LaShawnda Gunn

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

“1. The most recent national criminal history check for caregiver #1, household member #1 and caregiver 2 was overdue by 1 month. 2. The most recent central registry check for caregiver #1, household member #1 and caregiver 2 was overdue by over 2 months. 3. The most recent sworn statement for caregiver #2 was overdue by over 3 months.”

Rule 22.1-289.035-A.

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

“Caregiver #1 does not have a current certification in CPR. The last one on file expired over 4 months ago.”

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

Providers shall have a current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council.

“Caregiver #1 does not have a current certification in first aid. The last one on file expired over 4 months ago.”

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

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

“There was no written attendance completed on the day of inspection (6/2/2026).”

Rule 8VAC20-800-50-A.

Documentation shall be maintained of emergency evacuation.

“Provider could not find documentation for emergency drills conducted from January 2026 to April 2026.”

Rule 8VAC20-800-830-C.

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

“Caregiver #1 & #2 did not have the annual health and safety update training completed for 2024.”

Rule 8VAC20-790-250-F.

Caregivers are required to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities, in addition to the first aid and CPR training.

“1. Caregiver #1 only had documentation for two out of sixteen clock hours of training annually. 2. Caregiver #2 did not have documentation on file to show that they obtained a minimum of sixteen clock hours of training annually.”

Rule 8VAC20-800-210-A.

Soiled disposable diapers and wipes must be disposed of in a leak-proof or plastic lined storage system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.

“The provider did not have a foot operated storage system for disposal of soiled diapers and wipes.”

Rule 8VAC20-800-690-E.

Medication, except for those prescriptions designated otherwise by a written physicians order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“There were two bottles of prescribed medication that were observed up high in an organizer that was not locked on the second floor of the home. Children were observed to be able to have access to the second floor.”

Rule 8VAC20-800-730-D.

22.1-289.011-F The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The inspection summary containing the violation notice from the most recent inspection, dated 12/7/2024, was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

The provider is required to submit to VDH and implement a plan to test potable water for lead.

“The provider did not have evidence of a testing plan submitted to VDH and/or the provider did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

Documentation shall be maintained of emergency evacuation drills.

“Documentation for emergency evacuation drills were not available during inspection.”

Rule 8VAC20-800-830-C.

Lockdown procedures shall be practiced at least annually.

“Documentation showed that there was no lockdown drill conducted at least annually.”

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

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating.

“2 children were observed receiving snack and did not wash hands prior to eating.”

Rule 8VAC20-800-680-B.

Annually, the provider shall obtain the parent’s signed acknowledgment of the review of the emergency contact information.

“Child #1?s annual review of emergency contact information was overdue by 3 years. Child #2?s annual review of emergency contact information was overdue by 3 years.”

Rule 8VAC20-800-780-B.

Based on documentation review, the provider did not keep a written record of children in attendance each day.

“Evidence: Attendance has not been completed since Monday 5/6/2024. The provider advised there has been children in care each day and 5 children attended the program this afternoon.”

Rule 8VAC20-800-50-A.

Based on documentation review and provider interview, the provider has not maintained records of emergency evacuation drills for one year.

“Evidence: The most recent monthly emergency evacuation drill was documented on 11/24/2023.”

Rule 8VAC20-800-830-D.

Based on record review and provider interview, the provider does not have current cardiopulmonary resuscitation (CPR) certification.

“Evidence: The provider’s previous CPR certification expired on 6/17/2023.”

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

Based on record review and provider interview, the provider has not ensured that lockdown procedures are practiced at least annually.

“Evidence: The provider stated she has not conducted any lockdown drills.”

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

Based on record review, the provider did not ensure that all caregivers and adult household members submit to an updated tuberculosis (TB) screening or test at least every two years from the date of the first screening.

“Evidence: Staff #1’s most recent TB test was completed 2/18/2021. Adult Household Member #1’s most recent TB test was completed 3/3/2021.”

Rule 8VAC20-800-180-A.

Based on record review and provider interview, the provider did not maintain documentation of monthly emergency evacuation drills.

“Evidence: There was no documentation of emergency evacuation drills conducted in January, February, or March of 2023.”

Rule 8VAC20-800-830-C.

Based on record review and provider interview, the provider has not ensured that lockdown procedures are practiced at least annually.

“Evidence: The provider stated she has not conducted any lockdown drills.”

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

Based on record review, the provider has not reviewed the emergency preparedness plan at least annually.

“Evidence: The last documented review of the emergency preparedness plan was conducted 5/21/2021 by the provider.”

Rule 8VAC20-800-800-B.

Based on record review and provider interview, the provider has not conducted monthly emergency evacuation drills.

“Evidence: Emergency evacuation drills were not conducted in September 2022 or October 2022.”

Rule 8VAC20-800-830-A.

Based on provider interview and review of the attendance record, the provider has not maintained a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: The provider stated she had five school age children in care this morning and no children were listed on the attendance record at the time of inspection. The provider stated she usually updates the attendance when she returns home after taking the children to school.”

Rule 8VAC20-790-180-B.

Based on observation, the provider did not ensure that potentially poisonous substances were stored in areas inaccessible to children.

“Evidence: Bathroom cleaner, Lysol wipes, and a scent spray with warnings stating “Keep out of reach of children” were observed on the toilet tank in the bathroom used by children in care.”

Rule 8VAC20-800-280.

Based on provider interview, the provider has not ensured that linens are washed at least weekly.

“Evidence: The provider stated linens for cots and rest mats are washed “two to three times per month.””

Rule 8VAC20-800-530-D.

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

“Evidence: Child #1, Child #2, and Child #3’s records were missing contact information for the children’s mother including name, address, telephone number, and contact information for the custodial parent’s place of employment.”

Rule 8VAC20-800-60-B.

Based on record review and staff interview, the provider has not kept a written record of children in attendance each day.

“Evidence: The provider stated she has not kept attendance this week (11/29/21-12/2/21).”

Rule 22VAC40-111-50-A.

Based on record review and staff interview, the provider has not ensured that emergency evacuation procedures are practiced monthly with all caregivers and children in care.

“Evidence: The provider stated she has not done any evacuation drills with the children.”

Rule 22VAC40-111-830-A.

Based on observation and staff interview, the provider did not ensure that the menu for the current one week period were either given to parents or posted in an area accessible to parents.

“Evidence: The provider stated she did not have a menu for this week.”

Rule 22VAC40-111-920.