Ms. Stella Serumaga

The provider shall obtain for each adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Caregiver A was overdue for a subsequent TB screening by over 1 month.”

Rule 8VAC20-800-180-A.

Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Caregiver had 0 out of 16 clock hours of training for the year completed.”

Rule 8VAC20-800-210-A.

Wood burning fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider.

“The annual fireplace inspection was overdue by 3 months.”

Rule 8VAC20-800-320-G.

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

“There was no emergency evacuation drill completed for the month of July 2026.”

Rule 8VAC20-800-830-A.

Hanging items including window blind or curtain cords, appliance cords, and ropes shall be out of reach of children under five years of age.

“A long cord used for hanging up art projects had come undone and was hanging down from the top of the window seal to the floor. All children in care were under the age of 5 years.”

Rule 8VAC20-800-250-A.

The provider must obtain a parent and physicians written authorization for long-term prescription medication.

“Two emergency medications were on-site for Child A for over 1 month. There was no documentation on record for Child A of a parent or physician written authorization to administer the long term emergency medications.”

Rule 8VAC20-800-700-B.

The family day home must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver A’s fingerprinting results were dated over one month after their first day of employment.”

Rule 22.1-289.035-B-2.

The family day home shall obtain a copy of the results of a search of the central registry prior to an employee’s first day of employment or request the central registry prior to employment as long as satisfactory national criminal background check results are obtained prior to employment.

“Caregiver A has been actively employed for 4 months and the search of central registry has not been requested or received.”

Rule 22.1-289.035-B-3.

Any childcare program that serves preschool-age children shall be equipped with at least one carbon monoxide detector.

“The home did not have a carbon monoxide detector on site at the time of the inspection.”

Rule 22.1-289.058.

The provider shall obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening form.

“Caregiver A’s TB screening was dated 17 days after they began employment and came into contact with children.”

Rule 8VAC20-800-170-A.

The provider shall obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening form.

“Caregiver A’s TB screening was dated 17 days after they began employment and came into contact with children.”

Rule 8VAC20-800-170-A.

Whenever the family day home has agreed to administer prescription medications or nonprescription medications, the administration shall be performed by a caregiver who has satisfactorily completed an approved training program for this purpose and is retrained at three-year intervals.

“One child was present with emergency medication. Documentation shows the provider has agreed to administer nonprescription medications. Caregiver B’s MAT training expired over 2 years ago therefore there was no one currently trained to administer medication.”

Rule 8VAC20-800-220-B.

(Repeat Violation) Potentially poisonous substances such as cleaning agents shall be stored away in areas inaccessible to children.

“In the bathroom designated for child use is a spray bottle of antiseptic in an unlocked cabinet accessible to children.”

Rule 8VAC20-800-280.

(Repeat Violation) A caregiver shall provide direct care and supervision of each child at all times to include the monitoring of each sleeping infants.

“1. A 12-month-old child was sleeping in a separate room on the same level with the door closed. 2. There was no baby monitor being used and caregivers did not do an in-person observation every 15 minutes.”

Rule 8VAC20-800-560-A.

When time out is used as a discipline technique it shall be used sparingly and shall not exceed one minute for each year of the child’s age.

“Child A age 2 years was placed in time out for approximately 10 minutes.”

Rule 8VAC20-800-630-B.

Caregivers shall wash their hands with liquid soap and warm running water before preparing and serving food.

“Caregiver A was observed serving food to children without washing their hands prior to serving.”

Rule 8VAC20-800-680-A.

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

“1. Children were observed receiving snack, but handwashing was not done prior to eating. 2. After diapering, a child’s hands were not washed after.”

Rule 8VAC20-800-680-B.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“2 medications were observed in an unlocked upper cabinet.”

Rule 8VAC20-800-730-D.

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information and obtain the parents signed acknowledgment of the review. 1. The annual review of emergency information along with parental signature for Child A was overdue by a year and a half. 2. The annual review of emergency information along with parental signature for Child B was overdue by 3 years. 3. The annual review of emergency information along with parental signature for Child C was overdue by 3 years.”

Rule 8VAC20-800-780-B.

(Repeat Violation) Emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“Emergency evacuation procedures were not practiced monthly. Monthly drills were not documented for July, August, September and October of 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-100-A

“Based on review of 4 child records, the provider did not obtain documentation that each child has received a physical examination prior to the child’s first attendance or within 30 days after the first day of attendance. Evidence: the record for child #2 (date of first attendance: 4/29/2024) did not have documentation of a physical.”

Rule 8VAC20-800-100-A.

8VAC20-800-170-A

“Based on review of 3 provider/household member records, not all providers had a tuberculosis (TB) test/screening at the time of hire and prior to coming into contact with children. Evidence: the record for provider #2, who was observed supervising children, did not have documentation of a TB test/screening.”

Rule 8VAC20-800-170-A.

8VAC20-800-250-A

“Based on observation, the provider failed to ensure that strangulation hazards were kept out of reach of children under five years of age. Evidence: One infant was observed sleeping with a pacifier attached to a ribbon, presenting a strangulation hazard.”

Rule 8VAC20-800-250-A.

8VAC20-800-280

“Based on observation, the provider failed to ensure that poisonous substances were stored in areas inaccessible to children. Evidence: A bottle of bleach water was observed sitting on the bathroom counter, accessible to the children in care.”

Rule 8VAC20-800-280.

8VAC20-800-530-B

“Based on observation, a crib in use by a napping infant contained a top cover. Evidence: an infant was observed sleeping in a crib in a locked room covered with a blanket.”

Rule 8VAC20-800-530-B.

8VAC20-800-560-A

Rule 8VAC20-800-560-A.

8VAC20-800-830-A

“(Repeat Violation) Based on review of documentation, not all emergency evacuation procedures were practiced, as required. Evidence: there were no drills documented between 6/9/2023 and March 2024, and there was no documented drill in July 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Based on review of documentation, not all shelter-in-place procedures were practiced, as required. Evidence: the last documented shelter-in-place drill was dated: 6/14/2023.”

Rule 8VAC20-800-830-B.

8VAC20-800-90-A

“Based on review of 4 child records, the provider did not obtain documentation that each child has been adequately immunized prior to the child’s first attendance. Evidence: the record for child #2 (date of first attendance: 4/29/2024) did not have documentation of immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-800-180-A

“Based on review of documentation, and an interview with the provider, not all caregivers/household members had a repeat TB test/screening every two years as required. Evidence: the record for caregiver #1 had a TB test/screening dated: 02/8/2022. The record for household member #1 had a TB test/screening dated: 1/1/2020.”

Rule 8VAC20-800-180-A.

8VAC20-800-830-C

“Based on review of documentation, and an interview with the provider, not all emergency evacuation procedures that were practiced were documented, as required. Evidence: the last documented emergency evacuation drill was dated: 6/9/2023.”

Rule 8VAC20-800-830-C.

22.1-289.036-A

“Based on review of caregiver and household member records, the provider did not obtain the results of a national, fingerprint-based criminal history check and a sworn disclosure statement every five years for caregivers and household members. Evidence: The most recent fingerprints on record for Caregiver A and Household Member A were dated 1/29/18. The most recent sworn disclosures on record for Caregiver A and Household Member A were dated 2/22/18.”

Rule 22.1-289.036-A.

8VAC20-800-210-A

“Based on review of two caregiver records, the provider did not ensure that all caregivers obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The record for Caregiver B did not contain documentation of annual training.”

Rule 8VAC20-800-210-A.

8VAC20-800-180-A

“Based on review of one household member record, the provider did not obtain for each adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening. Evidence: The TB test on record for Household Member A was dated 1/1/2020.”

Rule 8VAC20-800-180-A.

8VAC20-800-320-B

“Based on observation, the provider did not ensure that child-resistant protective covers were installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: Four outlets were observed to be uncovered during the inspection and all were of a height to be accessible to children.”

Rule 8VAC20-800-320-B.

8VAC20-800-690-D

“Based on observation, the provider did not ensure that the diapering surface was nonabsorbent and washable. Evidence: The diaper changing pad had multiple tears in the nonabsorbent cover, making the surface absorbent and non-washable where the padding was exposed.”

Rule 8VAC20-800-690-D.

8VAC20-800-90-C

“Based on review of four child records, the provider did not obtain documentation of additional immunizations for a child once every six months for children under the age of two years. Evidence: The most recent immunizations on record for Child A, with a date of birth of 11/1/2020, were dated 9/23/21.”

Rule 8VAC20-800-90-C.

8VAC20-770-60-B

“Based on record review and interview, the provider did not obtain a sworn statement or affirmation from an employee prior to hire. Evidence: The sworn statement on record for Caregiver #2 was completed for a previous daycare.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-B

“Based on record review, the provider did not ensure that the record for an assistant contained all required documents. Evidence: The record for Caregiver #2 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Based on review of documentation and interview, the provider did not obtain from each caregiver at the time of hire and prior to coming into contact with children a current report of Tuberculosis (TB) screening. Evidence: The TB test submitted for Caregiver #2, with a start date of 10/2021, was dated 2/4/2022.”

Rule 8VAC20-800-170-A.

8VAC20-800-180-A

“Based on review of documentation and interview, the provider did not obtain a current Tuberculosis (TB) screening every two years from the date of the first screening for each caregiver and adult household member. Evidence: The TB test on record for Caregiver #1 was dated 1/4/2020; and the TB test on record for Household Member #1 was dated 1/1/2020.”

Rule 8VAC20-800-180-A.