Simranjeet Sekhon

Providers shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“The provider’s CPR certification expired on 02/01/2026.”

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

Providers shall have current first aid certification.

“The provider’s First Aid certification expired on 02/01/2026.”

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

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

“The record for Caregiver A was missing four hours of required annual training. The record for Caregiver B was missing thirteen hours of required annual training.”

Rule 8VAC20-800-210-A.

Radiators, oil and wood burning stoves, floor furnaces, fireplaces, portable electric heaters, and similar heating devices located in areas accessible to children shall have barriers or screens and be located at least three feet from combustible materials.

“Two portable electric heaters were located in the child care space, accessible to children, and did not have a barrier or screen.”

Rule 8VAC20-800-320-E.

The provider shall not use cribs with mesh sides.

“Child A was observed sleeping in a portable crib with mesh sides.”

Rule 8VAC20-800-520-C.

Caregivers required to have Medication Administration Training (MAT) are required to be retrained every three years.

“The provider is required to have MAT training based on their policy and due to accepting a prescription emergency medication for a child. The provider’s MAT training expired more than six months ago.”

Rule 8VAC20-800-220-B.

Items tied across the top or corner of a crib shall be removed when the child begins to push up on hands and knees or is five months of age, whichever occurs first.

“A sound machine was observed attached to the top rail of the crib observed in the nap room for child A, age 13 months.”

Rule 8VAC20-800-250-C.

Soiled disposable diapers and wipes shall be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.

“The foot operated storage system was in the shower of the bathroom, not accessible by the changing table. The provider removed the soiled diaper from the changing table, walked it to the bathroom and used their hand to open the lid to dispose of the soiled diaper.”

Rule 8VAC20-800-690-E.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“An emergency medication was observed in an unlocked cabinet located above the counter of the food-prep area where child care is provided.”

Rule 8VAC20-800-730-D.

A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.

“The substitute provider was caring for children in the absence of the provider during the inspection. There was not a record to document the hours the substitute provider has worked.”

Rule 8VAC20-800-140-D.

Stationary outdoor playground equipment shall be placed at least six feet from the perimeter of other play structures or obstacles.

“The newly installed playground structure ladder is less than two feet from the fence. The end of the slide chute is less than three feet from the wooden-beam perimeter.”

Rule 8VAC20-800-500-C.

Prescription and nonprescription medications shall be given to a child only with written authorization from the parent.

“The authorization form for the emergency medication for child A was not signed by the parent.”

Rule 8VAC20-800-700-A.

Children’s records are required to contain written authorization for emergency medical care as well as proof of the child’s age and identity.

“The records for child A (start date: 5/1/24), child B (start date: 4/1/24), child C (start date: 9/5/24), and child D (start date: 5/1/24) did not have documentation of written authorization for emergency medical care or proof of each child’s age and identity.”

Rule 8VAC20-800-60-B.