Mary Almy

22VAC40-111-90-A · Based on a review of two children's files, it was determined that the provider did not ensure that documentation was obtained to show that each child has been adequately immunized according to the requirements of the Code of Virginia and applicable State Board of health regulations prior to attendance in the family day home.

Evidence: 1. The record for child #2 did not contain an immunization record. 2. Caregiver #1 acknowledged that the record for child #2 did not contain documentation of an immunization record.

View state record

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.

View state record

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.

View state record

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.

View state record

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.

View state record

8VAC20-800-640-1 · 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.

View state record

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.

View state record

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.

View state record

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 caregiver #1 contained a search of the central registry finding that was dated 4/27/17. 2. Caregiver #1 confirmed that update that she had not completed an updated search of the central registry finding.

View state record