DElaine Steele

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“The tuberculosis screening for Caregiver #3 was completed 8 days after employment.”

Rule 8VAC20-800-170-A.

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

“An updated TB screening for Caregiver #2 was not completed and was overdue by 1 month. An updated TB screening for Household member #1 was not completed and was overdue by 2 weeks.”

Rule 8VAC20-800-180-A.

8VAC20-800-100-A

“(Repeat Violation) Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #2, who had been enrolled for over a year.”

Rule 8VAC20-800-100-A.

22.1-289.057-B

“The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

Rule 22.1-289.057-B.

Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“The record for child #2 contained a physical examination and physical that were not signed or dated by a licensed physician, physician designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

Documentation of at least two references to character, reputation, and competency are to be checked prior to employment.

“Caregiver 2, who has been actively working at the family day home for over three months, had one of two completed reference verifications on file.”

Rule 8VAC20-800-120-B.

(Repeat Violation) Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“There was no tuberculosis screening for Caregiver 2, who has been caring for children for over three months.”

Rule 8VAC20-800-170-A.

Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting.

“Caregiver 2 did not wash their hands after changing a child’s diaper.”

Rule 8VAC20-800-680-A.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after toileting or diapering.

“Caregiver 2, did not wash a child’s hands with liquid soap and warm running water after a diaper change.”

Rule 8VAC20-800-680-B.

An up-to-date record for each child enrolled shall be maintained by the provider.

“The record for child #1 was missing the parents work phone number and a second emergency contact. Child #1 has been enrolled for over a month. The record for child #5 did not have addresses documented for two emergency contacts. Child # 5 has been enrolled for 9 months.”

Rule 8VAC20-800-60-A.

(Repeat violation) Providers must maintain an up-to-date record for each caregiver.

“The record for Caregiver #1, was missing the following information: employment date; address; verification of age; and the name, address and telephone number of a person to be notified in an emergency; and documentation of the education and training.”

Rule 8VAC20-800-120-B.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“There was no tuberculosis screening for Caregiver 1, who has been caring for children for over three months.”

Rule 8VAC20-800-170-A.

(Repeat violation) Poisonous materials shall be stored in an area inaccessible to children.

“Poisonous cleaning chemicals were on a shelf near the infant room and on the bathroom sink accessible to children.”

Rule 8VAC20-800-280.

Children under two years of age and children over two of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to the stairs.

“There was no gate at the bottom of the stairs. There were 3 children in care under the age of two years.”

Rule 8VAC20-800-430-A.

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

“The record for caregiver #3, did not have a sworn statement and has been employed for 85 days.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver #3, who had been employed for 85 days, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

The provider must request a search of the central registry prior to the employee’s first day of employment.

“The record for caregiver #3, who had been employed for 82 days did not have a central registry search check. On the day of the inspection, caregiver #3 was working with children.”

Rule 22.1-289.035-B-3.

***Repeat Violation*** The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There were no physical examination records available for child #2, enrolled for 165 days, child #3, enrolled for 165 days, child #4, enrolled for 165 days, and child #5, enrolled for 113 days.”

Rule 8VAC20-800-100-A.

Providers must maintain a record for each caregiver.

“There was no record for caregiver #2, who has been providing care for 82 days.”

Rule 8VAC20-800-120-A.

Potentially poisonous substances, materials, and supplies shall be stored in an area inaccessible to children.

“In the bathroom used by children in care, potentially poisonous cleaning chemicals were on the floor and on the sink counter accessible to children.”

Rule 8VAC20-800-280.

***Repeat Violation*** The provider shall ensure that hot water at taps available to children shall be maintained within a range of 105 degrees Fahrenheit to 120 degrees Fahrenheit .

“The sink in the restroom designated for children, had hot water temperatures that measured at 123.3 degrees Fahrenheit.”

Rule 8VAC20-800-350-E.

Children under two years of age shall not use pillows or filled comforters.

“Child #3 who is under two years of age was observed napping in a crib using a boppy pillow under their head and back.”

Rule 8VAC20-800-530-G.

Play pens shall not be used for the designated sleeping area.

“Child #1 was observed sleeping in a play pen. The provider acknowledged that child #1 was using the play pen as a sleeping area.”

Rule 8VAC20-800-550.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“The records for child #1, enrolled for 165 days, child #2, enrolled for 165 days, child #3, enrolled for 165 days, child #4, enrolled 165 days, and child #5, enrolled 113 days did not have written acknowledgement of policies for the administration of medication and provisions of the emergency preparedness and response plan.”

Rule 8VAC20-800-70-B.

***Repeat Violation*** The provider shall ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“There was no documentation that emergency evacuation procedures had been practiced for the month of February 2025.”

Rule 8VAC20-800-830-A.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There were no physical exam records available for Child #1, #2, #3, #4 and #5, who had been in care for over 30 days.”

Rule 8VAC20-800-100-A.

(Repeat Violation) The provider shall ensure that hot water at taps available to children shall be maintained within a range of 105?F to 120?F.

“The sink in the restroom designated for children, had hot water temperatures that measured at 135 F.”

Rule 8VAC20-800-350-E.

The provider shall maintain an up-to-date record at the family day home for each enrolled child.

“1. The record for Child #2 was missing the employment phone number for both parents. The child was present during the inspection and had been in care for a month. 2. The record for Child #1 contains documentation of two emergency contacts with no address. The child was present during the inspection and had been in care for a month.”

Rule 8VAC20-800-60-A.

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

“There was no documentation that emergency evacuation procedures had been practiced for the month of September and October 2024.”

Rule 8VAC20-800-830-A.

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

“Evidence: The hot water temperature in the children’s bathroom registered at 135 degrees F. The hot water temperature was obtained using a digital thermometer.”

Rule 8VAC20-800-350-E.

Based on observation, the first aid kit was missing required contents.

“Evidence: The first aid kit was missing 1 of 2 triangle bandages.”

Rule 8VAC20-800-760-A.

Based on record review, the provider failed to complete a written emergency preparedness and response plan.

“Evidence: The emergency preparedness and response plan did not include emergency relocation and shelter in place procedures.”

Rule 8VAC20-800-800-A.