Nancy Carter

8VAC20-800-60-B

“A child’s record shall contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. The record for Child #2 only contained documentation of one emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. There was only one shelter-in-place practice drill in 2024”

Rule 8VAC20-800-830-B.

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Ten children were in care. Nine children were listed as in attendance on the attendance record for the day.”

Rule 8VAC20-790-180-B.

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #2 was overdue by one month.”

Rule 22.1-289.035-A.

22.1-289.036-A

“The center is required to have licensee undergo a background check every five years. The most recent central registry check for staff #1 was overdue by one month.”

Rule 22.1-289.036-A.

8VAC20-800-110-B

“Each report shall include the dates immunizations were received and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. The record for child 1 did not have a signed immunization record.”

Rule 8VAC20-800-110-B.

8VAC20-800-570-A

“The provider shall ensure that a caregiver does not exceed 16 points to determine if an additional caregiver is needed. At 10:45 a.m. only one provider was present with 10 children totaling 25 points. Another provider arrived at 11:00 a.m.”

Rule 8VAC20-800-570-A.

8VAC20-800-60-B

“A child’s record shall contain the following information: Name, home address, and telephone number of each parent who has custody; and Name, address and telephone number of each custodial parent’s place of employment. The record for child 5 did not contain information regarding the child’s father.”

Rule 8VAC20-800-60-B.

Based on record review and interview, the provider failed to ensure within the first 90 days of employment all caregivers completed Virginia Preservice Training for Child Care Staff sponsored by the Department of Education.

“Evidence: The record of staff 3 did not contain documentation of completing the Virginia Preservice Training. Staff 3’s first date of employment was documented as 5/17/23.”

Rule 8VAC20-790-250-B.

Based on record review and interview, the center failed to ensure staff obtain, in addition to the annually attending at least 16 hours of training, the department’s health and safety update course.

“Evidence: The staff 1 and staff 2 did not obtain the department’s health and safety update course in 2022 or 2023.”

Rule 8VAC20-790-250-F.

Based on record review and interview, the provider failed to obtain physical examination and immunizations that were dated and signed by a licensed physician, the physician’s designee, or an official of a local health department.

“Evidence: The physical and immunization record for child 3 was not signed and dated by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

Based on record review and interview, the provider failed to ensure the provider’s and substitute provider’s CPR certification was current.

“Evidence: The provider’s and substitute provider’s CPR certification expired 3/24.”

Rule 8VAC20-800-140-B-3.

Based on record review and interview, the provider failed to ensure the provider’s and substitute provider’s first aid certification was current.

“Evidence: The provider’s and substitute provider’s first aid certification expired 3/24.”

Rule 8VAC20-800-140-B-4.

Based on record review and interview, the provider failed to ensure TB screenings were updated every two years for caregivers.

“Evidence: The TB for staff 1 was dated 3/22/22 and for staff 2 was dated 3/22/22.”

Rule 8VAC20-800-180-A.

Based on observation, the provider failed to ensure inside areas of the family day home are maintained in a clean, safe, and operable condition.

“Evidence: In the bathroom used by children there is peeling paint and drywall. The crib used by an infant there is peeling paint.”

Rule 8VAC20-800-240-A.

Based on record review and interview, the provider failed to obtain within seven business days of the child’s first day of attendance, verification of the identity and age of the child.

“Evidence: The record for child 4 did not contain verification of the identity and age of the child.”

Rule 8VAC20-800-80-A.

Based on record review and interview, the provider failed to ensure a current written list of all children’s allergies, sensitivities and dietary restrictions were accessible to caregivers that was dated and kept confidential.

“Evidence: 1. Child 1 has food allergies per the child’s record. An inspection of the center was completed and a written list of food allergies, sensitivities and dietary restrictions was not found. 2. The provider stated they did not have a written list of children with food allergies, sensitivities and dietary restrictions.”

Rule 8VAC20-790-170-G.

Based on record review and interview, the provider failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: 1. The record for child 1, start date 10/30/23, has a note from the physician documenting allergies as egg whites, peanuts and soybeans. There is no allergy care plan in the record. 2. The provider verified they do not have an allergy care plan for child 1.”

Rule 8VAC20-790-190-B-12.

Based on observation, the provider failed to ensure staff washed hands with soap and warm running water between each diapering.

“Evidence: Staff 2 was observed changing three diapers. Staff 3 did not wash hands until she had completed changing all diapers.”

Rule 8VAC20-800-680-A.

Based on record review and interview, the provider failed to review the emergency plan at least annually.

“Evidence: 1. The emergency plan documented the last review was conducted on 2/11/2022. 2. The provider verified the last time the emergency plan was reviewed was on 2/11/2022.”

Rule 8VAC20-800-800-B.

Based on record review and interview, the provider failed to ensure all staff completed the departments health and safety update course yearly.

“Evidence: 1. The record of the provider and assistant were reviewed. No documentation of completing the departments health and safety update course was found for the provider or the assistant. 2. The provider stated she thought they had both completed the course but could not find any documentation in the file or the web page to verify completion.”

Rule 8VAC20-790-250-F.

Based on interview, the provider failed to purchase a carbon monoxide detector.

“Evidence: The provider stated the home does not have a carbon monoxide detector.”

Rule 22.1-289.058.