Cynthia Lynch

Areas and furnishings of the family day home, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include items that a child could pull down on himself.

“In the hallway leading to a room used for childcare, a metal shelf had a hand vacuum, bicycle pump, and level hanging down off the side of the shelf, all items were within reach of children.”

Rule 8VAC20-800-240-A.

Potentially poisonous substances such as plant care chemicals and pesticides shall be stored in areas inaccessible to children.

“In the hallway an opened package of weed killer disks were observed on top of a laundry basket filled with various items, the package contained five disks and were accessible to children.”

Rule 8VAC20-800-280.

Providers must maintain a record for each caregiver with all required documents

“Evidence: The record for Caregiver #2, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. Caregiver #2 has been employed for five months.”

Rule 8VAC20-800-120-B.

The provider shall orient the assistant by the end of their first week of assuming job responsibilities.

“Evidence: The record for Caregiver #2 did not contain documentation of orientation.”

Rule 8VAC20-800-200-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Evidence: The record for Caregiver #1 was missing six hours of required annual training hours.”

Rule 8VAC20-800-210-A.

Areas and furnishing of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

Rule 8VAC20-800-240-A.

The home shall provide each child with adequate space to allow free movement and active play indoors and out.

“Evidence: In the main room used for childcare nine children were on the floor playing with blocks, the children were unable to move throughout the classroom without bumping into items that were stored along the walls of the room.”

Rule 8VAC20-800-380.

The family day home shall provide a sufficient quantity and variety of play materials and equipment that shall be readily accessible to children.

“Evidence: Toys, books and art supplies were not readily accessible to children in any of the rooms used for childcare. The toys are kept in storage containers; the children are required to ask the caregiver for a toy and the caregiver will retrieve it. The art supplies are kept out of reach unless the provider is conducting an art activity. There were dozens of books along the walls but they were not accessible to the children.”

Rule 8VAC20-800-480-A.

Providers must keep a written record of children in attendance each day.

“Evidence: There were nine children present, the written record reflected there were seven.”

Rule 8VAC20-800-50-A.

A child’s record shall contain parents signed acknowledgement of the receipt of provisions of the family day home’s emergency preparedness and response plan.

“Evidence: The record for Child #1, Child #3, and Child #5 did not contain a signed acknowledgement of the emergency preparedness and response plan.”

Rule 8VAC20-800-60-B.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“Evidence: Records for child #1, child #2 did not have a parent’s signature for annual review of the emergency contact information. The last documented review for the children was 18 months ago.”

Rule 8VAC20-800-780-B.

8VAC20-800-100-A

“Based on review of two child records, the provider did not obtain documentation that each child has had a physical prior to the child’s first attendance or within 30 days after the first day of attendance. Evidence: the record for child #1 (date of first attendance: 1/18/2024) did not have documentation of a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-280

“Based on observation, the provider failed to ensure that potentially poisonous substances, such as, but not limited to, cleaning agents, disinfectants and chemicals are stored away from food. Evidence: there were cannisters of disinfectant wipes and disinfectant spray on a shelf above food. There was a bottle of dye on a shelf next to and above food.”

Rule 8VAC20-800-280.

8VAC20-800-500-F

“Based on observation, the provider failed to ensure that trampolines are not used during the hours children are in care. Evidence: three children were observed playing on the mini trampoline in the outside area.”

Rule 8VAC20-800-500-F.

8VAC20-800-100-A

“Based on a review of three children’s records, the provider did not obtain documentation that each child has received a physical examination prior to the child’s first attendance or within 30 days after attendance. Evidence: the record for child #3 (date of first attendance: 3/21/22) did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-680-A

“Based on observation, not all caregivers washed their hands as required. Evidence: caregiver #2 was observed changing a diaper and then helping two children into a high chair before washing their hands.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that all children’s hands were washed with liquid soap and warm running water as required. Evidence: after an infant had a diaper change they were placed directly into a play area without washing their hands. A second infant was observed being fed a bottle and did not have their hands washed beforehand.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“Based on observation and interview, the provider failed to ensure that the diapering surface was cleaned and sanitized as required. Evidence: after an infant was changed the diapering surface was not cleaned and then sanitized as required afterwards.”

Rule 8VAC20-800-690-D.

22.1-289.035-A

“Based on review of two caregiver records, and an interview with the provider, it was determined that not all caregivers had a repeat Central Registry Search report every five years as required. Evidence: The record for caregiver #1 had a Central Registry Search report dated: 9/16/2016.”

Rule 22.1-289.035-A.