Patrycja Kuklinski

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 2/19/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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 #1 (who had been in care 11 months), and #2 (who had been in care for 3 years and 7 months)..”

Rule 8VAC20-800-100-A.

Children’s records are required to contain all required information.

“The records for Child #3 and Child #4 were missing the address of one emergency contact and the name, address and telephone number of the 2nd designated persons to contact in case of an emergency if the parent cannot be reached. The children were present during the inspection and had been in care for approximately three months.”

Rule 8VAC20-800-60-B.

Before the child’s first day, the provider shall obtain the parent’s written acknowledgement of the receipt of the provisions of the family day home’s emergency preparedness and response plan, the liability insurance declaration and policy for administering medication.

“The provider stated, the parent’s were provided the information, but did not obtain the parent’s written acknowledgement of the receipt of the information.”

Rule 8VAC20-800-70-B.

The following telephone numbers shall be posted in a visible area close to the telephone:The responsible person for emergency backup care who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents.

“The provider did not have the emergency backup person’s telephone number posted.”

Rule 8VAC20-800-790.

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

“The provider stated a June evacuation drill was conducted in June, but did not document the drill.”

Rule 8VAC20-800-830-C.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated, given to parents or posted or placed in an area accessible to parents, list any substituted food; and be kept on file one week at the family day home.

“The provider stated that the application they use sends the parents the food given each day, but does not provide a weekly menu.”

Rule 8VAC20-800-920.

The provider shall have an operable thermometer available to monitor refrigerator and freezer compartment temperatures.

“The provider did not have a thermometer in the small refrigerator that is used for children in care.”

Rule 8VAC20-800-940-B.

Providers licensed shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“The provider’s certification in CPR has been expired for approximately 4 months.”

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

Providers shall have current certification in first aid.

“The provider’s certification in first aid has been expired for approximately 4 months.”

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

Small electrical appliances such as, but not limited to, curling irons, toasters, blenders, can openers, and irons shall be unplugged unless being used by the caregiver or with children under close supervision.

“Small appliances were observed plugged in and were not in use during the inspection.”

Rule 8VAC20-800-320-A.

8VAC20-800-530-B

“Cribs when being used by infants shall have a tight-fitting bottom cover. Two cribs were observed with loosely fitting bottom covers.”

Rule 8VAC20-800-530-B.

When topical skin products such as diaper ointment, the product shall not be used beyond the expiration date of the product.

“One child’s diaper ointment had expired approximately one month ago. The child was present during the inspection.”

Rule 8VAC20-800-750-D.

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recent Inspection Summary was not posted in a conspicuous place on the licensed premises.”

Rule 22.1-289.011-F.

Assistants’ and substitute providers’ records shall contain the date of employment.

“Staff #1 and #2’s record did not contain their date of employment. Staff #1 has been employed for approximately 2 months. Staff #2 has been employed for approximately 1 month.”

Rule 8VAC20-800-120-B.

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.

“A cleaning agent was stored in an area accessible to children in the bathroom.”

Rule 8VAC20-800-280.

The family day home shall keep a written record of children in attendance each day.

“A written record of children in attendance was not kept. There were a total of 5 children in care during the inspection and there was no record of attendance.”

Rule 8VAC20-800-50-A.

A child’s record shall contain the following information: parent work addresses and emergency medical authorization.

“Child #1’s record was missing work addresses for both parents. Child #1 was present and has been in care for approximately 6 weeks. Child #3’s record was missing the emergency medical care authorization. Child #3 has been in care for 1 day.”

Rule 8VAC20-800-60-B.

8VAC20-800-180-A

“Based on staff and household file review, the provider failed to obtain a TB screening every two years. Evidence: Staff #1’s most recent TB screening was dated in June 2022. Household member #1’s most recent TB screening was dated in June 2022.”

Rule 8VAC20-800-180-A.

8VAC20-800-680-A

“Based on observation of diapering, one caregiver did not wash their hands. Evidence: 1. Staff #2 was observed diapering two children. Staff #2 did not wash their hands between the two diaper changes. 2. Staff #2 was observed serving food to children without washing their hands prior to serving the food.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, a caregiver failed to ensure that children’s hands were washed. Evidence: 1. Staff #2 was observed diapering children. Staff #2 did not ensure that the children’s hands were washed after the diapering. 2. Staff #1 and #2 did not ensure that children’s hands were washed before lunch.”

Rule 8VAC20-800-680-B.

8VAC20-800-750-D

“Based on a review of topical ointments onsite, one product was used beyond the expiration date. Evidence: A topical ointment for Child # 3 expired in May 2024.”

Rule 8VAC20-800-750-D.

8VAC20-800-210-A

“Based on staff record review, a minimum of sixteen clock hours of training annually was not obtained. Evidence: Staff #2’s file did not contain any documented hours of training.”

Rule 8VAC20-800-210-A.

8VAC20-800-750-B

“REPEAT Based on observation of the family day home, topical skin products were accessible to children in care. Evidence: Topical skin products were found in baskets located under the diaper changing table. This area was accessible to the children in care.”

Rule 8VAC20-800-750-B.

8VAC20-800-800-B

“Based on family day home policies and plans, an annual update was not completed. Evidence: Family Day Home’s emergency preparedness plan was last reviewed in 2022.”

Rule 8VAC20-800-800-B.

8VAC20-800-90-C

“Based on child record review, additional immunizations were not obtained for one child under the age of two. Evidence: Child #1’s (19 months) last documented immunizations were dated 7/2023.”

Rule 8VAC20-800-90-C.

8VAC20-800-60-B

“Based on child record review, a child’s record was incomplete. Evidence: A second emergency contact was not found for Child #3. The child’s start date was not found.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-A

“Based on observation of staff diapering two children, hand washing requirements were not followed. Evidence: Staff #2 failed to wash their hands after diapering one child and proceeded to diaper another child directly afterwards.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation of staff diapering 2 children, children’s hands were not washed. Evidence: Staff #2 failed to ensure that Child # 4 and Child #3’s hands were not washed after diapering.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“Based on observation of staff diapering, the diaper surface was not cleaned and sanitized. Evidence: Staff #2 did not clean with soap and water and sanitize with bleach and water after diapering two children.”

Rule 8VAC20-800-690-D.

8VAC20-800-750-B

“Based on observation of the family day home, topical ointments were accessible to children. Evidence: Topical ointments were accessible in the crib room and also below the diaper changing surface.”

Rule 8VAC20-800-750-B.

8VAC20-800-90-A

“Based on child record review, immunizations for one child were not obtained. Evidence: Child # 1 began care on 04/25/23, immunizations were not obtained prior to start date and are not on file.”

Rule 8VAC20-800-90-A.

Based on record review, all required information was not contained in the record.

“Evidence: Staff 1 is missing documentation of a second reference.”

Rule 8VAC20-800-120-B.

Based on record review, the provider did not obtain a minimum of 16 hours of training annually.

“Evidence: The provider did not complete a total of 16 hours of annual training.”

Rule 8VAC20-800-210-A.

Based on record review, the provider did not ensure the child’s record contained all required information.

“Evidence: Child 1 is missing parent work phone numbers and 2 emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-C

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

Rule 8VAC20-800-90-C.

8VAC20-800-690-D

“Based on staff statement, the diapering surface has not been properly cleaned and sanitized after each use. Evidence: 1. The Provider stated that sanitizing wipes are used to clean the diaper surface. 2. Proper cleaning and sanitizing must include soap and water and then bleach and water spray.”

Rule 8VAC20-800-690-D.

8VAC20-800-750-A

“Based on observation of the diapering area, one topical ointment was not properly labeled. Evidence: One diaper cream was found not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

8VAC20-800-790

“Based on observation of the family day home, telephone numbers were not posted. Evidence: 1. 911 or local dial number for police, fire, and emergency medical responders was not posted within the family day home. 2. The phone number for the responsible backup person for emergency care was not posted.”

Rule 8VAC20-800-790.

8VAC20-800-800-B

“Based on review of the emergency plan, an annual review was not completed. Evidence: The Emergency Plan last documented review was dated August 2020.”

Rule 8VAC20-800-800-B.

8VAC20-800-830-C

“Based on staff statement, emergency evacuation drills have not been completed. Evidence: No documentation of emergency evacuation and shelter in place drills was maintained.”

Rule 8VAC20-800-830-C.

8VAC20-800-890

“Based on observation of food brought from home, some food was not properly labeled. Evidence: A can of formula powder brought from home was not properly labeled.”

Rule 8VAC20-800-890.

8VAC20-800-920

“Based on observation and staff statement, a menu was not found. Evidence: The provider stated that the children in care recently began providing meals and has not developed a weekly menu.”

Rule 8VAC20-800-920.

8VAC20-820-120-E-2

“Based on observation of the family day home, findings of the last inspection was not posted. Evidence: The last inspection in December 2021 was not posted within the family day home.”

Rule 8VAC20-820-120-E-2.

8VAC20-800-120-B

“Based on staff record review, one record did not have all required information. Evidence: Staff #2’s file did not contain 2 reference checks.”

Rule 8VAC20-800-120-B.

8VAC20-800-200-C

“Based on staff record review, documentation was not signed and dated as required. Evidence: Staff #2’s orientation training was not signed and dated by the assistant.”

Rule 8VAC20-800-200-C.