Christianne Desir

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. There was not any chimney inspection report available for the fireplace in the home.”

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. There was not documentation that the required 16 hours of training had been obtained.”

8VAC20-800-140-B-4

“Providers shall have current certification in first aid. The provider's first aid certification expired on 4/29/26.”

8VAC20-800-140-B-3

“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 4/29/26.”

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 not any documentation that an emergency evacuation was practiced in the month of January 2026.”

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 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 7/10/2025, were not posted on the premises.”

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. The current posted menu is dated for the month of March.”

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 program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

22.1-289.036-B-2

“Every person required to undergo a background check shall submit to fingerprinting as required. A household member who turned 18 in 2024 does not have any documentation that national criminal history background check was requested.”

8VAC20-800-830-A

“Based on documentation review and interview the provider failed to ensure that emergency evacuation procedures are practiced monthly. Evidence: 1 - The emergency evacuation log does not include entries for the months of March or June 2024. 2 - The provider stated that she was unaware that emergency evacuations had to completed in the months where shelter-in-place drills were completed.”

8VAC20-800-540-B

“Based on observation the provider failed to ensure that infant walkers are not used. Evidence: 1 - During the inspection Child #1 was observed moving while in an infant walker. 2 - The provider confirmed that Child #1 was in the infant walker.”

8VAC20-800-600-B

“Based on observations the provider failed to ensure that infants and toddlers spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair, or other confining piece of equipment. The intervening time period between confinements shall be at least one hour. 1 ? Child#4 (5months old) was observed sitting in a rocking seat upon arrival at 12:20pm. The child was awake and cried periodically. The child was not moved from the rocking chair until 1:13pm. 2 ? Child#1 (13months old) who was awake and active was moved from one seating device to another without the required 1-hour break between each device from 12:20 until 2:07pm when the inspection ended.”

8VAC20-800-510-A

“Based on observation the provider failed to ensure that a child is provided with an individual crib, cot, rest mat, or bed for resting or napping. Evidence: Today there are three children in care under the age of 12 months. However, there are only two cribs available for use.”

8VAC20-800-210-A

“Based on record review the provider failed to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Training certificates for Caregiver #1 available for reviewed showed a total of seven hours of training was obtained during the 2022-2023 licensure period.”

8VAC20-800-90-C

“Based on record review and interview the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years as required. Evidence: 1 ? The record for Child#1 and #2 contained only one immunization record. There was not any documentation of updated immunization information in either record. a. he documented date of birth of Child#1 was October 29, 2022. The only available immunization record was dated January 4, 2023. b. The documented date of birth of Child#2 was July 29, 2022. The only available immunization record was dated October 5, 2022. 2 ? The provider confirmed that there was not any additional immunization information available for Child #1 and #2 to review during the inspection. Child #1 had a documented date of enrollment as January 4, 2023, Child #2 had a documented date of enrollment as November 1, 2022.”

8VAC20-800-60-A

“Based on record review and interview the provider failed to maintain an up-to-date record at the family day home for each enrolled child Evidence: 1 ? The record for Child #3 did not contain all required emergency contact information, first and last dates of attendance, parents signed acknowledgement of the receipt of the required Information, or proof of identity. 2 ? The provider stated that she did not all of the required enrollment information for Child #3. 3 ? The record for Child #4 did not contain addresses for the emergency contacts listed.”

8VAC20-800-520-B

“Based on observation the provider failed to ensure that cribs be provided for children from birth through 12 months of age. Evidence: Child#2, who is 16months old was observed sleeping in a crib but was later moved to a cot. The provider stated that crib Child#2 was sleeping in belong to Child#4.”

8VAC20-800-530-C

“Based on observation the provider failed to ensure that linens are assigned for individual use. Evidence: 1 ? Upon arrival Child #3 was observed in the crib next to the kitchen table with a blue and white print crib sheet in place. However, later Child #5 was placed in the same crib without the crib sheet being changed. 2 ? During the inspection Child#2 was observed sleeping in a crib closest to the back door with a blue and white fitted sheet. However, later Child#4 was placed in the same crib without the crib sheet being changed.”

8VAC20-800-570-A

“Based on observation the provider failed to ensure that a caregiver does not exceed 16 points by using the required point system to determine if an additional caregiver is needed. Evidence: 1 - Upon arrival at 12:20pm the Caregiver #1 was observed to be alone caring for 7 children totaling 22 points. Which exceeds the maximum of 16 points per caregiver. a. The provider stated that at 8am there were six children present who totaled 18 points. Then at 9am a seventh child was accepted into care which added an additional four points. 2 ? Caregiver #2 arrived at 12:24pm. Then at 1:24 Caregiver #2 left the child care room to eat in another room with the door closed. Finally, at 1:53pm Caregiver #2 left the family day care home. Therefore, the provider was alone with children totaling 22 points from 8am through 12:24pm and from 1:25pm through the end of the inspection at 2:07pm a. The provider stated she did not have anyone to assist her. She further stated that a potential assistant had not yet completed the required paperwork.”

8VAC20-800-690-A

“Based on observation the provider failed to ensure that a child is not left unattended on a changing table during diapering. Evidence: While changing the diaper of six-month-old Child#3, the provider walked away from the diaper changing table to attend to Child#5 who was across the room crying in his crib. There was not any safety strap visible or engaged when the provider walked away from the diaper changing table, and no other caregiver was present.”

8VAC20-800-780-B

“Based on record review and interview the provider failed to obtain the parents signed acknowledgment of annual review of emergency contact information. Evidence: 1 - The record for Child #1 does not contain documentation of annual review. a. The most recent review is dated January 7, 2022”

8VAC20-820-120-E-2

“Based on observation the provider failed to ensure that the findings of the most recent inspection of the facility is posted in the family day home. Evidence: The findings of the most recent inspection are posted as required.”

8VAC20-820-120-E-1

“Based on observation the provider failed to post the most recently issued license in the family day home. Evidence: The most current license was not visibly posted in the center.”

8VAC20-800-790

“Based on observation and interview the provider failed to post the telephone number of the emergency back up caregiver as required. Evidence: 1 - The telephone number for the emergency back up caregiver is not posted in the family day home. 2 - The provider stated that the information was not posted.”

8VAC20-800-760-A-1

“Based on observation the center failed to ensure that the first aid kit contains all required items. Evidence: 1 - There was one triangular bandage in the first aid kit where more than one is required. 2 - The provider stated that she had only one triangular bandage.”

8VAC20-800-280

“Based on observation the provider failed to ensure that chemicals are stored in a location that is inaccessible to children. Evidence: Sitting on a table on the patio outside play space there was a spray bottle of ?power cleaner.? The location of the cleaning chemical was within reach of children during the inspection.”

8VAC20-800-60-B

“Based on record review the provider failed to ensure that children’s records contained all required information. Evidence: Five out of five children’s records reviewed did not contain documentation of medical insurance information.”

8VAC20-800-210-A

“Based on record review the provider failed to ensure that caregivers obtain 16 hours of annual training. Evidence: The record for the assistant caregiver did not contained documentation of any training hours for the 2020 or 2021 licensure periods.”

8VAC20-800-240-A

“Based on observation the provider failed to ensure that areas are maintained in safe condition. Evidence: There was a stack of stored items, outside equipment and furnishings, as well as a Rubbermaid storage unit with the doors removed stacked on one side of the outside play space. There was not a barrier preventing children from gaining access to these items”

8VAC20-800-60-B

“Based on record review the provider failed to ensure that children’s records are updated annually as required. Evidence: Four out of five children’s records reviewed did not contain documentation of signed annual emergency contact information updates. a. Child 2 has a documented first day of attendance as March 9, 2020. b. Child 3 has a documented first day of attendance as March 9, 2020. c. Child 4 has a documented first day of attendance as August 21, 2019. d. Child 5 has a documented first day of attendance as January 4, 2021.”