Mrs. Mildred Grant

8VAC20-800-100-A

“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. Two of the five children’s records reviewed did not have documentation of a physical examination and have been enrolled in the center for over 4 months.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-80-A

“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. Two of the five records involved did not have documentation of child identity and age of the children and they have been enrolled at the center for over 4 months.”

Rule 8VAC20-800-80-A.

8VAC20-800-90-A

“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. Two of the five children’s records reviewed did not have documentation of the child being adequately immunized and has been at the center for over four months.”

Rule 8VAC20-800-90-A.

8VAC20-800-320-G

“Repeat Violation Fireplaces shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. The last chimney inspection was dated April 12, 2024.”

Rule 8VAC20-800-320-G.

8VAC20-800-500-F

“Trampolines shall not be used during the hours children are in care. There is a small trampoline in the center in which provider confirmed children play on.”

Rule 8VAC20-800-500-F.

8VAC20-800-320-G

“Fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. The last chimney inspection was over a year and four months ago dated April 12, 2024.”

Rule 8VAC20-800-320-G.

8VAC20-800-580-C

“Daily age-appropriate activities shall include the opportunities for vigorous outdoor play daily, depending upon the weather, the ages, and the health of the children. Staff #1 confirmed that the children in care are not playing outdoors daily.”

Rule 8VAC20-800-580-C.

8VAC20-800-250-C

“Items tied across the top or corner of a crib shall be removed when the child begins to push up on hands and knees or is five months of age, whichever occurs first. The one crib in the classroom had a mobile toy across the top of the crib and is used for a child that is 7 months old.”

Rule 8VAC20-800-250-C.

8VAC20-770-40-C-1-c

“Based on record review and interview, it was determined that the provider did not ensure that any other adult living in the home shall have a criminal history record check upon licensure. Evidence: 1. Household member # 1 did not have the required criminal history record check for Virginia in their record. 2. Staff #1 and Staff #2 confirmed that Household member #1 did not have the required criminal history record check.”

Rule 8VAC20-770-40-C-1-c.

8VAC20-800-100-A

“Based on record review and interview, it was determined that the family day home 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 is in the record. Evidence: 1. Child #1 (date of enrollment 6/14/22) did not have documentation of a physical in their record. 2. Staff #1 and Staff #2 confirmed that Child #1 did not have documentation of a physical examination in their record.”

Rule 8VAC20-800-100-A.

8VAC20-800-530-A

Rule 8VAC20-800-530-A.

8VAC20-800-530-G

“Based on observation and interview, it was determined that the provider did not ensure that children under two years of age shall not use filled comforters. Evidence: 1. Child #2, age 13 months, had a filled comforter blanket in their crib. 2. Staff #1 and Staff #2 confirmed that the child uses a filled comforter blanket.”

Rule 8VAC20-800-530-G.

8VAC20-800-100-A

Rule 8VAC20-800-100-A.

8VAC20-800-240-A

“Based on observation and interview, it was determined that the family day home did not ensure that areas and furnishings of the family day home, inside and outside, be maintained in a safe, and operable condition. Evidence: 1. There are two plastic toys bins that are cracked and broken which poses a pinching and injury hazard to children in care. 2. Staff #1 and Staff #2 confirmed the two cracked and broken toy bins.”

Rule 8VAC20-800-240-A.

Based on a review of five child records, it was determine that 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 is obtained.

“Evidence: 1. The record for child #4 did not contain documentation of a physical examination. 2. The record for child #5 did not contain documentation of a physical examination. 3. Caregiver #2 confirmed that there was not a physical examination available for viewing during the inspection for child $#4 and child #5.”

Rule 8VAC20-800-100-A.