Mrs. Kathy Lee

8VAC20-770-40-D-5

“Household members 14 years of age and older must obtain the results of a central registry search by the end of the 30th day of residence. Household Member #3 did not have central registry results during the inspection and has been residing in the home for more than 30 days.”

Rule 8VAC20-770-40-D-5.

8VAC20-800-260-A

“Access to the water in aboveground swimming pools shall be prevented by locking and securing the ladder in place or storing the ladder in a place inaccessible to children. The gate at the top of the steps leading to the deck surrounding the aboveground pool was not locked, allowing access to children. The children were not outside at the time of the inspection.”

Rule 8VAC20-800-260-A.

8VAC20-800-480-E

“Equipment and materials used by children shall be free from hazards such as loose parts. The swing set on the outdoor play area had a broken brace that had a sharp edge on the broken end.”

Rule 8VAC20-800-480-E.

Based on record review and provider interview the licensee did not ensure to maintain documentation of current rabies vaccination.

“Evidence: The provider confirmed that one of their animals rabies vaccination was out of date by 3 months.”

Rule 8VAC20-800-460-D.

Based on observation and provider interview the licensee did not ensure that when a crib was being used by infants it shall have a tight-fitting bottom cover.

“Evidence: The provider confirmed that the bottom cover in the crib where child #1 (date of birth 9/5/2023) was placed for their rest period was loose, coming up around the edges, and was not tight-fitting.”

Rule 8VAC20-800-530-B.

Based on record review and staff interview the licensee did not ensure, before the child’s first day of attendance, parents shall be provided in writing all necessary information.

Rule 8VAC20-800-70-A.

Based on record review and staff interview the licensee did not ensure that they shall annually review, with the parent, the emergency contact information required to ensure the information is correct and obtain the parent’s signed acknowledgement of the review.

“Evidence: Child #1 (start date 1/2/2019) most recent review was dated 10/25/2021 and Child #2 (start date 9/3/2019) most recent review was dated 9/3/2020.”

Rule 8VAC20-800-780-B.

8VAC20-790-250-F

“Based on a review of records, the licensee did not ensure that staff who work directly with children annually complete the health and safety update course. Evidence: The records for Staff #1 and #2 contained documentation of the most recent health and safety update course that was dated more than one year ago (Staff #1 3/8/2022; Staff #2 2/25/2022)”

Rule 8VAC20-790-250-F.

Based on temperatures taken with a digital thermometer during the inspection, the licensee did not ensure that hot water at taps available to children shall be maintained within a range of 105 degrees Fahrenheit to 120 degrees Fahrenheit.

“Evidence: The hot water at the the hand washing sink in the restroom used by children in care measured 127 Degrees Fahrenheit during the inspection.”

Rule 8VAC20-800-350-E.

Based on a review of records and interview, the licensee did not ensure that each enrolled child’s record contained all of the required information.

“Evidence: Two children’s records were reviewed during the inspection. The record for child #2 did not contain information on chronic physical problems, pertinent development information and any special accommodations need nor did it contain information regarding allergies and intolerance to food, medication or other substances and actions to take in an emergency situation. The spaces provided for this information were left blank. The licensee acknowledged that this information had not been completed in the child’s record.”

Rule 8VAC20-800-60-B.

Based on observation, the licensee did not ensure that all areas and equipment of the family day home are maintained in a clean, safe, and operable condition.

“Evidence: During the inspection on 1/28/2022, the inspector observed 5 nails protruding from the surface of a privacy fence panel separating the outdoor areas used by the children from the private household areas of the yard. The sharp end of the nails were sticking out aproximately 1/2 inch from the fence panel on the side where children are able to access it.”

Rule 8VAC20-800-240-A.