Davida Cole

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 B, enrolled for over 4 months, did not have a physical on file.”

Rule 8VAC20-800-100-A.

Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician designee, or an official of a local health department.

“The immunizations and physical on file for Child A were not signed or stamped by a physician or an official of a local health department.”

Rule 8VAC20-800-110-B.

(REPEAT VIOLATION) The provider shall 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.

“Caregiver A was overdue for a new tuberculosis screening for over 4 months.”

Rule 8VAC20-800-180-A.

Infant walkers shall not be used.

“Child A (Age 12 months) was observed in an infant walker.”

Rule 8VAC20-800-540-B.

When food is brought from home, the following shall apply: The food container shall be clearly labeled in a way that identifies the owner.

“3 out of 6 lunch bags observed were not labeled in a way that identifies the owner.”

Rule 8VAC20-800-890.

(REPEAT VIOLATION) The provider must request a search of the central registry prior to the employee’s first day of employment.

“Caregiver 2, who had been working for two days, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

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

“Caregiver #1 CPR certification expired 27 days ago.”

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

Providers shall have current certification in first aid.

“Caregiver #1 first aid certification expired 27 days ago.”

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

Providers shall have current certification in first aid.

“Caregiver #1 first aid certification expired 27 days ago.”

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

The provider shall obtain from each caregiver at the time of hire a Report of Tuberculosis (TB) Screening form that has been completed within the last 30 days.

“Caregiver #2’s TB screening was completed 1 year 10 months prior to the time of hire.”

Rule 8VAC20-800-170-B.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening.

“The record of Caregiver #1 contained documentation of a TB screening that expired 26 days ago.”

Rule 8VAC20-800-180-A.

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 12/14/2025, was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

Providers are required to obtain a completed sworn statement prior to the employee’s first day of employment

“The sworn statement for Staff #1 who has been employed for over 3 months, was not completed.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment and when any new resident moves into the home.

“Staff #1, who has been employed for over 3 months, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

The provider must submit a Central Registry Search (CRS) for a new employee prior to the first day of employment.

“The provider stated that a CRS request has not been submitted for Staff # 1 who has been employed for over 3 months.”

Rule 22.1-289.035-B-3.

The provider must orient assistants by the end of their first week of assuming job responsibilities.

“Staff #1, who has been employed for over 3 months, did not have documentation of completed orientation within the first week of assuming job responsibilities.”

Rule 8VAC20-800-200-C.

(Repeat Violation) The family day home is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The family day home did not have documentation of a sex offender registry check, and documentation of a search request of the child abuse and neglect registry from one state for Staff A, who has been employed for eight months.”

Rule 22.1-289.035-B-4.

Based on review of 2 caregiver records and staff interview, the provider did not obtain an out-of-state sex offender registry search and out-of-state child abuse and neglect search for each employee that has resided outside of the state of Virginia within the last 5 years.

“Evidence: Caregiver A sworn disclosure statement documents that they have resided in Maryland within the last five years. Provider confirmed that they have not completed a Maryland sex offender registry search or Maryland child abuse and neglect search for Caregiver A.”

Rule 22.1-289.035-B-4.

Based on documentation review of 4 children’s, 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: There was no documentation of a physical examination observed for Child A ( Start Date: 8/21/2023).”

Rule 8VAC20-800-100-A.

Based on review of 2 Caregiver records and interview with the Provider, the Provider did not ensure they maintain a complete record for each caregiver.

“Evidence: The file that was observed for Caregiver A did not have documentation of Caregiver A’s Job title, date of employment or volunteering, name address and telephone number of a person to be notified in an emergency and that two or more references were checked prior to employment.”

Rule 8VAC20-800-120-A.

Based on request and staff interview, provider did not have documentation of the orientation signed and dated by the provider and substitute provider or by the provider and assistant.

“Evidence: Caregiver A (Start Date: 6/16/2024) did not have signed and dated documentation that they completed orientation. Provider stated orientation was given verbally but not documented.”

Rule 8VAC20-800-200-C.

Based on staff interview and documentation review, provider did not ensure caregivers obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: The provider only had documentation for 3 out of 16 hours completed for annual training. Provider stated the other 13 hours were not completed.”

Rule 8VAC20-800-210-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

Based on documentation request and staff interview, the family day home did not have a written emergency preparedness and response.

“Evidence: An emergency preparedness plan was not observed, the provider confirmed that she did not have it and needed to complete a new one.”

Rule 8VAC20-800-800-A.

8VAC20-800-960-E

“Based on observation, not all of he bottles were labeled with the child’s full name and the date. Evidence: There were two bottles that were not labeled with a child’s name and the date on a small table in the basement daycare area.”

Rule 8VAC20-800-960-E.

8VAC20-790-250-B

“Based on a review of caregiver records, one assistant did not complete the Preservice Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Caregiver A began employment in May 2022 and did not have documentation of the Preservice Training.”

Rule 8VAC20-790-250-B.

8VAC20-770-60-B

“Based on a review of documentation and interview with the provider, it was determined that the provider failed to obtain documentation of a sworn statement of affirmation for a staff prior to the first day of employment. Evidence: Caregiver A began employment in May 2022 and did not have documentation of a sworn statement of affirmation at the time of this inspection.”

Rule 8VAC20-770-60-B.

8VAC20-800-170-A

“Based on a review of documentation and interview with provider it was determined that the provider failed to obtain documentation of a Tuberculosis Screening at the time of hire. Evidence: Caregiver A’s record was missing the documentation of a Tuberculosis Screening prior to coming in contact with children. Caregiver A began employment on May 2022 and did not have documentation of a negative TB screening for this caregiver”

Rule 8VAC20-800-170-A.

8VAC20-800-280

“Based on observation, the provider did not ensure hazardous substances were inaccessible to children. Evidence: The cabinet below the sink in the basement bathroom was not locked. The cabinet contained a bottle of Fabuloso multi-purpose cleaner and a can Microban bathroom cleaner.”

Rule 8VAC20-800-280.

8VAC20-800-90-A

“Based on a review of caregiver records and interview with provider it was determined that the provider did not obtain documentation of immunizations for Child A before the child attended the program. Evidence: Child A was enrolled 02/21/23 and the date of child file review was on 02/22/23.”

Rule 8VAC20-800-90-A.

8VAC20-800-280

“Based on observation, the provider had potentially poisonous substances, materials and supplies in an area that was accessible to children. Evidence: There was cleaning supplies and hygiene products on a shelf in the downstairs bathroom that were accessible to children.”

Rule 8VAC20-800-280.