Mary Joy Ong

In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Staff #1 and #2 received 11 hours of the required 16 hours of annual training during 2025. Staff #3 received 2 hours of the required 16 hours of annual training from March 2025-March 2026.”

Rule 8VAC20-800-210-A.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The most recent annual review of the emergency plan was dated March 2025.”

Rule 8VAC20-800-800-B.

The provider shall ensure that each caregiver receives training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures on an annual basis.

“Staff #2 and #3 did not receive emergency evacuation, emergency relocation and shelter in place procedures during the past 12 months.”

Rule 8VAC20-800-800-C.

8VAC20-800-120-B

“Repeat Assistants’ and substitute providers’ records shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment. References were not checked prior to employment for Staff #3. Staff #3 has been employed for approximately 9 months.”

Rule 8VAC20-800-120-B.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

“A medication authorization expired on 11/18/2025. The authorization was not renewed and the medication remains onsite.”

Rule 8VAC20-800-700-C.

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 procedure was not practiced during the months of May, September and November 2025.”

Rule 8VAC20-800-830-A.

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

“Caregiver #3, who had been employed for one month, did not have a completed national criminal background clearance.”

Rule 22.1-289.035-B-2.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #3, who has been actively working at the family day home for one month, did not have any documented references in their record.”

Rule 8VAC20-800-120-B.

The caregiver administers drugs only to the child identified on the prescription label.

“A prescribed medication did not have a prescription label for Child #1.”

Rule 8VAC20-800-710.

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 verification of identity and age for Child #4.”

Rule 8VAC20-800-80-A.

A child’s record shall contain contact numbers and addresses for two emergency contacts.

“Child #5’s record was missing the address of one emergency contact. Only one emergency contact was contained in the record. Child #5 was present during the inspection and had been in care for 3 months.”

Rule 8VAC20-800-60-B.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“The record for Child #4 did not have a signature of a parent’s review of the emergency contact information. Child #4 has been in care for over a year.”

Rule 8VAC20-800-780-B.

8VAC20-800-750-A

“Based on child record review and review of the topical ointments, two authorizations had expired. Evidence: Child #6 topical ointment expired in 8102022 and #7’s topical ointment authorization expired in 8/2023.”

Rule 8VAC20-800-750-A.

8VAC20-800-180-B

“Based on staff record review, one subsequent TB screening was not completed every 2 years. Evidence: Staff #3’s last documented TB screening was dated October 2019.”

Rule 8VAC20-800-180-B.

8VAC20-800-320-G

“Based on staff statements, the wood burning fireplace has not been annually inspected. Evidence: The last documented fireplace inspection was completed in 2019.”

Rule 8VAC20-800-320-G.

8VAC20-800-500-D

“Based on observation of the outdoor play equipment, one area did not meet the requirements. Evidence: The rope located on the climbing equipment posed an entrapment risk.”

Rule 8VAC20-800-500-D.

8VAC20-800-90-C

“Based on child record review, additional immunizations for children under the age of 2 years were not obtained. Evidence: Child #1, #2 and #3 are under the age of 2 years. Additional immunizations were not obtained every six months.”

Rule 8VAC20-800-90-C.

8VAC20-800-560-A

Rule 8VAC20-800-560-A.

8VAC20-800-570-A

Rule 8VAC20-800-570-A.