Marjorie Baskovich

For assistant providers who are not the spouse, parent, sibling, or child of the provider and are hired after June 30, 2010, documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Staff #2 had 1 of 2 references on file. This is the third time this standard has been cited for this employee. It was previously cited on 10/21/25, and on 04/10/26.”

Rule 8VAC20-800-120-B.

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

“An updated TB screening for Staff #1 was not completed and was overdue by two months.”

Rule 8VAC20-800-180-A.

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.

“Records for children #3, #5, and #8 did not have a parent’s signature for an annual review of the emergency contact information. Child #3’s review was 3 months past due. Child #5’s review was 9 months past due; and Child #8’s review was 4 months past due.”

Rule 8VAC20-800-780-B.

For assistant providers who are not the spouse, parent, sibling, or child of the provider and are hired after June 30, 2010, documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Staff #2 (hired date - 08/04/25) had only (1) reference check on file. This same standard was cited during a previous inspection.”

Rule 8VAC20-800-120-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.

“Records for children #8, #9, and #10 did not have a parent’s signature for an annual review of the emergency contact information within the past year.”

Rule 8VAC20-800-780-B.

Assistant providers hired after June 30, 2010, should have documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Only 1 of 2 references were available for review for Staff #2; and 0 of 2 references were available for Staff #3.”

Rule 8VAC20-800-120-B.

The provider shall obtain the parent’s written acknowledgement of the receipt of provided written information.

“The Medication Administration ? Decision to Administer form for Child #4 was not signed by the child’s parent. The Information for Parents form for Child #9 and #10 was not signed by the children’s parent. The Provision of the Emergency Preparedness and Response Plan form for Child #4 was not signed the child’s parent.”

Rule 8VAC20-800-70-B.

Annually, the provider shall review with the parent the emergency contact information required to ensure the information is correct, and obtain the parent’s signed acknowledgment of this review.

“It has been more than 12 months since the last documented review for Child #2; and more than 14 months since the last documented review for Child #1.”

Rule 8VAC20-800-780-B.

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 #4, who had been in care for more than 1 month.”

Rule 8VAC20-800-100-A.

Children’s records are required to contain the name and policy number of the child’s medical insurance,

“The record for Child #2 and Child #7 was missing the policy name and number of the child’s medical insurance. Child #4 and Child #5, only the policy number was missing. Child #2 has been attending for 17 months, Child #7 for one month, Child #4 for one month, and Child #5 for 11 months.”

Rule 8VAC20-800-60-B.

Based on review, a caregiver (who works directly with children) did not complete the department’s health and safety update course for 2023.

“Evidence - 1. On the date of inspection (03/28/2024) a certificate of completion for the Annual Health and Safety Update Training (3 hours) was not available for review for Staff #1. 2. Staff #1 did complete the 10-hour Virginia Pre-service training.”

Rule 8VAC20-790-250-F.

Based on review, a person 14 years of age and older did not have a search of the central registry ( CPS check) on file within 30 days of a person in the home becoming 14 years old.

“Evidence - 1. On the date of inspection (03/28/2024), a CPS check was not available for review for a person 14 years of age who lives in the home. 2. Based on information on file at the Family Day Home (FDH), Household Member #3 became 14 years of age more than 30 days ago.”

Rule 8VAC20-770-40-D-5.

Based on review, 1 of 5 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection (03/28/2024), documentation of a physical for Child #1 was not available for review. 2. The start date for Child #1 was listed as 10/01/2022.”

Rule 8VAC20-800-100-A.

Based on review, 1 of 3 household records indicated that the Provider did not obtain from each adult household member (prior to coming into contact with children) their initial and current Report of Tuberculosis Screening (TB) form.

“Evidence - 1. On the date of inspection (03/28/2024), initial TB documentation was not available for review for Adult Household Member #2. 2. Adult Household Member #2 had turned 18 years of age earlier this year.”

Rule 8VAC20-800-170-A.

Based on review, the Provider did not obtain for each caregiver a current Report of Tuberculosis Screening (TB) form, every two years from the date of the initial screening or from the date of the most current documentation on file.

“Evidence - 1. On the date of inspection (03/28/2024), the current TB documentation on file for Staff #1 was dated - 03/04/2022. 2. This was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-180-A.

Based on review, 2 of 5 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (03/28/2024), the phone number for the listed doctor was not available for Child #5. There was only 1 of 2 emergency contacts listed for Child #5. 2. The Authorization for Emergency Medical care was not signed by the Parent of Child #4.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 5 children files indicated that not all of the required documentation was complete.

“Evidence - On the date of inspection (03/28/2024), the following documentation was not complete: 1. The Medication Administration - Decision to Administer form was not signed by the parent of Child #4. 2. The Liability Insurance Declaration form was not signed by the parent of Child #4.”

Rule 8VAC20-800-70-A.

Based on review, 2 of 5 children files indicated that annually, the Provider did not review with the parent their emergency contact information (as required in 8 VAC 20-800-60B.2) to ensure the information is correct, and obtain the parent’s signed acknowledgment of this yearly review.

“Evidence - 1. On the date of inspection (03/28/2024), the documenting of the last annual review for Child #1 was dated - 10/11/2022. 2. The las annual review for Child #5 was dated - 10/19/2022.”

Rule 8VAC20-800-780-B.

Based on review, 2 of 5 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the child’s start date.

“Evidence - 1. On the date of inspection (09/29/2023), documentation of a physical examination was not available for: Child #1, and Child #4. 2. The listed start dates for these two children were: 10/01/2022 for Child #1, and 05/08/2023 for Child #4.”

Rule 8VAC20-800-100-A.

Based on review, 2 of 5 children files reviewed indicated that not all of the required information was contained within the child’s record.

“Evidence - 1. On the date of inspection (09/29/2023), the following information was not available for Child #4 - Authorization for Emergency Medical Care. 2. The following information was not available for Child #5 - Child’s doctor telephone number; the complete information 1 of 2 emergency contacts was listed; and the number for the child’s insurance policy.”

Rule 8VAC20-800-60-B.

Based on review, 2 of 5 children files reviewed indicated that not all of the information provided by the parents in writing was complete.

“Evidence - 1. On the date of inspection (09/29/2023), the Medication Administration - Decision to Administer form was not signed by the Parent’s of Child #2, and the Parent’s of Child #4. In both cases, in the area for the Provider’s and Parent’s signatures, it was left blank. 2. The written notice of liability for Child #4 was also not completed (Code of Virginia 22.1-289.050).”

Rule 8VAC20-800-70-A.

Based on review, 1 of 5 children files indicated that the initial review of the child’s emergency information as listed on the child’s record was never signed.

“Evidence - 1. On the date of inspection (09/29/2023) the signature section at the bottom of the first page of the Child Record for Child #2 was never signed. 2. This was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-780-B.

Based on review, 1 of 2 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection (04/25/2023), documentation of a physical was not available for Child #2. 2. The start date for Child #2 was listed as 10/01/2022.”

Rule 8VAC20-800-100-A.

Based on review, 2 of 2 children files indicated that the vendor did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions.

“Evidence - 1. On the date of inspection, the allergies documented within the records of Child #1, and Child #2 were not compiled on an allergy list for the Family Day Home (FDH). 2. This same standard was cited during an inspection that occurred previously on 09/28/2022.”

Rule 8VAC20-790-170-G.

Based on review, 2 of 2 children files indicated that a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction was not available.

“Evidence - 1. On the date of inspection (10/14/2022), an allergy was listed within the child record of the following children: Child #1, and Child #2. An action allergy plan was not available for review for either child. 2. This same standard was cited during an inspection that occurred previously on 09/28/2022.”

Rule 8VAC20-790-190-B-12.

Based on review, 2 of 2 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (10/14/2022), the action for the allergy listed was not available for review for the following children: Child #1, and Child #2. 2. The need of the action for allergy listed was previously cited for Child #1 during a monitoring inspection conducted on 09/28/2022.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 2 children files indicated that the verification of each child’s proof of identification was not on file.

“Evidence - 1. On the date of inspection (10/14/2022), the proof of identification was not available for Child #2. 2. The start date listed for Child #2 was listed as 10/01/2022. Child #2 was observed on site on the date of inspection.”

Rule 8VAC20-800-80-A.

Based on review, 1 of 2 children files indicated that the Provider did not obtain documentation that a child had been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations) before attending the Family Day Home (FDH).

“Evidence - 1. On the date of inspection (10/14/2022), and immunization page was not available for Child #2. 2. The start date for Child #2 was listed as - 10/01/2022.”

Rule 8VAC20-800-90-A.

Based on observation, the vendor did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions.

“Evidence - 1. On the date of inspection (09/28/2022), the allergy, sensitivities, and dietary restrictions list was not available for review. 2. It was determined that the needs of Child #1 would be added to such a list.”

Rule 8VAC20-790-170-G.

Based on review, a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction was not available.

“Evidence - 1. An action allergy plan for Child #1 was not available for review. 2. A need for this plan was based on the information contained within the record of Child #1.”

Rule 8VAC20-790-190-B-12.

Based on review, 1 child’s file did not include all of the required information / documentation.

“Evidence - 1. On the date of inspection (09/28/2022), the action to be taken in an emergency for the allergy listed for Child #1 was not available. 2. The was 1 of 2 emergency contacts listed for Child #1.”

Rule 8VAC20-800-60-B.

Based on observations, two areas outside of the Family Day Home (FDH) were maintained in unsafe conditions.

Rule 8VAC20-800-240-A.

Based on observation and interview, cleaning agents were not stored away in areas inaccessible to children.

“Evidence - 1. On the date of inspection (04/14/2022) a cabinet located below the sink within the downstairs child care area did not have a child proof lock installed preventing access. 2. Cleaning agents were observed being stored in this cabinet on the date of inspection. 3. The Provider stated (during an interview on the date of inspection) that she was going to have someone install the child proof lock for her.”

Rule 8VAC20-800-280.

Based on interview, the landline telephone was not operable.

“Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 04/13/2022) that the Family Day Home (FDH) landline telephone had not yet been activated. 2. The Provider was however able to give the Licensing Inspector (LI) the telephone number for the FDH.”

Rule 8VAC20-800-330-A.

Based on observation, the Family Day Home (FDH) currently does not have a diapering surface available to change diapers.

“Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 04/14/2022) that she plans to have children as young as 2 years of age in her care who may not yet be potty-trained. 2. While non-absorbent mats were available and observed on site, these mats had a designated use for sleeping and not for diapering.”

Rule 8VAC20-800-690-D.

Based on observation, a foot operated trash can was not available for use.

“Evidence - 1. Based on the requested license, diapering will be needed for those children who will not be potty-trained. 2. While a trash can was available, it was not foot-operated.”

Rule 8VAC20-800-690-E.

Based on observation, a working portable battery-operated weather band radio was not available for use within the Family Day Home (FDH).

“Evidence - 1. On the date of inspection (04/13/2022), the radio on site was not a weather band radio (WB). 2. This radio was only an AM/FM radio.”

Rule 8VAC20-800-770.

Based on observation, none of the three required emergency numbers were observed to be posted in a visible area close to the telephone.

“Evidence - 1. On the date of inspection (04/13/2022) the following numbers were observed not to be posted: 911 or local dial number for police, fire, and emergency medical responders; the responsible person for emergency backup care as required in 8VAC20-800-800 A 3; and the regional poison control center. 2. The Provider did have the number available for the responsible person for emergency back up care, but it was not posted by the telephone. This information was observed on file within the Emergency Preparedness and Response Plan (EP&RP).”

Rule 8VAC20-800-790.

Based on observation, the Provider did not have an operable thermometer available to monitor refrigerator and freezer compartment temperatures.

“Evidence - 1. On the date of inspection (04/14/2022), both the refrigerator and freezer in the downstairs child care area did not have a thermometer available. 2. The Provider stated that the food for the day care will be stored in these areas (refrigerator and freezer).”

Rule 8VAC20-800-940-B.