June Lee

22.1-289.057-A

“Repeat The family day home is required to submit to VDH and implement a plan to test potable water for lead. The provider did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-A.

22.1-289.057-A

“Repeat The family day home is required to submit to VDH and implement a plan to test potable water for lead. The provider did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-A.

22.1-289.057-A

“Repeat The family day home is required to submit to VDH and implement a plan to test potable water for lead. The provider did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-760-A-1

“A first aid kit with all required items shall be in the family day home, accessible to outdoor play areas, on field trips, in vehicles used for transportation and wherever children are in care. The first aid kit in the vehicle used to pick up children on April 27, 2026 did not contain the required scissors, tape, thermometer, two triangular bandages, gloves, first aid manual, and ice pack.”

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

8VAC20-800-40-A

“The provider shall ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. The maximum licensed capacity of the family day home is five. The provider confirmed that on April 13, 2026, seven non-resident children were in attendance and provided care.”

Rule 8VAC20-800-40-A. From a complaint.

8VAC20-800-560-A

Rule 8VAC20-800-560-A. From a complaint.

8VAC20-800-60-B

Rule 8VAC20-800-60-B. From a complaint.

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Documentation for immunizations for child #4, who was in attendance on April 13, 2026, was not available.”

Rule 8VAC20-800-90-A. From a complaint.

22.1-289.057-A

“The family day home is required to submit to VDH and implement a plan to test potable water for lead. The provider did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-A.

8VAC20-770-40-D-5

“The provider shall obtain a Central Registry by the end of 30th Day of a household member becoming 14 years old. Household member #1, who is 14 years, and 2 months did not have a completed central registry background check. The provider stated a central registry check had not yet been requested.”

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

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable conditions. 1. A flat screen TV was propped up on the seat of the sofa, posing a risk of falling over onto a child in care. 2. The electrical outlet in the living room, where children are in care, is missing the plate cover exposing the electrical outlet box.”

Rule 8VAC20-800-240-A.

8VAC20-800-730-D

“Medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Medications for household members were observed in an unlocked kitchen cabinet.”

Rule 8VAC20-800-730-D.

8VAC20-790-250-F

“Caregivers who work directly with children shall, in addition to preservice and orientation training, shall annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. Training shall be related to child safety, child development, the function of the center, and any required department sponsored training. The most recent department health and safety update course completed by caregiver #1 was dated 11/15/2023. There was no documentation of completion for the 2024 year.”

Rule 8VAC20-790-250-F.

8VAC20-790-430-A-3

“The provider shall practice lockdown procedures at least annually. A lockdown practice drill was not conducted during the period of August 2023 through August 2024.”

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

8VAC20-800-140-B-3

“Providers shall maintain current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. The record of caregiver #1 contained documentation of CPR certification that expired 29 days ago.”

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

8VAC20-800-140-B-4

“Providers shall maintain current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. The record of caregiver #1 contained documentation of first aid certification that expired 29 days ago.”

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

8VAC20-800-210-A

“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. The record of caregiver #1 contained documentation of 13.5 hours of annual training during the period of August 2023 through August 2024.”

Rule 8VAC20-800-210-A.

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. For the period of August 2023 through August 2024, there were no shelter-in-place drills practiced.”

Rule 8VAC20-800-830-B.

Hot water at taps available to children shall be maintained within a range of 105?F to 120?F.

“The bathroom sink water temperature measured 135.6?F.”

Rule 8VAC20-800-350-E.

Medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“Medications for caregivers and household members were being stored in the unlocked kitchen cabinet.”

Rule 8VAC20-800-730-D.

REPEAT The following emergency supplies shall be in the family day home, accessible to outdoor play areas, on field trips, in vehicles used for transportation and wherever children are in care: a first aid kit that contains at a minimum: scissors; tweezers; gauze pads; adhesive tape; adhesive bandages, assorted sizes; antiseptic cleaning solution or pads; digital thermometer; triangular bandages; single use gloves such as surgical or examination gloves; and first aid instructional manual.

“A digital thermometer could not be located in the family day home.”

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

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

“Emergency evacuation procedures were not practiced during the month of September 2024”

Rule 8VAC20-800-830-A.

Based on interview, the provider did not ensure the family day home was equipped with at least one carbon monoxide detector.

“Evidence: The provider stated she did not have a carbon monoxide detector for the home.”

Rule 22.1-289.058.

Repeat Based on interview, the provider did not have a landline telephone available, operable, and accessible during the family day home’s hours of operation.

“Evidence: On August 15, 2024, the inspector observed a cordless phone operating in the family day home. The provider stated she did not have a landline telephone in the home but did have service for one.”

Rule 8VAC20-800-330-A.

Based on review, the provider did not ensure the first aid kit contained at a minimum all required items.

“Evidence: The first aid kit for the vehicle did not contain two triangular bandages as required.”

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

Based on review of children’s records and interview, the provider did not maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. The Llist shall be dated and kept confidential.

“Evidence: The provider stated she did not have a list of allergies, sensitivities, and dietary restrictions. The record of child #2, indicated a food sensitivity by the physician.”

Rule 8VAC20-790-170-G.

Based on observation, the provider did not ensure all areas of the home, inside and outside, were maintained in a clean, safe, and operable condition.

“Evidence: In the main room where children were in care, a bed frame and headboard were leaning against the wall. The provider stated it was too heavy for her to remove. The headboard and frame posed a risk of falling on a child in care as it was a heavy, unstable piece of furniture.”

Rule 8VAC20-800-240-A.

Based on interview, the provider did not have a landline telephone available, operable, and accessible during the family day home’s hours of operation.

“Evidence: On August 15, 2024, the inspector observed a cordless phone operating in the family day home. The provider stated she did not have a landline telephone in the home but did have service for one.”

Rule 8VAC20-800-330-A.

Based on review of three children’s records, the provider did not obtain all required information for each child’s record.

Rule 8VAC20-800-60-B.

Based on observations and interview, the provider did not maintain a working portable battery-operated weather band radio, and extra batteries to be kept in a designated area, that’s available to caregivers at all times.

“Evidence: A portable weather band radio was on site, however there were no batteries for the radio. The provider stated she did not have extra batteries for the radio.”

Rule 8VAC20-800-770.

Based on interview, the provider did not ensure the emergency evacuation procedures were practiced monthly with all caregivers and children in care.

“Evidence: The first day of care for children was June 17, 2024. There was no documentation of an evacuation drill for the month of June 2024. The provider stated an evacuation drill had not been conducted.”

Rule 8VAC20-800-830-A.

Based on record review and interview, the provider did not obtain documentation that the child has been adequately immunized before a child may attend the family day home.

“Evidence: 1. The record of child #3, enrolled 06/17/2024, did not contain documentation of immunizations, exceeding the first day of attendance. 2. The provider acknowledged the record did not have documentation of immunizations.”

Rule 8VAC20-800-90-A.

Based on observation and interview, the provider did not ensure medications, including the medications for household members, were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. Multiple packets of aspirin were observed in the first aid kit. The first aid kit was kept in the unlocked closet in the living room. 2. Household medications were observed in the unlocked kitchen cabinet. 3. The provider acknowledged the medication were unlocked.”

Rule 8VAC20-800-730-D.