James Smith

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

“An updated TB screening for Household Member #1 was not available for review. The last viewed documentation would have expired over six month ago.”

Rule 8VAC20-790-180-A.

(Repeat Violation / Systemic Deficiency) The Home-Based Child Care (HBCC) shall have lockdown procedures in place.

“The vendor did not have HBCC’s lockdown procedures available for review.”

Rule 8VAC20-790-420-B-5.

Dogs where allowed, shall be vaccinated for rabies and shall be treated for fleas, ticks, or worms as needed.

“A shot record for the household pet (dog) was not available for review.”

Rule 8VAC20-800-460-C.

Providers must keep a written record of children in attendance each day.

“There was no attendance record for the date of inspection. The provider could not produce any written attendance record prior to September 4, 2026. A stapled copy of attendance record sheets were observed on site, however all pages remained blank.”

Rule 8VAC20-800-50-A.

(Repeat Violation / Systemic Deficiency) Children’s records are required to contain a signed emergency medical authorization for each child enrolled in care.

“The emergency medical authorization for Child #2 was missing the signature of parent.”

Rule 8VAC20-800-60-B.

(Repeat Violation / Systemic Deficiency) The home-based child care (HBCC) shall have a written emergency preparedness and response plan (EP&RP).

“An EP&RP was not available for review for the FDH.”

Rule 8VAC20-800-800-A.

(Repeat Violation / Systemic Deficiency) Documentation of an emergency drill log; consisting of both emergency evacuation and shelter-in-place drills, shall be maintained.

“An emergency drill log was not available for review.”

Rule 8VAC20-800-830-C.

The FDH shall have lockdown procedures in place.

“The vendor did not have the FDH’s lockdown procedures available for review.”

Rule 8VAC20-790-420-B-5.

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

“None of the caregivers (#1, and #2) obtained any training hours in 2025.”

Rule 8VAC20-800-210-A.

(Repeat Violation / Systemic Deficiency) Children’s records are required to contain the phone numbers for both listed emergency contacts and a signed emergency medical authorization for each child enrolled in care.

“The record for Child #2 was missing 1 of 2 phone numbers for the emergency contacts listed. In addition, the emergency medical authorization for Child #2 was missing the signature of parent.”

Rule 8VAC20-800-60-B.

(Repeat Violation / Systemic Deficiency) The family day home (FDH) shall have a written emergency preparedness and response plan (EP&RP).

“An EP&RP was not available for review for the FDH.”

Rule 8VAC20-800-800-A.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“The emergency drill log was not available for review.”

Rule 8VAC20-800-830-C.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY An area of the family day home (FDH), inside, shall be maintained in a clean condition.

“Within the downstairs bathroom, used by the children in care, the walls and door appear to be heavily stained. This same standard was cited during previous inspections.”

Rule 8VAC20-800-240-A.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY The children’s records did not contain all of the required documentation / information.

“Child #2 had the complete information listed for 1 of 2 emergency contacts; and did not have a signed written emergency medical authorization. Child #4 did not have the address for one of their emergency contacts; and did not have the complete information for their medical insurance. Child #4 did not have the complete information for their medical insurance. This same standard was cited during previous inspections.”

Rule 8VAC20-800-60-B.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY The family day home shall have a written emergency preparedness and response plan.

“A written emergency preparedness and response plan was not available for review. This same standard was cited during previous inspections.”

Rule 8VAC20-800-800-A.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

“The children’s downstairs bathroom area showed signs of staining on the walls, door, and door frame. This same standard in regard to maintenance was cited previously on 01/07/26.”

Rule 8VAC20-800-240-A.

Records are required to contain emergency contact information for 2 contacts; written emergency medical authorization from each child’s parent; and the child’s medical insurance information.

“Only 1 of 2 emergency contact information was available for: Child #1 and #2. Written emergency medical authorization was not available for: Child #1 and # 2. Medical insurance information was not available for: Child #3 and #4. This same standard was cited during an inspection that took place on 11/14/25.”

Rule 8VAC20-800-60-B.

The family day home shall have a written emergency preparedness and response plan (EP&RP).

“While the FDH posted the Provisions of the EP&RP form to be signed by the parents as verification of their review of the FDH’s plan, this was not the plan itself that needed to be completed. This same standard was cited previously during an inspection conducted on 11/14/25.”

Rule 8VAC20-800-800-A.

An area of the family day home (FDH), inside, shall be maintained in a clean condition.

“The carpet in the main child care area (downstairs) showed stains.”

Rule 8VAC20-800-240-A.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“A total of (3) three covers were observed to be missing within the main child care area. These outlets were not in use at the time of inspection.”

Rule 8VAC20-800-320-B.

Repeat Violation

“The Family Day Home is required to submit results of potable water testing to VDH. While it appears through separate documentation that efforts have been taken to test the water, the report findings were not available for review and were still in need of being sent to VDH.”

Rule 22.1-289.057-B.

Repeat Violation

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #3, who had been in care since August of 2023.”

Rule 8VAC20-800-100-A.

Soiled area, from an animal, should be cleaned.

“Household pet (dog) was observed urinating within the indoor child care area on the carpet and nearby high chair. When Licensing Inspector brought this to the attention of the Provider, no effort was made to address it.”

Rule 8VAC20-800-460-J.

Repeat Violation

“Children’s records are required to contain the following: the information of two emergency contacts for each child: the information for the medical insurance for each child; and emergency medical authorization for each child. The records for Child #1, #2 and #3 were missing at least two emergency contacts. The record for Child #3 was missing the medical insurance information. The records for Child #1, #2, and #4 were missing the signed emergency medial authorization from their parents and to the provider.”

Rule 8VAC20-800-60-B.

Repeat Violation

“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 and name and location of previous day care programs. This information was not available for Child #1 who was provided care since January of 2023.”

Rule 8VAC20-800-80-A.

The family day home shall have a written emergency preparedness and response plan (EP&RP).

“The EP&RP was not available for review during today’s renewal inspection.”

Rule 8VAC20-800-800-A.

Repeat Violation

“Certain documents related to the terms of the license are required to be posted on the premises of each facility. The most recently issued license and the findings of the most recent inspection of the facility (from 10/01/2025) were not posted on-site.”

Rule 8VAC20-820-120-E-3.

Repeat Violation

“The Family Day Home 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.

Repeat Violations

“Areas of the Family Day Home (FDH), inside and outside, shall be maintained in a safe, and operable condition. The children’s bathroom (downstairs) was not in a safe condition. The floor tile is both heavily worn with several tiles that are loose posing as a tripping hazard.”

Rule 8VAC20-800-240-A.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“A total of 8 visible outlets in both the child care room and the adjoining bathroom were without child-resistant protective covers.”

Rule 8VAC20-800-320-B.

The bathroom shall have paper towels.

“At the start of the inspection, there were no paper towels available in the downstairs bathroom.”

Rule 8VAC20-800-340-C.

The family day home shall provide a sufficient quantity and variety of play materials and equipment that shall be readily accessible to children.

“There was not a sufficient quantity of play materials and equipment that were age appropriate for the child in care.”

Rule 8VAC20-800-480-A.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be posted or made available to each child’s parent.

“The was not a menu posted on site for the current week.”

Rule 8VAC20-800-920.

Certain documents related to the terms of the license are required to be posted on the premises of each facility.

“The most recently issued license and the findings of the most recent inspection of the facility were not posted on-site.”

Rule 8VAC20-820-120-E-3.

The center is required to have employees and household members undergo a background check every five years.

“The most recent central registry checks for Staff #1, Staff #2, and Household Member #1 were overdue by two months.”

Rule 22.1-289.035-A.

The center is required to have all household members provide a sworn statement or affirmation disclosing whether he has ever been convicted or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.

“A sworn statement or affirmation for Household Member #2 was not available for review.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check for all adult household members.

“Household Member #2 did not have a completed national criminal background check available for review.”

Rule 22.1-289.035-B-2.

The Family Day Home 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.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There were no physical exam records available for Child #3, who had been in care for over 21 months.”

Rule 8VAC20-800-100-A.

Providers must obtain a current tuberculosis screening for all adult household members and from a caregiver at the time of hire and prior to coming into contact with children.

“There was no tuberculosis screening available for review for Household Member #2.”

Rule 8VAC20-800-170-A.

Areas of the Family Day Home (FDH), inside and outside, shall be maintained in a clean, safe, and operable condition.

“The children’s bathroom (downstairs) was not in a clean condition where all four walls and door (inside) appear to have a heavily stained and dirty surface, and the floor tile is both heavily worn with several tiles that are loose posing as a tripping hazard.”

Rule 8VAC20-800-240-A.

Children’s records are required to contain: The name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; name and policy number of the child’s medical insurance; and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

“The record for Child #1, #2, #3, and #4 had the information for 1 of 2 emergency contacts. The record for Child #3, and #4 did not have the child’s insurance information available. The record for Child #1, #2, and #4 did not have written authorization for emergency medical care.”

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 #3 did not have a parent’s signature for an annual review of the emergency contact information. The last review was documented 2 years ago.”

Rule 8VAC20-800-780-B.

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 and name and location of previous day care programs.

“This information was not available for two children who were provided care since 2023.”

Rule 8VAC20-800-80-A.

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

“There was no documentation of immunizations for Child #4, who has been in care for 6 months.”

Rule 8VAC20-800-90-A.

The home is required to obtain a completed sworn statement for a household member who turned 18 years of age.

“The sworn statement for Household Member #2, was missing. Household Member #2 fell under this requirement over one month ago.”

Rule 22.1-289.036-B-1.

All household members must obtain a completed national criminal background check if they are 18 years of age or older.

“Household Member #2, who fell under this requirement over one month ago, did not have a completed national criminal background check on file.”

Rule 22.1-289.036-B-2.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There were no physical exam records available for Child #2, and #5. Child #2 had been in care since 2015. Child #5 had been in care for over 30 days.”

Rule 8VAC20-800-100-A.

The Provider must obtain a current tuberculosis screening from a household member who is 18 years of age or older.

“There was no tuberculosis screening for Household Member #2, who fell into this requirement over 1 month ago.”

Rule 8VAC20-800-170-A.

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

“None of the caregivers (#1,or #2) had certificates of completion for any obtained hours of training in 2024.”

Rule 8VAC20-800-210-A.

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

“The children’s play area (downstairs) was not in a clean condition where the all four walls and door to bathroom appear to have a heavily stained and dirty surface, and the large carpet within the child care room shows several signs of stains and/or soiled marks. The carpet appears darkened with a build up of grime over years of use.”

Rule 8VAC20-800-240-A.

An up to date record for each child enrolled shall be maintained by the provider.

“There was no record for Child #1, #3, and #4 who were at school during the inspection. Child #1 has been enrolled for almost 2 years; Child #3 has been enrolled eight months; and Child #4 has been enrolled for almost 2 years.”

Rule 8VAC20-800-60-A.

Children’s records are required to contain: Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; Name and policy number of the child’s medical insurance; telephone number of each custodial parent’s place of employment; Name, office address and telephone number of the child’s physician; and Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds;

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.

“Records for Child #2 did not have a parent’s signature for an annual review of the emergency contact information. Child #2 had been in care for over a year. Last documented review was 19 months ago.”

Rule 8VAC20-800-780-B.

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 and name and location of previous day care programs.

“This information was not complete for one child who has been provided care since 2015.”

Rule 8VAC20-800-80-A.

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

“There was no documentation of immunizations for Child #2, and Child #5, who both were in care during the inspection. Child #2 has been in care since 2015; Child #5 has been in care for over 1 month.”

Rule 8VAC20-800-90-A.

Based on review and interview, 2 of 2 staff files indicated that documentation of the requirement for annual training was not available for review.

“Evidence - 1. On the date of inspection (05/18/2024), certificates of completion for the Virginia Pre-Service training (10-hour course) were observed for the non-vendor FDH. However, these trainings were dated - 9/14/2017 (Staff #1), and 5/16/2018 (Staff #2). 2. The Provider stated (during an interview on the date of inspection) that he was having trouble obtaining this documentation from the OFC due to computer issues. He stated that some course were taken and that he planned to take more in the future.”

Rule 8VAC20-800-210-A.

Based on observation, the area within the child care room of the family day home (FDH) was not maintained in a clean condition.

“Evidence - 1. On the date of inspection (05/16/2024), the walls and door to bathroom appear to have a heavily stained surface. 2. The large carpet within the child care room shows several signs of stains and/or soiled marks. The carpet appears darkened with a build up of grime over years of use.”

Rule 8VAC20-800-240-A.

Based on review, 2 of 4 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (05/16/2024), the following information was not available for Child #2: Doctor’s address, and the policy name and number for the child’s medical insurance. 2. The following information was not available for Child #3: Parents home and work information, the information for 2 emergency contacts, and the policy name and number for the child’s medical insurance.”

Rule 8VAC20-800-60-A.

Based on review, 1 of 4 children files indicated that not all of the required documentation was complete and signed of by the child’s parent.

“Evidence - 1. On the date of inspection (05-16-2024), the following documentation was either not complete or not signed by the Parent of Child #3: Information for Parent form, Medication Administration - Decision to Administer form, Liability Declaration form, and Provisional from of the EP&RP (all were not signed by parent). 2. Provider stated that he is working with parent to finish off these forms.”

Rule 8VAC20-800-70-A.

Based on review, 3 of 4 children files indicated that a review of each child’s emergency information was not conducted, signed and dated as verification on an annual basis.

“Evidence - On the date of inspection (05/16/2024), the following reviews were found to be in non-compliance: 1. Child #1 - dated: 01/21/2023 2. Child #3 - was not signed or dated by the parent 3. Child #4 - dated: 01/15/2023”

Rule 8VAC20-800-780-B.

Based on review, 6 of 7 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection (11/28/2023), the following children did not have documentation of a physical examination available for review: Child #1* (start date - 06/08/12), Child #2* (start date - 08/22/14), Child #3* (start date - 12/27/18), Child #5 (start date - 09/11/20), Child #6 (start date - 03/08/22), and Child #7 (start date - 01/19/23). 2. Repeated violations were indicated with an * for an inspection previously conducted on 05/18/2023.”

Rule 8VAC20-800-100-A.

Based on interview, the Family Day Home (FDH) did not keep a written record of the children who were in attendance for each day.

“Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 11/28/2023) that he currently does not keep this documentation. 2. The Provider asked the Licensing Inspector for a copy of an attendance sheet on the date of inspection.”

Rule 8VAC20-800-50-A.

Based on review, 5 of 7 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - On the date of inspection (11/28/2023), the following information was not available for review: 1. The Child’s home address - Child #6 (start date: 03/08/2022) 2. The Parent’s home address - Child #6 3. The Parent’s work Information - Child #6 4. The Child’s Doctor’s address and phone number - Child #6 5 - The Child’s Insurance information - Child #5*, #6 6 Signed Emergency Medical Authorization by the Child’s Parent - Child #1*, #2*, #3*, and #6 (not signed) *repeat violation from an inspection conducted 05/18/2023.”

Rule 8VAC20-800-60-B.

Based on review, 3 of 7 children files indicated that not all of the required documentation has been completed.

“Evidence - On the date of inspection (11/28/2023), the following documents were not complete: 1. Medication Administration - Decision to Administer (missing page 2) for - Child #1*, Child #2*, and Child #3* 2. Information for Parents (missing page 2) for - Child #1*, Child #2*, and Child #3* * repeat violation from an inspection conducted previously on 05/18/2023”

Rule 8VAC20-800-70-A.

Based on review, 6 of 7 children files indicated that a review of the parent’s emergency contact information (required in 8VAC20-800-60 B 2) to ensure that the information is correct, was not conducted on an annual basis.

“Evidence - 1. On the date of inspection (11/28/2023), the following were observed to be the last parent signed acknowledgments on file: Child #1 (dated - 04/12/22), Child #2 (10/20/22), Child #3 (10/20/22), Child #4 (01/21/22), Child #5 (09/17/20), and Child #6 (03/08/22). 2. This information is based on the signature line at the bottom of each child’s record.”

Rule 8VAC20-800-780-B.

Based on review, 1 of 7 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section), once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (11/28/2023), the most current immunization page on file for Child #6 was dated - 03/29/2023. 2. Based on other documentation on file, Child #6 was under two years of age on the date of inspection.”

Rule 8VAC20-800-90-C.

Based on review, 6 of 7 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

“Evidence - 1. The following children were without documentation of a physical on file: Child #1 (start date - 06/08/2012), Child #2 (start date - 08/22/2014), Child #3 (start date - 12/27/2018), Child #5 (start date - 09/11/2020), Child #6 (start date - 08/09/2017), and Child #7 (start date - 01/19/2023). 2. These dates were review by the Licensing Inspector with the Provider on the date of inspection.”

Rule 8VAC20-800-100-A.

Based on review, 0 of 2 staff files indicated that each caregiver obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence - 1. On the date of inspection (05/18/2023, a total of 8 hours training for Staff #1, and a total of 8 hours of training for Staff #2 was obtained for the past annual training period. 2. These hours were calculated after review of certificates kept on file for each staff person of the past annual training period.”

Rule 8VAC20-800-210-A.

Based on observation and review, the shot record for the pet observed on site was not available.

“Evidence - 1. On the date of inspection (05/18/2023), a dog (Mallo) was observed on site. The Provider stated that it belonged to a household member. 2. The vaccination record for this animal was not available for review on the date of the inspection. 3. The dog was separated; kept behind a barrier and upstairs from the daycare program located downstairs in the Family Day Home.”

Rule 8VAC20-800-460-C.

Based on review, 4 of 7 children files indicated that a written authorization for emergency medical care (should an emergency occur and the parent cannot be located immediately).

“Evidence - 1. On the date of inspection (05/17/2023), the following children did not have a complete authorization for emergency medical care on file at the FDH: Child #1, Child #2, and Child #3. Page 2 of the Child’s Record was not available. 2. The authorization for emergency medical care for Child #6 was missing the parent signature. 3. There was not a parent’s written objection to the provision of medical treatment on religious or other grounds on file for any enrolled child.”

Rule 8VAC20-800-60-B.

Based on review, 3 of 7 children files indicated that not all documentation was on file within each child’s record.

“Evidence - 1. On the date of inspection (05/18/2023), page 2 of the Parent Information Form was not available for: Child #1, Child #2, and Child #3. 2. On the date of inspection, page 2 of the Administration of Medication Policy Form was not available for: Child #1, Child #2, and Child #3.”

Rule 8VAC20-800-70-A.

Based on review, 3 of 6 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection (11/03/2022), the following children did not have documentation of a physical available for review: Child #3, Child #5, and Child #6. 2. These are their start dates: Child #3 (12/27/2018), Child #5 (09/11/2020), and Child #6 (08/09/2017).”

Rule 8VAC20-800-100-A.

Based on observation, areas of the family day home (FDH), inside, were not maintain in a safe condition.

“Evidence - 1. On the date of inspection (11/03/2022), a corned of the room, beside a closet within the childcare area, showed signs of the wall (drywall) chipping. This was previously cited during an inspection conducted on 06/01/2022. 2. In addition, the curtain rod above the window in the childcare area was hanging down off of its wall anchors. The rod with the curtains were lopsided and leaning down to the right.”

Rule 8VAC20-800-240-A.

Based on review and interview, 1 of 6 children files was not available for review.

“Evidence - 1. On the date of inspection (11/03/2022), an up-to-date record for Child #4 was not available for review. 2. Child #4 was in attendance on the date of inspection. 3. The Provider stated (during an interview conducted on the date of inspection) that this documentation was given to the parent to complete, but has yet to be returned to the FDH.”

Rule 8VAC20-800-60-A.

Based on review, 3 of 6 children files indicated that not all of the required documentation / information was contained within each child’s file.

“Evidence - The following children were missing the following documentation / information: 1. For Child #3: Information for Parents form (Page 2), Authorization for Emergency Care 2. For Child #5: Policy # for the listed medical insurance. 3. For Child #6: Policy # for the listed medical insurance, had only 1 of 2 emergency contacts listed.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 6 children files indicated that not all of the required documentation has been signed of by the child’s parent.

“Evidence - 1. On the date of inspection (11/03/2022), Child #3 did not have available the following completed documentation: Policy for the Administration of Medications form (page 2 was not available), and the Provisional form of the Emergency Preparedness and Response Plan. 2. The start date for Child #3 was listed as 03/26/2018.”

Rule 8VAC20-800-70-A.

Based on review, the review of the emergency information on file for each child was not conducted and verified by the child’s parent each year.

“Evidence - 1. On the date of inspection (11/03/2022), the following children’s reviews were outdated: Child #5, and Child #6. 2. The last documented review for Child #5 was listed as 09/17/2020, and the last documented review for Child #6 was listed as 09/23/2017.”

Rule 8VAC20-800-780-B.

Based on interview, documentation of the emergency drills conducted by the family day home (FDH) was not available for review.

“Evidence - 1. The Provider stated on the date of inspection (11/04/2022) that drills had been conducted (to include both all fire drills and a shelter-in-place drill) for over the past 6 months. 2. However, this documentation was not available for review. This same standard was cited during previous inspection conducted on 06/01/2022.”

Rule 8VAC20-800-830-C.

Based on review, 1 of 3 household records did not have a criminal record / fingerprint check (FPC), and a sworn disclosure statement (SDS) that were available for review.

“Evidence - 1. On the date of inspection (06/01/2022), a FPC, and a SDS for Household Member #1 was not available for review. 2. On the date of inspection, Household Member #1 was at least 18 years of age or older.”

Rule 22.1-289.035-A.

Based on review and interview, 2 of 2 staff files indicated that there was not a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care available.

“Evidence - 1. On the date of inspection (06/01/2022), the CPR certifications on file for both Staff #1 and Staff #2 both expired on 02/22/2022. 2. The Provider stated (during an interview conducted on the date of inspection) that he and his assistant was still trying to set up a training.”

Rule 8VAC20-800-140-B-3.

Based on review and interview, 2 of 2 staff files indicated that there was not a current certification in first aid.

“Evidence - 1. On the date of inspection (06/01/2022), the first aid certifications on file for both Staff #1 and Staff #2 both expired on 02/22/2022. 2. The Provider stated (during an interview conducted on the date of inspection) that he and his assistant was still trying to set up a training.”

Rule 8VAC20-800-140-B-4.

Based on review, 1 of 3 household records indicated that the Provider did not from each adult household member (prior to coming into contact with children) a current Report of Tuberculosis Screening (TB) form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.

“Evidence - 1. On the date of inspection (06/01/2022), initial TB documentation for Household Member #1 was not available for review. 2. Based on the documentation on file, Household Member #1 (on the date of inspection) was 18 years of age or older.”

Rule 8VAC20-800-170-A.

Based on review and interview, 1 of 2 staff files indicated that a current Report of Tuberculosis Screening (TB) form (in accordance with the requirements in 8VAC20-800-170), every two years (from the date of the first screening or more frequently as recommended by a physician or the local health department) was not available.

“Evidence - 1. On the date of inspection (06/01/2022), the TB documentation on file for Staff #2 was dated - 04/18/2019. 2. Staff #2 stated (during an interview conducted on the date of inspection) that she believed that she had obtained this documentation. However, she was unable to produce this same documentation during the inspection.”

Rule 8VAC20-800-180-A.

Based on review and interview, 2 of 2 staff files did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence - 1. On the date of inspection (06/01/2022), certificates documenting a total of at least 16 hours of annual training was not available for review for: Staff #1, and Staff #2. 2. Both Staff #1 and Staff #2 confirm on the date of inspection during an interview, that they did not obtain the required 16 hours each. 3. The only documentation available on site was prior to the annual year that was up for review.”

Rule 8VAC20-800-210-A.

Based on observation, areas and furnishings of the Family Day Home (FDH) inside, was not maintained in a safe condition.

“Evidence - 1. On the date of inspection (06/01/2022), the following was areas were observed: a loose floor tile in the child care bathroom; and chipped drywall near and around the closet door located in the main room. 2. The following furnishing was observed: a metal corner shelving unit, located in the child care bathroom, was shown to have rust.”

Rule 8VAC20-800-240-A.

Based on observation, child-resistant protective covers larger than 1-1/4 inches in diameter were not installed on all unused electrical outlets accessible to children under five years of age.

“Evidence - 1. On the date of inspection (06/01/2022, four outlets were observed without their protective covers. 2. These outlets were accessible to the one child in care (under five years of age).”

Rule 8VAC20-800-320-B.

Based on review, 1 of 6 children files indicated that not all of the required information / documentation was on file.

Rule 8VAC20-800-60-B.

Based on observation, the diapering surface was not separate from surfaces used for food or children activities.

“Evidence - 1. On the date of inspection (06/01/2022), a high chair serving tray was observed being stored on top of the diapering surface. 2. This high chair was intended for Child #1 who was in care on the date of inspection.”

Rule 8VAC20-800-690-D.

Based on review, documentation was not available for the emergency evacuations and shelter-in-place drills conducted by the Family Day Home (FDH).

“Evidence - On the date of inspection (06/01/2022), a drill log was not available for review.”

Rule 8VAC20-800-830-C.

Based on review, 1 of 6 children files the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (06/01/2022), the immunization page for Child #1 was dated 09/02/2020. 2. Based on the information on file, on the date of inspection, Child #1 was under the age of two years.”

Rule 8VAC20-800-90-C.

Based on observation, 5 of 5 children files indicated that the parent did not annually review the emergency contact information (required in 22 VAC 40-111-60 B 2) to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“Evidence - 1. On the date of inspection (11/19/2021), that signatures of the last documented review by the parents were dated as follows: 08/27/2020 (for Child #1), 05/23/2019 (for Child #2), 09/27/2017 (for Child #3), 09/08/2018 (for Child #4), and 08/22/2014 (for Child #5). 2. This observation was confirmed on the date of inspection by the Provider.”

Rule 22VAC40-111-780-B.

the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child who was not exempt from the immunization requirements according to subsection B of this section once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (11/19/2021), the most current immunization documentation for Child #1 was dated - 09/02/2020. 2. On the date of inspection, based on the information on file, Child #1 was under the age of two years and held no exemption for immunization requirements.”

Rule 22VAC40-111-90-C.