Inspection · 2025-10-29

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.

REPEAT

Child #4 has been enrolled over a year and does not have a physical on file.

The provider shall maintain a record for each caregiver.

There was not a complete record for caregiver #2 who has been working the last few days.

Current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

Caregiver #1 did not have current CPR ; it expired January 2025. No caregiver working has current CPR.

Current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

Caregiver #1 did not have current FA certification; it expire January 2025. No caregiver working has current FA.

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 form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.

Caregiver #2 does not have a PPD screening on file and has been working over the last several days.

A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone.

REPEAT and SYSTEMIC

There is no landline as required.

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.

REPEAT

Child #1 has been enrolled over 2 months and does not have an immunization document on file as required.
Child #4 has been enrolled over a year and does not have an immunization document on file as required.