Maria Mazo

Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“The record for Child #1 did not have a parent’s signature for an annual review of the emergency contact information. Child #1’s last annual review was over a year ago.”

Rule 8VAC20-800-780-B.

When topical skin products such as diaper ointments are used the products shall be inaccessible to children.

“Two diaper ointments were stored in plastic containers inside cubbies accessible to children.”

Rule 8VAC20-800-750-B.

Based on observation, equipment outside the family day home were not maintained in a safe condition.

“Evidence: A blue playground swing outside was cracked in three places.”

Rule 8VAC20-800-240-A.

Based on observation, the provider did not ensure accordion expansion gates and pressure mounted gates were not used as protective barriers at stair openings.

“Evidence: A pressure-mounted gate was observed on steps in the kitchen leading down to the living room playspace.”

Rule 8VAC20-800-430-B.

Based on observation, infants and toddlers shall not spend more than 30 minutes of consecutive time during waking hours confined in a crib, play, pen, high chair or other confining piece of equipment.

“Evidence: Child #5 was observed in a swing for 36 minutes (11:48 am-12:24 pm).”

Rule 8VAC20-800-600-B.

Based on record review and interview, the provider did not 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: There was no documentation of a physical examination completed by or under the direction of a physician prior to or within 30 days of Child #5’s first day of attendance. The start date for Child #5 is 10/10/2023.”

Rule 8VAC20-800-100-A.

Based on record review, the provider did not provide all the required written information to parents prior to the child’s first day of attendance.

“Evidence: 4 out of 5 children’s records did not contain written information on the family day home’s medication policy.”

Rule 8VAC20-800-70-A.

Based on record review and interiew, the provider did not 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: There was no 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 for child #4. The date of enrollment for child #4 is 8/23/2021.”

Rule 8VAC20-800-100-A.

Based on observation and interview, furnishings inside the family day home were not maintained in a safe condition.

“Evidence: Five rectangular children’s play vinyl mats and a circular vinyl ball pit were torn, and cracked in various places, exposing the foam within.”

Rule 8VAC20-800-240-A.

Based on observation and interview, the provider did not adhere to the requirements for using topical skin products.

“Evidence: 5 of 5 topical skin products did not have written authorizations.”

Rule 8VAC20-800-750-A.

Based on observation and interviews, the home was not equipped with a least one carbon monoxide detector.

“Evidence: The Provider did not have a carbon monoxide detector in the Family Day Home.”

Rule 22.1-289.058.