Desiree Robinson

Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

“The restroom that is accessible to children, had two large holes in the wall near the toilet.”

Rule 8VAC20-800-240-A.

(Repeat Violation) Family Day homes shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).

“The posted snack menu did not list a second component.”

Rule 8VAC20-800-880.

8VAC20-790-250-F

“Staff who work directly with children shall annually complete the department’s health and safety update course. Caregiver #1 and caregiver #2, have not completed the 3-hour subsidy health and safety update course for 2025.”

Rule 8VAC20-790-250-F.

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregiver #1 and caregiver #2 obtained 8 of the 16 clock hours of training for 2025.”

Rule 8VAC20-800-210-A.

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregiver #1 and caregiver #2 obtained 8 of the 16 clock hours of training for 2025.”

Rule 8VAC20-800-210-A.

8VAC20-800-680-B

“Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating. Children’s hands were not washed with soap and warm running water before eating lunch.”

Rule 8VAC20-800-680-B.

8VAC20-800-880

“Family day homes shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Lunch served on February 18, 2026, consisted of ravioli, applesauce, and water. The meal was missing a second fruit or vegetable component, and milk.”

Rule 8VAC20-800-880.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for child #1, who was in care during the inspection and had been in care for a month.”

Rule 8VAC20-800-90-A.

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #4-Immunizations on-file were dated March 2024 when the child was 10 months old.”

Rule 8VAC20-800-90-C.

The home is required to obtain a completed sworn statement for any household members who are 18 years of age or older.

“The records for Household Member #1 did not contain documentation of a completed sworn statement.”

Rule 22.1-289.036-B-1.

The provider shall obtain from each adult household member 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.

“There was no documentation of a tuberculosis screening for Household Member #1.”

Rule 8VAC20-800-170-A.

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 six months.”

Rule 8VAC20-800-180-A.

Poisonous materials shall be stored in an area inaccessible to children.

“Poisonous cleaning chemicals were stored on top of a changing table accessible to children.”

Rule 8VAC20-800-280.

Based on observation and interview, the provider did not ensure that a landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation.

“Evidence: 1. The provider had a landline telephone that was not operable and accessible during the inspection. 2. The provider stated that she was aware that the landline telephone was not operable.”

Rule 8VAC20-800-330-A.

Based on observation, the provider did not ensure that hot water at taps available to children shall be maintained within a range of 105 degrees F to 120 degrees F.

“Evidence: The temperature of the hot water in the bathroom used by the children to wash their hands was 136 degrees F.”

Rule 8VAC20-800-350-E.

(Repeat violation) Based on record review, the provider did not ensure that children records contained all of the required information.

“Evidence: The record for child #2 did not contain names of persons other than the custodial parents who are authorized to pick up the child.”

Rule 8VAC20-800-60-B.

Based on record review and interview, the provider failed to practice shelter-in-place procedures a minimum of twice per year.

“Evidence: 1. There was no record of a shelter-in-place place drill practice a minimum of twice per year between 3/2023 and 3/2024. 2. The provider stated that a shelter in place drill had not been practiced.”

Rule 8VAC20-800-820.

(Repeat Violation) Based on review of five (5) child records, the provider did not ensure that all children’s records contained all the required information.

“Evidence: 1. The record for child #1, did not contain the address for second emergency contact, and did not have documentation of the child’s medical insurance name and policy number. Child # 1?s enrollment date was 4/20/2023. 2. The record for child #2, did not have documentation of the child’s medical insurance name and policy number. Child #2?s enrollment date was 12/27/2023. 3. The record for child #5, did not have documentation of the child’s medical insurance name and policy number. Child # 5?s enrollment date was 8/14/2023.”

Rule 8VAC20-800-60-B.

Based on review of five (5) children records, the provider failed to ensure that all records contained documentation of proof of identity within the first seven days of attendance.

“Evidence: The record for child #5 (start date: 08/12/2023), did not contain a review date of when proof of identity was verified.”

Rule 8VAC20-800-80-A.

8VAC20-770-60-B

“Based on record review, the provider did not obtain a sworn statement or affirmation for all assistants and substitutes. Evidence: 1. The record for staff 2, did not contain a sworn statement. 2. The provider stated that staff 2 had not completed a sworn statement but will have staff 2 complete the form.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-B

“Based on record review, a caregiver’s records did not contain all required information. Evidence: 1. Staff 2?s record did not contain documentation of the following required information: address, verification of age, job title, date of employment, name/address/telephone number of a person to be notified in an emergency, and two or more references. Staff 2?s date of employment was 8/7/2023.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-B

“Based on a review of staff records and interview, the provider failed to obtain a Tuberculosis (TB) test within 30 days of hire. Evidence: 1. Staff 2?s record contained a Tuberculosis test results dated 4/12/2023. Staff 2?s date of employment was 8/7/2023. 2. The provider stated that she didn’t know that an updated Tuberculosis test needed to be completed”

Rule 8VAC20-800-170-B.

8VAC20-800-170-B

“Based on a review of staff records and interview, the provider failed to obtain a Tuberculosis (TB) test within 30 days of hire. Evidence: 1. Staff 2?s record contained a Tuberculosis test results dated 4/12/2023. Staff 2?s date of employment was 8/7/2023. 2. The provider stated that she didn’t know that an updated Tuberculosis test needed to be completed”

Rule 8VAC20-800-170-B.

8VAC20-800-760-A

“Based on emergency supplies review and interview, the provider did not have a complete first aid kit. Evidence: The first aid kit in the family day home contained 1of 2 triangular bandages.”

Rule 8VAC20-800-760-A.

8VAC20-800-830-A

“Based on a review of the emergency evacuation logs, the provider failed to ensure that emergency evacuation procedures will be practiced monthly with all caregivers and children in care. Evidence: 1. There is no documentation for emergency evacuation drills for March, April, May, June, and July 2023. 2. The provider stated that drills had not been completed.”

Rule 8VAC20-800-830-A.

8VAC20-800-100-A

“Based on record review and interview with the provider, it was determined that a documented physical examination was not obtained within the 30th day of enrollment for children. Evidence: 1. Child 3 had a start date of 2/23/2023 but did not have physical examination documentation. 2. The provider stated that she did not have a copy of child # 3?s physical.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Based on record review; children’s records were incomplete. Evidence: 1. Child 2?s record did not contain 1 of 2 emergency contact information. 2. The provider stated that she has ask the parent to provide a 2nd emergency contact, but the parent has not provided the name and contact information.”

Rule 8VAC20-800-60-B.

8VAC20-800-890

“Based on observations and discussion with the staff, the provider failed to ensure that when food is brought from home, it must be dated and clearly labeled to identify the owner. Evidence: 1. Child # 3 was observed with a sippy cup in her hand that was not labeled or dated. 2 . Child #2 was observed with a sippy cup in her hand that was not labeled or dated.”

Rule 8VAC20-800-890.

8VAC20-800-90-A

“Based on record review and interview with the provider, it was determined that the provider did not obtain documentation that the child has been adequately immunized before attending the family day home. Evidence: 1. Child 3 had a start date of 2/23/2023 but did not have immunization documentation. 2. Provider stated that she had a copy of the immunizations but was unable to locate the document.”

Rule 8VAC20-800-90-A.

8VAC20-800-920

“Based on observation and interview, the provider failed to ensure that the menu for the current one-week period was posted or available. Evidence: 1. There was no menu observed to be posted. 2. The provider was asked about the menu. The provider stated that the menu had not been completed or posted.”

Rule 8VAC20-800-920.

8VAC20-800-240-A

“Based on observation, the provider did not ensure that all areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. A wall outlet in the 1st playroom behind an infant chair was detached from the wall.”

Rule 8VAC20-800-240-A.

8VAC20-800-290

“Based on observation, the provider did not ensure that sharp kitchen utensils and other sharp objects were inaccessible to children. Evidence: T 1. There was a knife block on the counter with 6 sharp knives in it.”

Rule 8VAC20-800-290.

8VAC20-800-330-A

“Based on observations and discussion, the provider failed to ensure that a landline telephone, excluding a cordless or cell phone, shall be available, operable and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. Evidence: 1. The provider has a cordless telephone but does not have an operable landline telephone that does not require electricity to operate. 2. The cordless telephone provided, did not have a dial tone.”

Rule 8VAC20-800-330-A.

8VAC20-800-350-E

“Based on measurement it was determined the provider did not maintain hot water taps available to children within a range of 105?F to 120?F. Evidence: The hot water temperature was measured at 135 degrees F.”

Rule 8VAC20-800-350-E.

8VAC20-800-430-A

“Based on observation the provider has steps that are accessible to the children under the age of two. Evidence: 1. There is one set of stairs without a wall mounted gate. The provider has children under the age of two enrolling.”

Rule 8VAC20-800-430-A.

8VAC20-800-760-A-1

“Based on observation, the first aid kit was incomplete. Evidence: The following required emergency tools were missing from the first aid kit. Evidence 1) Scissors 2) 2 required triangle bandages.”

Rule 8VAC20-800-760-A-1.

8VAC20-800-770

“Based on observation of the family day home and interview with the provider it was determined that a working flashlight and weather band radio were not available in the family day home. Evidence: 1. There was not a flashlight or weather band radio available in the family day home.”

Rule 8VAC20-800-770.

8VAC20-800-800-A

“Based on record review and provider interview, the family day home did not have a written emergency preparedness and response plan. Evidence: 1. Provider did not have a written emergency preparedness and response plan. 2. Provider was able to provide information regarding family day home procedures but stated the information was not in written form.”

Rule 8VAC20-800-800-A.