Nora Nimely

8VAC20-800-100-A

“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. In reviewing all four children’s records. There was no documentation of physical examinations for any of the children in care.”

Rule 8VAC20-800-100-A.

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a safe, and operable condition. The sandbox in the children’s outdoor play area had chipped wood that poses as a pinching and injury hazard.”

Rule 8VAC20-800-240-A.

8VAC20-800-80-A

“Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent verification of the identity and age of the child. Provider did not have verification of the identity and age of the children for all four children’s records reviewed.”

Rule 8VAC20-800-80-A.

8VAC20-790-250-F

“Caregivers who work directly with children shall annually attend at least 16 hours of training, to include the department’s health and safety update course. Staff #1 did not complete the 3 hour Virginia Preservice training the past year.”

Rule 8VAC20-790-250-F.

8VAC20-770-60-B

“A child’s record shall contain emergency contact information including name, home address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Three of the five children’s records reviewed did not have one of the two emergency contacts listed.”

Rule 8VAC20-770-60-B.

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination within 30 days after the first day of attendance. Two children did not have their physical in their record and have been enrolled at the FDH for over 2 months.”

Rule 8VAC20-800-100-A.

8VAC20-790-250-B

“Within the first 90 days of employment all caregivers shall complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Staff #1 did not complete the Virginia Preservice training and has been employed since November 2024.”

Rule 8VAC20-790-250-B.

8VAC20-790-250-D-1

“All caregivers shall have within 90 days of employment, current certification in cardiopulmonary resuscitation (CPR) to the ages of children in care. Staff #1 does not have a current certification in CPR has been employed working with children for over 90 days.”

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

8VAC20-790-250-D-2

“All caregivers shall have within 90 days of employment, current certification in first aid appropriate to the ages of children in care. Staff #1 does not have a current certification in first aid and has been employed for over 90 days.”

Rule 8VAC20-790-250-D-2.

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.

8VAC20-800-30-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. Child #1 was enrolled at 9 months old when the age range for children in care are licensed for ages 1 years old to 12 years old.”

Rule 8VAC20-800-30-A.

8VAC20-800-510-C

“8VAC20-800-510. C. Occupied cribs, cots, rest mats, and beds shall be at least 12 inches from each other. The two occupied cribs for Child #1 and Child #2 were directly side by side from each other with no space between.”

Rule 8VAC20-800-510-C.

8VAC20-800-60-B

“A child’s record shall contain the telephone number of each custodial parents place of Employment. Child #1 and Child #2 did not have the telephone numbers of their mother’s employment.”

Rule 8VAC20-800-60-B.

8VAC20-800-800-B

“The family day home provider shall review the emergency preparedness and response plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. The plan’s last written review date was October 12, 2022.”

Rule 8VAC20-800-800-B.

8VAC20-800-180-A

“Based on record reviewed and interview, it was determined that the provider did not ensure that each caregiver and adult household member have aa current Report of Tuberculosis Screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. The provider, Staff #1, had an expired report of tuberculosis screening dated 3/04/2021. 2. Staff #1 confirmed that the tuberculosis screening was expired.”

Rule 8VAC20-800-180-A.

8VAC20-800-330-A

“Based on observation and interview, it was determined that the provider did not ensure that a landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation. Evidence: 1. During the home inspection, there was no observed landline telephone. 2. Provider confirmed that there was no landline telephone to the family day home.”

Rule 8VAC20-800-330-A.

8VAC20-800-60-B

“8VAC20-800-60. B Based on the review of four children’s records and interview, it was determined that the provider did not ensure that a child’s record contain the telephone number of each custodial parent’s place of employment. Evidence: 1. Child #2 (date of enrollment 10/4/21) did not have the work phone numbers for both parents. 2. Provider confirmed that Child #2 did not have the phone numbers for the parent’s employers.”

Rule 8VAC20-800-60-B.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

Based on review of two children’s records, it was determined that the provider did not ensure that there was documentation of a physical examination within 30 days of attendance.

“Evidence: 1. There were not physical examinations in the files for child #1 or child #2. 2. The provider stated that both children had been in care for over 30 day.s”

Rule 8VAC20-800-100-A.

Based on conversation with the provider, it was determined that the provider is practicing emergency drills but is not documenting them.

“Evidence: There was no documentation of evacuation drills and shelter-in-place drills to review.”

Rule 8VAC20-800-830-C.