Nicole Marshall

8VAC20-800-660-B

“The family day home shall annually obtain written permission from the parent of each child who participates in swimming or wading activities. The records of Child #1, Child #2, Child #3, and Child #4, did not contain written authorization from the children's parents to participate in wading activities. During the inspection, Child #1, Child #2, Child #3, and Child #4 were observed in a portable wading pool.”

8VAC20-800-260-D

“Portable wading pools shall not be used by children who are not potty trained. During the inspection, four children were observed using a portable wading pool. Two of the four children were not potty trained.”

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. Provider records did not document lockdown procedures being practiced during 2025.”

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. The documentation of immunizations for C2, was received 6 days after the child was in care.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. C3, not yet 2 years of age, the immunization documentation was due by 12/23/2025 and was completed 01/05/2026 (late).”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screenings for S1 was completed 14 days late and S2?s 24 days late.”

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 C1 and C2 did not have a parent’s signature for an annual review of the emergency contact information. C1 and C2 had been in care for over a year.”

8VAC20-800-830-A

“Provider shall ensure that emergency evacuation procedures are practiced monthly with all caregivers and children in care. An emergency evacuation drill was not conducted in July 2025.”

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 C1 and C2 did not have a parent’s signature for an annual review of the emergency contact information. C1 and C2 had been in care for over a year.”

8VAC20-800-830-A

“Provider shall ensure that emergency evacuation procedures are practiced monthly with all caregivers and children in care. An emergency evacuation drill was not conducted in July 2025.”

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.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver #2 did not complete 16 hours of annual training.”

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.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver #2 did not complete 16 hours of annual training.”

8VAC20-800-110-B

“Based on review of records, the provider did not ensure that one of five child immunization records shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: The immunizations for C1 were not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

8VAC20-800-60-B

“Based on review of children records, the provider did not ensure that one of five children’s records contained the required information. Evidence: The record for child, C2 did not document the name, address, and telephone number of two designated people to contact in case of an emergency if the parent cannot be reached.”

8VAC20-800-70-A

“Based on review of children records, the provider did not ensure that three of five children’s records contained the required information. Evidence: The records for C2, C3, and C5 did not contain signed parental acknowledgement of the receipt of information required by 8VAC20-800-70.”

8VAC20-800-830-A

“Based on review of emergency response drills documentation, the provider failed to ensure that emergency evacuation procedures shall be practiced monthly. Evidence: The emergency drill documentation did not document an emergency response drill being conducted during March 2024.”

8VAC20-800-830-A

“Based on review of emergency response drills documentation, the provider failed to ensure that emergency evacuation procedures shall be practiced monthly. Evidence: The emergency drill documentation did not document an emergency response drill being conducted during March 2024.”