Laura Marshall-Norris

Providers are required to have caregivers and adult household members living in the home undergo a background check every five years.

“The most recent central registry check for caregiver #1 was overdue by two months and the updated sworn disclosure statement was completed two months after it was due. The most recent central registry check for Household Member #1 was overdue by two months and the updated sworn disclosure statement was completed approximately two months after it was due.”

Rule 22.1-289.036-A.

Repeat Violation 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 #1, who had been in care approximately 9 months.”

Rule 8VAC20-800-100-A.

Documentation of additional immunizations is required once every six months for children under the age of two years. ’

“Child #3, 12 months old, last documented immunization was over 8 months ago.”

Rule 8VAC20-800-90-C.

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

“The findings from the most recent inspection, dated 8/05/2025, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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 #3, who had been in care approximately 4 months and 3 weeks.”

Rule 8VAC20-800-100-A.

Repeat Violation Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 obtained 12 hours of training hours in 2025. Caregiver #2 obtained 2 hours of training in 2025.”

Rule 8VAC20-800-210-A.

Poisonous substances shall be stored in an area inaccessible to children.

“Poisonous substances were behind the toilet that the children use and were accessible.”

Rule 8VAC20-800-280.

Children’s records are required to contain name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached

“The record for Child #3 was missing one emergency contact address and telephone number and a second emergency contact name, address and telephone number. The child was present during the inspection and had been in care for approximately four months and three weeks.”

Rule 8VAC20-800-60-B.

Diaper products do not need to be kept locked, but they must be inaccessible to children.

“One diaper product was accessible to children in a lower level drawer on the tub in the bathroom children use.”

Rule 8VAC20-800-750-B.

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

“The provider practiced the shelter in place procedures once in 2025.”

Rule 8VAC20-800-830-B.

Repeat Violation Documentation is required to be maintained of emergency evacuation drills.

“The provider did not document the evacuation drills in August 2025 or January 2026. She stated she did them the same day she did other drills.”

Rule 8VAC20-800-830-C.

Before attendance, documentation of immunizations 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 is to be obtained for each child.

“The documentation for Child #3’s immunizations was received 3 months and 3 weeks after attending the family day home.”

Rule 8VAC20-800-90-A.

Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“Three refrigerated bottles were not labeled with the child’s full name and the date with two infants in care.”

Rule 8VAC20-800-960-E.

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

“Caregiver #1 has taken 9 1/2 hours of training in 2025 and did not take any in 2024. Caregiver #2 had not completed 16 hours of training in 2024 and had not taken any in 2025..”

Rule 8VAC20-800-210-A.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“The provider stated she did not document the drills that were completed in June or July 2025.”

Rule 8VAC20-800-830-C.

Repeat Violation Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department’s health and safety update course. This training shall be related to child safety, child development, health and safety in the family day home environment, and any required department sponsored training.

“Caregiver #2 completed the Preservice Training on 9/06/2023 and needs to complete the department’s health and safety update course annually. The training is past due by five months.”

Rule 8VAC20-790-250-F.

Repeat Violation Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 did not obtain any training hours in 2024. Caregiver #2 obtained only 5 hours of training in 2024.”

Rule 8VAC20-800-210-A.

Poisonous substances and materials shall be stored in an area inaccessible to children.

“Poisonous cleaning products were in the basement bathroom that children use behind a shelf on the tub and within reach of children.”

Rule 8VAC20-800-280.

Repeat Violation The provider shall ensure that a caregiver does not exceed 16 points worth of children when supervising children.

“From approximately 9:38am until approximately 10:20am, Caregiver #2 supervised 8 children alone totaling 17 points, which exceeded the point system by 1 point.”

Rule 8VAC20-800-570-A.

Repeat Violation Children’s records are required to contain all required information.

“The records for Child #5 and Child 7 were missing one parent’s place of employment address and phone number, office address of the children’s physician and name and policy number of the children’s medical insurance. The children were present during the inspection and had been in care for over four months.”

Rule 8VAC20-800-60-B.

8VAC20-790-250-F

“Based on review of training, the caregiver did not complete the department’s health and safety update course annually. Evidence: 1. Caregiver #1 completed the health and safety update training on 7/04/2023 and had not completed it 2024.”

Rule 8VAC20-790-250-F.

22.1-289.011-F

“Based on observation, the violation notice from the last inspection was not posted in a conspicuous place on the licensed premises. Evidence: 1. The provider had the summary report from the 1/10/2024 inspection, but did not have the violation notice posted.”

Rule 22.1-289.011-F.

8VAC20-800-210-A

“Based on interview, two caregivers did not obtain a minimum of sixteen clock hours of training annually. Evidence: 1. The provider stated that both caregiver #1 and caregiver #2 had not completed the 16 hours of training.”

Rule 8VAC20-800-210-A.

8VAC20-800-240-A

“Based on observation, areas of the family day home inside were not maintained in a safe condition. Evidence: 1. The paint/drywall was chipping in the kitchen near the entry way door.”

Rule 8VAC20-800-240-A.

8VAC20-800-570-A

“Based on observation, the provider did not ensure that a caregiver did not exceed 16 points by using the point system to determine if an additional caregiver is needed. Evidence: 1. The caregiver had 18 points from approximately 10:00am to 10:10am until one child left at approximately 10:10am.”

Rule 8VAC20-800-570-A.

8VAC20-800-60-B

“Repeat Violation Based on review of seven children’s records, the provider did not maintain complete children’s records. Evidence: 1. Child 1’s file. was missing one emergency contact name, address and phone number. 2. Child #3’s file was missing documentation of the review of the child’s emergency contact information annually. 3. Child #4’s file was missing the names and addresses of previously attended child day care and schools. 4. Child #5’s file was missing the policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

8VAC20-800-80-C

“Repeat Violation Based on review of children’s records, the provider did not document in the child’s record the names and locations of the previous child care programs and schools the child attended. Evidence: 1. Child #4 (start date 4/04/2022) did not have the names and locations of the previous child care programs and schools the child attended.”

Rule 8VAC20-800-80-C.

8VAC20-800-800-B

“Based on review, the provider did not review the emergency plan at least annually and update the plan as needed and document in writing each review and update to the emergency plan. Evidence: 1. The provider’s emergency plan was last updated on 6/30/2023.”

Rule 8VAC20-800-800-B.

8VAC20-800-100-A

“Based on review of four children’s records, the provider did not 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. Evidence: 1. Child #2 (start date 10/02/2023) did not have documentation of a physical in the child’s file.”

Rule 8VAC20-800-100-A.

8VAC20-800-460-D

“Based on observation and interview, the provider did not maintain documentation of the current rabies vaccination for a dog in the home. Evidence: 1. The provider stated she did not have documentation of the current rabies vaccination for the dog observed in the kitchen with children. The provide stated the dog was too old to have the vaccine.”

Rule 8VAC20-800-460-D.

8VAC20-800-50-A

“Based on review of attendance records, the family day home did not keep written record of children in attendance each day. Evidence: 1. The provider had attendance records for last week and on the 8th, but did not have attendance records for January 9th or 10th, 2024.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on review of four children’s records, the provider did not maintain complete children’s records. Evidence: 1. Child #1’s(start date 1/23/2023) record was missing the physician’s address, the medical insurance policy number and previous childcares. 2. Child #2’s (start date 10/02/2023) record was missing one emergency contact address and telephone number, immunization record and physical. 3. Child #3’s (start date 4/24/2023) record was missing proof of identity documentation. ’”

Rule 8VAC20-800-60-B.

8VAC20-800-70-B

“Based on review of children’s records, the provider did not obtain the parent’s written acknowledgement of the receipt of the information of the provisions of the emergency plan. Evidence: 1. Child’s #4 (start date 8/21/2023) did not have the parent’s written acknowledgement of the receipt of the information of the provisions of the emergency plan in the file.”

Rule 8VAC20-800-70-B.

8VAC20-800-80-C

Rule 8VAC20-800-80-C.

8VAC20-800-830-C

“Based on review of drill records and interview, documentation was not maintained of emergency evacuation drills that included required information. Evidence: 1. The evacuation drills were not recorded for May, June, September, October, November and December-2023. The provider stated the drills were practiced, but did not write them down and only wrote down the shelter in place drills or lock down drills that month.”

Rule 8VAC20-800-830-C.

8VAC20-800-90-A

“Based on review of four children’s records, the provider did not have immunization documentation that the child has been adequately immunized before the child attended the family day home. Evidence: 1. Child #2 (start date 10/02/2023) did not have immunization documentation in the child’s file.”

Rule 8VAC20-800-90-A.

8VAC20-790-180-B

“Based on review of the attendance record, the vendor 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. During the week of 7/31/2023 through 8/04/2023, the vendor wrote down the child’s names as they arrived, but did not document when the children left the home.”

Rule 8VAC20-790-180-B.

8VAC20-790-250-B

“Based on review of staff records, all caregivers did not complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education within the first 90 days of employment or service. Evidence: 1. Caregiver #2 (Approximate start date 4/2024) had not completed the Virginia Preservice Training within 90 days of employment.”

Rule 8VAC20-790-250-B.

22.1-289.011-F

“Based on observation, the last inspection summary and violation notice were not posted in a conspicuous place on the premises. Evidence: 1. The provider had the acknowledgement form dated 5/23/2023 posted, but did not have the inspection summary or violation notice from 5/23/2023 posted.”

Rule 22.1-289.011-F.

8VAC20-770-60-C-2

“Based on review of caregiver records, the provider did not have the central registry findings within 30 days of employment for one caregiver. Evidence: 1. Caregiver #2 (approximate start date 4/2024) did not have the central registry findings in the file. The provider had a copy of the front of the form that was filled out to be sent.”

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

8VAC20-800-120-B

“Based on review of the assistant’s records, the records did not contain all required documents. Evidence: 1. Caregiver #2’s file (Approximate start date 4/2024) was missing verification of age, date of employment, documentation of tuberculosis screening, Virginia Central Registry results and two references,”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Based on documentation review, the provider did not obtain from each caregiver at the time of hire a current report of tuberculosis screening with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. Caregiver #2 (approximate start date 4/2024) did not have documentation of a current report of tuberculosis screening.”

Rule 8VAC20-800-170-A.

8VAC20-800-210-A

“Based on review, one caregiver did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Caregiver #1 had 10.5 hours of training in 2023 and did not have training certificates/documentation of training in 2022.”

Rule 8VAC20-800-210-A.

8VAC20-800-280

“Repeat Violation , Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants and deodorizers were not stored away in areas inaccessible to children. Evidence: 1. A toilet bowl cleaning product was stored under the bathroom sink that children use. Another cleaning product was inside the shower/tub that had fallen off a shelf in the bathroom children use.”

Rule 8VAC20-800-280.

8VAC20-800-570-A

“Based on observation and interview, the provider did not ensure that a caregiver did not exceed 16 points. Evidence: 1. The caregiver had 7 children with a total points value of 17 points. (1) 9 month old - 4 points (1) 23 month old - 3 points, (5) 2 years-4 years old-2 points each for a total of 10 points 2. The caregiver stated the assistant was not present today.”

Rule 8VAC20-800-570-A.

8VAC20-800-830-D

“Based on review of the drill record and interview, the provider did not maintain records of emergency evacuation drills for one year. Evidence: 1. The drill record was missing the May 2023 and June 2023 evacuation drill record information. 2. The provider stated she practiced the drill, but only wrote down the Lockdown drill May 26, 2023 and the shelter in place drill June 30,2023. She stated she did the evacuation drill the same days as the lockdown drill and shelter in place drill.”

Rule 8VAC20-800-830-D.

Based on a review of children’s records, the provider failed to 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.

“Evidence: Child #1’s record does not contain documentation of a physical by the 30th day of attendance. First day of attendance 4/4/2022 - date of physical 11/18/2022.”

Rule 8VAC20-800-100-A.

Based on a review of household member records, the provider failed to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Evidence: Household Member #1 and #3’s records do not contain documentation of a current tuberculosis screening.”

Rule 8VAC20-800-180-A.

Based on review of children’s records, the family day home failed to obtain all required documents for enrolled children.

“Evidence: -Child #1’s record does not contain documentation of the review of the child’s emergency contact information annually. Last completed 94/4/2022. -Child #2’s record does not contain documentation of the child’s age and identity.”

Rule 8VAC20-800-60-B.

Based on the review of children’s records, the provider failed to ensure that before a child may attend the family day home, the provider shall obtain documentation 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: Child #1’s record does not contain documentation that the child was adequately immunized on the first day of attendance. First day of attendance was 4/4/2022, immunization record is dated 11/18/2022.”

Rule 8VAC20-800-90-A.

Based on a review of household member records, the provider failed to obtain for each household member a current Report of Tuberculosis Screening fore in accordance with the requirements in 8VA20-800-170.

“Evidence: Household Member #1’s TB screening expired 06/29/2022. Household Member #2’s TB screening expired 05/24/2020. Household Member #3’s record did not have documentation of a TB screening or test.”

Rule 8VAC20-790-180-A.

Based on a review of children’s records, the provider failed to obtain documentation of 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.

“Evidence: Child #1’s record does not include documentation of a physical exam by the 30th day of attendance. Child’s first day of attendance was 01/11/2023.”

Rule 8VAC20-800-100-A.

Based on observation, the provider failed to ensure that potentially poisonous substances such as, but limited to cleaning agents, disinfectants, deodorizers shall be sorted in areas inaccessible to children.

“Evidence: Lysol was stored by the entrance to the home on a cabinet that was accessible to children.”

Rule 8VAC20-800-280.

Based on a review of children’s records, the provider failed to obtain all required documentation for each child enrolled.

“Evidence: Child #1’s record did not contain documentation of the names of persons other than the custodial parents who are authorized to pick up the child. Child #5’s record did not contain documentation of the address of two designated person to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

Based on a review of evacuation logs, the provider failed to ensure that emergency evacuation procedures shall be practiced monthly with all caregivers and the children in care during all shifts that children are in care.

“Evidence: The last practice evacuation was 08/26/2022.”

Rule 8VAC20-800-830-A.

Based on review of household member records, the family day home failed to obtain a completed sworn statement prior to the first day of residence.

“Evidence: Household member #2’s record does not contain documentation of a sworn statement.”

Rule 8VAC20-770-60-B.

Based on a review of children’s records, the family day home failed to obtain documentation of a physical examination by the 30th day of attendance.

“Evidence: Child #1 and #3’s records do not contain documentation of a physical examination by the 30th day of attendance. Child #1’s first day of attendance 8/8/2022- child #3’s first day of attendance 1/10/2022”

Rule 8VAC20-800-100-A.

Based on observation, the family day home failed to ensure that child resistant protective covers larger than 1 1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“Evidence: In the baby room, there was a missing outlet cover on the wall with the chest of drawers.”

Rule 8VAC20-800-320-B.

Based on observation, the family day home failed to ensure that the bathroom shall be kept clean and contain a working toilet and sink, toilet tissue, liquid soap and paper towels.

“Evidence: The sink in the bathroom is not in working order. The bathroom did not have paper towels.”

Rule 8VAC20-800-340-C.

Based on observation, the family day home failed to ensure that accordion expansion gates and pressure mounted gates shall not be used as protective barriers at stair openings.

“Evidence: At the bottom of the stairs, there was a pressure mounted expansion gate.”

Rule 8VAC20-800-430-B.

Based on a review of children’s records, the family day home failed to obtain all required documentation for each child enrolled.

Rule 8VAC20-800-60-A.

Based on observation, the family day home failed to obtained all required supplies for the first aid kit.

“Evidence: The fist aid kit was missing adhesive tape.”

Rule 8VAC20-800-760-A-1.

Based on a review of children’s records, the family day home failed to obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia by the first day of attendance.

“Evidence: Child #1 and #3’s records did not contain documentation of immunizations on the first day of attendance. Child #1’s first day of attendance 8/8/2022 - child #2’s first day of attendance 1/10/2022.”

Rule 8VAC20-800-90-A.