Marquaye Benjamin

8VAC20-800-210-A

“Systemic Deficiency In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver 2 obtained 9.5 hours of annual training in calendar year 2025 according to written documentation on file.”

Rule 8VAC20-800-210-A.

8VAC20-800-240-A

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Systemic Deficiency Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants and deodorizers shall be stored away from food in areas inaccessible to children. Multiple cleaning agents and disinfectants were stored in an unlocked cabinet in the bathroom used by children. The cabinet is located under the sink and is accessible to children.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

“Children’s records shall contain all required elements. 1. The enrollment record for child 1 lacked the name, address and phone number for a second emergency contact. Verification of review of child 1’s age and identity was not documented. 2. The enrollment record for child 2, 3 and 4 lacked documentation of annual review and update by the parent”

Rule 8VAC20-800-60-B.

8VAC20-800-140-B-3

“Providers shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. The CPR certification for the provider expired on 08/24/2025.”

Rule 8VAC20-800-140-B-3.

8VAC20-800-140-B-4

“Providers shall have current certification in first aid. The first aid certification for the provider expired on 08/24/2025.”

Rule 8VAC20-800-140-B-4.

8VAC20-800-210-A

“Repeat Violation Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver 1 has documentation of completion of 3 hours of annual training from 2024 to present.”

Rule 8VAC20-800-210-A.

8VAC20-800-280

“Potentially poisonous substances, materials and supplies such as,cleaning agents and disinfectants, shall be stored in areas inaccessible to children. A container of disinfecting cleansing wipes were stored in an area of the children’s bathroom that was accessible to the children in care.”

Rule 8VAC20-800-280.

8VAC20-800-330-A

“A landline telephone, excluding a cordless or cell phone, shall be operable during the family day home’s hours of operation. The landline phone was not working during the inspection.”

Rule 8VAC20-800-330-A.

Each child day program that is licensed pursuant to this chapter and any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler-style and cooler-style drinking fountains, kitchen taps, classroom combination sinks and drinking fountains, home economics room sinks, teacher’s lounge sinks, nurse’s office sinks, classroom sinks in special education classrooms, and sinks known to be or visibly used for consumption.

“The potable water used by the family day home has not been submitted for testing.”

Rule 22.1-289.057-A.

Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Caregiver 1 has documentation of completion of 3 hours of annual training from 2024 to present.”

Rule 8VAC20-800-210-A.

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

“A stand up fan, observed outside, and a storage cabinet, observed in the child care room, are toppling hazards. A blanket was observed stored on the diaper changing table. This poses risk of germ transfer.”

Rule 8VAC20-800-240-A.

Systemic Deficiency

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. The enrollment record for child 1and child 3 lack complete emergency contact information.”

Rule 8VAC20-800-60-A.

Infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour.

“Child 4 was not provided one hour between confinements in an infant seat and exersaucer.”

Rule 8VAC20-800-600-B.

Systemic Deficiency

“Before the child’s first day of attendance, parents shall be provided in writing the following information: The written parent agreement for child 2 lacked the name of the adult assistant ( caregiver 1) observed caring for children during the inspection.”

Rule 8VAC20-800-70-A.

Children shall not be allowed to eat or drink while lying down.

“Child 3 was observed lying down in a crib with a bottle of formula.”

Rule 8VAC20-800-900-B.

The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential.

“The vendor did not have a written allergy list noting children’s allergies, sensitivities, and dietary restrictions. Written information in children’s records indicated one child in care with a food allergy.”

Rule 8VAC20-790-170-G.

Systemic Deficiency

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. The enrollment records did not contain all of the required elements as noted below: a. A second emergency contact and medical insurance policy number for child 1. b. A phone number and address for the second emergency contact for child 2. c. A work phone number for one parent, second emergency contact and parent signature for completion of enrollment form for child 3.”

Rule 8VAC20-800-60-A.

Systemic Deficiency

Rule 8VAC20-800-70-A.

The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Written documentation of updated immunizations were not on file for child 2 , 5 and 7. These children were in care during the inspection.”

Rule 8VAC20-800-90-C.

Menus. When meals or snacks are provided by the family day home, the menu for the current one-week period shall be posted or placed in an area accessible to parents.

“The menu for the current week beginning 12/2/2024 was not posted.”

Rule 8VAC20-800-920.

Bottles shall be labeled with the date, if more than one infant is in care.

“Bottles for child 1 and child 2 were not dated.”

Rule 8VAC20-800-960-E.

Solid foods shall be fed with a spoon.

“Infant cereal had been added to the bottle of child 7. The provider fed this bottle of thickened formula to child 7 while in care on the morning of the inspection.”

Rule 8VAC20-800-960-J.

Repeat Violation

“Based on observation, the provider failed to ensure that the findings of the most recent inspection of the home were posted in a conspicuous place on the licensed premises. Evidence: 1. The findings from the most recent inspection, conducted on 01/29/2024, were not posted. 2. The provider confirmed that she had not posted the most recent inspection documents.”

Rule 22.1-289.011-F.

Based on record review and interview, the provider failed to obtain from each 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.

“Evidence: 1. The results of a TB screening was not on file for caregiver 1 who has a hire date of 05/13/2024. a. Caregiver 1 was observed caring for children in the FDH during the inspection. 2. The provider confirmed that the results of a TB screening was not on file for caregiver 1.”

Rule 8VAC20-800-170-A.

Based on record review, the provider failed to orient the assistant by the end of their first week of assuming job responsibilities.

“Evidence: 1. There was no documentation that caregiver 1, hire date 05/13/2024, had received orientation training with all of the information outlined in 8VAC20-800-200.B. 2. The provider confirmed that caregiver 1 had not been provided with the required orientation training.”

Rule 8VAC20-800-200-A.

Repeat Violation

“Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, shall be stored away from food in areas inaccessible to children. Evidence: 1. An 80-count container of sanitizing wipes were observed in an unlocked cabinet in the children’s bathroom. a. The location of the cabinet doors were within easy reach for the height and ages of most of the children in care. b. The manufacturer label for this product indicated the contents as hazardous.”

Rule 8VAC20-800-280.

8VAC20-800-540-A

Rule 8VAC20-800-540-A.

Based on observation, the provider failed to ensure that infant walkers shall not be used.

“Evidence: 1. The inspector observed child 3, age 22 months, in an infant walker at approximately 11:40 am. 2. The caregivers present stated they were not aware that infant walkers were not allowed for use by children in the FDH.”

Rule 8VAC20-800-540-B.

Repeat Violation

Rule 8VAC20-800-60-A.

Based on observation and interview, the provider failed to ensure that caregivers shall wash their hands with liquid soap and warm running water before feeding or helping children with feeding.

“Evidence: 1. Caregiver 1 and caregiver 2 failed to wash their hands with liquid soap and warm running water before feeding an infant a bottle at approximately 12:15 pm and prior to serving lunch at approximately 12:35 pm. 2. The provider verified that caregiver 1 and caregiver 2 did not wash their hands prior to serving lunch or feeding an infant a bottle.”

Rule 8VAC20-800-680-A.

Based on observation, the provider failed to ensure that children’s hands are washed with liquid soap and warm running water before eating.

“Evidence: 1. Children did not wash their hands with liquid soap and warm running water before eating lunch. 2. The provider confirmed that children’s hands were not washed with soap and water prior to eating lunch.”

Rule 8VAC20-800-680-B.

Repeat Violation

Rule 8VAC20-800-70-A.

Based on observation, the provider failed to ensure that children shall not be allowed to drink while walking, running or playing.

“Evidence: 1. A child under the age of two years was observed walking around the child care room while drinking out of a sippy cup at approximately 11:40 am.”

Rule 8VAC20-800-900-B.

Based on observation, the provider failed to ensure that infants who cannot hold their own bottles shall be picked up and held for bottle feeding. Bottles shall not be propped.

“Evidence: 1. At approximately 12:06 pm the inspector observed child 4, age 5 months, drinking from a bottle of formula that had been propped using a folded blanket. a. Child 4 was sitting in an infant seat that was placed on the floor of the child care room. 2. When the inspector asked for the blanket to be removed - child 4 was not able to hold his own bottle.”

Rule 8VAC20-800-960-B.

Based on observation, the provider failed to ensure that the findings of the most recent inspection of the facility shall be posted on the premises of the family day home.

“Evidence: 1. The findings of the most recent inspection, conducted on 11/09/2023, were not posted. a. The provider confirmed that the inspection documents were not posted.”

Rule 22.1-289.011-F.

Based on record review and interview, the provider failed to 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: 1. Child 5, enrollment date 11/06/2023, lacks documentation of the required physical exam. a. The provider confirmed that a physical exam was not on file for child 5.”

Rule 8VAC20-800-100-A.

Repeat Violation: Based on observation, the provider failed to ensure that provider failed to ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Unsafe conditions shall include, but not be limited to, the presence of poisonous plants; tripping hazards; unstable heavy equipment, furniture, or other items that a child could pull down on himself; splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; and protruding nails, bolts, or other components that could entangle or could snag skin.

Rule 8VAC20-800-240-A.

Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.

“Evidence: 1. A can of chemical cleaning agent was observed stored inside of the ash vent for the outdoor smoker. The vent was not secured or locked in any way to prevent access by children. a. This smoker vent is accessible to children during outdoor play.”

Rule 8VAC20-800-280.

Based on observation, the provider failed to ensure that small electrical appliances such as, but not limited to, curling irons, toasters, blenders, can openers, and irons shall be unplugged unless being used by the caregiver or with children under close supervision.

“Evidence: 1. A blow dryer was observed plugged into a wall outlet in the family room and a Keurig coffee maker was observed plugged into a wall outlet in the kitchen. a. Neither of these small electrical appliances were in use during the inspection.”

Rule 8VAC20-800-320-A.

Based on record review and interview, the provider failed to keep a written record of children in attendance each day.

“1. The attendance record, which is the parent sign-in sheet, did not have documentation that child 1, child 5 and child 6 were in care. a. The provider stated that she had not made a parent sign-in sheet for child 1 and child 5 and further confirmed that she did not have any written documentation that these children were in care. b. The provider stated that child 6 had arrived at 9:40 am and confirmed that he had not been signed in on the attendance/parent sign in sheet.”

Rule 8VAC20-800-50-A.

Based on observation, the provider failed to ensure that a caregiver does not exceed 16 points.

“Evidence: 1. The provider was observed alone with 8 children whose ages counted for a total of 23 points when the inspector arrived at 09:58 am. a. The provider confirmed that a second caregiver was not present. b. A second caregiver arrived at approximately 10:15 am.”

Rule 8VAC20-800-570-A.

Based on record review and interview, the provider failed to maintain an up-to-date record at the family day home for each enrolled child.

“Evidence: 1. The provider stated that she did not have an enrollment record on hand for child 4 who was in care during the inspection. a. The provider stated that child 4 began care on 01/29/2024.”

Rule 8VAC20-800-60-A.

Repeat Violation Based on record review, the provider failed to ensure that children’s records contain all of the required elements.

Rule 8VAC20-800-60-B.

Based on record review, the provider failed to ensure that before the child’s first day of attendance, parents shall be provided in writing the written parent agreement:

“Evidence: 1. The record for child 2 and child 4 lacked written notification of the policies for the administration of medications. 2. The written medication policy for the family day home, provided to each parent, indicates that the provider will administer both prescription and nonprescription medications however, the provider lacks the required MAT training to allow for the administration of both prescription and nonprescription medications. a. The provider confirmed the medication notification sheet was not included in the enrollment record for these two children.”

Rule 8VAC20-800-70-A.

Based on observation, the provider failed to ensure that when family day homes provide snacks the home shall follow the most recent, age-appropriate nutritional requirement of USDA.

Rule 8VAC20-800-880.

Based on record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: 1. The immunization record for child 5 does not include documentation that required immunizations were administered once every six months for children under two years. a. Child 5 was in care during the inspection and is under the age of two years.”

Rule 8VAC20-800-90-C.

Based on review and interview, the provider failed to have an operable thermometer available to monitor refrigerator and freezer compartment temperatures.

“Evidence: 1. The provider and assistant stated that there was no thermometer available to monitor refrigerator and freezer compartment temperatures.”

Rule 8VAC20-800-940-B.

Based on observation, the provider failed to ensure that bottles shall be labeled with the child’s full name and the date, if more than one infant is in care.

“Evidence: 1. 2 of 3 bottles , for two different infants in care, were not labeled with the child’s name. 2. 3 of 3 bottles, for two different infants in care, were not dated.”

Rule 8VAC20-800-960-E.

Based on observation, the provider failed to ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, the presence of poisonous plants; tripping hazards; unstable heavy equipment, furniture, or other items that a child could pull down on himself; splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; and protruding nails, bolts, or other components that could entangle or could snag skin.

Rule 8VAC20-800-240-A.

Based on observation and interview, the provider failed to ensure compliance with the FDH standards and relevant state or local laws, and other relevant regulations.

Rule 8VAC20-800-30-A.

Based on interview, 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. Cordless or cell phones may be used in addition to the landline telephone.

“Evidence: The provider stated she did not have a landline telephone available in the family day home.”

Rule 8VAC20-800-330-A.

Based on record review, the provider failed to ensure that children’s records contain all of the required elements.

Rule 8VAC20-800-60-B.

Based on observation, the provider failed to ensure that caregivers shall wash their hands with liquid soap and warm running water after diapering a child.

“Evidence: 1. Caregiver 2 did not wash her hands with soap and running water after changing the diaper of child 3 at approximately 11:05 am. a. Caregiver 2 utilized hand sanitizer to clean her hands after the diaper change.”

Rule 8VAC20-800-680-A.

Based on observation, the provider failed to ensure that children’s hands are washed with liquid soap and warm running water after diapering.

“Evidence: 1. Caregiver 2 did not wash the hands of child 3 after a diaper change at approximately 11:05 am. a. After the diaper change child 3 was returned to the child care room for play.”

Rule 8VAC20-800-680-B.

Based on observation, the provider failed to ensure that the diapering surface shall be cleaned and sanitized after each use.

“Evidence: 1. Caregiver 2 did not clean and sanitize the diapering surface after changing the diaper of child 3 at approximately 11:05 am.”

Rule 8VAC20-800-690-D.

Based on observation, the provider failed to ensure that the following telephone numbers shall be posted in a visible area close to the telephone: *The responsible person for emergency backup care; *The regional poison control center.

“Evidence: 1. The telephone number for poison control and an individual designated for emergency backup care were not posted. a. The provider confirmed that these telephone numbers were not posted.”

Rule 8VAC20-800-790.