Sherry Brown

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The provider’s current license was not posted on the licensed premises.”

Rule 22.1-289.011-F.

Wood burning fireplaces and associated chimneys must be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed.

“The annual inspection of the provider’s wood burning fireplace is overdue by 13 months.”

Rule 8VAC20-800-320-G.

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.

“Records for children A and B were overdue for a parent’s signature for an annual review of the emergency contact information by 33 days.”

Rule 8VAC20-800-780-B.

Caregivers who work directly with children must complete the department’s annual health and safety update course.

“Caregiver #2’s annual health and safety update course is overdue by 85 days.”

Rule 8VAC20-790-250-F.

Wood burning fireplaces and associated chimneys must be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed.

“The annual inspection of the provider’s wood burning fireplace is overdue by 7 months.”

Rule 8VAC20-800-320-G.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There was no physical exam record available for Child #3, who had been in care for 59 days.”

Rule 8VAC20-800-100-A.

Children’s records are required to contain parental employment addresses, work phone numbers, and the name and policy number of the child’s medical insurance.

“The records for Child #1, Child #2, Child #3, and Child #4 were missing the employment information for one parent and the name and policy numbers of their medical insurance. The children had been enrolled for fifty-nine days.”

Rule 8VAC20-800-60-B.

Soiled disposable diapers and wipes must be disposed of in a leak-proof or plastic lined storage system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.

“The provider did not have a foot operated storage system for disposal of soiled diapers and wipes.”

Rule 8VAC20-800-690-E.

Before the child’s first day of attendance, parents must be provided in writing the provisions of the family day home’s emergency preparedness and response plan.

“Child #5, enrolled for eleven months, was not provided in writing the provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

Before the child’s first day of attendance, the provider must obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There were no parent acknowledgements available for Child #2, Child #3, and Child #4, who have been enrolled for two months.”

Rule 8VAC20-800-70-B.

When meals or snacks are provided by the family day home, the menu for the current one-week period must be dated and be given to parents or posted or placed in an area accessible to parents.

“Provider’s menu for the current week was not posted for the parents.”

Rule 8VAC20-800-920.

The vendor must maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Child#1’s attendance record did not document arrival and departure times.”

Rule 8VAC20-790-180-B.

A first aid kit must contain the minimum emergency supplies and be accessible in the family day home, wherever children are in care.

“The first aid kit was missing adhesive tape.”

Rule 8VAC20-800-760-A-1.

Repeat violation

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care. Emergency evacuation drills for fire were not practiced in the months of August and September.”

Rule 8VAC20-800-830-A.

Based on record review and interview, caregivers did not complete the annual health and safety update course.

“Evidence: Caregiver #1’s most recent health and safety course expired in May 2024.”

Rule 8VAC20-790-250-F.

REPEAT VIOLATION Based on observation, the license and other documents required by the Superintendent were not posted in a conspicuous place on the licensed premises.

“Evidence: The most recently issued license and finding of the most recent inspection were not posted on the premises.”

Rule 22.1-289.011-F.

Repeat violation

“Based on record review, the provider did not obtain central registry findings within 30 days of employment for all caregivers. Evidence: There is no documentation the provider submitted a central registry finding for caregiver #2 who’s first day of employment was 06/27/2024.”

Rule 22.1-289.035-B-3.

Repeat violation

Rule 22.1-289.035-B-4.

Repeat violation

“Based on observation, the family day home was not equipped with a carbon monoxide detector. Evidence: 1.A carbon monoxide detector was not installed at the time of inspection. 2. Provider showed a detector purchased. It was in the unopened box in a Ziplock bag.”

Rule 22.1-289.058.

Based on record review, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. Child #1’s first day of attendance was in February 2023. 2. Child #1 did not have documentation of a physical examination.”

Rule 8VAC20-800-100-A.

Based on record review, the provider did not maintain the required background checks.

“Evidence: The provider did not maintain the documentation of a central registry background check results for Caregiver #1.”

Rule 8VAC20-800-120-D.

Based on record review and interview, the provider did not have documentation to verify assistants are 16 years of age or older.

“Evidence: Caregiver #2 did not have documentation for age verification.”

Rule 8VAC20-800-150-A.

Based on observation, the required gates were not installed at stair openings.

“Evidence: The stairs to the second level and third level of the family day home are not blocked off with the required gates at the top or bottom of the stairs, making them accessible to the children.”

Rule 8VAC20-800-430-B.

Repeat violation

“Based on record review of emergency procedures, the provider did not review the emergency plan at least annually and update the plan as needed. The provider did not document in writing each review and update to the emergency plan. Evidence: The emergency plan was last reviewed and updated on 01/10/23.”

Rule 8VAC20-800-800-B.

Based on record review, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care.

“Evidence: Emergency evacuation drills for fire were not practiced in the months of May and July.”

Rule 8VAC20-800-830-A.

Based on record review, the provider did not obtain documentation that a child has been adequately immunized prior to attending the family day home.

“Evidence: 1. Child #1’s first day of attendance was in February 2023. 2. Child #1 did not have documentation of an immunization record.”

Rule 8VAC20-800-90-A.

Based on observation, the license and other documents required by the Superintendent were not posted in a conspicuous place on the licensed premises.

“Evidence: The most recently issued license and finding of the most recent inspection were not posted on the premises.”

Rule 22.1-289.011-F.

Based on record review of caregiver records, the provider did not ensure all caregivers submit to fingerprinting prior to first day of employment.

“Evidence: Caregiver #2 (first day of employment 4/1/2024), does not have documentation of an eligible fingerprint prior to first day of employment.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

Based on observation the family day home was not equipped with a carbon monoxide detector.

“Evidence: A carbon monoxide detector was not observed. Provider confirmed there isn’t a carbon monoxide detector in the home.”

Rule 22.1-289.058.

Based on record review of caregiver records, the provider failed to obtain a sworn statement or affirmation prior to first day of employment.

“Evidence: Caregiver #2 (first day of employment 4.1 2024), does not have documentation of a completed sworn statement or affirmation prior to first day of employment.”

Rule 8VAC20-770-60-B.

Based on record review of caregiver records, the provider did not obtain a central registry sear finding within 30 days of employment for all caregivers.

“Evidence: There is no documentation the provider submitted a central registry finding for caregiver #2 (first day of employment 04/01/2024).”

Rule 8VAC20-770-60-C-2.

Based on record review of caregivers, the provider did not maintain a complete and updated record for all caregivers.

“Evidence: The record for caregiver #2 did not contain their address, emergency contact information and statement of health.”

Rule 8VAC20-800-120-B.

Based on observation, the outdoor play area was not maintained in a safe and operable condition.

“Evidence: Observations of the outdoor play area which revealed the presence of hazardous items such as a substantially large, discarded TV and oversized ladders accessible to children.”

Rule 8VAC20-800-240-A.

8VAC20-800-320-G

“Based on review of fore safety procedures, the wood burning fireplace and associated chimney was not inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning was not maintained by the provider Evidence: Documentation of an annual inspection completed for the fireplace and associated chimney was not available for review.”

Rule 8VAC20-800-320-G.

8VAC20-800-430-A

“Repeat Violation Based on observation, children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision have access to stairs. Evidence: The stairs to the second level of the family day home are not blocked off at the top or bottom of the stairs, making them accessible to the children.”

Rule 8VAC20-800-430-A.

Based on observation, children were not provided with individual cots for resting.

“Evidence: The cots were not identified for individual use.”

Rule 8VAC20-800-510-A.

Based on record review of caregiver records, the provider failed to maintain an up-tp-date record for each enrolled child.

“Evidence: Provider did not have a record available for review for child# 4 (first day of attendance 1/4/2020).”

Rule 8VAC20-800-60-A.

Repeat Violation Based on record review, 3 children’s records were incomplete.

“Evidence: The records for child #2 and child #3 (first day of attendance was 2/21/2023) do not have documentation of an annual parental review of child’s record. The record for child #1 (under two years old) does not contain documentation of an updated immunization record every two years for children under the age of two. Immunization record in record was dated 9/23/2023.”

Rule 8VAC20-800-60-B.

Based on record review of emergency procedures, the provider did not review the emergency plan at least annually and update the plan as needed. The provider did not document in writing each review and update to the emergency plan

“Evidence: The emergency plan was last reviewed and updated on 01/10/23.”

Rule 8VAC20-800-800-B.

Based on observation and provider statement, an operable thermometer was not available to monitor refrigerator and freezer compartment temperatures.

“Evidence: Provider confirmed she does not have a thermometer for the fridge where food is stored.”

Rule 8VAC20-800-940-B.

8VAC20-800-60-B

“Based on record review, 1 of 1 children’s records is incomplete. Evidence: Child #1 was missing the health policy number.”

Rule 8VAC20-800-60-B.

8VAC20-790-250-F

“Based on training documentation, the provider has not completed the department’s annual health and safety update. Evidence: The health and safety update was not been completed for the previous year.”

Rule 8VAC20-790-250-F.

8VAC20-800-240-A

“Based on observation, the outside storm door was not maintained in a safe and operable condition. Evidence: The storm door glass was shattered and multiple small shards of glass were hanging on the top of the door frame.”

Rule 8VAC20-800-240-A.

8VAC20-800-290

“Based on observation, sharp kitchen utensils were not inaccessible to children. Evidence: The children were upstairs upon arrival and had access to a kitchen knife on the counter.”

Rule 8VAC20-800-290.

8VAC20-800-430-A

“Based on observation, children under two years of age had access to stairs. Evidence: A child under two years of age had access to stairs on multiple levels of the townhouse as no gates were in place to prevent the child climbing or falling down the steps.”

Rule 8VAC20-800-430-A.

8VAC20-800-50-A

“Based on record review and provider statement, attendance is not maintained as each child arrives and departs. Evidence: The provider completes the attendance for all children in advance before they arrive and does not document time in and time out.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on record review, 3 children’s records were incomplete. Evidence: Child #1 and Child #2 were missing medical insurance policy number. Child #2 was missing an updated immunization record (last updated 2/2022) Child #1 was missing documentation of an annual update”

Rule 8VAC20-800-60-B.

8VAC20-800-60-B

“Based on record review, 3 children’s records were incomplete. Evidence: Child #1 and Child #2 were missing medical insurance policy number. Child #2 was missing an updated immunization record (last updated 2/2022) Child #1 was missing documentation of an annual update”

Rule 8VAC20-800-60-B.

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children wash their hands after diapering. Evidence: The provider changed a child’s diaper after it was soiled and the child did not wash their hands.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“Based on provider statement, the diaper surface is not non-absorbent. Evidence: The Provider stated that she changes diapers on a blanket.”

Rule 8VAC20-800-690-D.

8VAC20-800-830-A

“Based on record review and provider statement, monthly evacuation drills were not conducted. Evidence: No drills were conducted the months of February and March 2023.”

Rule 8VAC20-800-830-A.

8VAC20-790-250-F

“Based on provider statement, the required annual health and safety update training has not been completed within the past year. Evidence: The provider did not complete the 3 hour required training since 2020.”

Rule 8VAC20-790-250-F.

8VAC20-800-320-I

“Based on observation and provider statement, the Family Day Home did not have a fire extinguisher. Evidence: The provider stated that an active fire extinguisher was not available for fire safety and prevention.”

Rule 8VAC20-800-320-I.

8VAC20-800-790

“Based on observation and provider statement, the poison control number was not posted. Evidence: The poison control sticker with the listed phone number was not visible close to the telephone.”

Rule 8VAC20-800-790.

8VAC20-790-250-B

“Based on record review, the assistant was missing the VA Preservice Training within 90 days of employment. Evidence: No certificate was available to verify that the assistant had completed the training within 90 days.”

Rule 8VAC20-790-250-B.

8VAC20-790-250-F

“Based on record review, the provider did not have documentation of obtaining the annual subsidy update course (3 hours) Evidence: The provider did not obtain the annual subsidy update training for 2021.”

Rule 8VAC20-790-250-F.

22.1-289.035-A

“Based on observation, the Provider failed to renew her CPS check prior to expiration. Evidence: The Provider’s CPS clearance check expired 12/2021 and a new one has not been obtained prior to expiration.”

Rule 22.1-289.035-A.

22.1-289.036-B-4

“Based on record review and provider statement, an out of state Central Registry check has not been obtained within 45 days of employment. Evidence: The assistant lives out of state within the past 5 years and does not have a CPS check-hired September 2021.”

Rule 22.1-289.036-B-4.

8VAC20-770-60-C-2

“Based on record review and statement, a caregiver is missing a Virginia Central Registry Check. Evidence: Assistant is missing required VA CPS check within 30 days of employment. Hired September 2021.”

Rule 8VAC20-770-60-C-2.

8VAC20-800-320-B

“Based on observation, unused outlets covers were missing protective covers. Evidence: Two outlets were missing covers in the daycare space in the basement.”

Rule 8VAC20-800-320-B.

8VAC20-800-590-A

“Based on observation an infant is not placed on their back when sleeping. Evidence: During the inspection an infant fell sleep and was placed on their stomach on the provider’s lap.”

Rule 8VAC20-800-590-A.

8VAC20-800-70-A

“Based on record review, child #1 parent did not have all required information prior to the child attending the Family Day Home. Evidence: 1. Child #1 was missing a signed acknowledgement of the home’s medication policy, liability declaration, provision of emergency relocation, transportation permission and authorization to apply topical creams. 2. Child #2 was missing the transportation permission form.”

Rule 8VAC20-800-70-A.

8VAC20-800-990-B

“Based on provider statement, the provider did not ensure that all required items were in the while transporting children. Evidence: The provider stated no first aid kit and provider information (provider’s address and phone number, written permission to transport as well as emergency information for children) were in the car.”

Rule 8VAC20-800-990-B.