James Smith

8VAC20-800-60-B

“(Repeat Violation / Systemic Deficiency) Children's records are required to contain a signed emergency medical authorization for each child enrolled in care. The emergency medical authorization for Child #2 was missing the signature of parent.”

8VAC20-790-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Household Member #1 was not available for review. The last viewed documentation would have expired over six month ago.”

8VAC20-800-50-A

“Providers must keep a written record of children in attendance each day. There was no attendance record for the date of inspection. The provider could not produce any written attendance record prior to September 4, 2026. A stapled copy of attendance record sheets were observed on site, however all pages remained blank.”

8VAC20-800-460-C

“Dogs where allowed, shall be vaccinated for rabies and shall be treated for fleas, ticks, or worms as needed. A shot record for the household pet (dog) was not available for review.”

8VAC20-800-800-A

“(Repeat Violation / Systemic Deficiency) The home-based child care (HBCC) shall have a written emergency preparedness and response plan (EP&RP). An EP&RP was not available for review for the FDH.”

8VAC20-800-830-C

“(Repeat Violation / Systemic Deficiency) Documentation of an emergency drill log; consisting of both emergency evacuation and shelter-in-place drills, shall be maintained. An emergency drill log was not available for review.”

8VAC20-790-420-B-5

“(Repeat Violation / Systemic Deficiency) The Home-Based Child Care (HBCC) shall have lockdown procedures in place. The vendor did not have HBCC's lockdown procedures available for review.”

8VAC20-800-60-B

“(Repeat Violation / Systemic Deficiency) Children's records are required to contain the phone numbers for both listed emergency contacts and a signed emergency medical authorization for each child enrolled in care. The record for Child #2 was missing 1 of 2 phone numbers for the emergency contacts listed. In addition, the emergency medical authorization for Child #2 was missing the signature of parent.”

8VAC20-800-830-C

“Documentation shall be maintained of emergency evacuation and shelter-in-place drills. The emergency drill log was not available for review.”

8VAC20-800-800-A

“(Repeat Violation / Systemic Deficiency) The family day home (FDH) shall have a written emergency preparedness and response plan (EP&RP). An EP&RP was not available for review for the FDH.”

8VAC20-790-420-B-5

“The FDH shall have lockdown procedures in place. The vendor did not have the FDH's lockdown procedures available for review.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. None of the caregivers (#1, and #2) obtained any training hours in 2025.”

8VAC20-800-800-A

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY The family day home shall have a written emergency preparedness and response plan. A written emergency preparedness and response plan was not available for review. This same standard was cited during previous inspections.”

8VAC20-800-60-B

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY The children's records did not contain all of the required documentation / information. Child #2 had the complete information listed for 1 of 2 emergency contacts; and did not have a signed written emergency medical authorization. Child #4 did not have the address for one of their emergency contacts; and did not have the complete information for their medical insurance. Child #4 did not have the complete information for their medical insurance. This same standard was cited during previous inspections.”

8VAC20-800-240-A

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY An area of the family day home (FDH), inside, shall be maintained in a clean condition. Within the downstairs bathroom, used by the children in care, the walls and door appear to be heavily stained. This same standard was cited during previous inspections.”

8VAC20-800-800-A

“The family day home shall have a written emergency preparedness and response plan (EP&RP). While the FDH posted the Provisions of the EP&RP form to be signed by the parents as verification of their review of the FDH's plan, this was not the plan itself that needed to be completed. This same standard was cited previously during an inspection conducted on 11/14/25.”

8VAC20-800-60-B

“Records are required to contain emergency contact information for 2 contacts; written emergency medical authorization from each child's parent; and the child's medical insurance information. Only 1 of 2 emergency contact information was available for: Child #1 and #2. Written emergency medical authorization was not available for: Child #1 and # 2. Medical insurance information was not available for: Child #3 and #4. This same standard was cited during an inspection that took place on 11/14/25.”

8VAC20-800-240-A

“REPEAT VIOLATION AND SYSTEMIC DEFICIENCY Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. The children's downstairs bathroom area showed signs of staining on the walls, door, and door frame. This same standard in regard to maintenance was cited previously on 01/07/26.”

8VAC20-800-240-A

“An area of the family day home (FDH), inside, shall be maintained in a clean condition. The carpet in the main child care area (downstairs) showed stains.”

8VAC20-800-320-B

“Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. A total of (3) three covers were observed to be missing within the main child care area. These outlets were not in use at the time of inspection.”

8VAC20-800-60-B

“Repeat Violation Children's records are required to contain the following: the information of two emergency contacts for each child: the information for the medical insurance for each child; and emergency medical authorization for each child. The records for Child #1, #2 and #3 were missing at least two emergency contacts. The record for Child #3 was missing the medical insurance information. The records for Child #1, #2, and #4 were missing the signed emergency medial authorization from their parents and to the provider.”

8VAC20-800-80-A

“Repeat Violation 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 #1 who was provided care since January of 2023.”

8VAC20-800-460-J

“Soiled area, from an animal, should be cleaned. Household pet (dog) was observed urinating within the indoor child care area on the carpet and nearby high chair. When Licensing Inspector brought this to the attention of the Provider, no effort was made to address it.”

8VAC20-820-120-E-3

“Repeat Violation Certain documents related to the terms of the license are required to be posted on the premises of each facility. The most recently issued license and the findings of the most recent inspection of the facility (from 10/01/2025) were not posted on-site.”

22.1-289.057-B

“Repeat Violation The Family Day Home is required to submit results of potable water testing to VDH. While it appears through separate documentation that efforts have been taken to test the water, the report findings were not available for review and were still in need of being sent to VDH.”

8VAC20-800-800-A

“The family day home shall have a written emergency preparedness and response plan (EP&RP). The EP&RP was not available for review during today's renewal inspection.”

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 #3, who had been in care since August of 2023.”

22.1-289.057-B

“Repeat Violation The Family Day Home is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall be posted or made available to each child's parent. The was not a menu posted on site for the current week.”

8VAC20-800-320-B

“Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. A total of 8 visible outlets in both the child care room and the adjoining bathroom were without child-resistant protective covers.”

8VAC20-800-340-C

“The bathroom shall have paper towels. At the start of the inspection, there were no paper towels available in the downstairs bathroom.”

8VAC20-800-480-A

“The family day home shall provide a sufficient quantity and variety of play materials and equipment that shall be readily accessible to children. There was not a sufficient quantity of play materials and equipment that were age appropriate for the child in care.”

8VAC20-820-120-E-3

“Certain documents related to the terms of the license are required to be posted on the premises of each facility. The most recently issued license and the findings of the most recent inspection of the facility were not posted on-site.”

8VAC20-800-240-A

“Repeat Violations Areas of the Family Day Home (FDH), inside and outside, shall be maintained in a safe, and operable condition. The children's bathroom (downstairs) was not in a safe condition. The floor tile is both heavily worn with several tiles that are loose posing as a tripping hazard.”

8VAC20-800-60-B

“Children's records are required to contain: The name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; name and 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. The record for Child #1, #2, #3, and #4 had the information for 1 of 2 emergency contacts. The record for Child #3, and #4 did not have the child's insurance information available. The record for Child #1, #2, and #4 did not have written authorization for emergency medical care.”

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 two children who were provided care since 2023.”

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 #3 did not have a parent’s signature for an annual review of the emergency contact information. The last review was documented 2 years ago.”

22.1-289.057-B

“The Family Day Home is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check for all adult household members. Household Member #2 did not have a completed national criminal background check available for review.”

22.1-289.035-B-1

“The center is required to have all household members provide a sworn statement or affirmation disclosing whether he has ever been convicted or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. A sworn statement or affirmation for Household Member #2 was not available for review.”

22.1-289.035-A

“The center is required to have employees and household members undergo a background check every five years. The most recent central registry checks for Staff #1, Staff #2, and Household Member #1 were overdue by two 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 #4, who has been in care for 6 months.”

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening for all adult household members and from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening available for review for Household Member #2.”

8VAC20-800-240-A

“Areas of the Family Day Home (FDH), inside and outside, shall be maintained in a clean, safe, and operable condition. The children's bathroom (downstairs) was not in a clean condition where all four walls and door (inside) appear to have a heavily stained and dirty surface, and the floor tile is both heavily worn with several tiles that are loose posing as a tripping hazard.”

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 were no physical exam records available for Child #3, who had been in care for over 21 months.”

22.1-289.036-B-1

“The home is required to obtain a completed sworn statement for a household member who turned 18 years of age. The sworn statement for Household Member #2, was missing. Household Member #2 fell under this requirement over one month ago.”

22.1-289.036-B-2

“All household members must obtain a completed national criminal background check if they are 18 years of age or older. Household Member #2, who fell under this requirement over one month ago, did not have a completed national criminal background check on file.”

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 did not have a parent’s signature for an annual review of the emergency contact information. Child #2 had been in care for over a year. Last documented review was 19 months ago.”

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 were no physical exam records available for Child #2, and #5. Child #2 had been in care since 2015. Child #5 had been in care for over 30 days.”

8VAC20-800-60-A

“An up to date record for each child enrolled shall be maintained by the provider. There was no record for Child #1, #3, and #4 who were at school during the inspection. Child #1 has been enrolled for almost 2 years; Child #3 has been enrolled eight months; and Child #4 has been enrolled for almost 2 years.”

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 complete for one child who has been provided care since 2015.”

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, and Child #5, who both were in care during the inspection. Child #2 has been in care since 2015; Child #5 has been in care for over 1 month.”

8VAC20-800-170-A

“The Provider must obtain a current tuberculosis screening from a household member who is 18 years of age or older. There was no tuberculosis screening for Household Member #2, who fell into this requirement over 1 month ago.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. None of the caregivers (#1,or #2) had certificates of completion for any obtained hours of training in 2024.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. The children's play area (downstairs) was not in a clean condition where the all four walls and door to bathroom appear to have a heavily stained and dirty surface, and the large carpet within the child care room shows several signs of stains and/or soiled marks. The carpet appears darkened with a build up of grime over years of use.”

8VAC20-800-60-B

“Children's records are required to contain: Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; Name and policy number of the child's medical insurance; telephone number of each custodial parent's place of employment; Name, office address and telephone number of the child's physician; and 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 for Child #2 was missing the information for two emergency contancts; and the child's medical insurance policy name and number. The record for Child #5 was missing the information for two emergency contacts; the child's medical insurance policy name and number; employment information (work phone number) for one parent; the name, office address and telephone number of the child's physician; and 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. Child #2 was present during the inspection and has been in care for nine years. Child #5 was present during the inspection and has been in care for over one month.”

8VAC20-800-240-A

“Based on observation, the area within the child care room of the family day home (FDH) was not maintained in a clean condition. Evidence - 1. On the date of inspection (05/16/2024), the walls and door to bathroom appear to have a heavily stained surface. 2. The large carpet within the child care room shows several signs of stains and/or soiled marks. The carpet appears darkened with a build up of grime over years of use.”

8VAC20-800-70-A

“Based on review, 1 of 4 children files indicated that not all of the required documentation was complete and signed of by the child's parent. Evidence - 1. On the date of inspection (05-16-2024), the following documentation was either not complete or not signed by the Parent of Child #3: Information for Parent form, Medication Administration - Decision to Administer form, Liability Declaration form, and Provisional from of the EP&RP (all were not signed by parent). 2. Provider stated that he is working with parent to finish off these forms.”

8VAC20-800-60-A

“Based on review, 2 of 4 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (05/16/2024), the following information was not available for Child #2: Doctor's address, and the policy name and number for the child's medical insurance. 2. The following information was not available for Child #3: Parents home and work information, the information for 2 emergency contacts, and the policy name and number for the child's medical insurance.”

8VAC20-800-780-B

“Based on review, 3 of 4 children files indicated that a review of each child's emergency information was not conducted, signed and dated as verification on an annual basis. Evidence - On the date of inspection (05/16/2024), the following reviews were found to be in non-compliance: 1. Child #1 - dated: 01/21/2023 2. Child #3 - was not signed or dated by the parent 3. Child #4 - dated: 01/15/2023”

8VAC20-800-210-A

“Based on review and interview, 2 of 2 staff files indicated that documentation of the requirement for annual training was not available for review. Evidence - 1. On the date of inspection (05/18/2024), certificates of completion for the Virginia Pre-Service training (10-hour course) were observed for the non-vendor FDH. However, these trainings were dated - 9/14/2017 (Staff #1), and 5/16/2018 (Staff #2). 2. The Provider stated (during an interview on the date of inspection) that he was having trouble obtaining this documentation from the OFC due to computer issues. He stated that some course were taken and that he planned to take more in the future.”