Mary Almy

8VAC20-800-80-A

“The provider shall verify the identity and age of a child by viewing one of the required documents. There was no documentation of verifying identity in the record for Child #1 or 2. Both children were in care during the inspection.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, who had been employed since April 2026, did not have a central registry search requested until May of 2026.”

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall be available. There was not a menu available during the inspection.”

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. There was not any documentation of physical examination in the children’s records for Child #1 or 2.”

8VAC20-800-120-B

“Assistants' and substitute providers' records shall contain the date of employment and documentation of the education. The record for Staff #1 did not include the date of employment or documentation of education.”

8VAC20-800-240-A

“Areas and furnishings inside the family day home shall be maintained in safe condition. There is a transition strip between the child care rooms that is cracked with material missing that creates a trip hazard.”

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. The record for Child #1 does not include any documentation that the child was adequately immunized.”

8VAC20-800-60-A

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. There was no record for Child #1 who was in care during the inspection.”

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.”

22.1-289.035-A

“The provider is required to have employees undergo a background check every five years. The record provided for Staff #1 did not contain a recent central registry finding. The provider has operated a licensed family day home since 2017.”

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. The record for Child #2 does not contain documentation that they are adequately immunized. The child has been enrolled for seven 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/or the program did not have evidence of the implementation of the required testing plan.”

8VAC20-800-60-B

“A child’s record shall contain all required information. The record for Child #5 did not contain the required information except for the child’s date of birth and first date of attendance. No other required information was available during the inspection.”

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. The records for Child # 1, 2, and 5 did not contain documentation that a physical examination was obtained within required time frames.”

22.1-289.035-A

“The provider is required to have employees undergo a background check every five years. The record provided for Staff #1 did not contain a recent central registry finding. The provider has operated a licensed family day home since 2017.”

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. The record for Child #2 does not contain documentation that they are adequately immunized. The child has been enrolled for seven 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/or the program did not have evidence of the implementation of the required testing plan.”

8VAC20-800-60-B

“A child’s record shall contain all required information. The record for Child #5 did not contain the required information except for the child’s date of birth and first date of attendance. No other required information was available during the inspection.”

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. The records for Child # 1, 2, and 5 did not contain documentation that a physical examination was obtained within required time frames.”

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. There are outlets in the family day home child care areas that do have outlet covers.”

8VAC20-800-560-A

“A caregiver shall be physically present on site and provide direct care and supervision of each child at all times. Direct care and supervision of each child includes awareness and monitoring. A toddler, age unknow as there was not any record for the child, was observed in the living room of the home for approximately 10 minutes unattended. The room is not childproofed and is partially gated off from the child care space.”

8VAC20-800-690-D

“The diapering surface shall be separate from the kitchen, food preparation areas, or surfaces used for children’s activities, nonabsorbent and washable and cleaned and sanitized after each use. The provider changed a child’s soiled diaper while child was preparing to nap on his cot. The surface was used for the activity of napping, it was absorbent and not washable and could not be cleaned or sanitized. The child was put sleep on the same cot after the soiled diaper was changed.”

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 license was not posted in a conspicuous place as required.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. There is not any documentation of annual training on file for any of the caregivers including the provider and caregivers #1 and #2.”

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. There is an electrical lamp cord dangling down within reach of children creating an unsafe toppling hazard. There are two diaper changing tables that stacked with items making both not operable for diaper changing.”

8VAC20-800-60-A

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. There are three children in care without any record available for review.”

8VAC20-800-280

“Potentially poisonous substances, materials shall be stored away from food in areas inaccessible to children. There are hazardous chemicals stored in areas accessible to children in the child care room on the teacher desk.”

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 and caregiver #1 CPR expired on 3/19/2024. Caregiver # 2 does not have any documentation of completing CPR. The provider and caregiver #2 were the only staff present during the inspection.”

8VAC20-800-140-B-4

“Providers shall have current certification in first aid. The provider’s and caregiver #1 First Aid expired on 3/19/2024. Caregiver # 2 does not have any documentation of completing First Aid. The provider and caregiver #2 were the only staff present during the inspection.”

8VAC20-800-140-D

“A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works. There is no documentation of substitute provider hours available for review.”

8VAC20-800-200-C

“Documentation of the orientation shall be signed and dated by the provider and assistant. There is not any documentation that orientation was completed in the records of caregiver #1 and #2.”

8VAC20-800-760-B

“The first aid kit shall be readily accessible to caregivers and inaccessible to children. There is a first aid kit on a teacher’s desk within reach of children.”

22.1-289.035-B-2

“The family day home is required to have employees and household members undergo a background check every five years. There were not any central registry background checks available for review for the provider, household member #1 and caregiver #1. The provider, household member and caregiver have been part of the family day for more than five years and should have updated checks available for review.”

22.1-289.035-B-1

“The family day home is required to obtain a completed sworn statement prior to licensure. There was not a sworn statement available for review for the provider, who has been a licensed provider for more than five years.”

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. There are outlets in the family day home child care areas that do have outlet covers.”

8VAC20-800-560-A

“A caregiver shall be physically present on site and provide direct care and supervision of each child at all times. Direct care and supervision of each child includes awareness and monitoring. A toddler, age unknow as there was not any record for the child, was observed in the living room of the home for approximately 10 minutes unattended. The room is not childproofed and is partially gated off from the child care space.”

8VAC20-800-690-D

“The diapering surface shall be separate from the kitchen, food preparation areas, or surfaces used for children’s activities, nonabsorbent and washable and cleaned and sanitized after each use. The provider changed a child’s soiled diaper while child was preparing to nap on his cot. The surface was used for the activity of napping, it was absorbent and not washable and could not be cleaned or sanitized. The child was put sleep on the same cot after the soiled diaper was changed.”

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 license was not posted in a conspicuous place as required.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. There is not any documentation of annual training on file for any of the caregivers including the provider and caregivers #1 and #2.”

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. There is an electrical lamp cord dangling down within reach of children creating an unsafe toppling hazard. There are two diaper changing tables that stacked with items making both not operable for diaper changing.”

8VAC20-800-60-A

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. There are three children in care without any record available for review.”

8VAC20-800-280

“Potentially poisonous substances, materials shall be stored away from food in areas inaccessible to children. There are hazardous chemicals stored in areas accessible to children in the child care room on the teacher desk.”

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 and caregiver #1 CPR expired on 3/19/2024. Caregiver # 2 does not have any documentation of completing CPR. The provider and caregiver #2 were the only staff present during the inspection.”

8VAC20-800-140-B-4

“Providers shall have current certification in first aid. The provider’s and caregiver #1 First Aid expired on 3/19/2024. Caregiver # 2 does not have any documentation of completing First Aid. The provider and caregiver #2 were the only staff present during the inspection.”

8VAC20-800-140-D

“A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works. There is no documentation of substitute provider hours available for review.”

8VAC20-800-200-C

“Documentation of the orientation shall be signed and dated by the provider and assistant. There is not any documentation that orientation was completed in the records of caregiver #1 and #2.”

8VAC20-800-760-B

“The first aid kit shall be readily accessible to caregivers and inaccessible to children. There is a first aid kit on a teacher’s desk within reach of children.”

22.1-289.035-B-2

“The family day home is required to have employees and household members undergo a background check every five years. There were not any central registry background checks available for review for the provider, household member #1 and caregiver #1. The provider, household member and caregiver have been part of the family day for more than five years and should have updated checks available for review.”

22.1-289.035-B-1

“The family day home is required to obtain a completed sworn statement prior to licensure. There was not a sworn statement available for review for the provider, who has been a licensed provider for more than five years.”

8VAC20-800-280

“Potentially poisonous substances, materials shall be stored away from food in areas inaccessible to children. There are hazardous chemicals stored in areas accessible to children in the kitchen and garage.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in safe condition. Multiple areas of the family day have unsafe conditions including dangling cords, overloaded outlets and areas of unsafe appliances and furnishings accessible to children”

8VAC20-800-230-A

“The provider shall maintain written documentation of each caregiver’s applicable education and training. There is not any documentation of the required training for staff #2 or #3.”

8VAC20-800-140-B-4

“The provider shall have current certification in first aid issued within the past three years. The provider’s first aid certification expired in 2022.”

8VAC20-800-140-B-3

“The provider shall have current certification in cardiopulmonary resuscitation (CPR), certification issued within the past two years. The provider’s CPR certification expired in 2022.”

8VAC20-800-120-B

“Documentation that two or more references as to character and reputation as well as competency for assistance are required to be checked before employment. There was only one reference available in the record for staff #3 who has been employed for over 7 seven years.”

8VAC20-800-830-C

“Shelter-in-place procedures shall be practiced a minimum of twice per year. There was not any documentation of practiced shelter-in-place drills available.”

8VAC20-800-780-B

“The provider shall annually review emergency contact information with parents. Four out of four children’s records reviewed did not have parent signatures indicating annual review.”

8VAC20-800-750-B

“Topical skin products do not need to be kept locked but shall be inaccessible to children. There were diaper ointments and rubbing alcohol accessible to children in care on the diaper changing table.”

22.1-289.035-B-2

“The family day home is required to have employees and household members undergo a background check every five years. The most recent central registry check for staff #1, #2 and #3 was overdue. The most recent checks available were dated 2017.”

8VAC20-800-690-D

“The diapering surface shall be: Separate from the kitchen, food preparation areas, or surfaces used for children’s activities. The diapering surface was stacked with household items and items for children so much so that children’s diapers were being changed while standing up in front of the toilet.”

8VAC20-800-100-A

“Based on record review and interview, it was determined that the center did not ensure that 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. Evidence: 1. Child #1 (date of enrollment 04/10/2023) did not have documentation of a physical examination in their file. 2. Staff #1 confirmed that Child #1 did not have their documentation of a physical examination in their file.”

8VAC20-800-90-A

“Based on record review and interview, it was determined that the provider did not ensure that before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Evidence: 1. Child #1 (date of enrollment 04/10/2023) did not have documentation of immunization records in their file. 2. Staff #1 confirmed that Child #1 did not have their documentation of immunization records in their file.”

8VAC20-800-640-1 Complaint related: No

“Based on interview and record review, it was determined that the family day home did not ensure that acts or threats thereof are forbidden of physical punishment including, but not limited to, striking a child. Evidence: 1. On Friday, October 13, 2023, Staff #1, owner, observed the teacher assistant Staff #2 striking two children with their hands while caring for children at the daycare. Staff #2 ?popped? the children on the leg for discipline and the children began to cry. 2. Staff #1, owner, informed Staff #2 that there is to be no corporal punishment or to ever putting hands on children as discipline. This was agreed to at Staff #2?s date of hire on March 1, 2023. 3. Staff #1 immediately terminated Staff #2 the day of the incident due to using physical punishment on children at the daycare.”

8VAC20-800-100-A

“Based on record review and interview, it was determined that the center did not ensure that 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. Evidence: 1. Child #1 (date of enrollment 04/10/2023) did not have documentation of a physical examination in their file. 2. Staff #1 confirmed that Child #1 did not have their documentation of a physical examination in their file.”

8VAC20-800-90-A

“Based on record review and interview, it was determined that the provider did not ensure that before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Evidence: 1. Child #1 (date of enrollment 04/10/2023) did not have documentation of immunization records in their file. 2. Staff #1 confirmed that Child #1 did not have their documentation of immunization records in their file.”

8VAC20-800-640-1 Complaint related: No

“Based on interview and record review, it was determined that the family day home did not ensure that acts or threats thereof are forbidden of physical punishment including, but not limited to, striking a child. Evidence: 1. On Friday, October 13, 2023, Staff #1, owner, observed the teacher assistant Staff #2 striking two children with their hands while caring for children at the daycare. Staff #2 ?popped? the children on the leg for discipline and the children began to cry. 2. Staff #1, owner, informed Staff #2 that there is to be no corporal punishment or to ever putting hands on children as discipline. This was agreed to at Staff #2?s date of hire on March 1, 2023. 3. Staff #1 immediately terminated Staff #2 the day of the incident due to using physical punishment on children at the daycare.”

8VAC20-800-100-A

“Based on record review and interview, it was determined that the center did not ensure that 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. Evidence: 1. Child #1 (date of enrollment 04/10/2023) did not have documentation of a physical examination in their file. 2. Staff #1 confirmed that Child #1 did not have their documentation of a physical examination in their file.”

8VAC20-800-90-A

“Based on record review and interview, it was determined that the provider did not ensure that before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Evidence: 1. Child #1 (date of enrollment 04/10/2023) did not have documentation of immunization records in their file. 2. Staff #1 confirmed that Child #1 did not have their documentation of immunization records in their file.”

8VAC20-800-640-1 Complaint related: No

“Based on interview and record review, it was determined that the family day home did not ensure that acts or threats thereof are forbidden of physical punishment including, but not limited to, striking a child. Evidence: 1. On Friday, October 13, 2023, Staff #1, owner, observed the teacher assistant Staff #2 striking two children with their hands while caring for children at the daycare. Staff #2 ?popped? the children on the leg for discipline and the children began to cry. 2. Staff #1, owner, informed Staff #2 that there is to be no corporal punishment or to ever putting hands on children as discipline. This was agreed to at Staff #2?s date of hire on March 1, 2023. 3. Staff #1 immediately terminated Staff #2 the day of the incident due to using physical punishment on children at the daycare.”

8VAC20-800-180-A

“Based on record review and interview, it was determined that the provider did not ensure that follow-up Tuberculosis Screenings are obtained every two years from the date of the first screening by staff. Evidence: 1. The records for Staff #1 and Staff #2 contain tuberculosis screening that are past due for update. a. The most recent tuberculosis screening for Staff #1 was dated March 20, 2017. b. The most recent tuberculosis screening for Staff #2 was dated December 8, 2019. 2. The provider acknowledged that a new TB screening was required two years from the date of the last screening and documents were not available in the records of Staff #1 and Staff #2 to indicate that they had been completed.”

8VAC20-800-240-A

“Based on observation, the provider did not ensure that the family day home be maintained in a safe condition. Evidence: 1. There were two lit candles observed unattended in the living room and entrance to the home posing as a fire and safety hazard. Children were present in the family day home. 2. Staff #1 confirmed that there were two lit candles in the home and aware that it poses as a fire and safety hazard.”

8VAC20-800-60-B

“Based on record review and observation, it was determined that the provider did not ensure that there is a name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Evidence: 1. The record for child #1 did not have the required emergency contact information for two designated persons to reach in case of an emergency of the parents cannot be reached. 2. Staff #1 confirmed that there was no emergency contact listed for child #1.”

22.1-289.035-A

“Based on a review of two caregiver records, it was determined that the facility did not ensure that all employees before five years since the dates of the last most recent search of the central registry complete an updated search of the central registry. Evidence: 1. The record for Staff #1 contained a search of the central registry finding that was dated 4/27/17. 2. The record for Staff #2 did not have results of a central registry finding. There was no last know 3. Staff #1 confirmed that the central registry finding was sent out on 6/2/22 however they never received and never followed up on results of the registry check.”