Tiffany Harris

8VAC20-800-210-A

“Staff shall obtain a minimum of 16 clock hours of training annually. S1 did not obtained any training hours in 2025.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for S1 was not completed and was overdue by 4 months.”

8VAC20-800-940-A

“The refrigerator temperature shall be at or below 40 degrees. The refrigerator thermometer where children’s lunch boxes are stored was 45 degrees.”

8VAC20-800-890

“When food is brought from home, the food container shall be clearly labeled in a way that identifies the owner. Two lunch boxes were not labeled to identify the owner.”

8VAC20-800-80-A

“The provider shall within seven business days of the child’s first day of attendance obtain verification of the identity and age of the child. The verification for C1 who has been attending the family day home for more than 2 months was not available for review.”

8VAC20-800-830-A

“Emergency evacuation procedures shall be practiced monthly with all caregivers and children. Evacuation procedures were not conducted in March, April, and May 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. The record for C3 did not have a parent’s signature for an annual review of the emergency contact information. C3 had been in care for over a year.”

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 door into the children’s bathroom had peeling paint that was accessible and hazardous to children in care.”

8VAC20-800-350-E

“Repeat violation Based on observation, the provider failed to ensure the hot water at taps available to children were maintained within a range of 105 - 120 degrees Fahrenheit. Evidence: The water temperature for the hall bathroom sink tap used by the children registered 130 degrees. It was tested with a digital thermometer.”

8VAC20-800-800-A

“Based on review of the emergency plan, the provider failed to document the annual review of the emergency plan. Evidence: The last review of the emergency plan was documented on 09/08/2021.”

8VAC20-800-180-A

“Based on record review, the provider failed to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the previous tuberculosis screening. Evidence: The TB screening for P1 was dated 10/20/2021 and 11/22/2023.”

8VAC20-800-890

“Based on observation, the provider failed to ensure food brought from home was clearly labeled in a way that identifies the owner. Evidence: Licensing inspector observed multiple lunch boxes in the refrigerator that were not labeled with the children’s names.”

8VAC20-800-780-B

“Based on child record review, the provider failed to ensure that parent emergency contact information was reviewed annually Evidence: The record for C1, enrolled 10/04/2022, did not contain documentation of the annual review of the child’s emergency contact information as required by 8VAC20-800-780-B. The review was due 10/04/2022 and was completed 02/15/2023.”

8VAC20-800-350-E

“Based on observation, the provider failed to ensure the hot water at taps available to children were maintained within a range of 105 - 120 degrees Fahrenheit. Evidence: The water temperature for the hall bathroom sink tap used by the children registered 130 degrees. It was tested with a digital thermometer.”

22.1-289.035-A

“Based on record review and interview, the family day home provide failed to ensure background checks are undergone every five years. Evidence: The most recent central registry finding in the record for provider S1 was dated 04/27/2018. The provider stated the central registry finding has not been completed every 5 years as required.”

8VAC20-800-90-A

“Based on child record review, the provider failed to ensure before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Evidence: The record for C4, enrolled 09/12/2022 did not contain immunizations records for the child as required by 8VAC20-800-90. The immunizations were provided after enrollment on 09/27/2022.”

8VAC20-800-210-A

“Based on file review, the provider failed to ensure that one of one caregivers obtained 16 hours of annual training. Evidence: S1?s record contained verification of 12 hours of required annual training between 01/01/2021-12/31/2021.”

8VAC20-800-60-B

“Based on child record review, the provider failed to ensure that one of five records contained all of the required information. Evidence: The record for C2 (DOA 06/03/2019) failed to contain documentation of a physical exam and the required annual review of emergency contact information with parents. The last review was completed on 05/16/2021.”

8VAC20-800-940-A

“Based on observation, the refrigerator compartment containing children’s lunch boxes was not maintained at or below 40 degrees. Evidence: The thermometer used to monitor the temperature in the refrigerator registered at 50 degrees during the renewal inspection.”

8VAC20-800-140-B-3

“Based on record review, the provider did not ensure to have a current certification in cardiopulmonary resuscitation (CPR). Evidence: The provider's most recent certification in CPR expired 10/2021. The provider took an online CPR course dated 12/21/21 and plans to schedule the in-person portion to complete the training and obtain a certification.”

8VAC20-800-140-B-4

“Based on record review, the provider did not ensure to have a current certification in first aid. Evidence: The provider's most recent certification in first aid expired 10/2021. The provider took an online first aid course dated 12/21/21 and plans to schedule the in-person portion to complete the training and obtain a certification.”