Gissela Medina Maldonado

Repeat violation

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The current license and the findings from the most recent inspection, dated 7/1/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F. From a complaint.

Repeat violation

“The provider shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The provider did not take written attendance on the date of inspection.”

Rule 8VAC20-790-180-B. From a complaint.

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

“The immunization record for Child #1 was not signed.”

Rule 8VAC20-800-110-B. From a complaint.

Providers must maintain a record for each caregiver.

“There were no records for Caregiver #2, Caregiver #3, or Caregiver #4, all of whom have been caring for children for one week.”

Rule 8VAC20-800-120-A. From a complaint.

Caregivers shall be able to be able to speak, read, and write in English as necessary to carry out assigned job responsibilities.

“During the inspection, while the provider was off-site, Caregiver #2, Caregiver #3, and Caregiver #4 were asked how many children were in attendance and were unable to provide an answer.”

Rule 8VAC20-800-130. From a complaint.

Repeat violation

“Potentially poisonous substances shall be stored away in areas inaccessible to children. Sanitizing wipes were on a shelf and in the bathroom that were accessible to children.”

Rule 8VAC20-800-280. From a complaint.

Repeat violation

“Cribs when being used by infants shall have a tight-fitting bottom cover. Two cribs were observed that had a loose-fitting bottom cover.”

Rule 8VAC20-800-530-B. From a complaint.

Repeat violation

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record and obtain the parent’s signed acknowledgement of the review. The record for Child #2 did not include a parent’s signature of the annual review of the emergency contacts and was overdue by over five months.”

Rule 8VAC20-800-780-B. From a complaint.

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. This information was not available for Child #3, who has been in care for over five months.”

Rule 8VAC20-800-80-A. From a complaint.

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The findings from the most recent inspection, dated 3/9/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

The provider shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“The provider did not take written attendance on the date of inspection.”

Rule 8VAC20-790-180-B.

The provider shall 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.

“There was no physical exam record for Child #2, who has been in care for over three months.”

Rule 8VAC20-800-100-A.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Caregiver #3 TB was dated over two months prior to date of employment and has been employed for 23 days.”

Rule 8VAC20-800-170-B.

Potentially poisonous substances shall be stored away in areas inaccessible to children.

“A deodorizer was plugged into the wall and a bottle of lotion labeled `Keep out of reach of children? was placed on a shelf, both items were accessible to children.”

Rule 8VAC20-800-280.

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.

“There were no protective covers for nine unused outlet that were accessible to children. At the time of the inspection there were 10 children under five years of age.”

Rule 8VAC20-800-320-B.

Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs.

“There was not a mounted gate to prevent direct access to stairs. There were six children in care under two years of age.”

Rule 8VAC20-800-430-A.

Cribs when being used by infants shall have a tight-fitting bottom cover.

“Two cribs were observed that had a loose-fitting bottom cover.”

Rule 8VAC20-800-530-B.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record and obtain the parent’s signed acknowledgement of the review.

“The record for Child #2 did not include a parent’s signature of the annual review of the emergency contacts and was overdue by over three months.”

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.

“This information was not available for Child #1, who has been in care for over three months.”

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 #5, who has been in care for over two years.”

Rule 8VAC20-800-90-A.

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The findings from the most recent inspection, dated 1/8/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F. From a complaint.

Providers are required to obtain a sworn statement for all adult household members disclosing whether he has ever been convicted of 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.

“There was no sworn statement available at the time of inspection for household member #1.”

Rule 22.1-289.035-B-1. From a complaint.

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for child #1 was not signed.”

Rule 8VAC20-800-110-B. From a complaint.

For assistants who are hired after June 30, 2010, documentation that two or more references as to character and reputation as well as competency were check before employment.

“Caregiver #2 had 0 of 2 references and has been employed for over nine months. Caregiver #3 had 1 of 2 references and has been employed for over nine months.”

Rule 8VAC20-800-120-B. From a complaint.

Caregivers shall be able to be able to speak, read, and write in English as necessary to carry out assigned job responsibilities.

“During the inspection, while the provider was off-site, Caregiver #2 and Caregiver #3 were asked the age of a child and were unable to provide an answer.”

Rule 8VAC20-800-130. From a complaint.

Providers shall maintain current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“The record of Caregiver #1 contained documentation of CPR certification that expired nine months ago.”

Rule 8VAC20-800-140-B-3. From a complaint.

Providers shall maintain current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

“The record of Caregiver #1 contained documentation of first aid certification that expired nine months ago.”

Rule 8VAC20-800-140-B-4. From a complaint.

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

“An updated TB screening for Caregiver #1 was not completed and was overdue by two years. An updated TB screening for Household member #1 was not completed and was overdue by over nine months.”

Rule 8VAC20-800-180-A. From a complaint.

The provider shall ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home, excluding the provider’s own children.

“The maximum licensed capacity of the home is 12 and there were 13 children, plus one of the provider’s own children. The 13th child left during the inspection.”

Rule 8VAC20-800-40-A. From a complaint.

The provider shall maintain a written hard copy record of daily attendance each day.

“The provider has not taken written attendance since February 18, 2026.”

Rule 8VAC20-800-50-A. From a complaint.

The provider shall ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed: 1. Children from birth through 15 months of age count as four points each; 2. Children from 16 months through 23 months of age count as three points each; 3. Children from two through four years of age count as two points each; 4. Children from five years through nine years of age count as one point each;

“Caregiver #2 and Caregiver #3 were observed supervising 14 children, including one provider’s child, (45 points) without a third caregiver. The caregivers were over the supervision requirements by 13 points for approximately 30 minutes during the inspection.”

Rule 8VAC20-800-570-A. From a complaint.

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

“There was no record for Child #1, who was in care during the inspection and had been in care for one week.”

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

Before the child’s first day of attendance, parents shall be provided in writing the declaration of liability.

“Child #3 who has been in care for over nine months did not have a declaration of liability in their record.”

Rule 8VAC20-800-70-B. From a complaint.

Providers are required to obtain a sworn statement for all adult household members disclosing whether he has ever been convicted of 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.

“There was no sworn statement available at the time of inspection for household member #1.”

Rule 22.1-289.035-B-1.

Within the first 90 days of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education.

“Caregiver #2, who has been employed for seven months, has not completed Virginia Preservice Training.”

Rule 8VAC20-790-250-B.

All caregivers shall have within 90 days of employment or 90 days from subsidy vendor approval current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Caregiver #2, who has been employed for seven months did not have certification in cardiopulmonary resuscitation (CPR) in their file.”

Rule 8VAC20-790-250-D-1.

For assistants who are hired after June 30, 2010, documentation that two or more references as to character and reputation as well as competency were check before employment.

“Caregiver #2 had 0 of 2 references and has been employed for over seven months. Caregiver #3 had 1 of 2 references and has been employed for over seven months.”

Rule 8VAC20-800-120-B.

Providers shall maintain current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“The record of caregiver #1 contained documentation of CPR certification that expired seven months ago.”

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

Providers shall maintain current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

“Staff #1’s certification in first aid expired seven months ago.”

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

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

“An updated TB screening for Caregiver #1 was not completed and was overdue by 22 months. An updated TB screening for Household member #1 was not completed and was overdue by eight months.”

Rule 8VAC20-800-180-A.

Poisonous materials shall be stored in an area inaccessible to children.

“Poisonous cleaning materials were in an unlocked bathroom cabinet and accessible to children.”

Rule 8VAC20-800-280.

Sharp kitchen utensils and other sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision.

“Sharp knives were found in a kitchen drawer that was accessible to children.”

Rule 8VAC20-800-290.

Before the child’s first day of attendance, parents shall be provided in writing the Declaration of Liability For.

“Child #2 and #5, who have been in care for over one year did not have the Declaration of Liability Form in their file.”

Rule 8VAC20-800-70-B.

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

“The last practiced emergency evacuation was in July 2025.”

Rule 8VAC20-800-830-A.

Shelter-in-place procedures shall be practiced a minimum of twice per year.

“Shelter-in-place drills were not conducted at least twice during 2025.”

Rule 8VAC20-800-830-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 record available for Child #4, who had been in care for 64 days.”

Rule 8VAC20-800-100-A.

For assistants who are hired after June 30, 2010, documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Staff #2 had 1 of 2 references checks on file. Staff #3 had 0 of 2 reference checks on file.”

Rule 8VAC20-800-120-B.

Current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, was not available for review.

“Staff #1 certification in CPR expired 9 days ago.”

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

Current certification in First Aid, was not available for review.

“Staff #1 certification in First Aid expired 9 days ago.”

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

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

“An updated TB screening for Staff #1 was not completed and was overdue by sixteen months. An updated TB screening for Household Member #1 was not completed and was overdue by one month.”

Rule 8VAC20-800-180-A.

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

“Staff #1 obtained (5) five hours of training in the past annual period.”

Rule 8VAC20-800-210-A.

Children’s records are required to the name and policy number of the child’s medical insurance.

“The record for Child #5 was missing the policy number for the listed medical insurance company. Child #5 was present during the inspection and had been in care for almost 3 weeks.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There were no parent acknowledgements available for: Medication Administration Form for Child #3; and the Declaration of Liability Form for Child #10, and #11. All three children have been in care for at least 1 month.”

Rule 8VAC20-800-70-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 children #9, and #12 did not have a parent’s signature for an annual review of the emergency contact information. Both annual reviews expired last week.”

Rule 8VAC20-800-780-B.

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

“There was no documentation of immunizations for child #13, who was in care during the inspection and had been in care for a year.”

Rule 8VAC20-800-90-A.

Documentation of additional immunizations is required once every six months for children under the age of two years. ’

“Child #2, 22 months old, last documented immunization was over 13 months ago.”

Rule 8VAC20-800-90-C.

Caregivers who work directly with children shall annually attend the department’s health and safety update course.

“Staff #2 did not complete the annual health and safety update course for 2024.”

Rule 8VAC20-790-250-F.

Providers are required to obtain a completed sworn statement prior to the employee’s first day of employment and when any new resident moves into the home.

“The sworn statement for Staff #3 and Staff #4, who were currently working (over 1 week), was not completed. In addition, Household Member #1 and Household Member #2, who both have lived in the home for two months, did not have a sworn statement.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment and when any new resident moves into the home.

“Staff #3 and Staff #4, who both had been employed for over one week, did not have a completed national criminal background check. In addition, Household Member #1 and Household Member #2, who both have lived in the home for two months, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

Providers must maintain a record for each caregiver.

“There were no records for Staff #3 and Staff #4 who have been caring for children for one week.”

Rule 8VAC20-800-120-A.

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

“There was no tuberculosis screening for Staff #3 and Staff #4, who have been caring for children for one week.”

Rule 8VAC20-800-170-A.

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

“An updated TB screening for Staff #1 was not completed and was overdue by eleven months.”

Rule 8VAC20-800-180-A.

The provider must orient assistants by the end of their first week of assuming job responsibilities.

“Staff #2 provided care for children for over one year without a documented orientation. This same violation was cited during a previous inspection.”

Rule 8VAC20-800-200-C.

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

“Staff #1 and Staff #2 did not obtain a minimum of 16 clock hours of annual training in 2024.”

Rule 8VAC20-800-210-A.

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

“The current rabies vaccination for the household pet expired over a month ago.”

Rule 8VAC20-800-460-C.

Based on review, 1 of 4 staff files indicated that within the first 90 days of employment, all caregivers did not complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education.

“Evidence - 1. On the date of inspection (07/10/2024) it was determined that Staff #2 (start date - 12/20/23) did not complete the 10-hour Virginia Preservice training within 90 days of their start date. 2. A certificate of completion was not available for review.”

Rule 8VAC20-790-250-B.

Based on review, 1 of 4 staff files indicated that a current certification in cardiopulmonary resuscitation (CPR) and First Aid appropriate to the ages of children in care was not completed within 90 days of their start date.

“Evidence - 1. Certificates of completion for CPR and First Aid were not available for review for Staff #2. 2. The start date for Staff #2 was listed as 12/20/23.”

Rule 8VAC20-790-250-D-1.

Based on review, Lockdown procedures have not been practiced at least annually.

“Evidence - 1. On the date of inspection, the drill log was reviewed. 2. A completed lockdown drill for 2023, and to date, for 2024 was not recorded.”

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

Based on review, 1 of 15 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 (07/10/2024), the following children did not have a physical available for review: Child #11 (start date - 04/17/23), Child #12 (start date - 04/17/23), Child #15 (start date - 06/03/24). 2. All three children were still enrolled in the child care program.”

Rule 8VAC20-800-100-A.

Based on review, 2 of 4 staff files indicated that not all of the required documentation was contained within each file.

“Evidence - On the date of inspection (07/10/2024), the following information was not available for the following staff: 1. Staff age verification for - Staff #3, and Staff #4 2. 1 of 2 references for - Staff #3, and Staff #4 3. Both staff share the same start date of 07/03/2024.”

Rule 8VAC20-800-120-B.

Based on review, 1 of 4 staff files indicated that 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 Screening (TB) form.

“Evidence - 1. On the date of inspection (07/10/2024), Staff #3 (start date - 07/03/2024) did not have initial TB documentation available for review. 2. Staff #3 was on site providing care of the children on the date of inspection.”

Rule 8VAC20-800-170-A.

Based on review, the Provider did not obtain for each caregiver 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 documentation of the last screening or TB test.

“Evidence - 1. On the date of inspection (07/10/2024), the TB documentation of file for Staff #1 was dated - 03/09/22. 2. This finding was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-180-A.

Based on review, 1 of 4 staff files indicated that documentation of the orientation was not signed and dated by the provider and assistant.

“Evidence - 1. On the date of inspection, an orientation was not available for review for Staff #2. 2. The start date for Staff #2 was listed as 12/20/23.”

Rule 8VAC20-800-200-C.

Based on review, 2 of 15 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. One of two emergency contacts (and their information) was listed for the following children: Child #5, and Child #13. 2. The start date for Child #5 was listed as 12/11/23. The start date for Child #13 was listed as 05/01/24.”

Rule 8VAC20-800-60-B.

Based on review, the Provider did not review the Emergency Preparedness and Response Plan (EP&RP) at least annually, updated the plan as needed, and document in writing each review and update.

“Evidence - 1. On the date of inspection, the last documented review of the FDH EP&RP was dated - 07/07/2023). 2. The Provider confirmed this finding on the date of inspection.”

Rule 8VAC20-800-800-B.

Based on review, it was determined that a shelter-in-place drill was not conducted during 2023, and so far to date in 2024.

“Evidence - 1. On the date of inspection (07/10/2024), after a review of the posted drill log. A shelter-in-place drill was neither recorded in 2023, or to date in 2024. 2. This log was posted on the wall with other posted documentation.”

Rule 8VAC20-800-830-B.

Based on review, 2 of 15 children files indicated that the Provider did not obtain documentation that all children had been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations) before a child may attend the Family Day Home (FDH).

“Evidence - 1. On the date of inspection (07/10/2024), the following children did not have an initial immunization page within their file: Child #6, and Child #15. 2. The start date for Child #6 was listed as 11/15/23. The start date for Child #15 was listed as 06/03/24.”

Rule 8VAC20-800-90-A.

Based on review, 1 of 15 children files indicated that the 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 (07/10/2024), Child #13 had an immunization page on file that was dated - 10/02/23. 2. Based on the information on file, on the date of inspection, Child #13 was under the age of two years.”

Rule 8VAC20-800-90-C.

Based on review, 4 of 13 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) prior to a child’s first day of attendance.

“Evidence - 1. On the date of inspection (01/09/2024), the following children did not have the documentation of a physical examination available for review: Child #6 (start date - 11/15/2023), Child #11 (start date - 04/17/2023), Child 12 (start date - 04/17/2023), and Child #13 (start date - 11/13/2023). 2. The Provider confirmed that all listed children were still currently enrolled.”

Rule 8VAC20-800-100-A.

Based on review, 2 of 13 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (01/09/2024), only 1 of 2 emergency contacts was listed for Child #5. 2. The child’s record was not available for review for Child #13. Provider stated that she is still awaiting its return from the child’s parent.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 13 children files indicated that the Provider did not obtain documentation that each child had been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations) before the child attends the Family Day Home (FDH).

“Evidence - 1. On the date of inspection (01/09/2024), documentation of the child’s immunizations was not available for review for Child #5. 2. The start date for Child #5 was listed as 12/11/2023. Child #5 was in attendance on the date of inspection.”

Rule 8VAC20-800-90-A.

Based on review, 1 of 13 children files reviewed 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 any child under the age of two years.

“Evidence - 1. On the date of inspection (01/09/2024), the current immunization documentation on file for Child #10 was dated - 03/01/2023. 2. On the date of inspection, based on documentation on file, Child #10 was under the age of two years.”

Rule 8VAC20-800-90-C.

Based on review, 1 of 2 staff files indicated that within the first 90 days of employment a caregiver did not complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education (10 hours).

“Evidence - 1. On the date of inspection (07/07/2023), a certificate of completion for the VA Preservice Training was not available for Staff #2. 2. The start date for Staff #2 was listed as 03/04/2023.”

Rule 8VAC20-790-250-B.

Based on review and interview, lockdown procedures were not practiced at least annually.

“Evidence - 1. On the date of inspection (07/07/2023), a lockdown drill was not recorded on the posted drill log. 2. The Provider stated (during an interview conducted on the date of inspection) that a lockdown drill has not been conducted within the past year.”

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

Based on review, 1 of 2 staff files indicated that the licensed family day home (FDH) did not have a correct fingerprinting check (FPC) on file.

“Evidence - 1. On the date of inspection (07/07/2023), a FPC for Staff #2 did not identify with the current address of the FDH. 2. This FPC was dated - 06/05/2023”

Rule 22.1-289.035-B-2.

Based on review, 2 of 2 household records indicated that the licensed family day home (FDH) did not have a correct fingerprinting check (FPC) on file.

“Evidence - 1. On the date of inspection (07/07/2023), a FPCs for both Household Member #1, and Household Member #2 did not identify with the current address of the FDH. 2. This FPC for HM #1 was dated - 12/14/2022, and the FPC for HM #2 was dated - 05/23/2023.”

Rule 22.1-289.036-B-2.

Based on review, 1 of 2 staff files, and 2 of 2 household records indicated that all of the required background checks were not available for review.

“Evidence - 1. On the date of inspection 07/07/2023) a sworn statement or affirmation (SDS) was not available for review for Household Member #1, and Household Member #2. Both have moved into the home since the last inspection. 2. A search of the central registry ( CPS ) for Household Member #1 was not available for review.”

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

Based on review and interview, 1 of 2 staff files indicated that an employee of a family day home (FDH) was employed prior to the FDH having the person’s completed sworn statement or affirmation (SDS).

“Evidence - 1. On the date of inspection (07/07/2023), the SDS of Staff #2 was signed and dated - 06/03/2023. 2. The Provider stated (during an interview conducted on the date of inspection) and documented that the start date for Staff #2 was 03/04/2023.”

Rule 8VAC20-770-60-B.

Based on review, 3 of 11 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 (07/07/2023), the following children did not have documentation of a physical examination on file: Child #1, Child #2, and Child #11. 2. Their start dates were: Child #1 - 02/28/2022; Child #2 - 02/28/2022; and Child #11 - 04/17/2023.”

Rule 8VAC20-800-100-A.

Based on review, 1 of 2 staff files indicated that not all of the required documentation was on file.

“Evidence - 1. On the date of inspection (07/07/2023), 1 of 2 references were on file for Staff #2. 2. The start date for Staff #2 was listed as 03/04/2023.”

Rule 8VAC20-800-120-B.

Based on review and interview, 1 of 2 staff files indicated that a minimum of sixteen (16) clock hours of training annually in areas relevant to their job responsibilities was not obtained.

“Evidence - 1. On the date of inspection (07/07/2023), a total of 8 hours of annual training was documented for Staff #1. 2. Staff #1 stated (during an interview conducted on the date of inspection) that she did not realize that the overall total of annual training hours needed was 16.”

Rule 8VAC20-800-210-A.

Based on review, 3 of 11 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (07/07/2023), 1 of 2 emergency contact phone numbers was listed for Child #7, Child #8, and Child #9. 2. The insurance policy number was not available for the named medical insurance policy for Child #7, Child #8, and Child #9.”

Rule 8VAC20-800-60-B.

Based on review, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children were in care.

“Evidence - 1. Based on the posted drill log, the last documented fire drill was conducted in March 2023. 2. The Provider confirmed this observation on the date of inspection.”

Rule 8VAC20-800-830-A.

Based on review, shelter-in-place procedures were not practiced a minimum of twice per year.

“Evidence - 1. Based on the posted drill log, no shelter-in-place drills were practiced within the past year. 2. The Provider confirmed this observation on the date of inspection.”

Rule 8VAC20-800-830-B.

Based on review, 1 of 11 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 (07/07/2023), an immunization page for Child #5 was dated - 01/05/2023. 2. Based on information on file, Child #5 was under the age of two years on the date of inspection.”

Rule 8VAC20-800-90-C.

Based on review and interview, 1 of 2 staff files indicated that the department’s health and safety update course was not conducted within the past year.

“Evidence - 1. On the date of inspection (01/13/2023), a certificate of completion for the department’s health and safety update course for Staff #1 was not available for review. 2. Staff #1 stated (during an interview conducted on the date of inspection) that this course had not been completed for this past year. 3. Staff #2 has yet to reach a full year of employment.”

Rule 8VAC20-790-250-F.

Based on review and interview, 1 of 2 household records did not include a search of the central registry ( CPS check) within 30 days of a person 18 years of age or older beginning to reside in the home, and a sworn statement or affirmation (SDS) when a person 18 years or older begins residing in the home.

“Evidence - 1. On the date of inspection (01/13/2023), a CPS check and a SDS were not available for review for Household Member #1. 2. Based on interview of the Provider, Household Member #1 moved into the home on 10/13/2022.”

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

Based on review, 4 of 10 children files indicated that the Provider did not 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 - 1. On the date of inspection (01/13/2023), documentation of a physical examination was not available for review for the following children: Child #1, Child #2, Child #3, and Child #4. 2. Their start dates were listed as - 02/28/2022 for Child #1 and Child #2; 11/07/2022 for Child #3, and 01/13/2022 for Child #4.”

Rule 8VAC20-800-100-A.

Based on review, 1 of 2 staff files reviewed indicated that not all of the required documentation was on file for both staff.

“Evidence - 1. On the date of inspection, 0 of 2 references were on file for Staff #2. 2. The start date for Staff #2 was listed as 03/01/2022.”

Rule 8VAC20-800-120-B.

Based on review and interview, 1 of 2 household records indicated that the Provider did not obtain for each adult household member a current Report of Tuberculosis Screening (TB).

“Evidence - 1. On the date of inspection (01/13/2023), initial TB documentation for Household Member #1 was not available for review. 2. Based on interview, Household Member #1 moved in to the home on 10/13/2022.”

Rule 8VAC20-800-170-A.

Based on review, 1 of 2 staff files indicated that a minimum of 16 clock hours of annual training was not obtained.

“Evidence - 1. On the date of inspection (01/13/2023) documentation of 16 hours of annual training was not available for review for Staff #1. 2. This finding was confirmed by the Provider on the date of inspection.”

Rule 8VAC20-800-210-A.

Based on observation and interview, the Provider did not ensure that a caregiver did not exceed 16 points within their Family Day Home (FDH).

Rule 8VAC20-800-570-A.

Based on review, 8 of 10 children records did not contain all of the required information.

Rule 8VAC20-800-60-B.

Based on review, 4 of 10 children files indicated that the Provider did not review annually with the parent the emergency contact information (as required in 8VAC20-800-60 B 2) to ensure the information is correct and did not obtain the parent’s signed acknowledgment of the review.

“Evidence - 1. On the date of inspection (01/13/2023), the following children did not have verification of the signed review of each child’s emergency contact information: Child #1 (start date - 02/28/2022), Child #2 (start date - 02/28/2022), Child #5 (start date - 01/09/2023), and Child #6 (start date - 01/09/2023). 2. On the above forms of the Child’s Record, this section remained blank for these listed children.”

Rule 8VAC20-800-780-B.

Based on review, written documentation that the proof of identification for each child was verified was not available.

“Evidence - 1. On the date of inspection (01/13/2023), written documentation that the proof of identification was verified was not available for the following children: Child #8, Child #9, and Child #10. 2. This finding was confirmed by the Provider on the date of inspection.”

Rule 8VAC20-800-80-B.

Based on review, the Provider did not review the emergency preparedness and response plan (EP&RP) on an annual basis.

“Evidence - 1. The last review documented in writing by the Provider was dated 08/28/2020. 2. This date was observed on the last page of the EP&RP posted on site at the FDH.”

Rule 8VAC20-800-800-B.

Based on review, 1 of 10 children files indicated that the provider did not obtain documentation that each child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations, before a child may attend the Family Day Home (FDH).

“Evidence - 1. On the date of inspection (01/13/2023), the following child did not have their immunization record available for review: Child #4. 2. The start date for Child #4 was listed as 01/13/2022.”

Rule 8VAC20-800-90-A.

Based on review, 1 of 10 children files indicated that the Family Day Home did not obtain documentation of additional immunizations for children (who were 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 (01/13/2023), an immunization page for Child #5 was dated - 01/31/2022. 2. Based on the information on file, Child #5 was under the age of 2 years on the date of inspection.”

Rule 8VAC20-800-90-C.

Based on observation and interview, the most recently issued license was not posted at the Family Day Home (FDH).

“Evidence - 1. While on site, it was determined that the current license for the FDH was not posted. 2. The most recent inspection reports were posted.”

Rule 8VAC20-820-120-E-1.

Based on review, 1 of 2 staff files indicated that within the first 90 days of employment all caregivers did not complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education.

“Evidence - 1. On the date of inspection (10/20/2022) certification of completion of the Virginia Pre-Service training was not available for Staff #2. 2. The start date for Staff #2 was listed as 03/01/2022. Staff #2 was observed on site providing care on the date of inspection.”

Rule 8VAC20-790-250-B.

Based on interview, the lockdown procedures were not practiced at least annually.

“Evidence - 1. The drill log was not available for review. 2. The Provider stated (during an interview conducted on the date of inspection - 10/20/22) that a lockdown drill had not been conducted in the past year.”

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

Based on review, 5 of 10 children files indicated that documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance was not available.

“Evidence - 1. On the date of inspection (10/20/22), documentation of a physical examination was not available for review for: Child #2, #3, #4, #5, and #6. 2. The start dates for these children were listed as: Child #2 (03/03/22), Child #3 (02/28/22), Child #4 (02/28/22), Child #5 (not available), Child #6 (01/13/22).”

Rule 8VAC20-800-100-A.

Code of Virginia 22.1-(14.1)-289.011 - Based on observation and interview, the current license issued by the Office of Child Care Health and Safety was not posted.

“Evidence - 1. On the date of inspection (10/20/22), the current FDH license was not posted and available for observation. 2. The Provider stated (during an interview on the date of inspection) that she did not realize that the digital copy received was what was required to be posted and was expecting an actual license to be mailed to the FDH.”

Rule 8VAC20-800-30-A.

Based on review and interview, 1 of 10 enrolled children did not have an up-to-date record available for review.

“Evidence - 1. On the date of inspection (10/20/22), a record for Child #5 was not available for review. 2. The Provider stated (during an interview conducted on the date of inspection) that the file was not ready.”

Rule 8VAC20-800-60-A.

Based on review, 9 of 10 children records reviewed indicated that not all of the required information and/or documentation was contained within each file.

Rule 8VAC20-800-60-B.

Based on review, 3 of 10 children files indicated that not all documentation was on file with a written acknowledgement from the child’s parent.

“Evidence - The following documentation was not available for review: 1. The Policy for the Administration of Medications form for: Child #3, and Child #4. 2. The PROVISIONS OF THE EMERGENCY PREPAREDNESS AND RESPONSE PLAN form for: Child #3, and Child #4. 3. The LIABILITY INSURANCE DECLARATION form for: Child 1, Child #3, and Child #4.”

Rule 8VAC20-800-70-B.

Based on observation, the required emergency telephone numbers were not posted at the FDH.

“Evidence - The following emergency telephone numbers were not posted: 1. A 911 or local dial number for police, fire, and emergency medical responders. 2. The responsible person for emergency backup care (as required in 8VAC20-800- 800 A 3). 3. The regional poison control center.”

Rule 8VAC20-800-790.

Based on review, 3 of 10 children records indicated that the verification of each child’s proof of identification was not available.

“Evidence - 1. On the date of inspection (10/20/22), verification of the review of the child’s proof of identification was not available for: Child #7, #8, and #9. 2. Their start dates were listed as - Child #7 (start date - not listed), Child #8 (start date - 11/02/20), and Child #9 (start date - 11/02/20).”

Rule 8VAC20-800-80-A.

Based on interview, documentation was not maintained of the emergency evacuation (fire drills) and shelter-in-place drills for the FDH.

“Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 10/20/22) that the emergency drill log could not be located. 2. The actual conducting of these drill could not be determined.”

Rule 8VAC20-800-830-C.

Based on review, 2 of 10 children files indicated that not obtained documentation that each child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before each child attends the family day home (FDH).

“Evidence - 1. On the date of inspection (10/20/22), documentation of an immunization record was not available for review for: Child #5, and Child #6. 2. Both children were in attendance on the date of inspection.”

Rule 8VAC20-800-90-A.

Based on review, 1 of 10 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 (10/20/22), the immunization documentation on file for Child #10 was dated - 03/24/2022). 2. Based on the information on file, Child #10 was under the age of two years on the date of inspection.”

Rule 8VAC20-800-90-C.

Based on interview and review, 1 of 2 staff files indicated that a caregiver who work directly with children did not complete the department’s annual health and safety update course.

“Evidence - 1. On the date of inspection (03/31/2022), Staff #1 stated that the annual health and safety update course had yet to be completed for this year. 2. The subsidy vendor agreement became effective - 02/09/2021.”

Rule 22VAC40-665-230-H.

Based on review, 3 of 8 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 (03/03/2022), the following children were without documentation of a physical examination of file at the FDH: Child #7 (start date - 02/28/2022), and Child #8 (start date - 02/28/2022). 2. Both Child #7 and Child #8 were in attendance on the date of inspection.”

Rule 8VAC20-800-100-A.

Based on review, 1 of 2 staff records did not contain all of the required information.

“Evidence - 1. On the date of inspection (03/31/2022), Staff #2 did not have the documentation of two or more references on file at the FDH. 2. The start date for Staff #2 was listed as 03/01/2022.”

Rule 8VAC20-800-120-B.

Based on observation, the highest platform on outdoor climbing equipment exceeds six feet for school age children and four feet for preschool children.

“Evidence - 1. On the date of inspection (03/31/2022) preschool children were observed using a slide from a top platform that stood over six feet from surface. 2. This was the upper left platform of the playground structure. 3. Child #2, and Child #7 (both preschool age were observed using this slide.”

Rule 8VAC20-800-500-B.

Based on observation, the stationary outdoor playground equipment was installed over a hard surface.

“Evidence - 1. On the date of inspection (03/31/2022), the stationary outdoor play equipment located in the backyard of the Family Day Home was installed over a hard surface. 2. This hard surface consisted of wood decking found installed on outdoor steps or back yard decks. 3. Due to the pandemic and the nature of virtual inspections, this was the first inspection that was conducted on site since the Family Day Home has been licensed and a closer look to the outdoor equipment was administered.”

Rule 8VAC20-800-500-C.

Based on review, 5 of 8 children’s files indicated that not all of the required information was on file.

Rule 8VAC20-800-60-B.

Based on review, 2 of 8 children files indicated that not all of the required signed documentation was contained in each child’s file.

“Evidence - 1. On the date of inspection (03/31/2022), the following documentation was not available for review: the Policy for the Administration of Medications form (Child #7, and Child #8); the Provisions of the Emergency Preparedness and Response Plan form (Child #7, and Child #8); and the Liability Insurance Declaration form (Child #7, and Child #8). 2. These forms were missing from the files of these two children.”

Rule 8VAC20-800-70-A.