Rachael Thompson

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

“An updated TB screening for Caregiver #1 and Caregiver #2 were not completed and were overdue by one month.”

Rule 8VAC20-800-180-A.

Repeat Violation

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Caregiver #1 stated that the emergency evacuation drills were not completed in March 2026 and May 2026.”

Rule 8VAC20-800-830-A.

Documentation shall be maintained of emergency evacuation drills.

“Caregiver #1 stated that emergency evacuation drills were completed in February 2026, April 2026 and June 2026 and the evacuation drills for those months had not been documented.”

Rule 8VAC20-800-830-C.

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

“The license was not posted in the family day home.”

Rule 22.1-289.011-F.

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

“An emergency evacuation drill was not practiced for the month of December 2025.”

Rule 8VAC20-800-830-A.

Repeat Violation

“Caregiver records did not contain all required information. The record for caregiver #1, employed for one year, did not contain verification of age, documentation that two or more references as to character and reputation as well as competency were checked prior to employment and name, address and telephone number of a person to be notified in an emergency,”

Rule 8VAC20-800-120-B.

Areas and furnishings of the family day home, outside, shall be maintained in a clean, safe, and operable condition.

Rule 8VAC20-800-240-A.

Disinfectants shall be stored in an area inaccessible to children.

“A spray bottle of disinfectant was observed within reach of children near the changing table.”

Rule 8VAC20-800-280.

22.1-289.035-B-2

“Based on record review and interview, the family day home did not ensure that all caregivers have the result of a fingerprint based national criminal history search prior to the first date of employment. Evidence: 1. The record for caregiver #3 (date of hire: 06/17/2024) had documentation of a fingerprint based national criminal history search dated 06/20/2024. 2. Caregiver #1 acknowledged that Caregiver #3 did not have documentation of a fingerprint based national criminal history search prior to the first date of employment.”

Rule 22.1-289.035-B-2.

8VAC20-800-120-B

“Based on observation and interview, caregiver records did not contain all required information. Evidence: 1. Caregiver # 3’s (date of hire: 06/17/2024) record did not contain documentation of verification of age. 2. Caregiver # 3’s record did not contain documentation that two or more references as to character and reputation as well as competency were checked prior to employment. 3. Caregiver #1 acknowledged that Caregiver #3 was missing documentation of age verification and documentation of two references.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-B

“Based on record review and interview the family day home did not obtain from each caregiver a tuberculosis screening dated within the last 30 days prior to date of hire. Evidence: 1. Caregiver #3 (date of hire: 06/17/2024) had documentation of a negative tuberculosis (TB) test dated 08/14/2023. 2. Caregiver #1 acknowledged that Caregiver #3’s TB test was older than 30 days prior to date of hire.”

Rule 8VAC20-800-170-B.

8VAC20-800-200-A

“Based on record review and interview, the provider did not orient the assistant provider by the end of their first week of assuming job responsibilities. Evidence: 1. Caregiver #3’s (date of hire: 06/17/2024) record did contain documentation of orientation. 2. Caregiver #1 acknowledged that Caregiver #3 did not receive orientation training.”

Rule 8VAC20-800-200-A.

Repeat violation:

“Based on record review, all childrens records did not contain parents signed acknowledgement that the emergency contact information was reviewed annually. Evidence: 1. Child #2’s (date of enrollment: 10/23/2021) last annual emergency information contact review was dated 8/11/2022.”

Rule 8VAC20-800-780-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. There was no documentation of emergency evacuation procedures being practiced available for review. 2. Caregiver #1 acknowledged that emergency evacuation procedures had not been practiced monthly.”

Rule 8VAC20-800-830-A.

8VAC20-800-780-B

“Based on record review, 2 of 3 children records did not have parents signed acknowledgement that the emergency contact information was updated annually. Evidence: 1) Child #2 (date of enrollment: 10/23/2021) last annual emergency information contact review was dated 8/11/2022. 2) Child #3 (date of enrollment: 08/2020)last annual emergency information contact review as dated 7/16/2021.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-C

“Based on record review and interview, it was determined the provider did not ensure that all evacuation drills documented. Evidence: There were no drills documented for January 2024 or February 2024.”

Rule 8VAC20-800-830-C.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements. Evidence: Child #2’s (date of enrollment: 10/23/2021) record did not contain documentation of additional immunizations. The last immunization record on file was dated 8/16/2022.”

Rule 8VAC20-800-90-C.

8VAC20-800-920

“Based on observation, the menu for the current one week period was not posted. Evidence: There was no menu posted for the current week.”

Rule 8VAC20-800-920.

Based on observation, a caregiver did not wash their hands after diapering a child.

“Evidence: A staff member in the home diapered 3 children, but did not wash hand between diapering. The staff member did use gloves that were changed, but the standards require hand washing.”

Rule 8VAC20-800-680-A.

Based on observation the diapering surface was not kept separate from surfaces used for children’s activities.

“Evidence; A staff member was observed changing children’s diapers on a changing mat that was placed on the floor where other children were observed playing with toys.”

Rule 8VAC20-800-690-D.