LaSandra Rose

Repeat violation

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. An evacuation drill was not conducted in June of 2026.”

Rule 8VAC20-800-830-A.

Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“The record of Child #3 did not contain documentation of the parent’s signed annual review which was two weeks overdue.”

Rule 8VAC20-800-780-B.

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

“An evacuation drill was not conducted in June of 2025.”

Rule 8VAC20-800-830-A.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-A.

Based on a review of four caregiver records and interview, the provider did not ensure that in addition to satisfactory completion of first aid training and CPR training, caregivers obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: 1. The records of caregiver #1 and caregiver #2 did not contain 16 hours of annual training. 2. The provider acknowledged that annual trainings were not completed.”

Rule 8VAC20-800-210-A.

Based on a review of five child records and interview, the provider did not ensure to review the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review for three children as required.

“Evidence: 1. The record of child #3 (date of attendance: 9/21/2022), child #4 (date of attendance: 10/3/2022) and child #5 (date of attendance: 9/19/2022) did not contain the documented parent acknowledgements of the updates. 2. The provider acknowledged that the parents had not signed off on the review.”

Rule 8VAC20-800-780-B.

Based on a review of five child records and interview, the provider did not ensure to obtain documentation of additional immunizations every six months for one child under the age of two years as required.

“Evidence: 1. The record of child #5 (date of attendance: 9/19/2022/age 13 months upon enrollment) contained immunization records dated 9/7/2022. Additional immunization updates were not in the record. 2. The provider acknowledged that the immunization updates were not obtained for child #5.”

Rule 8VAC20-800-90-C.

Based on a review of four (4) caregiver records and interview, the provider did not ensure to obtain for one (1) caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form as required.

“Evidence: 1. The record of caregiver #4 (date of employment: 4/24/2023) did not contain a TB screening. 2. The provider acknowledged that the documentation of a negative TB screening had not been obtained.”

Rule 8VAC20-800-170-A.

Based on a review of four (4) caregiver records and interview, the provider did not ensure to obtain a negative tuberculosis screening for one caregiver within the required time frame. The form must have been completed within the last 30 days and be signed by a physician, physicians’ designee, or an official of the local health department.

“Evidence: 1. The record of caregiver #3 (date of employment: 4/11/2023) contained a TB screening dated 10/15/2021. 2. The provider acknowledged that the TB screening had not been completed within the required time frame.”

Rule 8VAC20-800-170-B.

Based on a review of documentation and interview, the provider did not ensure that the emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children are in care.

“Evidence: 1. The last documented evacuation drill was dated 5/16/2023. An evacuation drill was not documented in June of 2023. 2. The provider acknowledged that it had not been completed.”

Rule 8VAC20-800-830-A.

Based on review of documentation and interview, the center did not ensure that emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children are in care.

“Evidence: 1. An emergency evacuation drill was not noted in October of 2022. 2. The provider acknowledged that the emergency evacuation procedures had not been practiced in October.”

Rule 8VAC20-800-830-A.