100-A

“Based on a review of 5 files and an interview, it was determined that one child’s file did not have a physical within 30 days of attendance. Evidence: Child D enrolled on 7/31/22 and does not have a physical on file.”

Rule 8VAC20-800-100-A.

8VAC20-800-50-A

“Based on observation and interview, it was determined that the provider was not keeping a written record of children in attendance each day. Evidence: There were 4 children documented on the attendance however 8 children were present.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-A

“Based on a review of record keeping, and interviews, it was determined that there were no files maintained for two children. Evidence: There were no file information provided for child A and B.”

Rule 8VAC20-800-60-A.

8VAC20-800-60-B

“Based on a review of children’s files and interview, it was determined that children’s records did not contain all of the required information under this standard. Evidence: The files for child C and D did not contain authorization to seek emergency care.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on a review of recordkeeping and interview, it was determined that information was not provided to parents in writing before the child’s first day of attendance. Evidence: The provider’s medication administration policy was not provided to the parents of child C and D. Child C enrolled on 2/14/22 and child child D enrolled on 7/31/22.”

Rule 8VAC20-800-70-A.

8VAC20-800-90-A

“Based on a review of five children’s files and an interview with the provider, it was determined that a immunization record was not obtained for one child before the child attended the family day home. Evidence: Child A enrolled on 2/14/22 and there was no immunization record on file.”

Rule 8VAC20-800-90-A.