Sophronia Twyman

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

“A can of Febreze Air Mist spray was stored on the counter near the sink that is accessible to children.”

Rule 8VAC20-800-280.

(Repeat violation) 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 #2 did not contain documentation of the parent’s signed annual review which was seven months overdue. The record of Child #3 did not contain documentation of the parent’s signed annual review which was one month overdue.”

Rule 8VAC20-800-780-B.

Children’s immunization records are to contain the dates immunizations were received and shall be signed by a licensed physician, the designee, or an official of a local health department. All required information.

“The updated immunization record for Child #2 was not dated or signed by the physician’s signature. Child #2 has been in care for one year and three months.”

Rule 8VAC20-800-110-B.

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

“An updated TB screening for household member #1 was not completed and was overdue by 12 months.”

Rule 8VAC20-800-180-A.

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 liquid soap and warm running water before eating lunch.”

Rule 8VAC20-800-680-B.

(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.

“The emergency evacuation procedures for the month of February 2026 were not completed. Caregiver #1 confirmed that the December emergency evacuation drill was not completed.”

Rule 8VAC20-800-830-A.

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

“An updated TB screening for Household member #1 was not completed and was overdue by five months.”

Rule 8VAC20-800-180-A.

Children’s records are required to contain the required information.

“The records for Child #1 and Child #2 were missing the policy number of the children’s medical insurance. The children were not present during the inspection. Child #1 has been in care for two weeks and child #2 has been in care for four months. The record for child #2 was missing a second emergency contact.”

Rule 8VAC20-800-60-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 Child #3 and Child #5 did not have the parent’s signature for annual review of the emergency contact information. Child #3 and Child #5 had been in care for over a year without any annual review.”

Rule 8VAC20-800-780-B.

The emergency evacuation procedures shall be practiced monthly.

“There was no documentation of practiced emergency evacuation drill procedures for August 2025.”

Rule 8VAC20-800-830-A.

The provider is required to obtain a complete sworn statement prior to the employee’s first day of employment.

“The sworn statement for caregiver #2, who is currently working, was not completed.”

Rule 22.1-289.035-B-1.

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.

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 four months.”

Rule 8VAC20-800-180-A.

Based on record review and interview, the provider did not ensure that emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“Evidence: 1. There was no documentation of an emergency evacuation drill practiced for July 2024. The last documented emergency evacuation drill was dated for 6/13/2024. 2. The provider was aware that an emergency evacuation drill was not conducted for July 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-290

“Based on observation, the provider did not ensure sharp kitchen utensils and other sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision. Evidence: 1. The provider’s sharp kitchen utensils were not inaccessible to children. The utensils were kept in an unlocked drawer within a child’s reach.”

Rule 8VAC20-800-290.

8VAC20-800-760-A-1

“Based on observation and interview, the provider did not ensure that the required first aid kits contained the required items. Evidence: 1. The first aid kit did not contain one of the two triangle bandages.”

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