Joyce Quansah

Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“The physical examination documentation on file for Child A was not signed by a licensed physician or physician designee.”

Rule 8VAC20-800-110-B.

The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every six months for children under the age of two years.

“1. Child A’s (age 2 years 10 months) last dated immunizations were over 2 years ago. 2. Child B’s (age 4 years) last dated immunizations were over 3 years ago.”

Rule 8VAC20-800-90-C.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be given to parents or posted or placed in an area accessible to parents.

“The menu that was posted was not for the current week.”

Rule 8VAC20-800-920.

Repeat

“The provider shall obtain a current report of TB screening form for each caregiver and adult household member. Household member #3 did not have a completed TB screening.”

Rule 8VAC20-800-170-A.

Repeat

“A child’s record shall contain all required documentation. Child #1’s documented annual review of emergency contact information was more than 30 days overdue. Child #2’s documented annual review of emergency contact information was more than six months overdue.”

Rule 8VAC20-800-60-B.

The provider is required to obtain repeat background checks every five years for caregivers and household members.

“Updated sworn statements were past due for Caregiver #1 and Household member A by more than 19 months.”

Rule 22.1-289.036-A.

The provider is required to obtain a current tuberculosis (TB) screening for each adult household member.

“A TB screening was past due for Household Member B by more than eight months.”

Rule 8VAC20-800-170-A.

The provider is required to obtain a current tuberculosis (TB) screening every two years for each caregiver and adult household member.

“Current TB screenings were past due for Caregiver 1 and Household Member A by more than three months.”

Rule 8VAC20-800-180-A.

Child-resistant protective covers are required to be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“On 2/3/26, there were four outlets observed without covers, three in the living area and one in the kitchen, with a four-year-old present.”

Rule 8VAC20-800-320-B.

The provider shall obtain all required documentation for child records.

“The record for Child B did not contain the address for an emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-50-A

“Based on observation and interviews it was determined that a written record of attendance was next kept each day. Evidence: The attendance record for 04/22/2024 was not complete, there were five children in care during the inspection.”

Rule 8VAC20-800-50-A.

8VAC20-800-500-F

“Based on observation it was determined that trampoline usage was not prohibited during the hours children are in care. Evidence: A trampoline was observed in the family day home basement that four children were actively using during the inspection.”

Rule 8VAC20-800-500-F.

22.1-289.011-F

“Based on observation of the family day home it was determined that not all required documents were posted. Evidence: The most recent inspection was not posted in the family day home as required.”

Rule 22.1-289.011-F.

8VAC20-800-430-A

“Based on observation it was determined that not all children under two were prohibited from access to stairs. Evidence: There were two children in care with the provider, ages two years and 19 months old. There was no gate at the stairs to block access to the children.”

Rule 8VAC20-800-430-A.

8VAC20-800-690-E

“Based on observation it was determined that not all procedures for diapering were followed. Evidence: There was not a foot operated trash can with the changing table.”

Rule 8VAC20-800-690-E.

8VAC20-800-430-B

“Based on observation it was determined that pressure mounted gates were utilized as protective barriers at stair openings. Evidence: A pressure mounted gate was observed at the bottom of the basement stairs instead of a gate hardware mounted to the wall as required.”

Rule 8VAC20-800-430-B.

8VAC20-800-680-A

“Based on observation caregivers did not always wash their hands with soap and warm running water after diapering children. Evidence: The LI (licensing inspector) observed that the provider did not wash their hands after diapering a child. The provider used hand sanitizer instead.”

Rule 8VAC20-800-680-A.

8VAC20-800-100-A

“Based on observation of one children’s record it was determined that not all records contained documentation of a physical within the first 30 days of enrollment. Evidence: Child A (start date: 02/08/2022) did not have documentation of a physical on file.”

Rule 8VAC20-800-100-A.