Keisha Jones

8VAC20-800-100-B

“The child physical examinations prior to attendance shall be conducted within required time periods. The physical for C2 was more than 3 months prior to attendance.”

Rule 8VAC20-800-100-B.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for HHM 2 was completed and was overdue by 3 days. An updated TB screening for HHM 3 was completed and was overdue by 2 months.”

Rule 8VAC20-800-180-A.

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 C4 did not have a parent’s signature for an annual review of the emergency contact information. C4 had been in care for over a year.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. Provider did not document shelter-in-place drills during 2025.”

Rule 8VAC20-800-830-B.

22.1-289.035-B-1

“The provider is required to obtain a completed sworn statement prior to the employee’s first day of employment. The record for S3 did not contain a sworn statement.”

Rule 22.1-289.035-B-1.

8VAC20-800-180-A

“Repeat Violation A tuberculosis (TB) screening is required every two years from last screening. An updated TB screening for S1 was not completed and was overdue by 3 months. An updated TB screening for household members was not completed and was overdue by 3 weeks.”

Rule 8VAC20-800-180-A.

8VAC20-800-70-B

“8VAC20-800-70-B Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration. There were no parent acknowledgements available for C2, C3, C4, and C5 who were provided care during August, September, and October 2025.”

Rule 8VAC20-800-70-B.

8VAC20-800-80-A

“Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child. This information was not available for C2 and C3 attending for 2 months.”

Rule 8VAC20-800-80-A.

8VAC20-800-800-C

“Repeat Violation The provider shall ensure that each caregiver receives training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of the first week of assuming job responsibilities, on an annual basis, and at the time of each plan update. The record for S3 did not document the training and has been employed for 2 months. The staff records for S1 and S2 did not document this annual training during 2024 or 2025.”

Rule 8VAC20-800-800-C.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for C4, who was in care during the inspection and had been in care for 11 days.”

Rule 8VAC20-800-90-A.

All caregivers are required to have current certification in CPR within 90 days of employment.

“1. Caregiver #1, did not have documentation of an updated CPR certification which was overdue by 110 days. 2. Caregiver #2, did not have documentation of an updated CPR certification which was overdue by 22 days.”

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

All caregivers are required to have current certification in first aid within 90 days of employment.

“1. Caregiver #1, employed for over four years, did not have documentation of an updated first aid certification which was overdue by 110 days. 2. Caregiver #2, employed for over two years, did not have documentation of an updated first aid certification which was overdue by 22 days.”

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

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

“Caregivers #2, did not complete the health and safety update course within the required time frame and is overdue by 112 days.”

Rule 8VAC20-790-250-F.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #2 was not completed and was overdue by 23 days.”

Rule 8VAC20-800-180-A.

The provider shall maintain an up-to-date record at the family day home for each enrolled child.

“The record for child # 4 did not have documentation of information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation or chronic physical problems, pertinent developmental information, and any special accommodations needed.”

Rule 8VAC20-800-60-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 #3 did not have an annual review of the emergency contact information was overdue by two years and 4 months.”

Rule 8VAC20-800-780-B.

8VAC20-790-250-F

“Caregivers who work directly with children shall complete annually the departments health and safety update training annually. S1 did not complete the 2024 health and safety training.”

Rule 8VAC20-790-250-F.

22.1-289.035-B-4

“The provider shall complete a written report and submit to the department within 5 working days of the date of the injury to the child while under the family day home’s supervision. The report of the injury to C2 was not submitted within 5 working days.”

Rule 22.1-289.035-B-4.

8VAC20-800-210-A

“Staff shall obtain a minimum of 16 hours of training annually in areas relevant to their job responsibilities. The staff record for S2 documented 6 of the 16 hours between 05/2023 and 05/2024.”

Rule 8VAC20-800-210-A.

8VAC20-800-800-C

“Staff shall on an annual basis complete training regarding emergency evacuation, emergency relocation, and shelter-in-place procedures. Staff records for S1 and S2 did not document this annual training for 2024.”

Rule 8VAC20-800-800-C.

8VAC20-800-830-B

“Repeat violation Shelter-in-place procedures shall be practiced a minimum of twice per year. The records of the shelter-in-place drills for 2024 documented one drill being practiced.”

Rule 8VAC20-800-830-B.

8VAC20-800-840-A

“The provider shall record in the child’s record an injury sustained by a child while at the family day home that requires first aid or emergency medical treatment. Provider reported that C2 sustained an injury 04/15/2024 that required medical treatment and that an injury record had not been completed.”

Rule 8VAC20-800-840-A.

8VAC20-800-850-B

“The provider shall complete a written report and submit to the department within 5 working days of the date of the injury to the child while under the family day home’s supervision. The report of the injury to C2 was not submitted within 5 working days.”

Rule 8VAC20-800-850-B.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. The immunizations for C1 were received a month after the child’s first day of attendance. The immunizations for C3 were received more than 6 months the child’s first day of attendance.”

Rule 8VAC20-800-90-A.

8VAC20-790-250-B

“Based on record review, the provider failed to ensure that all caregivers shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for P2, employed 05/10/2023 contained a certificate of completion of the Virginia Preservice Training dated 12/23/2023.”

Rule 8VAC20-790-250-B.

Based on staff record review, the provider failed to obtain the results of an out of state criminal history name check, sex offender registry search and out of state child abuse and neglect search from any state in which the individual has lived in the preceding five years.

“Evidence: Staff record for P2 documented on the sworn statement having lived out-of-state in the last five years. The records for P2, employed 05/10/2023 did not contain the results of an out of state criminal history name check, a sex offender search for a state in which the individual lived in the preceding five years, and the results of the out of state child abuse and neglect search.”

Rule 22.1-289.035-B-4.

8VAC20-800-110-B

“Based on child record review, the provider failed to assure that each report of immunizations shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: The immunizations for C1 were not signed by the licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

8VAC20-800-180-A

“Based on record review, the provider failed to obtain for each caregiver and household member a current Report of Tuberculosis (TB) Screening form every two years. Evidence: The TB screenings for caregiver, P1 were dated 05/15/2021 and 07/09/2023. The TB screenings for household member, HHM1 were dated 05/12/2021 and 09/23/2023. The TB screening for household member, HHM2 were dated 03/23/2021 and 09/28/2023.”

Rule 8VAC20-800-180-A.

8VAC20-800-830-B

“Based on review of emergency response drills documentation, the provider failed to ensure that shelter-in-place procedures shall be practiced twice per year. Evidence: The emergency drill documentation did not document a second practice of shelter-in-place procedures during 2023.”

Rule 8VAC20-800-830-B.

8VAC20-790-180-B

Rule 8VAC20-790-180-B.

8VAC20-800-200-C

“Based on observation and interview, the provider failed document substitute provider orientation that is required by the end of the first week of assuming job responsibilities. Evidence: HHM1 (Household Member) was observed providing care and supervision of children during the inspection on 02/14/2023. The provider advised that HHM1 was needed to assist in the care of the eleven children in the family day home as the prior assistant left employment 01/ 27/2023. The provider did not have documentation of the orientation required by VAC20-800-200.C”

Rule 8VAC20-800-200-C.

8VAC20-800-210-A

“Based on file review, the provider failed to ensure that the provider obtained 16 hours of annual training. Evidence: The record for P1 contained verification of 11 hours of annual training in 2022.”

Rule 8VAC20-800-210-A.

8VAC20-800-510-C

“Based on observation, the provider failed to ensure that occupied cots were at least 12 inches from each other. Evidence: Licensing inspector observed seven children resting in the classroom at the end of the living room. The rest mats were observed to be less than 12 inches apart.”

Rule 8VAC20-800-510-C.

8VAC20-800-60-A

Rule 8VAC20-800-60-A.

8VAC20-800-920

“Based on observation, the provider failed to ensure that the menu for the current one-week period was posted. Evidence: The menu posted in the family day home was not for the current week of 02/13/2023.”

Rule 8VAC20-800-920.

Based on review of record and interview with caregiver, the provider did not ensure that each caregiver had tuberculosis screening (TB) as required.

“Evidence: The record for caregiver #2 did not have a tuberculosis screening available for review. An interview with caregiver #1 revealed that a TB screening or TB test results were not in the file for caregiver #2.”

Rule 8VAC20-800-170-A.

Based on observations, the family day home did not ensure all potentially poisonous substances, materials, and supplies are inaccessible to children.

“Evidence: In room #1 there was a container of Lysol labeled ?Danger,? Harmful,? and “Keep Out of Reach of Children” and a bottle of bleach and water mixture. Bleach is labeled ?Harmful? and ?Danger?. Both containers of poisonous substances were located on top of the cubbies accessible to the children.”

Rule 8VAC20-800-280.

Based on a review of children’s records, the provider did not ensure that each record contains all required information.

“Evidence: The record for child #2 did not contain one of the two designated people to call in an emergency.”

Rule 8VAC20-800-60-A.