Adelaide Nyamedi

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 4/17/2026, were not posted in a conspicuous place on the premises.”

8VAC20-800-50-A

“Providers must keep a written record of children in attendance each day. The written attendance sheet was missing one of the six children in attendance on the day of inspection.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Household Member #1 and Household Member #2 was not completed and was overdue by nine days.”

8VAC20-800-60-A

“An up to date record for each child enrolled shall be maintained by the provider. The record for Child #1 was missing the employment phone number for one parent.; the child was present during the inspection and had been in care for over six months. The record for Child #2 and #3 were missing the employment phone number for both parents.; the children were present during the inspection and had been in care for over two years. The record for Child #1 was missing the second emergency contact; the child was present during the inspection and had been in care for over six months.”

8VAC20-800-680-B

“Caregivers shall ensure that children's hands are washed with liquid soap and warm running water before eating. The caregiver did not ensure that the children wash their hands before eating lunch.”

8VAC20-800-80-A

“Within seven business days of the child's first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs. This information was not available for Child #4; the child was present during the inspection and had been in care for three weeks.”

8VAC20-800-180-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 eight months.”

8VAC20-800-430-A

“Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. Two children under the age of two had access to the stairs because the gate to the stairs was left open.”

8VAC20-800-830-C

“Documentation shall be maintained of monthly emergency evacuation drills. The provider did not have documentation of the monthly emergency evacuation drills since July 2025.”

8VAC20-800-570-A

“The provider shall ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed. From 11:27am until 12:15 there was one caregiver with eight children. The children's ages totaled 17 points, with one caregiver; another caregiver was needed so that each caregiver does not exceed 16 points.”

8VAC20-800-430-A

“Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. Three children under the age of two had access to the stairs because the gate to the stairs was left open.”

8VAC20-800-800-A

“The family day home shall have a written emergency preparedness and response plan that includes provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents. The emergency preparedness and response plan did not have someone other than the provider listed.”

22.1-289.057-A

“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.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 12/19/2024, were not posted in a conspicuous place on the premises.”

8VAC20-800-560-A

“A caregiver shall provide direct care and supervision of each child at all times. The assistant (staff #2) was observed looking at a laptop screen and typing on the keyboard while children needed supervision.”

8VAC20-800-240-B

“No equipment, materials, or furnishings shall be used if recalled or identified by the U.S. Consumer Product Safety Commission as being hazardous. Two baby swings were in use that had been recalled by the U.S. Consumer Product Safety Commission as being hazardous.”

8VAC20-800-50-A

“The family day home did not keep an updated written record of children in attendance each day. Evidence: Children were in attendance at the family day home that were not included on the written attendance of the day.”

8VAC20-800-340-C

“The bathroom did not contain paper towels. Evidence: Paper towels were not available in the bathroom that the children use.”

8VAC20-800-180-A

“The provider did not obtain a current tuberculosis screening for each adult household member. Evidence: There was no current tuberculosis screening for household member #1 and #2.”

8VAC20-800-280

“Potentially poisonous substances such as cleaning agents were not stored in areas inaccessible to children. Evidence: Cleaning spray was found under the sink of the bathroom the children use in an area accessible to children.”

8VAC20-800-920

“There was no menu for the current week when snacks were provided by the family day home. Evidence: There was no menu for the week, and the inspector observed the children being served food provided by the provider.”

8VAC20-800-570-A

“Based on observation and confirmed by the provider, the provider exceeded 16 points of children in care for one provider. Evidence: There were 8 children in care totaling 20 points with one provider. 1. Laili Oei DOB 3/19/2019- 2 points 2. [name] DOB 1/7/2020- 2 points 3. [name] DOB 8/11/2021- 2 points 4. [name] DOB 6/4/2019- 2 points 5. [name] DOB 10/13/2021- 2 points 6. Clayton Boshannon DOB 6/5/2023- 4 points 7. [name] DOB 5/3/2021- 2 points 8. [name] DOB 7/10/2023- 4 points”

8VAC20-800-830-A

“Based on review of emergency evacuation drills and confirmed by the provider, it was determined that emergency evacuation drills were not being practiced monthly. Evidence: Emergency evacuation drills were not being performed or logged.”

8VAC20-800-180-A

“Based on document review, and confirmed by provider, the provider did not obtain a current report of Tuberculosis screening every two years from the date of the first screening. Evidence: The most recent report of Tuberculosis screening was from over 2 years ago for Staff #1.”

22.1-289.036-B-2

“Based on review of staff information, and confirmed by provider, the provider did not complete a fingerprint check (criminal history check) every 5 years. Evidence: The most recent criminal history check for staff #1 was more than 5 years ago.”

8VAC20-800-140-B-4

“Based on review of staff information, and confirmed by the provider, current certification in first aid was not obtained. Evidence: The first aid certification for Staff #1 was expired.”

8VAC20-800-830-A

“Based on document review, emergency evacuation procedures were not practiced monthly. Evidence: There was no documentation of an emergency evacuation drill for June 2023.”

8VAC20-800-280

“Based on observation of the home, potentially poisonous substances were not stored in areas inaccessible to children. Evidence: A tube of Neosporin cream, labeled, "Keep out of reach of children," was found in an area accessible to children.”

8VAC20-800-210-A

“Based on review of staff information, and confirmed by the provider, the provider did not obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider did not obtain any annual training.”

8VAC20-800-60-B

“Based on review of children's information, the provider did not obtain verification of the identity and age of the child within 7 business days of the child's first day of attendance. Evidence: There was no proof of identity for Child #1, who began attending 4/6/2018.”

8VAC20-800-140-B-3

“Based on staff information review, and confirmed by provider, the provider did not have current certification in CPR. Evidence: The CPR certification for Staff #1 was expired.”

8VAC20-800-690-E

“Based on observation, soiled disposable diapers and wipes were not 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. Evidence: The plastic lined trashcan required the caregiver's hand to touch the surface during disposal.”

8VAC20-800-60-B

“Based on file review, a child's emergency contact information did not contain names of people other than the custodial parents who are authorized to pick up the child. Evidence: Emergency contact information for Child #2 and Child #3 did not contain names of people other than the custodial parents who are authorized to pick up the child.”

8VAC20-800-830-B

“Based on review of the emergency response drill log, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: The emergency response drill log did not contain documentation of shelter-in-place drills.”

8VAC20-800-210-A

“Based on file review, caregivers did not obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities. Evidence: There was no documentation of annual training for either caregiver for 2021.”

8VAC20-800-320-B

“Based on observation, child-resistant covers were not installed on all unused electrical outlets and surge protectors accessible to children under 5 years of age. Evidence: Electrical outlet near rolled up mats did not have a child-resistant cover installed.”

8VAC20-800-430-C

“Based on observation, children over the age of 2 had access to stairs with 3 or more risers because the protective barrier was not in operable condition. Evidence: The gate at the bottom of the basement stairs was being held closed with a bungie cord instead of the original latch. The gate could be pulled open with little force and could snap the gate shut on a child.”

8VAC20-800-760-A-1

“Based on observation, the first aid kit did not contain more than 1 triangular bandages. Evidence: The first aid kit only contained 1 triangular bandage.”

8VAC20-800-690-D

“Based on observation, the diapering area was not nonabsorbent and washable. Evidence: The diapering pad was torn, exposing absorbent foam.”

8VAC20-800-750-A

“Based on file review, there was no annual written parental authorization for topical skin products to be used. Evidence: There was no annual written parental authorization for topical skin products to be used for Child #1.”

8VAC20-820-120-E-1

“Based on review of required posted documents and interview with staff, the provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program. Evidence: 1) On the date of inspection, the most recently issued license was not posted. The posted license was dated September 2020/September 2021. 2) Staff #1 could not locate the current license.”

8VAC20-800-780-B

“Based on record review, the provider did not review with the parent, annually, the emergency contact information, to ensure the information is correct and obtain the parent's signed acknowledgment of the review. Evidence: 1) The most recent review of the emergency information in the record for Child #1 was dated 08/20/2020, for Child #2 was dated 06/05/2020, for Child #4 was dated 03/10/2019, for Child #7 was dated 07/28/2019, for Child #8 was dated10/12/18, for Child #9 was dated 04/08/2019, for Child #10 was dated 06/04/2019.”

8VAC20-800-800-A

“Based on documentation provided electronically, it was determined that family day home's written emergency preparedness and response plan (EPP) did not include provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents. Evidence: 1) The EPP submitted for review did not list an additional person to act as a back up care. The person listed is the provider.”

8VAC20-800-830-B

“Based on documentation review, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: 1) On the date of inspection, the emergency drills log was not available for review. Upon request, the emergency drills log was submitted electronically. Shelter-in-place drills were not documented for the year 2021.”

8VAC20-800-690-D

“Based on observation, the diapering area was not nonabsorbent and washable. Evidence: 1) On the date of inspection, it was observed that the changing mat in the diapering area was covered by a cloth cover, making it not-nonabsorbent and not washable.”

8VAC20-800-920

“Based on documentation review, the menu for the current one-week period was not dated. Evidence: 1) On the date of inspection, the menu for the current one-week period was not dated.”

8VAC20-800-100-A

“Based on record review, the provider did not 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) The record for Child #2 did not contain the results of a physical examination. The record contained a CoVA School Entrance Health form but it was blank.”

8VAC20-800-50-A

“Based on documentation review and interview with staff, a written record of children in attendance each day was not kept. Evidence: 1) On the date of inspection, a written record of attendance for the day was not available for review. 2) Staff #1 could not locate the attendance record for the day upon request. Attendance records for the following dates were provided: 02/28 to 03/04, 03/07 to 03/11 and 03/13 to 03/17.”

8VAC20-800-60-A

“Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #1 did not contain the telephone number of each custodial parent's place of employment; the record for Child #2 did not contain the policy number of the child's medical insurance; the record for Child #3 did not contain the address of each custodial parent's place of employment, telephone number of one custodial parent's place of employment, and the policy number of the child's medical insurance; the record for Child #4 did not contain telephone number of one custodial parent's place of employment and the policy number of the child's medical insurance; thee record for Child #6 did not contain address of two designated persons to contact in case of an emergency if the parent cannot be reached.”

8VAC20-800-70-A

“Based on record review, parents were not provided in writing of all required information before the child's first day of attendance. Evidence: a] The record for Child #1 (start 08/24/2020) contained a signed copy of the "Information for parents" form, however it was blank, no information of the fdh was provided in it. b] The information in the record for Child #2 (start 06/08/2020) was incomplete since only the first page of the "Information for parents" form was found in the record. The second page which includes more information on the fdh and the signed acknowledgment from the parent was missing. c] The record for Child #2 contained a signed copy of the "Provisions of the Emergency Plan" form, however it was blank, no information of the fdh was provided in it.d] The records for Child #5 (start 11/08/2021) contained a copy of the "Liability Insurance Declaration" form, however, it was ot signed by the parents.”

8VAC20-800-90-C

“Based on record review, the provider did not obtain additional immunizations once every six months for children under the age of two years. Evidence: 1) The most recent immunization report in the record for Child #4 (dob 12/17/2018) was dated 02/19/2019.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were not stored away in areas inaccessible to children. Evidence: a] On the date of inspection, drawers under the sink in the bathroom of the care area contained 4 containers of hair products (curl activator, leave in conditioner). The cabinet doors and drawers did not have locks or child-proof locking mechanisms on them. The door to the bathroom was unlocked. b] On a shelf of the bookcase near the kitchen entrance, there was a container of face cream (retinol advanced cream). c] In the kitchen cabinet under the sink, a bottle of dishwashing soap, and a bottle of counter cleaner were observed. The cabinet door did not have a lock or child-proof locking mechanism on it. The door to the kitchen was wide open.”

8VAC20-800-320-B

“Based on observation, not all electrical outlets had child-resistant protective covers installed. Evidence: 1) On the date of inspection, the following outlets were observed not having child-resistant protective covers installed: next to the coat rack near the entrance, to the left of the big tv, and in the infant room there were 3 outlets uncovered (near the zebra, next to one of the cribs, inside one of the cubbies near the rug).”

8VAC20-800-520-F

“Based on observation, caregivers did not ensure that crib sides were always be up and the fastenings secured when a child is in the crib, except when the caregiver is giving the child immediate attention. Evidence: 1) On the date of inspection, Staff #1 was observed in the infant's room attending to children on the rug area. Child #5 (dob 08/11/2021) was observed inside the crib. The access side of the crib was down.”

8VAC20-800-570-A

“Based on observation and interview, the provider did not ensure that a caregiver does not exceed caring for 16 points at any one moment. Evidence: 1) On the date of inspection, Staff #1 was caring for a total of 19 points (10 children). Staff #1 stated that the provider was out of the fdh that day.”