Felecia Hayes

8VAC20-800-100-A

“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 documentation of a physical examination for child # 1. The child was in care this inspection and has been enrolled for 10 months.”

Rule 8VAC20-800-100-A.

8VAC20-800-460-D

“The provider shall maintain documentation of the current rabies vaccination. The dogs rabies vaccination are expired by 1 month.”

Rule 8VAC20-800-460-D.

8VAC20-800-60-A

“Repeat Violation An up to date record for each child enrolled shall be maintained by the provider. There was no record for child # 6, who has in care during this inspection and has been in care for 4 days.”

Rule 8VAC20-800-60-A.

8VAC20-800-60-B

“Repeat Violation Children’s records are required to contain 2 emergency contact address, medical policy number and emergency medical authorization. The record for child #1 is missing 2 emergency contact address, medical policy number and emergency medical authorization. The child was present during the inspection and had been in care for 10 months.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-B

“The provider shall have the parents update the emergency contact information annually. There was no written documentation that child # 4 parents have updated their emergency contact information.”

Rule 8VAC20-800-780-B.

8VAC20-800-100-A

“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. T There were no physical exam records available for Child #2, who was in care during this inspection. There was no physical exam for child #4 who was in care during this inspection and who had been in care for over five months.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #3 was not completed and was overdue by four months.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-A

“An up to date record for each child enrolled shall be maintained by the provider. There was no record for child #2, who was in care during the inspection.”

Rule 8VAC20-800-60-A.

8VAC20-800-60-B

“Children’s records are required to contain Proof of the child’s age and identity and the names and addresses of previously attended child day care and schools, written authorization for emergency. The record for Child #4 was missing proof of birth and the medical emergency authorization. The child was present during the inspection and had been in care for five months.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided required information in writing. The parents of child # 2 have not received the required information. The child was present during the inspection.”

Rule 8VAC20-800-70-A.

8VAC20-800-780-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. Records for child #5, did not have a parent’s signature for an annual review of the emergency contact information. Child #5 had been in care for over a year. It has been over four months without any annual review.”

Rule 8VAC20-800-780-B.

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care. The bottles for child # 2 were not labeled and dated.”

Rule 8VAC20-800-960-E.

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. A child’s crib was not in a safe condition when there was a crack in the plastic panel with sharp edges that was accessible to children in care.”

Rule 8VAC20-800-240-A.

8VAC20-800-60-B

“Children’s records are required to contain written authorization for emergency medical care. The record for Child #4 was missing written authorization for emergency medical care. The child was present during the inspection and had been in care for 4 months.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided required information in writing.The parents of child# 4 were not provided in writing the following required information: whether or not there is liability insurance in force on the family day home operation, The child had been in care for four months.”

Rule 8VAC20-800-70-A.

8VAC20-800-500-C

Rule 8VAC20-800-500-C.

8VAC20-800-60-B

“Based on a review of children records, 1 child’s record did not have all the required information. Evidence: Child # 4, date of enrollment 1/29/2023 does not have documentation of the review of emergency contacts, the last date the review was completed was 6/15/2023. Child #4 is also missing parent’s signed acknowledgement of the receipt of information.”

Rule 8VAC20-800-60-B.

8VAC20-800-50-A

“Based on an interview with the provider, the family day home has not maintained a written record of children in attendance each day. Evidence: There was no record of attendance for today or the past couple weeks.”

Rule 8VAC20-800-50-A.

8VAC20-800-70-A

“Based on a review of children records, 1 child’s record does not have in writing from the parents whether or not there is insurance liability. Evidence: Child # 1, date of first attendance 11/30/2020, does not have in writing from the parents the insurance liability form.”

Rule 8VAC20-800-70-A.

22.1-289.058

“Based on observation and provider interview, the home is not equipped with a carbon monoxide detector. Evidence: There was no carbon monoxide detector in the home, the provider was not aware that she needed one.”

Rule 22.1-289.058.

8VAC20-800-100-A

“Based on a review of children records, the provider has not obtained documentation of each child’s physical examination within 30 days after the first day of attendance. Evidence: Child #1, first day of attendance 1/3/2023 and child # 3, first day of attendance 2/15/2023 does not have documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“Based on a review of caregiver records, there is not documentation that a a current TB screening has been obtained. Evidence: Caregiver # 3 does not have documentation of a current TB screening in the file.”

Rule 8VAC20-800-180-A.

8VAC20-800-70-A

“Based on children record review, parents have not been provided the policies of administration of medication for each child before the child’s first day of attendance. Evidence: Child # 4, date of first attendance 8/14/2023 record does not have documentation of the policy for administration of medications.”

Rule 8VAC20-800-70-A.

8VAC20-800-760-A

“Based on a review of the first aid supplies, there is not triangular bandages maintained in the firs aid kit. Evidence: There were no triangular bandages in the first aid kit.”

Rule 8VAC20-800-760-A.

Based on a review of caregiver records, the family day home did not obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: Caregiver #1 had documentation of 6 hours of training, Caregiver #2 had documentation of 6 hours of training and Caregiver #3 has documentation of 3 hours of training.”

Rule 8VAC20-800-210-A.

Based on a review of children’s records, the family day home did not maintain required documents for all children enrolled.

“Evidence: Child #1, #2 and #3’s records did not have documentation of names of persons other than the custodial parents who are authorized to pick up the child.”

Rule 8VAC20-800-60-B.

Based on observation, not all of the required telephone numbers were posted. Evidence - 1. On the date of inspection, the responsible person for emergency backup care as required in 8VAC20-800 A 3; name and phone number was not posted.

“Evidence: The emergency back-up persons name and phone number was not posted.”

Rule 8VAC20-800-790.

Based on a review of children’s records, the provider failed to ensure that each child has documentation of a physical examination by the 30th day of attendance.

“Evidence: Child #2 and child #4’s records do not have documentation of a physical by the 30th day of attendance. Child #2’s first day of attendance was 02/03/2020 and Child #4’s first day of attenance was 04/02/2018.”

Rule 8VAC20-800-100-A.

Based on observation, the provider failed to ensure that equipment used by children shall be clean and in good condition.

“Evidence: Cribs have chipping and peeling paint.”

Rule 8VAC20-800-480-E.

Based on a review of children’s records, the provider failed to obtain all required documentation.

“Evidence: Child #3’s record does not contain documentation of the names of persons other than the custodial parents who are authorized to pick up the child.”

Rule 8VAC20-800-60-A.

Based on a review of children’s records, the provider failed to annually review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s acknowledgment of the review.

“Evidence: Child #1- (First date of attendance 7/2/2019 last review 09/03/2020), #2 - (First date of attendance - 02/03/2020),#3 - (First date of attendance 08/27/2020) and #4’s - (First date of attendance - 04/02/2018, last acknowledged review 10/19/2019) records did not contain documentation of an annual review and acknowledgement of emergency contact information.”

Rule 8VAC20-800-780-B.

Based on a review of children’s records, the provider failed to obtain documentation of immunization by the first day of attendance.

“Evidence: Child #4’s record does not contain documentation of immunizations by the first day of attendance. The first day of attendance was 04/02/2018”

Rule 8VAC20-800-90-A.