Stephanie Thomas

8VAC20-800-540-B

“Infant walkers shall not be used. Child A, a twelve-month-old, was observed in an infant walker.”

8VAC20-800-140-B-3

“Providers shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Caregiver 1 did not have documentation of current CPR certification.”

8VAC20-800-60-B

“Repeat Violation A child’s record shall contain the name, address and telephone number of two designated people to contact in case of an emergency if the parent cannot be reached. The record for Child A was missing required emergency contact information.”

8VAC20-800-100-A

“Repeat Violation 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. There was no physical in the record for Child A, who was present during the inspection and had been enrolled for 10 months.”

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 posted menu was not dated.”

8VAC20-800-830-A

“Repeat Violation The emergency evacuation procedures shall be practiced monthly. There was no documentation that an emergency evacuation was practiced in December 2025.”

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The arrival time for children in care on 11/6 and 11/7 was not documented.”

8VAC20-800-320-E

“Portable electric heaters, and similar heating devices located in areas accessible to children shall have barriers or screens and be located at least three feet from combustible materials. A portable heater was in the childcare room. The heater was accessible to children and did not have a barrier or screen.”

8VAC20-800-90-C

“Repeat Violation The family day home shall obtain documentation of additional immunizations for a child once every six months for children under the age of two years. There was no documentation of additional immunizations for Child #2. Updated documentation was due 2 weeks ago.”

8VAC20-790-250-F

“Repeat violation Caregivers who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the department's health and safety update course. Caregiver #1 did not have documentation that the department's annual health and safety update coarse was completed in 2024. The most recent completion certificate was dated June 2023.”

8VAC20-800-320-E

“Portable electric heaters, and similar heating devices located in areas accessible to children shall have barriers or screens and be located at least three feet from combustible materials. A portable heater was in the childcare room. The heater was accessible to children and did not have a barrier or screen.”

8VAC20-800-90-C

“Repeat Violation The family day home shall obtain documentation of additional immunizations for a child once every six months for children under the age of two years. There was no documentation of additional immunizations for Child #2. Updated documentation was due 2 weeks ago.”

8VAC20-790-250-F

“Repeat violation Caregivers who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the department's health and safety update course. Caregiver #1 did not have documentation that the department's annual health and safety update coarse was completed in 2024. The most recent completion certificate was dated June 2023.”

8VAC20-790-250-B

“Within the first 90 days of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Caregiver #1, employed for more than 6 months, did not complete the required preservice training.”

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. There was no documentation of a lockdown drill practiced in the past 12 months.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. There was no documentation of shelter-in-place drills practiced within the past 12 months.”

8VAC20-800-100-A

“Repeat Violation 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 record for Child #1 and Child #2, enrolled for more than nine months, did not contain documentation of a physical examination.”

8VAC20-800-430-A

“Repeat Violation Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. There was no gate in use to prevent access to he staircase. Children had access to the staircase when using the bathroom, washing hands and arriving and departing the home.”

8VAC20-800-350-E

“Hot water at taps available to children shall be maintained within a range of 105?F to 120?F. The water temperature of the faucet children used to wash hands was 125?F when measured with a thermometer.”

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. The outlet in the bathroom did not have a protective outlet cover. The electrical power strip in the childcare classroom did not have protective outlet covers.”

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 was cracked, loose and jagged mirror inlay pieces on the sides of a hall table. The table was in the entryway to the childcare classroom.”

8VAC20-800-890

“When food is brought from home the container shall be clearly labeled in a way that identifies the owner. A bottle with a white fluid in it was sitting on a table in the childcare classroom. The bottle did not have a name identifying the owner.”

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations for a child once every 6 months for children under the age of two years. There was no documentation of additional immunizations for Child #4. Updated documentation was due more than four months ago.”

8VAC20-800-90-A

“Repeat Violation Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. The records for Child #1 and Child #2 did not contain documentation that the children had adequate immunizations.”

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 most recent inspection findings dated 8/8/2024 were not posted.”

8VAC20-790-250-B

“Within the first 90 days of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Caregiver #1, employed for more than 6 months, did not complete the required preservice training.”

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. There was no documentation of a lockdown drill practiced in the past 12 months.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. There was no documentation of shelter-in-place drills practiced within the past 12 months.”

8VAC20-800-100-A

“Repeat Violation 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 record for Child #1 and Child #2, enrolled for more than nine months, did not contain documentation of a physical examination.”

8VAC20-800-430-A

“Repeat Violation Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. There was no gate in use to prevent access to he staircase. Children had access to the staircase when using the bathroom, washing hands and arriving and departing the home.”

8VAC20-800-350-E

“Hot water at taps available to children shall be maintained within a range of 105?F to 120?F. The water temperature of the faucet children used to wash hands was 125?F when measured with a thermometer.”

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. The outlet in the bathroom did not have a protective outlet cover. The electrical power strip in the childcare classroom did not have protective outlet covers.”

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 was cracked, loose and jagged mirror inlay pieces on the sides of a hall table. The table was in the entryway to the childcare classroom.”

8VAC20-800-890

“When food is brought from home the container shall be clearly labeled in a way that identifies the owner. A bottle with a white fluid in it was sitting on a table in the childcare classroom. The bottle did not have a name identifying the owner.”

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations for a child once every 6 months for children under the age of two years. There was no documentation of additional immunizations for Child #4. Updated documentation was due more than four months ago.”

8VAC20-800-90-A

“Repeat Violation Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. The records for Child #1 and Child #2 did not contain documentation that the children had adequate immunizations.”

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 most recent inspection findings dated 8/8/2024 were not posted.”

8VAC20-800-90-A Complaint related: No

“Repeat Violation Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of 31.1-46 A of the Code of Virginia and applicable state board regulations. The records for child #1 and #3, did not contain documentation that the children were adequately immunized.”

8VAC20-800-430-A Complaint related: No

“REPEAT VIOLATION Children under two years of age, and children over two year of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. There was no gate in use to prevent access to the staircase. The provider had placed the gate against the wall and put a table against it. Children under two years of age were observed walking in the hallway and had access to the stairs.”

22.1-289.035-B-4 Complaint related: Yes

“The family day home provider is required to obtain applicants background checks from any state in which the individual has resided in the preceding five years. Caregiver#1, employed for more than two months, did not have documentation requesting a central registry check or sex offender registry check from a different state lived in within the proceeding 5 years.”

8VAC20-770-60-C-2 Complaint related: Yes

“An employee or volunteer of a licensed or registered child day program must be denied continued employment or volunteer service if. the licensed or registered child day program does not have a central registry finding within 30 days of employment or volunteer service. There was no documentation of a central registry check, or that one had been requested within 7 days of hire, in the record for caregiver #1. The caregiver had been employed for more than 60 days.”

8VAC20-800-120-B Complaint related: Yes

“Assistant and substitutes records shall contain all of the required information. The record for caregiver #1 did not contain the date of hire, documentation of two or more references, background checks as required by 8VAC20-770, documentation of the education and training as required by 8VAC20-800-230 and the name address and telephone number of a person to be notified in an emergency.”

8VAC20-800-70-B Complaint related: No

“Repeat Violation The provider shall obtain the parent’s written acknowledgement of the receipt of all required information. The records for child #1, child #2 and child #3 did not contain parental acknowledgement that the provider did or did not have liability insurance. The records for child #1, child #2 and child #3 did not contain parental acknowledgement that the parent was informed of the family day homes emergency preparedness plan. The records for child #1, #2, #3, #5 not contain parental acknowledgement for the family day home to notify the parent when a child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home.”

8VAC20-800-80-A Complaint related: No

“Repeat Violation Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent, verification of the identity and age of the child. There was no documentation that the provider verified the identity and age of child #2.”

8VAC20-800-140-D Complaint related: Yes

“A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works. There was no documentation of the arrival and departure of the substitute provider, caregiver #1. The caregiver stated that she worked two weeks out of the month for the provider while the provider worked at her other job. The provider stated the substitute provider, caregiver #1, worked in April and May.”

8VAC20-800-230-A Complaint related: No

“Based on record review and interviews, it was determined the provider did not ensure that written documentation shall be maintained of each caregiver’s applicable education and programmatic experience, orientation, annual training, and if applicable, medication administration training. There was no documentation of the education or programmatic experience in the record for caregiver #1.”

8VAC20-800-570-A Complaint related: No

“The provider shall ensure that a caregiver does not exceed 16 points. When the inspector entered the family day home there were 6 children in care for a total of 20 points with only one assistant caregiver. Based on the points 2 caregivers were required.”

8VAC20-800-530-F Complaint related: No

“REPEAT VIOLATION No soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys. Infants #5 and #6 were observed in cribs with a comforter, a thick blanket and pillows.”

8VAC20-800-170-A Complaint related: No

“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 (TB) screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. The TB documentation in the record for caregiver #1 showed it was completed 56 days after the caregiver began employment and came into contact with children.”

8VAC20-800-530-B Complaint related: No

“When cribs are being used by infants they shall have a tight-fitting bottom cover. Infants #5 and #6 were observed in cribs that did not have tight-fitting sheets. There were loose fleece blankets tucked around the mattress.”

8VAC20-800-520-A

“Based on observation and interview, it was determined the provider did not ensure that cribs were provided for children from birth through 12 months of age. Evidence: 1. Infant #1, a 4 month old, was observed sleeping alone in a bedroom on the provider’s bed. 2. Infant #3, a 9 month old, was observed alone in a 2nd bedroom on a full-size bed. The child had been sleeping in the bed, had awoken, and was beginning to move around on the bed. 1. The provider confirmed the two children were not sleeping in cribs. 2. The provider stated she only had one crib, but it was downstairs.”

8VAC20-800-430-A

“Based on observation and interviews, it was determined the provider did not ensure that children under two years of age, and children over two year of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. Evidence: 1.Child #2,who was 15 months old, was observed sitting on the middle landing of a two-level staircase. There were no gates to prevent the child from accessing the stairs that led up or down. There were approximately 8 steps leading down the stairs and 8 steps leading up the stairs. The provider was not on the steps with the child. 2.The provider confirmed the child had access to the stairs.”

8VAC20-800-250-B

“Based on observation and interview, it was determined the provider did not ensure that children are protected from materials that could be swallowed or present a choking hazard. 1.There was a AA battery laying on the floor in the kitchen. The battery was accessible to children. 2.The provider confirmed the battery was on the floor.”

8VAC20-800-90-A

“Based on record review and interview, it was determined the provider did not ensure that before the child attended the family day home, documentation was obtained that the child was adequately immunized according to the requirements of 31.1-46 A of the Code of Virginia. Evidence: 1. The records for child #2, did not contain documentation that the child was adequately immunized. 2.The provider confirmed documentation of adequate immunizations were not in the record.”

8VAC20-800-80-A

“Based on record review and interview, it was determined the provider did not ensure that verification of the identity and age of the child was obtained. 1.The records for infant #1 and child #2 did not contain documentation that the provider viewed proof of identity and age. 2.The provider confirmed the documentation was not in the record.”

8VAC20-800-70-B

“Based on record review and interview, it was determined the provider did not obtain a written acknowledgement from each parent to confirm receipt of all required information. Evidence: 1.The records for infant #1, child #2 and infant #3 did not contain parental acknowledgement that the provider did or did not have liability insurance. 2.The records for infant #1, child #2 and infant #3 did not contain parental acknowledgement that the parent was informed of the family day homes emergency preparedness plan. 3. The provider confirmed the written acknowledgment was not in the records.”

8VAC20-800-60-B

“Based on record review and interview, it was determined the provider did not ensure that children’s records contain all the required information. Evidence: 1.The record for infant #1, did not contain the date of enrollment, parent work phone numbers, name, address, and phone number of two emergency contacts, medical insurance policy number, written authorization for emergency medical care and documentation of previous childcare. 2.The record for child 2, did not contain the date of enrollment, parent work phone numbers, name, address and phone number of 2nd emergency contact, medical insurance name and policy number, written authorization for emergency medical care and documentation of previous childcare. 3.The record for infant #3 did not contain the date of enrollment, parent work phone numbers, medical insurance name and policy number, documentation of previous childcare, and written authorization for emergency medical care.”

8VAC20-800-50-A

“Based on record review and interview it was determined, the provider did not ensure that a written record of children in attendance each day was kept. Evidence: 1.On the day of the inspection 3/22/24, there were no children documented as present on the daily attendance however, there were three children in care. 2.The provider confirmed the daily attendance was not completed.”

8VAC20-800-100-A

“Based on record review and interview, it was determined the provider did not ensure that 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: 3.The records for child #2, and infant #3 did not contain documentation of a physical examination.”

8VAC20-800-530-F

“Based on observation and interview, it was determined the provider did not ensure that soft bedding of any kind was not used under or around infants including, but not limited to pillows, quilts, comforters, sheepskins, or stuffed toys. Evidence: 1. Infant #1 was observed sleeping on top of a comforter on an adult bed with pillows around the infant. 2. Infant #3 had been sleeping and was observed waking up from a nap on an adult bed that had a comforter and pillows.”

8VAC20-800-560-A

“Based on observation and interviews, it was determined the provider did not ensure that direct care and supervision of each child was always provided; including being near enough to intervene if needed. Evidence: 1.At the time of the inspector’s arrival the provider was sweeping on the first floor of the family day home. Infant #1 and infant #3 were on the 3rd floor of the family day home asleep on beds. 2.The provider could not hear or see the infants and was not near enough to intervene if needed.”