Megan Bonds

The provider shall obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

“There was no documentation of a physical examination for Child 1 (age 3 years), who has been enrolled for 7 months.”

Rule 8VAC20-800-100-A.

No soft bedding of any kind shall be used under or around infants including but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys.

“There were three stuffed toys in the crib with Child 2 (age 10 months).”

Rule 8VAC20-800-530-F.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“There was no documentation of the emergency evacuation procedures being practiced in September 2026.”

Rule 8VAC20-800-830-A.

The provide shall obtain for each caregiver and adult household member a 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.

“Tuberculosis skin test/screening was not updated every two years for staff/household member #1. Tuberculosis skin test/screening expired 5/2/2025.”

Rule 8VAC20-800-180-A.

Based on inspection, the Licensee failed to ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

“EVIDENCE: There were 14 children ages 11 months - 9 years old in care during the inspection.”

Rule 8VAC20-800-40-A.

Based on record review, the Licensee failed to keep a written record of children in attendance each day.

“EVIDENCE: A written record of attendance was unavailable.”

Rule 8VAC20-800-50-A.

Based on record review, the Licensee failed to ensure each child’s record contains required information.

“EVIDENCE: Licensing Inspector reviewed 3 children records. Record for Child #2 and #3 did not include the first date of attendance.”

Rule 8VAC20-800-60-B.

Based on review of the family day home’s emergency preparedness plan, the Licensee failed to include lockdown procedures.

“EVIDENCE: The emergency preparedness plan for the family day home did not include lock down emergency procedures.”

Rule 8VAC20-790-420-B-5.

Based on inspection, the Licensee failed to maintain hot water at taps available to the children within a range of 105 degrees F to degrees F.

“EVIDENCE: The hot water in the bathroom sink used by the children in care registered 133 degrees F. Hot water temperature exceeded maximum temperature.”

Rule 8VAC20-800-350-E.

Based on record review, the Licensee failed to have documentation of all required information for each child enrolled.

Rule 8VAC20-800-60-B.

Based on inspection, the Licensee failed to have all electrical outlets secured with protective covers.

“EVIDENCE: Protective covers were not use on several outlets (bathroom & electrical strip) in the areas that will be used by enrolled children.”

Rule 8VAC20-800-320-B.

Based on inspection, the Licensee failed to maintain hot water temperature within a range of 105 degrees F to 120 degrees F.

“EVIDENCE: The temperature of the bathroom sink water was 138 degrees F Licensing Inspector”

Rule 8VAC20-800-350-E.

Based on inspection and discussion with the Provider, the Licensee failed to have required diapering equipment.

“EVIDENCE: Diapering area separate from the kitchen and food preparation using non-absorbent equipment was unavailable.”

Rule 8VAC20-800-690-D.

Based on inspection, the Licensee failed to have emergency telephone numbers posted.

“EVIDENCE: Required emergency telephone numbers were not posted.”

Rule 8VAC20-800-790.

Based on inspection & discussion with the Provider, the Licensee failed to have a menu identifying meals and/or snacks that will be served.

“EVIDENCE: A weekly menu was unavailable. Provider had not documented meals and/or snacks that will be served to enrolled children.”

Rule 8VAC20-800-920.