Dana Smith-Washington

22.1-289.035-B-1

“The staff are required to obtain a completed sworn statement prior to the employee’s first day of employment. The Caregiver #2, who is currently working, did not have a sworn statement completed on first day of employment or prior to employment. Caregiver #2 has worked there for approximately 2 months.”

Rule 22.1-289.035-B-1.

Repeat Caregivers who work directly with children should complete health and safety updated course annually.

“Caregiver #1 did not complete updated health and safety annually. The health and safety course was completed a year and 2 months ago for 2025. Caregiver #1 did not complete 2026 course within a year from last date completed.”

Rule 8VAC20-790-250-F.

8VAC20-800-120-B

“The Assistants’ and substitute providers’ records shall contain all required documents. Caregiver #2 did not have two references and did not have start date in record.”

Rule 8VAC20-800-120-B.

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

“The documentation reviewed for Caregiver #1 and Caregiver #2 both did not indicate it was specific for children in care. The document verified CPR for Adult.”

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

The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

“There was no documentation in record for orientation for Caregiver #2 and Caregiver #3.”

Rule 8VAC20-800-200-A.

Wood burning stoves and fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider.

“The Provider did not have the annual chimney inspection completed. The last annual fire inspection was 7/9/2025.”

Rule 8VAC20-800-320-G.

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

“There were no evacuation drills documented for September.”

Rule 8VAC20-800-830-A.

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

“There was not a menu posted for the week.”

Rule 8VAC20-800-920.

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

“The window sill was deteriorating and paint was peeling.”

Rule 8VAC20-800-240-A. From a complaint.

The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential.

“There was not a list of children’s allergies, sensitivities, and dietary restrictions. Child #4 had two allergy listed on the child’s record. Child #4 has been the program for 2 months.”

Rule 8VAC20-790-170-G.

Caregivers who work directly with children should complete health and safety updated course annually.

“Staff #2 did not complete updated health and safety annually. The health and safety course was completed a year and 6 months ago.”

Rule 8VAC20-790-250-F.

8VAC20-790-430-A-3

“Lockdown procedures should be practiced at least annually. There was no documentation that Lockdown drills were completed in 2025.”

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

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.

“Child #2 and Child #3 both have been in the program for more than 30days with no physical information in the records.”

Rule 8VAC20-800-100-A.

In addition to satisfactory completion of first aid training and CPR training, caregivers should obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Staff #1 and Staff #2 did not complete there 16 hours of training for calendar year 2025.”

Rule 8VAC20-800-210-A.

The provider shall ensure compliance with these standards and the terms of the current license issued by the department and with relevant federal, state or local laws, and other relevant regulations.

“The provider did not comply with the current license. Child #5 was enrolled in the program but was five months and 8 days old . The current license was for 6 months to 12 years of age.”

Rule 8VAC20-800-30-A.

The children records should contain all required information.

“Child #1’s record was missing emergency contact information. Child #2’s record was missing emergency contact information to include city, state and zip code. Child #3’s record was missing emergency contact no address and liability insurance document not signed. Child #5’s record was missing emergency contact addresses.”

Rule 8VAC20-800-60-B.

8VAC20-800-790

“Repeat violation Emergency phone numbers shall be posted in a visible area . The provider did not have the following phone numbers posted poison control and the emergency backup care person.”

Rule 8VAC20-800-790.

The provider should review the emergency plan at least annually and update the plan as needed. The provider should document in writing each review and update to the emergency plan.

“There was no documentation that the emergency preparedness plan has been reviewed in 2025.”

Rule 8VAC20-800-800-B.

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

“There were no evacuation drills documented for January, February, March , April and May.”

Rule 8VAC20-800-830-A.

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

“There was no documentation for 2025 Shelter-in-place drills.”

Rule 8VAC20-800-830-B.

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

“The menu posted was for April 2026.”

Rule 8VAC20-800-920.

8VAC20-800-570-A

“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. Caregiver #2 exceeded 16 points. Caregiver #2 needed additional caregiver due to having 22 points. Caregiver #1 arrived during the inspection.”

Rule 8VAC20-800-570-A.

8VAC20-800-680-A

“Caregivers shall wash their hands with liquid soap and warm running water. The Caregiver #2 did not wash her hands after changing a diaper.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water: Caregiver #2 did not wash child#2 hands after diapering.”

Rule 8VAC20-800-680-B.

8VAC20-800-790

“Emergency phone numbers shall be posted in a visible area . The provider was unable to locate the emergency phone numbers.”

Rule 8VAC20-800-790.

8VAC20-800-900-B

“Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles. Child #2 was in a crib laying down drinking a bottle during nap time.”

Rule 8VAC20-800-900-B.

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

Wood burning stoves and fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider.

“The fire place chimney inspection documentation was from 2022.”

Rule 8VAC20-800-320-G.

A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone.

“The phone available was cordless which require electricity.”

Rule 8VAC20-800-330-A.

Repeat violation A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times.

“The provider did not have a working battery- operated weather band radio during inspeciton.”

Rule 8VAC20-800-770.

The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential.

“The provider did not have a allergies, sensitivities, and dietary restrictions list. Child #4, who is enrolled has allergy listed on registration and in doctors documentation.”

Rule 8VAC20-790-170-G.

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. At 12:20 p.m. on 11/12/2024, there were 6 children present . The attendance was not taken for 11/12/2024.”

Rule 8VAC20-790-180-B.

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

“The family day home has been approved subsidy provider for 120 days staff #1 and staff #2 did not complete Virginia Preservice Training with in the 90 days of approval of service.”

Rule 8VAC20-790-250-B.

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 report was not posted.”

Rule 22.1-289.011-F.

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 was no physical exam record available for Child #3, who had been in care for over 91 days.”

Rule 8VAC20-800-100-A.

Providers must maintain a record for each caregiver.

“There was no reference for Staff #1 and Staff #2. Staff #1 has been caring for children for over 12 months.Staff #2 has been caring for children for over 5 months.”

Rule 8VAC20-800-120-A.

8VAC20-800-170-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 # 2, who has been caring for children for over five months.”

Rule 8VAC20-800-170-A.

The provider must orient assistants and subsitutes by the end of their first week of assuming job responsibilities and have documentation of the orientation shall be signed and dated by the provider and substitute provider or by the provider and assistant.

“Staff #2 provided care for children for five months without having documentation of the orientation signed and dated.”

Rule 8VAC20-800-200-C.

Each child enrolled record should contain all of the required information.

“The record for Child #1, enrolled for 15 months, was missing one emergency contact address. The record for Child #3, enrolled for three years and 4 months did not have 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 ground.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided required information in writing.’ The parents of Child #2 were not provided in writing the following required information provisions of the family day home’s emergency preparedness and response plan. Child had been in care for 16 months .”

Rule 8VAC20-800-70-A.

A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times.

“The caregiver’s weather band radio was not operable during the inspection.”

Rule 8VAC20-800-770.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for child #3, who was in care during the inspection and had been in care for 91 days.”

Rule 8VAC20-800-90-A.

Based on review of records and interview, the provider did not ensure to obtain a central registry finding within 30 days of employment or volunteer service.

“Evidence:1. In the Assistant’s record, there was no central registry findings found. 2.In Household member #3’s record, there was no central registry findings found. 3. Interview with the provider confirmed the central registry findings were not available for review during the inspection. Interview”

Rule 8VAC20-770-60-C-2.

Based on review of documentation and interview, the provider did not ensure to obtain a current certification in first aid.

“Evidence: In Caregiver’s record, the last dated first aid certification was 04/2021. Interview with the provider confirmed the documentation available for review during the inspection.”

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

8VAC20-800-180-A

“***REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not obtain for each adult household member a current report of Tuberculosis Screening every 2 years from the date fo the first screening. Evidence: The record for Household Member #2 contained the most recent Tuberculosis screening which was dated 1/16/2021. The licensee acknowledged that there was not a more recent screening available, during the inspection, for Household Member #2.”

Rule 8VAC20-800-180-A.

8VAC20-800-320-B

“Based on observation and interview child-resistant protective covers larger were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: There were 2 uncapped outlets located at about 12 inches from floor level in one of the two main childcare areas of the home. Six children, ages 9 months old to 3 years old, were sleeping on cots in this area.”

Rule 8VAC20-800-320-B.

8VAC20-800-350-E

“***REPEAT VIOLATION*** Based on measurements taken during the inspection, the hot water taps available to children are not maintained within a range of 105 to 120 degrees Fahrenheit. Evidence: The temperature of the hot water tap in the restroom used by children in care measured 128.7 degrees Fahrenheit when measured with a digital thermometer during the inspection.”

Rule 8VAC20-800-350-E.

8VAC20-800-50-A

“Based on a review of documentation and interview, the licensee did not ensure that a written record of attendance is kept each day. Evidence: The attendance binder contained a written record of attendance for the current week, but did not contain the attendance for any other period after March 2023. The licensee confirmed that the attendance had not been recorded in April, May, June, July, August or most of September until the current week of 9/25/2023.”

Rule 8VAC20-800-50-A.

8VAC20-800-570-A

“Based on observation, record review and interview, the licensee did not ensure that the points total for children in care did not exceed 16 points without the presence of an additional caregiver. Evidence: There were six children in care (child #1, child #2, child #3, child #4, child #6 and child #7) for a total of 17 points. The licensee was the only caregiver present with the children at the time of the inspection.”

Rule 8VAC20-800-570-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-70-B

“Based on a review of records and interview, the licensee did not alwaysobtain the parent’s written acknowledgement of the receipt of the information required to be provided in writing to parents before the child’s first day of attendance. Evidence: Five records were reviewed. The records for child #1 and child #2 who began attending the family day home on 7/25/2023, did not contain a signed copy of the required parent agreements. The unsigned parent information form was located in the files.”

Rule 8VAC20-800-70-B.

8VAC20-800-180-A

Rule 8VAC20-800-180-A.

8VAC20-800-350-E

“**REPEAT VIOLATION** Based on thermometer readings taken at the time of inspection, the licensee did not ensure that hot water taps available to children are maintained within a range of 105 to 120 degrees Fahrenheit. Evidence: The water temperature at the handwashing sink in the restroom that children utilize while in care measured 124.2 degrees Fahrenheit with a digital thermometer at the time of the inspection on 5/12/2023.”

Rule 8VAC20-800-350-E.

8VAC20-800-80-B

“Based on record review and interview, the licensee did not always verify the identity and age of each enrolled child by viewing acceptable documentation. Evidence: Four Children’s Records were reviewed, The record for child #3 whose date of enrollment was documented as 9/7/2021did not contain documentation that the provider verified the identity and age of child #3, The provider stated that she had requested the documentation but did not have documentation that she had viewed it.”

Rule 8VAC20-800-80-B.

8VAC20-800-80-D

Rule 8VAC20-800-80-D.

8VAC20-800-90-A

“Based on a review of records and interview, the licensee was unable to demonstrate that she always obtained documentation that each enrolling child has been adequately immunized. Evidence: Four children’s records were reviewed. The record for child #4, whose date of enrollment was documented as 10/24/2022, did not contain documentation of immunizations or documentation demonstrating that the child had been adequately immunized. The licensee stated that she did not realize this documentation was not in child #4’s record.”

Rule 8VAC20-800-90-A.

8VAC20-800-100-A

“Based on a review of records, the licensee was unable to demonstrate that a physical examination by or under the direction of a physician was obtained prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: The record for child #5 whose enrollment date was documented as 1/3/2022, did not contain the results of a physical examination. The licensee confirmed that she did not have results of a physical examination for child #5.”

Rule 8VAC20-800-100-A.

8VAC20-800-200-A

Rule 8VAC20-800-200-A.

8VAC20-800-210-A

Rule 8VAC20-800-210-A.

8VAC20-800-350-E

“Based on thermometer readings taken at the time of inspection, the licensee did not ensure that hot water taps available to children are maintained within a range of 105 to 120 degrees Fahrenheit. Evidence: The water temperature measured 122 degrees Fahrenheit with a digital thermometer at the time of the inspection on 11/17/2022.”

Rule 8VAC20-800-350-E.

8VAC20-800-50-A

“Based on observation, the licensee did not ensure that a written record of attendance is kept each day. Evidence: There were 7 children present at the time of inspection on 11/17/2022. The attendance record for the family day home showed children in care on Monday, November 14, 2022. There were no children listed as present on November 15, 16 or 17, 2022.”

Rule 8VAC20-800-50-A.

8VAC20-800-520-A

Rule 8VAC20-800-520-A.

8VAC20-800-60-B

“Based on a review of records, the licensee did not ensure that each child enrolled had a complete record containing all required information and documentation. Evidence: Five enrolled children’s records were reviewed. The records for child #1 and child #4 did not contain a name address and phone number for 2 emergency contacts to be contacted in the event of an emergency if the parents could not be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-100-A

“Based on a review of records and interview, the licensee was unable to demonstrate that documentation of a physical examination by or under the direction of a physician was obtained prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: Two children’s records were reviewed. The record for child #2 (enrolled 12/21/2022) did not contain the results of a physical examination. The licensee confirmed that this documentation was not in the file and she was unable to provide this documentation during the inspection.”

Rule 8VAC20-800-100-A.

8VAC20-800-210-A

Rule 8VAC20-800-210-A.

8VAC20-800-320-G

“Based on a review of documentation and interview, the licensee was not able to demonstrate that wood burning stoves and fireplaces and associated chimneys are inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. . Evidence: The licensee conformed that her fireplace was wood burning. When asked if an inspection of the fireplace and chimney(s) had been conducted within the past 12 months, the licensee stated that it had not been.”

Rule 8VAC20-800-320-G.

8VAC20-800-690-D

“Based on observation, the licensee did not ensure that the surface used for changing children’s diapers was Separate from surfaces used for any child’s activities. Evidence: The licensee was observed changing a toddler’s diaper on a cot. The cot was also used by the child for rest time after the diaper was changed.”

Rule 8VAC20-800-690-D.

8VAC20-800-90-A

“Based on a review of records and interview, the licensee was unable to demonstrate that documentation that the child is adequately immunized is obtained before the child may attend the family day home. Evidence: Two children’s records were reviewed. The record for child #2 (enrolled 12/21/2021) did not contain any documentation of the child’s immunizations. The licensee confirmed that this information was not contained in the record and was unable to provide documentation of adequate immunizations during the inspection.”

Rule 8VAC20-800-90-A.

22VAC40-111-100-A

“Based on a review of records and interview, the provider did not obtain results of a physical examination within 30 days of the child attending the family day home. Evidence: Two children’s records were reviewed. The record for child #2, whose first date of attendance was 9/9/2021, did not contain documentation of the results of a physical examination. When asked, the provider stated that she does not have results of a physical examination for child #2.”

Rule 22VAC40-111-100-A.

Based on a review of records and interview, the provider did not ensure that before a child may attend the family day home, documentation is obtained demonstrating that that the 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.

“Evidence: Two children’s records were reviewed. The record for child #2 whose first date of attendance was 9/9/2021, did not contain documentation regarding any immunizations received. When asked, the provider stated that she does not have an immunization record for child #2.”

Rule 22VAC40-111-90-A.