Carolyn Dandridge

8VAC20-800-690-D

“The diapering surface shall be nonabsorbent and washable. The diaper pad had a tear along the edge that created an absorbent surface.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in clean, safe, and operable condition. Two nails and a screw were protruding through a piece of wood at the bottom of the playset posing a risk of puncturing or snagging the skin of a child.”

8VAC20-800-290

“Sharp kitchen utensils and other sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision. The sharp kitchen utensils were being stored in a kitchen drawer that was accessible to children in care.”

8VAC20-800-920

“Repeat When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated and posted or placed in an area accessible to parents. The Most recent menu was dated May 8, 2026. The provider stated she had not completed a menu for the current week of June 22, 2026.”

8VAC20-800-540-A

“Infant carrier seats, swings, strollers, feeding or activity tables, and high chairs shall be used according to the manufacturer's instructions and when occupied by a child, a safety strap shall be used and securely fastened. Child #5, 13 months in age was observed sitting in a feeding chair unbuckled.”

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. 1. The record of caregiver #1 contained documentation of two hours of training during the period of 01/01/2025 through 12/31/2025 when 16 hours were required. 2. The record of caregiver #2, identified as an assistant and household member, contained documentation of zero hours of training during the period of 01/01/2025 through 12/31/2025 when 16 hours were required. 3. The provider stated that 16 hours of annual training had not been completed.”

8VAC20-800-140-B-4

“Providers and substitute providers shall have 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 had expired one month ago.”

8VAC20-800-140-B-3

“Providers and substitute providers shall have 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 that had expired one month ago.”

8VAC20-800-90-A

“Systemic Deficiency Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. The record of child #5, enrolled for 25 days, did not contain documentation of immunizations.”

8VAC20-800-70-B

“Systemic Deficiency The provider shall obtain the parent's written acknowledgement of the receipt of the written information for parents to include all required items. 1. The record of child #1, enrolled for two months, did not contain documentation whether or not there is liability insurance and the provisions of the family day home's emergency preparedness and response plan. 2. The record of child #2, enrolled for three years, did not contain documentation of the policies for the administration of medications. 3. The record of child #5, enrolled one month, did not contain documentation of information for parents, whether or not there is liability insurance, provisions of the family day home's emergency preparedness and response plan, and the policies for the administration of medications.”

8VAC20-800-60-B

“Systemic Deficiency The provider shall ensure a child's record contains all required information. 1. The record of child #4, enrolled for two years, did not contain documentation of the annual review of the child's emergency contact information. The most recent review was documented 14 month ago. 2. The record of child #5, enrolled for 25 days, did not contain the work phone number of either parent and the name, address and phone number of one emergency contact.”

8VAC20-800-50-A

“Systemic Deficiency The family day home shall keep a written record of children in attendance each day. On February 27, 2026, five children were in care at the time of the inspection. A written record of attendance had not been completed for the day. The provider stated additional children had been in care before school and left but the attendance was also not documented.”

8VAC20-800-800-B

“Repeat, Systemic Deficiency The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.1. The most recent review of the emergency plan was dated 08/27/2024. 2. The provider stated that the annual review had not been done.”

8VAC20-790-430-A-3

“Systemic Deficiency The emergency lockdown procedures shall be practiced at least annually. The emergency drill log did not have documentation of a lockdown drill for the year 2025. The provider stated a lockdown drill had not been conducted.”

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 caregivers and household members was observed unlocked in a bedroom cabinet. The bedroom was accessible to children in care.”

8VAC20-800-280

“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. Multiple cleaning agents and disinfectants were observed on low shelves in a room with the door open, accessible to children in care.”

8VAC20-800-320-G

“Wood burning stoves and fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider. 1. The most recent documentation of an inspection for the wood burning stove was dated 02/19/2025. 2. The provider stated that the stove has not been used, and an annual inspection had not been conducted.”

8VAC20-800-920

“Repeat When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated and posted or placed in an area accessible to parents. The provider stated she had not completed a menu for the current week of February 23, 2026.”

8VAC20-800-830-B

“Systemic Deficiency The provider shall ensure shelter-in-place procedures are practiced a minimum of twice per year. The emergency evacuation log did not contain documentation of any shelter-in-place drills for the year 2025, when a minimum of two shelter-in-place drills is required per year. The provider stated she had not conducted any shelter in place drills.”

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 family day home did not have evidence of submitting a testing plan to VDH. The provider stated she had not submitted a plan.”

8VAC20-790-250-F

“Systemic Deficiency Caregivers who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the department's health and safety update course. This training shall be related to child safety, child development, health and safety in the family day home environment, and any required department sponsored training. Caregiver #1 and caregiver #2, did not complete the department’s health and safety update course for the year 2025.”

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.1. The most recent review of the emergency plan was dated 08/27/2024. 2. The provider stated that the annual review had not been done.”

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 family day home did not have evidence of submitting a testing plan to VDH. The provider stated she had not submitted a plan.”

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated and posted or placed in an area accessible to parents. The provider stated she had not completed a menu for the current week of September 29, 2025.”

8VAC20-800-830-A

“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 of evacuation drills for the period of February through August of 2025.”

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening. 1. The record of caregiver #1 contained documentation of a TB screening that expired one month ago. An updated screening had not been obtained. 2. The record of caregiver #2 contained documentation of a TB screening that expired one month ago. An updated screening had not been obtained.”

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.1. The most recent review of the emergency plan was dated 08/27/2024. 2. The provider stated that the annual review had not been done.”

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 family day home did not have evidence of submitting a testing plan to VDH. The provider stated she had not submitted a plan.”

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated and posted or placed in an area accessible to parents. The provider stated she had not completed a menu for the current week of September 29, 2025.”

8VAC20-800-830-A

“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 of evacuation drills for the period of February through August of 2025.”

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening. 1. The record of caregiver #1 contained documentation of a TB screening that expired one month ago. An updated screening had not been obtained. 2. The record of caregiver #2 contained documentation of a TB screening that expired one month ago. An updated screening had not been obtained.”

8VAC20-800-140-B-3

“Providers and substitute providers shall have 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 #2, identified as a substitute provider, contained documentation of CPR that had expired four months ago. The provider stated caregiver #2 did not have current CPR and had not been along with children in the past four months.”

8VAC20-800-140-B-4

“Providers and substitute providers shall have 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 #2, identified as a substitute provider, contained documentation of first aid certification that had expired four months ago. The provider stated caregiver #2 did not have current first aid and had not been along with children in the past four months.”

8VAC20-800-140-B-3

“Providers and substitute providers shall have 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 #2, identified as a substitute provider, contained documentation of CPR that had expired four months ago. The provider stated caregiver #2 did not have current CPR and had not been along with children in the past four months.”

8VAC20-800-140-B-4

“Providers and substitute providers shall have 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 #2, identified as a substitute provider, contained documentation of first aid certification that had expired four months ago. The provider stated caregiver #2 did not have current first aid and had not been along with children in the past four months.”

8VAC20-800-770

“Repeat A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times. The portable battery-operated weather band radio on site was not operational.”

8VAC20-800-110-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. Documentation of immunizations for child #3, was not signed by the physician.”

8VAC20-800-60-B

“Repeat/ Systemic Deficiency The provider shall maintain a child's record that contains all required information. The record of child #1, child #2, child #4, and child #6, did not contain the policy number of the child's medical insurance. The record of child #2 and child #4 did not contain the telephone number of each custodial parent's place of employment. The record of child #5 and child #6, did not contain the written authorization for emergency medical care should an emergency occur, and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds. The record of child #5 did not contain the name, address and telephone number for a second designated person to contact in case of an emergency if the parent cannot be reached.”

8VAC20-800-70-B

“The provider shall obtain the parent's written acknowledgement of the receipt of the information for parents. The record for child #5 did not contain the parent’s written acknowledgement that they received the policies for the administration of medications.”

8VAC20-800-210-A

“Repeat 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 household member #1, identified as a substitute provider, contained documentation of 4 hours of training during 2023 when 16 hours was required.”

8VAC20-800-230-A

“The provider shall maintain written documentation of each caregiver's applicable education and programmatic experience, and orientation. The record of household member #1, identified as a substitute provider, did not contain documentation of education, programmatic experience, and orientation.”

8VAC20-800-320-G

“Repeat Wood burning stoves and fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. There was no documentation of an inspection for the wood burning stove in the past 12 months.”

8VAC20-800-780-B

“Annually, the provider shall obtain the parent's signed acknowledgment of the parent’s review of the emergency contact information. The record of child #4 and child #6, both enrolled for over a year, did not have documentation of the parents review of the emergency contact information.”

8VAC20-800-100-A

“Repeat/ Systemic Deficiency 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 was no documentation of a physical exam for Child #1and child #4, both who had been enrolled for over a year.”

8VAC20-790-250-B

“Repeat Based on record review and discussion, the vendor did not ensure that all caregivers shall complete the Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: The record of household member #1, employed on 06/01/2020 and identified as the substitute provider, did not contain documentation of the completion of the Virginia Preservice Training. The provider stated the Virginia preservice training had not been completed.”

8VAC20-790-250-F

“Based on review of caregiver records, the provider did not ensure caregivers who work directly with children completed, in addition to preservice and orientation training, at least 16 hours of training to include the department’s health and safety update course annually. Evidence: 1. The record of household member #1, identified as a substitute provider, did not contain documentation of the department’s health and safety updated training. Household member #1 was employed as a substitute provider on 06/01/2020. The provider stated the training had not been completed. 2. The record of caregiver #1, did not contain documentation of the department’s health and safety updated training. The provider stated the training had not been completed.”

8VAC20-790-430-A-3

“Based on review of documentation and interview, the provider did not ensure emergency response drills were practiced. Evidence: 1. The drill log did not contain documentation of a practice lockdown drill at least annually. 2. The provider stated she had not conducted a lockdown drill for the 2023 year.”

8VAC20-800-210-A

“Based on review of records and interview, the provider did not ensure caregivers obtained 16 hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #1 contained documentation of 10 hours of training during the period of 01/01/2023 through 12/31/2023 when 16 hours was required. 2. The record of household member #1, identified as a substitute provider, contained documentation of 4 hours of training during the period of 01/01/2023 through 12/31/2023 when 16 hours was required. 3. The provider stated that 16 hours of annual training had not been completed.”

8VAC20-800-230-A

“Based on record review and interview, the provider did not maintain documentation of each caregiver’s applicable education and programmatic experience, applicable first aid and CPR certification, orientation, annual training, and applicable medication administration training. Evidence: The record of household member #1, identified as a substitute provider, did not contain documentation of education, programmatic experience, and orientation.”

8VAC20-800-240-A

“Repeat Based on observation and interview, the provider did not ensure that areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. The plastic elephant slide located on the outdoor play area, was cracked in multiple places. The cracks were at the top of the slide and curved upward creating sharp edges that could snag the skin of a child. 2. The provider acknowledged that the slide was cracked along the top.”

8VAC20-800-320-G

“Based on documentation review and interview, the provider did not obtain an annual inspection for the wood burning stove and associated chimney by a knowledgeable inspector to verify that the device is properly installed, maintained, and cleaned as needed. Evidence: 1. The most recent documentation of an inspection for the wood burning stove was dated 10/28/2022. 2. The provider stated that the stove has not been used, and an annual inspection was not conducted.”

8VAC20-800-100-A

“Systemic Based on review of children’s records and interview, 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 of child #1, (enrolled 02/01/2023), did not contain documentation of a physical. 2. The record of child #2, (enrolled 07/01/2023), did not contain documentation of a physical. 3. The record of child #3, (enrolled 06/01/2020), did not contain documentation of a physical. 4. The record of child #4, (enrolled 05/01/2019), did not contain documentation of a physical. 5. The provider stated she did not have documentation of physicals for the four children’s records.”

8VAC20-800-830-B

“Based on review of the emergency drill log and interview, the provider did not ensure shelter-in-place procedures were practiced a minimum of twice per year. Evidence: The emergency evacuation log did not contain documentation of any shelter in place drills for the 2023 year, when a minimum of two shelter in place drills is required per year. The provider stated she had not conducted any shelter in place drills.”

8VAC20-800-800-B

“Repeat Based on review of the emergency plan, the provider did not review the plan at least annually and update the plan as needed. Evidence: 1. The most recent review of the emergency plan was dated 06/02/2022. 2. The provider stated that the annual review had not been done.”

8VAC20-800-770

“Based on observation and interview, the caregiver did not ensure a working portable battery-operate weather band radio was available to caregivers at all times. Evidence: The portable battery-operated weather band radio on site was not operational. The provider stated she thought the batteries had gone bad and that she did not have extra batteries to replace the old ones.”

8VAC20-800-730-D

“Based on observation and interview, the provider did not ensure medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. An unlocked plastic bin located in a bedroom contained prescription medication. The bedroom was accessible to children in care. 2. The provider identified the prescription medications as belonging to her and her husband.”

22.1-289.058

“Based on interview, the provider did not ensure that the home was equipped with at least one carbon monoxide detector. Evidence: 1. A carbon monoxide detector could not be located in the home during the inspection. 2. The provider confirmed that they did not have a carbon monoxide detector.”

22.1-289.036-A

“Based on record review and interview, the provider did not obtain the results of a national fingerprint- based criminal background check for each applicant and household member’s record every 5 years as required. Evidence: 1. The record of the applicant, caregiver #1, contained documentation of fingerprints dated 09/05/2018 exceeding five years. 2. The record of household member #1, contained documentation of fingerprints dated 09/14/2018 exceeding five years. 3. The provider stated she had not requested updated fingerprints.”

8VAC20-800-60-B

“Systemic Based on a review of children’s records, the provider did not ensure that each child's record contained all required information. Evidence: 1. The record for child #1, (enrolled 02/01/2023), did not contain the policy number of the child’s medical insurance. 2. The record of child #2, (enrolled 07/01/2023), did not contain: the telephone number of each custodial parent’s place of employment, the policy number of the child’s medical insurance, and documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. 3. The record of child #3, (enrolled 06/01/2020), did not contain the policy number of the child’s medical insurance. 4. The record of child #4, (enrolled 05/01/2019), did not contain: the telephone number of each custodial parent’s place of employment, policy number of the child’s medical insurance, written authorization for emergency medical care should an emergency occur, and the parent cannot be located immediately, and documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. The most recent review was documented 06/01/2022. 5. The record of child #5, (enrolled 04/05/2021), did not contain written authorization for emergency medical care should an emergency occur, and the parent cannot be located immediately, the policy number of the child’s medical insurance, and documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. 6. The record of child #6, (enrolled 07/01/2022), did not contain the name, address, and phone number for one of the two required emergency contacts, and written authorization for emergency medical care should an emergency occur, and the parent cannot be located immediately.”

8VAC20-800-70-A

“Systemic Based on review of children’s records, the provider did not ensure parents were provided required information in writing before the child's first day of attendance. Evidence: 1. The record of Child #1(enrolled 02/01/2023), child #2 (enrolled 07/01/2023), and child #3 (enrolled 06/01/2020) did not have documentation on file that the provisions of the emergency preparedness and response plan were provided to parents and signed. 2. The record of child #6 (enrolled 07/01/2022) did not have documentation on file whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home, and policies for the administration of medications.”

8VAC20-800-90-A

“Systemic Based on review of children’s records, the provider did not ensure that before a child attended the family day home, the provider obtained documentation that the child had been adequately immunized. Evidence: The record of child #3, (enrolled 06/01/2020), did not contain documentation of immunizations.”

8VAC20-790-250-B

“Repeat Based on record review and discussion, the vendor did not ensure that all caregivers shall complete the Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: The record of household member #1, employed on 06/01/2020 and identified as the substitute provider, did not contain documentation of the completion of the Virginia Preservice Training. The provider stated the Virginia preservice training had not been completed.”

8VAC20-790-250-F

“Based on review of caregiver records, the provider did not ensure caregivers who work directly with children completed, in addition to preservice and orientation training, at least 16 hours of training to include the department’s health and safety update course annually. Evidence: 1. The record of household member #1, identified as a substitute provider, did not contain documentation of the department’s health and safety updated training. Household member #1 was employed as a substitute provider on 06/01/2020. The provider stated the training had not been completed. 2. The record of caregiver #1, did not contain documentation of the department’s health and safety updated training. The provider stated the training had not been completed.”

8VAC20-790-430-A-3

“Based on review of documentation and interview, the provider did not ensure emergency response drills were practiced. Evidence: 1. The drill log did not contain documentation of a practice lockdown drill at least annually. 2. The provider stated she had not conducted a lockdown drill for the 2023 year.”

8VAC20-800-210-A

“Based on review of records and interview, the provider did not ensure caregivers obtained 16 hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #1 contained documentation of 10 hours of training during the period of 01/01/2023 through 12/31/2023 when 16 hours was required. 2. The record of household member #1, identified as a substitute provider, contained documentation of 4 hours of training during the period of 01/01/2023 through 12/31/2023 when 16 hours was required. 3. The provider stated that 16 hours of annual training had not been completed.”

8VAC20-800-230-A

“Based on record review and interview, the provider did not maintain documentation of each caregiver’s applicable education and programmatic experience, applicable first aid and CPR certification, orientation, annual training, and applicable medication administration training. Evidence: The record of household member #1, identified as a substitute provider, did not contain documentation of education, programmatic experience, and orientation.”

8VAC20-800-240-A

“Repeat Based on observation and interview, the provider did not ensure that areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. The plastic elephant slide located on the outdoor play area, was cracked in multiple places. The cracks were at the top of the slide and curved upward creating sharp edges that could snag the skin of a child. 2. The provider acknowledged that the slide was cracked along the top.”

8VAC20-800-320-G

“Based on documentation review and interview, the provider did not obtain an annual inspection for the wood burning stove and associated chimney by a knowledgeable inspector to verify that the device is properly installed, maintained, and cleaned as needed. Evidence: 1. The most recent documentation of an inspection for the wood burning stove was dated 10/28/2022. 2. The provider stated that the stove has not been used, and an annual inspection was not conducted.”

8VAC20-800-100-A

“Systemic Based on review of children’s records and interview, 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 of child #1, (enrolled 02/01/2023), did not contain documentation of a physical. 2. The record of child #2, (enrolled 07/01/2023), did not contain documentation of a physical. 3. The record of child #3, (enrolled 06/01/2020), did not contain documentation of a physical. 4. The record of child #4, (enrolled 05/01/2019), did not contain documentation of a physical. 5. The provider stated she did not have documentation of physicals for the four children’s records.”

8VAC20-800-830-B

“Based on review of the emergency drill log and interview, the provider did not ensure shelter-in-place procedures were practiced a minimum of twice per year. Evidence: The emergency evacuation log did not contain documentation of any shelter in place drills for the 2023 year, when a minimum of two shelter in place drills is required per year. The provider stated she had not conducted any shelter in place drills.”

8VAC20-800-800-B

“Repeat Based on review of the emergency plan, the provider did not review the plan at least annually and update the plan as needed. Evidence: 1. The most recent review of the emergency plan was dated 06/02/2022. 2. The provider stated that the annual review had not been done.”

8VAC20-800-770

“Based on observation and interview, the caregiver did not ensure a working portable battery-operate weather band radio was available to caregivers at all times. Evidence: The portable battery-operated weather band radio on site was not operational. The provider stated she thought the batteries had gone bad and that she did not have extra batteries to replace the old ones.”

8VAC20-800-730-D

“Based on observation and interview, the provider did not ensure medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. An unlocked plastic bin located in a bedroom contained prescription medication. The bedroom was accessible to children in care. 2. The provider identified the prescription medications as belonging to her and her husband.”

22.1-289.058

“Based on interview, the provider did not ensure that the home was equipped with at least one carbon monoxide detector. Evidence: 1. A carbon monoxide detector could not be located in the home during the inspection. 2. The provider confirmed that they did not have a carbon monoxide detector.”

22.1-289.036-A

“Based on record review and interview, the provider did not obtain the results of a national fingerprint- based criminal background check for each applicant and household member’s record every 5 years as required. Evidence: 1. The record of the applicant, caregiver #1, contained documentation of fingerprints dated 09/05/2018 exceeding five years. 2. The record of household member #1, contained documentation of fingerprints dated 09/14/2018 exceeding five years. 3. The provider stated she had not requested updated fingerprints.”

8VAC20-800-60-B

“Systemic Based on a review of children’s records, the provider did not ensure that each child's record contained all required information. Evidence: 1. The record for child #1, (enrolled 02/01/2023), did not contain the policy number of the child’s medical insurance. 2. The record of child #2, (enrolled 07/01/2023), did not contain: the telephone number of each custodial parent’s place of employment, the policy number of the child’s medical insurance, and documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. 3. The record of child #3, (enrolled 06/01/2020), did not contain the policy number of the child’s medical insurance. 4. The record of child #4, (enrolled 05/01/2019), did not contain: the telephone number of each custodial parent’s place of employment, policy number of the child’s medical insurance, written authorization for emergency medical care should an emergency occur, and the parent cannot be located immediately, and documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. The most recent review was documented 06/01/2022. 5. The record of child #5, (enrolled 04/05/2021), did not contain written authorization for emergency medical care should an emergency occur, and the parent cannot be located immediately, the policy number of the child’s medical insurance, and documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. 6. The record of child #6, (enrolled 07/01/2022), did not contain the name, address, and phone number for one of the two required emergency contacts, and written authorization for emergency medical care should an emergency occur, and the parent cannot be located immediately.”

8VAC20-800-70-A

“Systemic Based on review of children’s records, the provider did not ensure parents were provided required information in writing before the child's first day of attendance. Evidence: 1. The record of Child #1(enrolled 02/01/2023), child #2 (enrolled 07/01/2023), and child #3 (enrolled 06/01/2020) did not have documentation on file that the provisions of the emergency preparedness and response plan were provided to parents and signed. 2. The record of child #6 (enrolled 07/01/2022) did not have documentation on file whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home, and policies for the administration of medications.”

8VAC20-800-90-A

“Systemic Based on review of children’s records, the provider did not ensure that before a child attended the family day home, the provider obtained documentation that the child had been adequately immunized. Evidence: The record of child #3, (enrolled 06/01/2020), did not contain documentation of immunizations.”