Lida Weaver

8VAC20-800-170-A

“REPEAT VIOLATION/SYSTEMIC VIOLATION Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. A tuberculosis screening for Caregiver #2 was not available. Caregiver #2 was caring for children for one day.”

8VAC20-800-420-A

“SYSTEMIC VIOLATION Rooms, halls, and stairways used by children in care shall be lighted with natural or electric lighting for the children's safety and comfort. On 03/26/3026, the windows in the family day home were covered by black out curtains held together at the seams by large clips. The nap room is void of windows and the entrance had black out curtains held together by large clips. All of the lights were turned off in both areas. Children were only visible once a cell phone flashlight was used for light.”

8VAC20-800-480-B

“SYSTEMIC VIOLATION Equipment and materials used by a child shall be appropriate to the age, size, ability, and interest of the child. On 03/26/2026, Child #1, 15 months, Child #2, 17 months, Child #3,19 months, Child #4, 22 months, and Child #5, 2 years, were observed lying belly down in cribs swaddled in an infant swaddling device attached to the bottom of the crib mattress. The manufacturer's instructions indicate that the device is designed for children 0 - 6 months who are 7 - 25 lbs.”

8VAC20-800-480-D

“SYSTEMIC VIOLATION Equipment used by children shall be assembled, maintained, and used in accordance with the manufacturer's instructions. On 03/26/2026, Child #1, 15 months, Child #2, 17 months, Child #3,19 months, Child #4, 22 months, and Child #5, 2 years, were observed lying belly down in cribs swaddled in an infant swaddling device. The manufacturer's instructions indicate that the device is designed for children 0 - 6 months, 7 - 25 lbs and intended to be used with infants lying on their back.”

8VAC20-800-120-A

“SYSTEMIC VIOLATION Providers must maintain a record for each caregiver. There was no record for Caregiver #2 who was caring for children for one day.”

8VAC20-800-790

“The following telephone numbers shall be posted in a visible area close to the telephone: The responsible person for emergency backup care. The responsible person for emergency backup care was not posted in an area close to the telephone.”

22.1-289.035-B-3

“REPEAT VIOLATION/SYSTEMIC VIOLATION The center must request a search of the central registry prior to the employee's first day of employment. Caregiver #2, who had been employed for one day, did not have a central registry search requested. Caregiver #2 was counted in points and supervising children.”

22.1-289.035-B-2

“REPEAT VIOLATION/SYSTEMIC VIOLATION Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver #2, who had been employed for one day, did not have a completed national criminal background check. Caregiver #2 was counted in points and supervising children.”

22.1-289.035-B-1

“SYSTEMIC VIOLATION Providers must obtain a completed sworn statement or affirmation prior to the employee's first day. Caregiver #2 who had been employed for one day, did not have a completed sworn statement or affirmation. Caregiver #2, was counted in points and supervising children.”

8VAC20-800-640-2

“The following acts or threats thereof are forbidden: Enclosure in a small, confined space or any space that the child cannot freely exit himself. On 03/26/2026, Child #1, 15 months, Child #2, 17 months, Child #3,19 months, Child #4, 22 months, and Child #5, 2 years, were observed lying belly down in cribs, swaddled in an infant swaddling device designed for children 0-6 months of aged placed on their back to sleep. The children had limited movement and were unable to roll from their belly to their back, or sit up. The children would not be able to exit the infant swaddling device on their own. The swaddle device covered 3 children from their mid to lower back to the bottom of their diaper and covered 2 children's diaper holding them in place. The infant swaddling device was attached to the bottom of the crib mattresses.”

8VAC20-800-520-C

“SYSTEMIC VIOLATION Cribs shall: Have mattresses that fit snugly next to the crib so that no more than two fingers can be inserted between the mattress and the crib. On 03/26/2026, Child #6 was observed in a crib that had a gap of approximately 3 to 4 inches between the end of the mattress and the end of the crib.”

8VAC20-800-530-F

“SYSTEMIC VIOLATION No soft bedding of any kind shall be used under or around infants. On 03/26/2026, two cribs occupied by infants had a blanket handing over the side and head rails of the crib, posing a potential hazard.”

8VAC20-800-130

“Caregivers shall: Be able to speak, read, and write in English as necessary to carry out assigned job responsibilities. On 03/26/2026, Caregiver #2 was providing care to children but Caregiver #1 had to translate questions asked during the inspection to Caregiver #2. On 03/27/2026, Caregiver #3 was providing care to children but Caregiver #1 had to translate questions asked during the inspection to Caregiver #3.”

8VAC20-800-170-B

“The tuberculosis form shall have been completed within the last 30 days and be signed by a physician, physicians' designee, or an official of the local health department. Caregiver #2 had a TB test dated over 6 months before the date of hire.”

8VAC20-800-170-A

“The provider shall obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening. Caregiver #3 has been employed for over a month and did not have documentation of a TB test or screening.”

8VAC20-800-120-B

“Assistants' and substitute providers' records shall contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. Caregiver #2 has been working for over 4 months without documented references. Caregiver #3 has been working for over 1 month without documented references.”

22.1-289.035-B-3

“The provider must request a search of the central registry prior to the employee's first day of employment. Caregiver #2, who had been employed more than 6 months, had a central registry search more than 2 months after the hire date. Caregiver #3, who had been employed more than 1 month, had a central registry search more than 3 weeks after the hire date.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver #2, who had been employed for more than 6 months, had a criminal background check dated more than 30 days after hire. Caregiver #3, who had been employed for more than a month, had a criminal background check dated more than 30 days after hire.”

8VAC20-800-920

“REPEAT VIOLATION When meals or snacks are provided by the family day home, the menu for the current one week period shall be dated. The menu was not dated for the current week.”

8VAC20-800-830-C

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

8VAC20-800-210-A

“Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver #1 did not have documentation of training hours for 2024.”

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 menu was not dated for the current week.”

22.1-289.036-B-2

“Based on a review of records, the provider did not ensure fingerprinting was repeated every 5 years. Evidence: Caregiver #1 had a fingerprint record dated (8/13/2018)”

8VAC20-800-830-C

“Based on a review of records and staff interview, documentation was not maintained of emergency evacuation and shelter-in-place drills. Evidence: There was not a drill log available during the inspection. The assistant confirmed she was not sure what I was looking for and could not provide the drill log.”

8VAC20-800-770

“Based on observation, there was not a battery-operated weather band radio available during the inspection. Evidence: A battery-operated weather band radio was not available during the inspection.”

8VAC20-770-60-C-2

“Based on a review of staff and household records, background checks were not obtained every 5 years. Evidence: Staff #1's Central Registry search results is dated April 2016 and Household #1's last Central Registry search is dated March 2017.”

8VAC20-800-960-E

“Based on a review of bottles, they were not labeled with the child's full name and the date. Evidence: 2 of 3 sets of bottles had no date and 1 of 3 sets of bottles did not have a name on the bottle.”

8VAC20-800-800-B

“The provider did not document in writing each review and update to the emergency plan. Evidence: The last dated update on the emergency plan was 9/24/2014.”

8VAC20-800-760-A-1

“The first aid kit did not contain the minimum supplies required. Evidence: There were no triangular bandages or a digital thermometer available during the inspection.”

8VAC20-800-570-A

“Based on the ages of children and number of staff present, the provider failed to ensure a caregiver did not exceed 16 points. Evidence: There was a total of 8 children (21 points) with one Assistant present.”

8VAC20-800-460-D

“Based on a review of records, the provider did not maintain documentation of the current rabies vaccination. Evidence: Current rabies vaccination was not available during the inspection.”

8VAC20-800-180-A

“The provider did not obtain for each caregiver a current report of Tuberculosis Screening, every two years from the date of the first screening. Evidence: Staff #3's Tuberculosis screening/test was dated 1/17/2020.”

8VAC20-770-60-C-2

“Based on staff and household record review, background checks were not obtained every 5 years. Evidence: Staff #1's Central Registry search results is dated April 2016 and Household #1's last Central Registry search results is dated April 2017.”

8VAC20-800-830-C

“Based on review of evacuation procedures, monthly evacuation drills were not completed. Evidence: A record of monthly evacuation drills was not found.”

8VAC20-800-50-A

“Based on review of records, one record was not maintained. Evidence: A written record of children in attendance was not found.”

8VAC20-800-170-A

“Based on review of household records, the provider failed to obtain TB screenings for 2 household members. Evidence: Household Member #2 and #3 do not have documentation of a TB screening on file.”

8VAC20-800-180-A

“Based on review of staff and household records, subsequent TB screenings were obtained. Evidence: Staff #1's last documented TB screening was dated 01/2020. Household #1's last documented TB screening was dated 5/2016.”

8VAC20-800-530-F

“Based on observation of the cribs, a stuffed toy was inside a crib near an infant. Evidence: One infant was observed sleeping in a crib with a pacifier that was attached to a stuffed toy.”

8VAC20-800-570-A

“Based on the ages of children and number of staff present, the provider failed to ensure that a caregiver did not exceed 16 points. Evidence: There were a total of 8 children (24pts) with the Assistant present.”