Vanessa Parker

8VAC20-800-180-A

“The provider shall obtain for each caregiver a current TB screening every two years from the date of the first screening. The TB screening for caregiver 1 was overdue by two months.”

Rule 8VAC20-800-180-A.

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 were no physical exam records available for child 1, who had been in care for three months.”

Rule 8VAC20-800-100-A.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for child 1, who had been in care for three months.”

Rule 8VAC20-800-90-A.

8VAC20-800-960-B

“Infants who cannot hold their own bottles shall be picked up and held for bottle feedings. Bottles shall not be propped. During the inspection, there was an infant in a carrier seat drinking out of bottle that was propped up by a blanket.”

Rule 8VAC20-800-960-B.

Caregivers who work directly with children shall attend at least 16 hours of training, to include the department’s health and safety update course.

“There is no documentation that caregiver 1 or caregiver 2 has completed the annual subsidy health and safety update course for 2024.”

Rule 8VAC20-790-250-F.

The program is required to submit to the Virginia Department of Health (VDH) and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-A.

Repeat Violation Assistants’ records shall contain the date of employment.

“The record for caregiver 1 does not contain a date of employment.”

Rule 8VAC20-800-120-B.

Stationary outdoor play equipment shall be placed at least six feet from the perimeter of other play structures or obstacles.

“The base of one of the two slides is less than six feet away from the perimeter of the home’s wooden fence.”

Rule 8VAC20-800-500-C.

8VAC20-790-430-A-3

“Based on record review and interview the provider failed to ensure that lockdown procedures are practiced at least annually. Evidence: 1 - There was not any documentation that lockdown procedures were practiced during the past year. 2 - The provider confirmed that she did not have documentation that lockdown procedures were practiced during the past year.”

Rule 8VAC20-790-430-A-3.

8VAC20-800-120-B

“Based on record review and interview the provider failed to obtain all required information for assistant caregiver records. Evidence: 1 - The record for assistant #1 did not contain a date of hire. 2 - The provider stated that she thought the assistant was hired around the end of November 2022.”

Rule 8VAC20-800-120-B.

8VAC20-800-210-B

“Based on record review and interview the provider failed to ensure that each caregiver documents 16 hours of training annually. Evidence: 1 - The record for assistant #1 does not contain 16 hours of documentation of annual training. 2 - The provider stated that she was unable to locate any documentation during the inspection.”

Rule 8VAC20-800-210-B.

8VAC20-800-240-A

“Based on observation the provider failed to maintain areas and equipment in safe condition. Evidence: In the backyard the outside play space where children play the following items were within reach of children: one blue cracked blue recycle bin, a rust chair, a container filled with used motor oil and standing water”

Rule 8VAC20-800-240-A.

8VAC20-800-500-C

“Based on observation the provider failed to ensure that fixed equipment is not placed over a hard surface. Evidence: The exit chute of one of two slides exits onto hard and compacted ground without any grass.”

Rule 8VAC20-800-500-C.

8VAC20-800-790

“Based on observation and interview the center failed to ensure the responsible person for emergency backup care is posted in a visible area close to the telephone. Evidence: 1 - There is not any posted information regarding emergency back-up. 2 - The provider confirmed that there is not any emergency back-up information posted.”

Rule 8VAC20-800-790.

8VAC20-800-800-A

“Based on interview the provider failed to demonstrate that there was a written emergency preparedness and response plan. Evidence: 1 - There was not a written emergency preparedness and response plan available during the inspection. 2 - The provider stated that she did not have a written emergency preparedness and response plan available during the inspection.”

Rule 8VAC20-800-800-A.

8VAC20-800-830-B

“Based on record review and interview the provider failed to ensure that two shelter-in-place drills are practiced a minimum of twice pre year. Evidence: 1 - There was not any shelter-in-place drill documentation available for review during the inspection. 2 - The provider confirmed that she did not have shelter-in-place documentation during the inspection.”

Rule 8VAC20-800-830-B.

8VAC20-800-990-B

“Based on interview the provider failed to demonstrate that all required items are present when transporting children in care. Evidence 1 - The provider could not list the required items currently in the vehicle used to transport children in care. 2 - The provider confirmed that there was not a complete first aid kit, name, address, and phone number of the family day home .”

Rule 8VAC20-800-990-B.

8VAC20-770-50-A-1-a

Rule 8VAC20-770-50-A-1-a.

8VAC20-770-50-A-2-a

“Based upon review of caregiver records and provideri nterview, the provider has not ensured that the results of a child protective services ( CPS ) central registry search are obtained at least every five years for caregivers. Evidence: 1. The most recent CPS central registry search for caregiver 2 is dated 2/20/2018. 2. The provider acknowledged that results of a central registry search had not been obtained within the past five years for caregiver 2.”

Rule 8VAC20-770-50-A-2-a.

8VAC20-800-100-A

“Based upon review of children’s records and provider interview, the provider has not ensured that documentation of a physical examination y or under the direction of a physician is obtained prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The provider stated that child 1 began attending in October 2022. results of a physical examination were not in the child’s record. 2. The provider verified that results of a physical examination were not obtained for child 1.”

Rule 8VAC20-800-100-A.

8VAC20-800-170-A

“Based upon review of records and provider interview, the provider has not ensured that each caregiver has obtained a current tuberculosis screening prior to coming into contact with children. Evidence: 1. The record provided for caregiver 3, employed since December 2022, did not include results of a tuberculosis screening. 2. The provider acknowledged that results of a tuberculosis screening were not available for review.”

Rule 8VAC20-800-170-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based upon review of children’s records and provider interview, the provider has not ensured that parents are provided the policies for medication. Evidence: Documentation in the record provided for child 1 indicated that the provider will administer over-the-counter medication. The provider stated that she is not medication administration certified and that no medication is administered to the children in care.”

Rule 8VAC20-800-70-A.

8VAC20-790-250-B

“Based upon review of caregiver records and provider interview, the provider has not ensured that within the first 90 days of employment all caregivers have completed the Virginia Preservice training for Child Care Staff training. Evidence: The record provided caregiver 3 indicated a date of employment in December 2022. The record did not contain documentation that caregiver 3 completed the required Virginia Preservice Training. 2. The provider (caregiver 1) acknowledged that the record did not contain documentation of the preservice Training.”

Rule 8VAC20-790-250-B.

8VAC20-790-430-A-3

“Based upon review of records and provider interview, the facility has not ensured that lockdown procedures are practiced at least annually. Evidence: 1. The posted emergency drill records did not include documentation that a lock down drill was practiced annually. 2. The provider (caregiver 1) acknowledged that a lock down drill had not been practiced and documented.”

Rule 8VAC20-790-430-A-3.

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: 1. The records for child 1 (date of enrollment: 3/25/22) and child 2 (date of enrollment: 3/25/22) do not contain documentation of a physical examination. 2. The provider confirmed that the records for child 1 and child 2 are lacking documentation of physical examinations.”

Rule 8VAC20-800-100-A.

Based on record review and interview, it was determined the provider did not obtain from the parent verification of the identity and age of the child within seven business days of the child’s first day of attendance at the family day home.

“Evidence: 1. The record for child 1 does not contain documentation that the provider obtained verification of the identity and age of the child. Child 1 has a date of enrollment of 3/25/22 and was in care on the day of the inspection. 2. The provider confirmed that verification of the identity and age of child 1 was not obtained from the parent.”

Rule 8VAC20-800-80-A.

Based on record review and interview, the provider did not ensure that children’s records contain all the required information.

“Evidence: 1. The record for child 1 does not contain the addresses of two designated persons to contact in case of an emergency if the parent cannot be reached. 2. The provider confirmed that child 1’s record lacks the addresses for the two emergency contacts.”

Rule 22VAC40-111-60-B.