Dana Smith-Washington

8VAC20-800-240-A Complaint related: Yes

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. The window sill was deteriorating and paint was peeling.”

8VAC20-800-830-B

“Shelter-in-place procedures should be practiced a minimum of twice per year. There was no documentation for 2025 Shelter-in-place drills.”

8VAC20-790-250-F

“Caregivers who work directly with children should complete health and safety updated course annually. Staff #2 did not complete updated health and safety annually. The health and safety course was completed a year and 6 months ago.”

8VAC20-800-210-A

“In addition to satisfactory completion of first aid training and CPR training, caregivers should obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Staff #1 and Staff #2 did not complete there 16 hours of training for calendar year 2025.”

8VAC20-800-830-A

“The emergency evacuation procedures should be practiced monthly with all caregivers and children in care during all shifts that children are in care. There were no evacuation drills documented for January, February, March , April and May.”

8VAC20-800-790

“Repeat violation Emergency phone numbers shall be posted in a visible area . The provider did not have the following phone numbers posted poison control and the emergency backup care person.”

8VAC20-790-430-A-3

“Lockdown procedures should be practiced at least annually. There was no documentation that Lockdown drills were completed in 2025.”

8VAC20-800-800-B

“The provider should review the emergency plan at least annually and update the plan as needed. The provider should document in writing each review and update to the emergency plan. There was no documentation that the emergency preparedness plan has been reviewed in 2025.”

8VAC20-800-30-A

“The provider shall ensure compliance with these standards and the terms of the current license issued by the department and with relevant federal, state or local laws, and other relevant regulations. The provider did not comply with the current license. Child #5 was enrolled in the program but was five months and 8 days old . The current license was for 6 months to 12 years of age.”

8VAC20-800-100-A

“The provider shall 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. Child #2 and Child #3 both have been in the program for more than 30days with no physical information in the records.”

8VAC20-790-170-G

“The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. There was not a list of children's allergies, sensitivities, and dietary restrictions. Child #4 had two allergy listed on the child's record. Child #4 has been the program for 2 months.”

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period should be given to parents or posted or placed in an area accessible to parents. The menu posted was for April 2026.”

8VAC20-800-60-B

“The children records should contain all required information. Child #1's record was missing emergency contact information. Child #2's record was missing emergency contact information to include city, state and zip code. Child #3's record was missing emergency contact no address and liability insurance document not signed. Child #5's record was missing emergency contact addresses.”

8VAC20-800-790

“Emergency phone numbers shall be posted in a visible area . The provider was unable to locate the emergency phone numbers.”

8VAC20-800-570-A

“The provider shall ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed. Caregiver #2 exceeded 16 points. Caregiver #2 needed additional caregiver due to having 22 points. Caregiver #1 arrived during the inspection.”

8VAC20-800-680-A

“Caregivers shall wash their hands with liquid soap and warm running water. The Caregiver #2 did not wash her hands after changing a diaper.”

8VAC20-800-680-B

“Caregivers shall ensure that children's hands are washed with liquid soap and warm running water: Caregiver #2 did not wash child#2 hands after diapering.”

8VAC20-800-900-B

“Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles. Child #2 was in a crib laying down drinking a bottle during nap time.”

8VAC20-800-790

“Emergency phone numbers shall be posted in a visible area . The provider was unable to locate the emergency phone numbers.”

8VAC20-800-570-A

“The provider shall ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed. Caregiver #2 exceeded 16 points. Caregiver #2 needed additional caregiver due to having 22 points. Caregiver #1 arrived during the inspection.”

8VAC20-800-680-A

“Caregivers shall wash their hands with liquid soap and warm running water. The Caregiver #2 did not wash her hands after changing a diaper.”

8VAC20-800-680-B

“Caregivers shall ensure that children's hands are washed with liquid soap and warm running water: Caregiver #2 did not wash child#2 hands after diapering.”

8VAC20-800-900-B

“Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles. Child #2 was in a crib laying down drinking a bottle during nap time.”

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. The fire place chimney inspection documentation was from 2022.”

8VAC20-800-770

“Repeat violation 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 provider did not have a working battery- operated weather band radio during inspeciton.”

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

8VAC20-800-330-A

“A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone. The phone available was cordless which require electricity.”

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. The fire place chimney inspection documentation was from 2022.”

8VAC20-800-770

“Repeat violation 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 provider did not have a working battery- operated weather band radio during inspeciton.”

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

8VAC20-800-330-A

“A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone. The phone available was cordless which require electricity.”

8VAC20-800-100-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 was no physical exam record available for Child #3, who had been in care for over 91 days.”

8VAC20-800-120-A

“Providers must maintain a record for each caregiver. There was no reference for Staff #1 and Staff #2. Staff #1 has been caring for children for over 12 months.Staff #2 has been caring for children for over 5 months.”

8VAC20-800-200-C

“The provider must orient assistants and subsitutes by the end of their first week of assuming job responsibilities and have documentation of the orientation shall be signed and dated by the provider and substitute provider or by the provider and assistant. Staff #2 provided care for children for five months without having documentation of the orientation signed and dated.”

8VAC20-800-170-A

“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 Staff # 2, who has been caring for children for over five months.”

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for child #3, who was in care during the inspection and had been in care for 91 days.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided required information in writing.' The parents of Child #2 were not provided in writing the following required information provisions of the family day home’s emergency preparedness and response plan. Child had been in care for 16 months .”

8VAC20-800-60-B

“Each child enrolled record should contain all of the required information. The record for Child #1, enrolled for 15 months, was missing one emergency contact address. The record for Child #3, enrolled for three years and 4 months did not have 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 ground.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recent inspection report was not posted.”

8VAC20-800-770

“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 caregiver's weather band radio was not operable during the inspection.”

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. At 12:20 p.m. on 11/12/2024, there were 6 children present . The attendance was not taken for 11/12/2024.”

8VAC20-790-250-B

“Staff should complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education within the first 90 days of employment or service all caregivers shall complete. The family day home has been approved subsidy provider for 120 days staff #1 and staff #2 did not complete Virginia Preservice Training with in the 90 days of approval of service.”

8VAC20-790-170-G

“The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. The provider did not have a allergies, sensitivities, and dietary restrictions list. Child #4, who is enrolled has allergy listed on registration and in doctors documentation.”

8VAC20-800-100-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 was no physical exam record available for Child #3, who had been in care for over 91 days.”

8VAC20-800-120-A

“Providers must maintain a record for each caregiver. There was no reference for Staff #1 and Staff #2. Staff #1 has been caring for children for over 12 months.Staff #2 has been caring for children for over 5 months.”

8VAC20-800-200-C

“The provider must orient assistants and subsitutes by the end of their first week of assuming job responsibilities and have documentation of the orientation shall be signed and dated by the provider and substitute provider or by the provider and assistant. Staff #2 provided care for children for five months without having documentation of the orientation signed and dated.”

8VAC20-800-170-A

“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 Staff # 2, who has been caring for children for over five months.”

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for child #3, who was in care during the inspection and had been in care for 91 days.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided required information in writing.' The parents of Child #2 were not provided in writing the following required information provisions of the family day home’s emergency preparedness and response plan. Child had been in care for 16 months .”

8VAC20-800-60-B

“Each child enrolled record should contain all of the required information. The record for Child #1, enrolled for 15 months, was missing one emergency contact address. The record for Child #3, enrolled for three years and 4 months did not have 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 ground.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recent inspection report was not posted.”

8VAC20-800-770

“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 caregiver's weather band radio was not operable during the inspection.”

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. At 12:20 p.m. on 11/12/2024, there were 6 children present . The attendance was not taken for 11/12/2024.”

8VAC20-790-250-B

“Staff should complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education within the first 90 days of employment or service all caregivers shall complete. The family day home has been approved subsidy provider for 120 days staff #1 and staff #2 did not complete Virginia Preservice Training with in the 90 days of approval of service.”

8VAC20-790-170-G

“The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. The provider did not have a allergies, sensitivities, and dietary restrictions list. Child #4, who is enrolled has allergy listed on registration and in doctors documentation.”

8VAC20-770-60-C-2

“Based on review of records and interview, the provider did not ensure to obtain a central registry finding within 30 days of employment or volunteer service. Evidence:1. In the Assistant's record, there was no central registry findings found. 2.In Household member #3's record, there was no central registry findings found. 3. Interview with the provider confirmed the central registry findings were not available for review during the inspection. Interview”

8VAC20-800-140-B-4

“Based on review of documentation and interview, the provider did not ensure to obtain a current certification in first aid. Evidence: In Caregiver's record, the last dated first aid certification was 04/2021. Interview with the provider confirmed the documentation available for review during the inspection.”

8VAC20-800-50-A

“Based on a review of documentation and interview, the licensee did not ensure that a written record of attendance is kept each day. Evidence: The attendance binder contained a written record of attendance for the current week, but did not contain the attendance for any other period after March 2023. The licensee confirmed that the attendance had not been recorded in April, May, June, July, August or most of September until the current week of 9/25/2023.”

8VAC20-800-60-B

“Based on a review of records and interview, the licensee did not maintain enrolled children's records which contained all of the required information and documentation. Evidence: Five records were reviewed. The records for child #1, child #2, child #3 child #4 and child #5 did not contain the name, phone number and address for two people to be contacted in an emergency if the child's parent cannot be reached. The record for child #4 does not contain the name address and phone number and work place and phone number for the child's parents, the child's physician's name and phone number, documentation of any allergies or health problems for child #4, and previous or concurrent schools attended by the child.”

8VAC20-800-70-B

“Based on a review of records and interview, the licensee did not alwaysobtain the parent's written acknowledgement of the receipt of the information required to be provided in writing to parents before the child's first day of attendance. Evidence: Five records were reviewed. The records for child #1 and child #2 who began attending the family day home on 7/25/2023, did not contain a signed copy of the required parent agreements. The unsigned parent information form was located in the files.”

8VAC20-800-320-B

“Based on observation and interview child-resistant protective covers larger were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: There were 2 uncapped outlets located at about 12 inches from floor level in one of the two main childcare areas of the home. Six children, ages 9 months old to 3 years old, were sleeping on cots in this area.”

8VAC20-800-350-E

“***REPEAT VIOLATION*** Based on measurements taken during the inspection, the hot water taps available to children are not maintained within a range of 105 to 120 degrees Fahrenheit. Evidence: The temperature of the hot water tap in the restroom used by children in care measured 128.7 degrees Fahrenheit when measured with a digital thermometer during the inspection.”

8VAC20-800-570-A

“Based on observation, record review and interview, the licensee did not ensure that the points total for children in care did not exceed 16 points without the presence of an additional caregiver. Evidence: There were six children in care (child #1, child #2, child #3, child #4, child #6 and child #7) for a total of 17 points. The licensee was the only caregiver present with the children at the time of the inspection.”

8VAC20-800-180-A

“***REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not obtain for each adult household member a current report of Tuberculosis Screening every 2 years from the date fo the first screening. Evidence: The record for Household Member #2 contained the most recent Tuberculosis screening which was dated 1/16/2021. The licensee acknowledged that there was not a more recent screening available, during the inspection, for Household Member #2.”