Sheila Amonzabel

22.1-289.036-A

“Repeat A household member must have a subsequent background check conducted after 5 years. One household member, #3, is missing a subsequent central registry check.”

Rule 22.1-289.036-A.

The family day home shall annually obtain written permission from the parent of each child who participates in swimming or wading activities.

“The provider was at the pool at the beginning of the inspection with 3 children and does not have the written permission for the children regarding swimming in the children’s files.”

Rule 8VAC20-800-660-B.

22.1-289.035-A

“The family day home is required to have caregivers and adult household members undergo a background check every five years. The most recent fingerprint checks for Caregiver #1 and Household Member #1 were overdue by three months. The most recent sworn statements for Caregiver #1 and Household Member #1 were overdue by seven months. The most recent central registry checks for Caregiver #1 and Household Member #1 were obtained more than 4 months late.”

Rule 22.1-289.035-A.

Repeat Violation

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Household member #1 was not completed and was overdue by eleven months.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“The provider shall maintain an up-to-date record at the family day home for each enrolled child that contains all required information. The record for Child #2 did not contain 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. Child #2 was present during the inspection and has been attending for 5 months.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-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 #1did not have a parent’s signature for an annual review of the emergency contact information. Child #1 had been in care for over two years without any annual review.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Emergency evacuation procedures were not practiced for the months of January 2026, February 2026, and March 2026.”

Rule 8VAC20-800-830-A.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. The documentation of immunizations for Child #2 were dated more than three weeks after the child’s first date of attendance.”

Rule 8VAC20-800-90-A.

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were three children present during the inspection. The provider had not documented attendance for today, 7/22/2025.”

Rule 8VAC20-790-180-B.

8VAC20-770-40-D-5

“Household members 14 years of age and older must obtain the results of a central registry search within 30 days of a person in the home becoming14-years old.. Household member #2 did not have central registry results during the inspection. The central registry search results for Household Member #2 were overdue by more than a year.”

Rule 8VAC20-770-40-D-5.

8VAC20-800-100-A

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

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Household member #1 was not completed and was overdue by two months.”

Rule 8VAC20-800-180-A.

8VAC20-800-30-A

“The provider shall ensure compliance with the terms of the current license issued by the department. The Family Day Home is currently licensed to provide care for children between the ages of Birth - 7 years 11 months. Child #3, who was in care during the inspection, is older than 7 years 11 months.”

Rule 8VAC20-800-30-A.

8VAC20-800-50-A

“Family day homes are required to keep a written record of children in attendance each day. The family day home was open on 7/21/2025. The provider did not record attendance for 7/21/2025.”

Rule 8VAC20-800-50-A.

8VAC20-800-560-A

“A caregiver shall be physically present on site and provide direct care and supervision of each child at all times to include awareness of and responsibility for each child in care, including being near enough to intervene if needed. Caregiver #1 allowed Child #3 to walk to the outdoor recreational area with a household member, age 15. Caregiver #1 was inside the Family Day Home, not near enough to Child #3 to intervene if needed.”

Rule 8VAC20-800-560-A.

8VAC20-800-60-A

Rule 8VAC20-800-60-A.

8VAC20-800-660-B

Rule 8VAC20-800-660-B.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for Child #2, who was in care during the inspection and had been in care for four months. There was no documentation of immunizations for Child #3 who was in care during the inspection and had been i care for over one month.”

Rule 8VAC20-800-90-A.

8VAC20-800-830-B

“Providers are required to practice shelter in place procedures with children in care a minimum of twice per year. There were no shelter-in-place drills completed in the year 2024.”

Rule 8VAC20-800-830-B.

Based on record review, the provider did not review the emergency plan atleast annually.

“Evidence: 1. The emergency plan was last reviewed on 5/31/2023.”

Rule 8VAC20-800-800-B.

Based on observation the menu for the current one week period did not meet all requirements.

“Evidence: The menu posted in the family day home was not dated.”

Rule 8VAC20-800-920.

Based on record review, the provider did not practice lockdown drills annually.

“Evidence: A lockdown drill was not practiced in 2023.”

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

Based on observation and provider interview, one medication was not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1.The provider reported having emergency medication for one enrolled child. 2.The medication for the child was not stored in a locked place.”

Rule 8VAC20-800-730-D.

Based on record review, written parent authorization noting any known adverse reactions were not obtained at least annually.

“Evidence: 1.The authorization to administer a topical product in the record for Child #1 expired on 09/18/2023.”

Rule 8VAC20-800-750-A.

Based on record review, the provider did not maintain documentation of the current rabies vaccination for one pet.

“Evidence: 1. A pet was observed in the family day home. 2. Documentation of the current rabies vaccination for the pet was not available for review.”

Rule 8VAC20-800-460-D.

Based on observation, one child under the age of two years was using a pillow.

“Evidence: Child #1, age 16 months was observed sleeping while using a pillow.”

Rule 8VAC20-800-530-G.

Based on record review, the provider did not obtain a written care plan for one child with a diagnosed food allergy to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: 1. Documentation in the record for Child #2 indicated the presence of a food allergy. 2. The record for Child #2 did not contain documentation of a written care plan for the diagnosed food allergy.”

Rule 8VAC20-790-190-B-12.

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

“Evidence: 1. Documentation of emergency drills indicated no lockdown procedures were practiced during the year 2022.”

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

Based on record review, 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 for 1 child.

“Evidence: 1. Provider stated Child #1 began attending the family day home in 2022. 2. There is no documentation of a physical exam in the record for Child #1.”

Rule 8VAC20-800-100-A.

Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form, every two years.

“Evidence 1. The most recent documentation of a tuberculosis screening in the record for household member #1 was dated 8/20/2020.”

Rule 8VAC20-800-180-A.

Based on record review, the family day home did not keep a written record of children’s attendance each day.

“Evidence: 1. Documentation of daily attendance was not up to date. 2. The record of attendance for 5/1/23, 5/2/23, and 5/3/23 were not documented.”

Rule 8VAC20-800-50-A.

Based on record review, 2 of 3 children’s records did not contain all required information.

Rule 8VAC20-800-60-B.

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

“Evidence: 1. Documentation of emergency procedures indicated there were no shelter-in-place drills completed during the year 2022.”

Rule 8VAC20-800-830-B.

Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the first date of attendance for 1 child.

“Evidence: 1. Child #2 began attending the Family Day Home on 9/19/2022. 2. Documentation of immunizations in the record for Child #2 was dated 9/22/2022.”

Rule 8VAC20-800-90-A.

8VAC20-790-180-B

“Based on review, the provider did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The provider had an attendance record, but did it did not document the arrival and departure of each child.”

Rule 8VAC20-790-180-B.

22.1-289.058

“Based on interview, the provider did not have a carbon monoxide detector and the building was built before 2015 and serves preschool age children. Evidence: 1. The provider stated she did not have a carbon monoxide detector.”

Rule 22.1-289.058.