Shamedra Alston

8VAC20-800-60-B

“Children’s records are required to contain parental employment addresses and phone numbers. The record for Child #1, #2, and #5 was missing the employment phone number for both parents listed.”

Rule 8VAC20-800-60-B.

Lockdown procedures shall be practiced at least annually.

“Lockdown procedures were not practiced in 2025.”

Rule 8VAC20-790-430-A-3.

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

“The updated TB screening for Caregiver #1 was completed 5 months after it was due.”

Rule 8VAC20-800-180-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 obtained 12 of the 16 required annual training hours.”

Rule 8VAC20-800-210-A.

A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation.

“A landline telephone was not available during the inspection.”

Rule 8VAC20-800-330-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 #1, enrolled for 3 months, child #2, enrolled for 3 months, or child #7, enrolled for 1 year.”

Rule 8VAC20-800-60-A.

Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child.

“The provider did not obtain from the parent verification of the identity and age of the child for child #1 and child #2, enrolled for 3 months, child #3, enrolled for 9 months, child #6, enrolled for 21 months, child # 7 enrolled for 12 months, or child #9 enrolled for over 2 years.”

Rule 8VAC20-800-80-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“There was no documentation of immunization for child #6 who has been in care for 22 months.”

Rule 8VAC20-800-90-A.

The program is required to submit results of potable water testing to VDH.

“The program did not have evidence of submitting test results to VDH.”

Rule 22.1-289.057-B.

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

“An updated TB screening for household member #2 was not completed and was overdue by 7 days.”

Rule 8VAC20-800-180-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 did not obtain any training hours in 2024.”

Rule 8VAC20-800-210-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 did not have documentation of 16 hours of annual training.”

Rule 8VAC20-800-210-A.

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for child #2, who was in care during the inspection and had been in care for 10 weeks.”

Rule 8VAC20-800-90-A.

8VAC20-790-250-B

Rule 8VAC20-790-250-B.

8VAC20-790-250-F

“Based on record review, the provider failed to ensure that caregivers who work directly with children shall annually attend the department’s health and safety update course. Evidence: 1. The record for caregiver #1 did not contain documentation of the department’s health and safety update course. 2. The record for caregiver #2 did not contain documentation of the department’s health and safety update course. 3. The record for caregiver #3 did not contain documentation of the department’s health and safety update course.”

Rule 8VAC20-790-250-F.

22.1-289.035-B-2

“Based on observation, and record review, the provider failed to obtain criminal background fingerprint results for all staff. Evidence: When the Licensing Inspector arrived caregiver #3 was alone with 6 children. The record for caregiver #3 did not contain the results of a criminal background fingerprints check.”

Rule 22.1-289.035-B-2.

8VAC20-800-100-A

“Based on record review, the provider failed to 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 #6, date of enrollment 12/11/23, did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

“Based on record review, the provider failed to maintain a complete record for each caregiver. Evidence: 1. The record for caregiver #2 did not contain a tuberculosis screening. 2. The record for caregiver #3 did not contain a tuberculosis screening.”

Rule 8VAC20-800-120-B.

8VAC20-800-150-D-1

“Based on record review, and observation, the provider failed to ensure that an assistant who is left alone with children in care shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: When the Licensing Inspector arrived to the home caregiver #3 was alone with 6 children. The record for caregiver #3 did not contain documentation of current certification in CPR.”

Rule 8VAC20-800-150-D-1.

8VAC20-800-150-D-2

“Based on record review, and observation, the provider failed to ensure that an assistant who is left alone with children in care shall have current certification in first aid, as appropriate to the age of the children in care. Evidence: When the Licensing Inspector arrived to the home caregiver #3 was alone with 6 children. The record for caregiver #3 did not contain documentation of current certification in first aid.”

Rule 8VAC20-800-150-D-2.

8VAC20-800-330-A

“Repeat Violation Based on interview, the provider failed to obtain a landline telephone that is operable and accessible during the family day home’s hours of operation. Evidence: The provider stated that she does not have a landline telephone.”

Rule 8VAC20-800-330-A.

22.1-289.035-A

“Based on record review, the provider failed to conduct a central registry background check every five years for household members. Evidence: The record for household member #1 contained central registry results dated 01/11/18. A repeat central registry check was due on or before 01/11/23.”

Rule 22.1-289.035-A.

8VAC20-800-180-A

“Based on records review the provider failed to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: The record for caregiver #1 and household member #1 contained Tuberculosis screenings dated 08/03/21. A repeat screening was due on or before 08/03/23.”

Rule 8VAC20-800-180-A.

8VAC20-800-330-A

“Repeat Violation Based on interview, the provider failed to have available an operable landline telephone that is accessible during the family day home’s hours of operation. Evidence: When asked to see the landline telephone, the provider stated that she did not have one.”

Rule 8VAC20-800-330-A.

22.1-289.036-B-2

“Based on a review of household member records, the provider failed to ensure that adults lining in such family day home shall undergo background checks including a national criminal background check. Evidence: The record for household member #2, age 19, did not contain the results of a national criminal background check being conducted”

Rule 22.1-289.036-B-2.

8VAC20-770-40-D-4-a

“Based on a review of household member records, the provider failed to ensure that all household members over the age of 18 have a central registry background check within 30 days. Evidence: The record for household member #2, age 19, did not have evidence of a central registry background check being conducted.”

Rule 8VAC20-770-40-D-4-a.

8VAC20-800-330-A

“Based on interview, the provider failed to have an operable and accessible landline telephone during the hours of operation. Evidence: The provider stated that she did not currently have an operable landline telephone.”

Rule 8VAC20-800-330-A.

8VAC20-800-830-C

“Based on documentation review, and interview, the provider failed to maintain documentation of emergency evacuation and shelter in place drills. Evidence: The emergency evacuation documentation drill log stated that the last emergency evacuation drill was conducted on 09/11/22 and did not have any shelter in place drills documented. When interviewed the provider acknowledged that the drills were not documented.”

Rule 8VAC20-800-830-C.

8VAC20-770-40-D-4-a

“Based on a review of household member records and interview, the provider did not ensure to have a Sworn Statement of affirmation and central registry results available for each household member. Evidence: The record of household member #1 did not contain documentation of a sworn statement of affirmation and central registry results. The provider reported the sworn statement was not completed and central registry had been mailed but the results had not been received.”

Rule 8VAC20-770-40-D-4-a.

8VAC20-800-170-A

“Based on a review of records, and interview, the provider failed to ensure that each adult household member has a current Report of Tuberculosis screening or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: The record for household member #1 did not contain evidence of tuberculosis screening. Household member #1 was seen in the household. The provider reported that the tuberculosis screening had not been completed.”

Rule 8VAC20-800-170-A.

8VAC20-800-330-A

“Based on interview, the provider failed to have an operable and accessible landline telephone during the hours of operation. Evidence: The provider stated that she did not currently have an operable landline telephone.”

Rule 8VAC20-800-330-A.

8VAC20-770-40-D-4-a

“Based on a review of household member records and interview, the provider did not ensure to have a Sworn Statement or affirmation and central registry results available for each household member. Evidence: The record of household member #1 did not contain documentation of a sworn statement or affirmation and central registry results. The provider reported the sworn statement and central registry was not completed.”

Rule 8VAC20-770-40-D-4-a.

8VAC20-800-170-A

Rule 8VAC20-800-170-A.

8VAC20-800-320-B

“Based on observation, the provider did not ensure that child-resistant protective covers larger than 1-1/4 inches in diameter were installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: There was a surge protector on the floor accessible to children, in the living room where children sleep, with 8 uncovered outlets.”

Rule 8VAC20-800-320-B.

8VAC20-800-60-A

“Based on interview, the provider did not maintain an up-to-date record for each enrolled child. Evidence: During an interview, caregiver #1 reported having no record for child #1 who is 22 months old.”

Rule 8VAC20-800-60-A.

8VAC20-800-90-C

“Based on a review of children’s records, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The most recent immunizations record for child #2, age 22 months, were dated 6/17/20. The record of child #2 did not have documentation of additional immunizations every six months.”

Rule 8VAC20-800-90-C.

8VAC20-800-390-A

“Based on observation and interview, the provider did not ensure children age two and older have access to an individual location in which to keep clothing, toys, and belongings. Evidence: 1. Two outside witnesses reported children’s belongings are stacked on a dog crate without labels. 2.The provider acknowledged that children’s belongings are kept on the dog crate and there was no individual location for children’s belongings.”

Rule 8VAC20-800-390-A. From a complaint.

8VAC20-800-390-B

“Based on observation and interview, the provider did not ensure children under the age of two have access to an individual location in which to keep clothing, toys, and belongings, that is accessible to the caregiver and parent. Evidence: 1. Two outside witnesses reported children’s belongings are stacked on a dog crate without labels. 2. The provider reported the youngest child in care is 1 years old. 3. The provider acknowledged that children’s belongings are kept on the dog crate and there was no individual location for children’s belongings.”

Rule 8VAC20-800-390-B. From a complaint.

8VAC20-800-560-A

“Based on interviews, the provider did not maintain direct care and supervision of each child at all times. Evidence: 1. Two outside witnesses reported that on several occasions the provider was not present at pick-up and children were being cared for by unidentified individuals. 2. During an interview with the provider she reported that approximately two times a month, since September 2021, she leaves the home to go to the store or pick up her own child from school, leaving the children in care with an unauthorized caregiver.”

Rule 8VAC20-800-560-A. From a complaint.

8VAC20-800-60-B

“Based on a review of children’s records, the provider did ensure that each child’s record contained all the required information. Evidence: The record of child #2 (enrolled 11/19/19) did not contain documentation of the addresses for two people to contact in an emergency when a parent can’t be reached.”

Rule 8VAC20-800-60-B. From a complaint.

8VAC20-800-90-A

“Based on a review of children’s records, the provider did not ensure before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Evidence: The record of child #2 (enrolled 11/19/19) did not contain documentation of immunizations.”

Rule 8VAC20-800-90-A. From a complaint.