Chanel Lacey

The provider is required to obtain a current tuberculosis (TB) screening for each caregiver and adult household member every two years.

“The TB screening for Household Member A was past due by more than 19 months.”

Rule 8VAC20-800-180-A.

(Repeat Violation) The provider is required to request the results of out-of-state background checks for each caregiver who has lived outside of Virginia within the past five years.

“The record for Caregiver B contained documentation that the caregiver had lived outside of Virginia within the past five years, however, there was no documentation that the provider had requested a central registry check from the state where the caregiver previously resided.”

Rule 22.1-289.035-B-4.

Caregivers who work directly with children are required to annually attend at least 16 hours of training, to include the department’s health and safety update course.

“The most recent Health & Safety Update training on record for Caregiver A was dated March 2024.”

Rule 8VAC20-790-250-F.

Lockdown procedures are required to be practiced at least annually.

“There was no documentation of a lockdown drill conducted within the past year.”

Rule 8VAC20-790-430-A-3.

A child is required to be provided with an individual crib, cot, rest mat, or bed for resting or napping.

“On 1/7/26 a child was observed napping on the ground on carpet, without a cot or mat.”

Rule 8VAC20-800-510-A.

Documentation is required to be maintained of emergency evacuation and shelter-in-place drills.

“There was no documentation of an evacuation drill conducted in December 2025.”

Rule 8VAC20-800-830-C.

The provider is required to request the results of out-of-state background checks for each caregiver who has lived outside of Virginia within the past five years.

“The record for Caregiver B contained documentation that the caregiver had lived outside of Virginia within the past five years, however, there was no documentation that the provider had requested a sex offender check or central registry check from the state where the caregiver previously resided.”

Rule 22.1-289.035-B-4.

A central registry check is required for each household member within 30 days of turning 14-years-old.

“Central registry results were past due for Household Member C by more than one month.”

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

The provider is required to obtain all of the required documentation for each caregiver record.

“The record for Caregiver B did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. Documentation is required to include dates of contact, names of persons contacted, results, and the signature of person making the call.”

Rule 8VAC20-800-120-B.

The provider is required to obtain from each caregiver and adult household member a current Report of Tuberculosis (TB) screening every two years from the date of the first screening.

“A subsequent TB screening was past due for Household Member A by more than seven months.”

Rule 8VAC20-800-180-A.

A play pen, where used, cannot be used for the designated sleeping area.

“On 8/19/25, Child A, nine-months-old, was observed napping in a play pen. A caregiver confirmed that was her designated sleep space.”

Rule 8VAC20-800-550.

Caregivers are required to wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting.

“On 8/19/25, a Caregiver was observed diapering multiple children without washing their own hands with liquid soap and warm running water.”

Rule 8VAC20-800-680-A.

Caregivers are required to ensure that children’s hands are washed with liquid soap and warm running water after toileting or diapering.

“On 8/19/25, a Caregiver was observed diapering multiple children without ensuring the children’s hands were washed with liquid soap and running water.”

Rule 8VAC20-800-680-B.

(Repeat Violation) 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 8/6/24, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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

“An updated TB screening for Caregiver #1 was not completed and was overdue by more than one month.”

Rule 8VAC20-800-180-A.

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

“The records for Child A, Child B, and Child C did not contain name and policy number of the child’s medical insurance, or have a place on the enrollment paperwork where the information was requested from the parents.”

Rule 8VAC20-800-60-B.

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

“The record for Child B, who has been enrolled for approximately one week, did not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-790-250-B

“Based on review of three caregiver records, the provider did not ensure that all caregivers completed the Virginia Preservice Training for child care staff within the first 90 days of employment or subsidy approval. Evidence: The records for Caregiver B and Caregiver C did not contain documentation of completion of the Preservice training. The provider became approved by subsidy on 10/27/23 and both caregivers were employed prior to that date.”

Rule 8VAC20-790-250-B.

22.1-289.011-F

“Based on observation, the provider did not ensure that the license and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises. Evidence: The most recent inspection notice and violation summary are required to be posted in a conspicuous place on the premises and were not posted on 8/6/24.”

Rule 22.1-289.011-F.

8VAC20-800-100-A

“Based on review of four child records, 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 for one child. Evidence: There was no physical on record for Child D, with a start date of 6/3/24.”

Rule 8VAC20-800-100-A.

8VAC20-800-700-B

“Based on review of documentation and interview, the provider did not obtain a parent’s written authorization for a long-term emergency medication. Evidence: Two emergency medications were observed on-site for Child B. There was no documentation on record for Child B of a parent’s written authorization to administer the emergency medications.”

Rule 8VAC20-800-700-B.

8VAC20-800-120-B

“Based on review of two caregiver records, the provider did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment for one caregiver. Evidence: The record for Caregiver #2, with an employment date of 1/4/24, did not contain documentation of references.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Based on review of two caregiver records, the provider did not obtain a current Report of Tuberculosis (TB) Screening form from each caregiver at the time of hire and prior to coming into contact with children. Evidence: The record for Caregiver #2, with an employment date of 1/4/24, did not contain documentation of a TB test or screening.”

Rule 8VAC20-800-170-A.

8VAC20-800-60-B

“Based on review of three child records, the provider did not obtain all required documentation for child records. Evidence: The record for Child C did not contain the address of one emergency contact; or the name, address, and telephone number of a second designated person to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-C

“Based on review of documentation and interview, the provider did not ensure that documentation was maintained of shelter-in-place drills. Evidence: The emergency drill log did not contain documentation of two shelter-in-place drills for the year.”

Rule 8VAC20-800-830-C.

8VAC20-800-100-A

“Based on review of three child 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: The record for Child B, with a start date of 7/5/23, did not contain documentation of a physical.”

Rule 8VAC20-800-100-A.

8VAC20-800-570-A

“Based on interview, observation, and review of child records, the provider did not ensure that a caregiver did not exceed 16 points by using the point system to determine if an additional caregiver was needed. Evidence: On 8/28/23 there were six children in care- Child A, 3 points; Child B, 2 points; Child C, 4 points; Child D, 2 points; Child E, 2 points; and Child F, 4 points, for a total of 17 points. There was no additional caregiver with the provider.”

Rule 8VAC20-800-570-A.

8VAC20-800-830-A

“Based on review of documentation, the provider did not ensure that emergency evacuation procedures were practiced monthly. Evidence: The emergency drill log did not contain documentation of emergency evacuation procedures practiced during the months of April, May, June, and July 2023.”

Rule 8VAC20-800-830-A.

8VAC20-800-30-A

“Based on observation and interview, the provider did not ensure compliance with relevant state laws. Evidence: On 1/27/23 there were six children observed in care and the provider reported two other children are currently enrolled but were absent. State law requires a family day home to obtain a license prior to caring for more than four children.”

Rule 8VAC20-800-30-A.

8VAC20-800-50-A

“Based on review of documentation, the family day home did not keep a written record of children in attendance each day. Evidence: On 1/27/23 there was no written record of children in attendance. The provider reported using an app to track attendance, but the app did not contain documentation of attendance for the day.”

Rule 8VAC20-800-50-A.