Deborah Mays

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #5 (3 years old), last documented immunization was over 2 years ago.”

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided required information in writing. The parents of Child #1 (enrolled 3 years) were not provided in writing whether or not there is liability insurance in force on the family day home operation.”

8VAC20-800-50-A

“Providers must keep a written record of children in attendance each day. The provider did not take written attendance on September 8, 2026.”

8VAC20-800-830-C

“Documentation shall be maintained of emergency evacuation. The emergency evacuation drills for April through July were not documented.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. The record for Child #1 (enrolled 3 years), did not have a parent’s signature for an annual review of the emergency contact information and was overdue by over 1 year.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The current license and the findings from the most recent inspection, dated 3/4/2026, were not posted in a conspicuous place on the premises.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 and Household Member #1 were not completed and were overdue by five months.”

22.1-289.011-F

“Repeat Violation 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 8/27/2025, 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 date attendance was last documented was one week ago. The provider did not take written attendance February 26-March 4, 2026.”

22.1-289.057-A

“Repeat Violation 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 the program did not have evidence of the implementation of the required testing plan.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #5, 2 years old, last documented immunization was over 18 months ago and overdue by over 1 year.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Records for children #1, #2, #3, #4, and #5 did not have a parent’s signature for an annual review of the emergency contact information.”

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 record of a physical examination for Child #3, who was in care during the inspection and enrolled for over 11 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 over 11 months.”

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 3/24/2025, were not posted in a conspicuous place on the premises.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. The last documented tuberculosis screening for Household Member #1 was overdue by 9 months.”

8VAC20-800-170-A

“Repeat Violation The provider shall obtain from each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. There was no documentation of a tuberculosis screening for Household Member #2.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #2, 2 years old, last documented immunization was over 12 months ago and is overdue by 6 months. -Child #4, 3 and a half years old, last documented immunization was over 3 years ago and is overdue by 2 years and 6 months.”

8VAC20-800-90-A

“Repeat Violation Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for Child #1, who was in care during the inspection and had been in care for over 1 year and 4 months. There was no documentation of immunizations for Child #4, who was present the morning of the inspection and had been in care for over 5 months.”

8VAC20-800-80-C

“Repeat Violation The provider shall document the method of verification of the child's age and identity in the child's record. There was no documentation of the method of verification of the child's age and identity for Child #1, who had been in care for over 1 year and 4 months, or Child #2, who had been in care for over 1 year and 10 months.”

8VAC20-800-60-B

“Repeat Violation The provider is required to maintain a record for each enrolled child with the required information. -The record for Child #1, who was present during the inspection and had been in care for over 1 year and 4 months, was missing their first date of attendance. -The record for Child #2, who was present during the inspection and had been in care for over 1 year and 10 months, was missing the name, address, and phone number for one emergency contact and written authorization if the child is taken off the premises of the family day home. -The record for Child #3, who had been present the morning of the inspection and had been in care for over 5 months, was missing the name, address and phone number for one emergency contact. -The record for Child #5, who had been present the morning of the inspection and had been in care for over 1 year and 6 months, was missing written authorization if the child is taken off the premises of the family day home.”

8VAC20-800-50-A

“Providers must keep a written record of children in attendance each day. The provider did not take written attendance on February 17-21, 2025.”

8VAC20-800-100-A

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

8VAC20-800-830-A

“Repeat Violation The provider shall practice the emergency evacuation procedures monthly. The last record of an emergency evacuation drill was 8/21/24.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Records for Child #2 and #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #2 had been in care for over 1 year and 10 months and Child #4 had been in care for 1 year and 11 months.”

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

22.1-289.036-B-4

“The provider is required to obtain background checks from any state in which a household member has resided in the preceding five years. The provider did not request a search of the criminal history, child abuse and neglect registry, and sex offender from one state for Household Member #2.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregiver #1 obtained 2 hours of training in 2024.”

8VAC20-800-980-A

“General written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home. Child #1, who had been in care for over 1 year and 4 months, and Child #5, who had been in care for over 1 year and 6 months, did not have written permission from the parents to be taken off the premises of the family day home, in which they do so daily.”

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for child #2, who was in care during the inspection and had been in care for over 1 year.”

8VAC20-800-100-A

“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 exam records available for Child #2, who had been in care for over 1 year.”

8VAC20-800-60-B

“Children's records are required to contain the name, home address, and telephone number of each parent who has custody; the name, address and telephone number of each custodial parent's place of employment; the name, office address and telephone number of the child's physician; the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; Information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation; and the name and policy number of the child's medical insurance. The record for Child #2, who was present during the inspection and had been in care for over 1 year, was missing all of the required information. The record for Child #1, who was present during the inspection and had been in care for over 1 year and 6 months, was missing the name, address, and phone number for one emergency contact.”

8VAC20-800-830-A

“The provider shall practice the emergency evacuation procedures monthly. The last record of an emergency evacuation drill was 8/21/24 and the provider stated one had not been done for the month of September or October yet.”

8VAC20-800-80-C

“REPEAT VIOLATION The provider shall document the method of verification of the child’s age and identity in the child’s record. There was no documentation of the method of verification of the child’s age and identity for Child #1.”

22.1-289.036-A

“Based on record review, the family day home did not obtain the results of a fingerprint-based criminal history record check for 1 household member every 5 years. Evidence: 1. The most recent fingerprint check results in the record for Household Member #1 was dated 3/5/2019.”

8VAC20-800-920

“Repeat Violation Based on observation, the menu for the current one week period was not posted. Evidence: 1. The family day home provides meals and snacks for the children. 2. A current menu was not posted.”

22.1-289.011-F

“Based on observation, the license was not posted on the licensed premises. Evidence: 1. The current Family Day Home license was not posted in the home. 2. The license posted in the Family Day Home was a previous license issued, which expired on April 12, 2023.”

8VAC20-800-80-C

“Based on record review, the provider did not document the method of verification of proof of age and identity. Evidence: 1. The record for Child #2 (start date 4/10/23) did not contain documentation of the signature and date of person verifying proof of age and identity.”

8VAC20-800-170-A

“Based on record review and provider interview, the provider did not obtain a current report of tuberculosis screening form for one household member. Evidence: 1. The record for Household Member #2 did not contain documentation of a tuberculosis screening. 2. The provider confirmed a screening had not been obtained.”

8VAC20-770-40-D-4

“Based on record review and provider interview, the family day home did not obtain a sworn statement or affirmation, a criminal history record check, and the results of a search of the central registry for 1 of 2 household members reviewed. Evidence: 1. The record for Household Member #2 did not contain documentation of a sworn statement of affirmation, criminal history record check, and central registry check results. 2. The provider confirmed the backgrounds had not been completed.”

8VAC20-800-110-B

“Based on record review, the physical examination and dates immunizations were received were not signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: 1. The documentation of a well child visit and immunizations received by the child in the record for Child #4 was not signed.”

8VAC20-800-70-B

“Repeat violation Based on record review, the provider did not obtain the parent's written acknowledgement of the receipt of all required information. Evidence: 1. The notice of liability insurance form for parents in the record for Child #2 did not contain the parent's written acknowledgement of receipt and date received. 2. The notice of liability insurance form for parents in the record for Child #3 was signed by the parent, however the form did not indicate whether or not the provider has obtained liability insurance. 3.The notice of liability insurance form for parents in the record for Child #4 did not indicate whether or not the provider has obtained liability insurance, and did not contain the parent's written acknowledgement of receipt and date received.”

8VAC20-800-920

“Based on observation, a menu for the current one-week period was not posted. Evidence: The menu posted in the Family Day Home was dated 3/13/2023.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance for one child. Evidence: 1.Child #1 began attending the family day home on 9/8/2020. The record for Child #1 did not contain documentation of a physical exam.”

8VAC20-800-680-B

“Based on observation the provider did not ensure one child's hands were washed with liquid soap and warm running water after diapering. Evidence: The provider was observed changing one child's diaper. Afterwards, the provider cleaned the surface and washed her hands. The provider did not wash the child's hands.”

8VAC20-800-210-A

“Based on record review, 2 of 2 caregivers did not obtain a minimum of sixteen hours of training annually. Evidence: 1. The record for Caregiver #1 contained documentation of 5 of 16 required annual training hours for the established annual review period. 2. There were no training hours documented during the annual review period for Caregiver #2.”

8VAC20-800-70-B

“Based on record review, the provider did not obtain the parent's written acknowledgement of the receipt of all required information. Evidence: 1. The notice of liability insurance form for parents in the record for Child #2 did not contain the parent's written acknowledgement of receipt and date received.”

8VAC20-800-60-B

“Based on record review, 1 of 3 children's records reviewed did not contain all required information. Evidence: 1. The record for Child #1 did not contain the name and policy number of the child's medical insurance.”

8VAC20-800-80-A

“Based on record review, the provider did not verify the identity and age of one child within seven business days of the child's first day of attendance at the family day home as required. Evidence 1. Child #2 began attending the family day home on 4/10/2023. The record for Child #2 did not contain documentation of viewing proof of identification and age of the child.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain a current report of tuberculosis screening every two years. Evidence: 1. The most recent tb screening in the record for Caregiver #1 was dated 4/20/2021.”

8VAC20-800-60-B

“Based on record review, 1 of 2 children's records reviewed did not contain all required information. Evidence: 1. The record for Child #1 did not contain the policy number of the child's medical insurance, and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately 2. The record for Child #2 did not contain the name and policy number of the child's medical insurance.”

8VAC20-800-90-C

“Based on record review, 1 of 2 records did not contain documentation of additional immunizations for one child. Evidence: 1. The most recent documentation of immunizations in the record for Child #1 (age 21 months) was dated 2/5/2022.”

8VAC20-800-80-C

“Based on record review, 1 of 2 children's records reviewed did not contain required proof of identity documentation. Evidence: 1. The record for Child #2 did not contain documentation of the method of verification of the child's age and identity”