Ms. Mabel Wilkins

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 was not completed and was overdue by three weeks.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. Provider had documentation of completing 11 hours of annual training in 2025.”

Rule 8VAC20-800-210-A.

8VAC20-800-530-G

“Children under two years shall not use pillows or filled comforters. Child #2, under two years, was observed in a crib with two filled comforters.”

Rule 8VAC20-800-530-G.

8VAC20-800-750-A

“Topical skins products shall be labeled with the child’s name. A diaper cream and baby powder were not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

8VAC20-800-750-B

“Topical skin products are to be kept inaccessible to children. Diaper cream and baby powder were observed in an unsecured drawer under the diapering changing surface, within reach of children.”

Rule 8VAC20-800-750-B.

8VAC20-800-830-C

“Documentation shall be maintained for shelter-in-place drills. Provider stated shelter-in-place drills were conducted but they were not documented in 2025.”

Rule 8VAC20-800-830-C.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Household Member was not completed and was overdue by six months.”

Rule 8VAC20-800-180-A.

8VAC20-800-70-B

“Before the child’s first day of attendance, the provider shall 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 the two children present who have been enrolled for at least two months.”

Rule 8VAC20-800-70-B.

8VAC20-800-60-B

“(Repeat Violation) The provider shall maintain an up-to-date record at the family day home for each enrolled child that contains all of the required information. The record for child #2 enrolled for 8 months was missing the following required components: one of the custodial parents place of work - name, address, and phone number and the name and policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

Based on review, provider did not ensure each caregiver has documentation every 2 years of a negative tuberculosis (TB) test or screening.

“Evidence: The record for caregiver #1 had documentation of a TB test dated 7/19/2022 which is more than 2 years old.”

Rule 8VAC20-800-180-A.

(Repeat Violation) Based on review, provider did not ensure 1 of 5 child records has documentation of required information.

“Evidence: The record for child #5 (start date 1/18/2024) did not have insurance plan number.”

Rule 8VAC20-800-60-B.

Based on review, provider did not ensure 1 of 5 immunization records is signed and dated by a physician, physician’s designee or an official of a local health department.

“Evidence: The record for child #3 (start date 3/18/2024) has an immunization record that is not signed and dated by a physician or designee.”

Rule 8VAC20-800-110-B.

Based on review, provider did not ensure 2 of 5 child records have documentation of required information.

“Evidence: The following was found during record review: 1. The record for child #3 (start date 3/18/2024) did not have documentation of medical insurance information and signed acknowledgement of information for parents. 2. The record for child #4 (start date 8/2/2021) did not have documentation of parents’ employment phone numbers and medical insurance plan number.”

Rule 8VAC20-800-60-B.

Based on observation, provider did not ensure the first aid kit is inaccessible to children.

“Evidence: The first aid kit was stored on a table within reach of children in the main childcare room.”

Rule 8VAC20-800-760-B.

Based on observation, provider did not ensure the menu is posted for the current week showing meals and snacks to be served.

“Evidence: The menu posted was dated 3/11 - 3/15 which is not the current week.”

Rule 8VAC20-800-920.

Based on interview, the provider did not ensure there is documentation of an annual inspection and cleaning of wood burning stoves and fireplaces.

“Evidence: Provider stated a annual inspection has not been conducted of the fireplace. Provider stated an inspection was scheduled but was rescheduled by the company.”

Rule 8VAC20-800-320-G.

Based on observation and interview, provider did not ensure there is a written record of children in attendance each day.

“Evidence: Provider stated she did not have documentation of today’s attendance for the seven children observed present.”

Rule 8VAC20-800-50-A.

Based on interview, the licensee did not ensure to obtain documentation of an annual inspection and cleaning of wood burning stoves and fireplaces.

“Evidence: Interview with caregiver confirmed the documentation of annual inspections were not available for review for the inspection.”

Rule 8VAC20-800-320-G.

Based on review of staff records and interview, the licensee did not ensure to obtain a central registry search every five years.

“Evidence: In household member’s record, the central registry search found was dated 01/26/17. Interview with caregiver confirmed the updated search not being available during the inspection.”

Rule 22.1-289.035-A.

Based on review of staff record and interview, the licensee did not ensure all caregiver and adult household members obtained a current tuberculosis screening.

“Evidence: In household member’s record, the last date TB found was dated 05/24/2018. Interview with caregiver confirmed a current TB document was not available during inspection.”

Rule 8VAC20-800-180-A.

Based on observation and interview, the licensee did not ensure there was a working battery operated weather band radio.

“Evidence: During the inspection on February 23, 2023, there was not a working portal battery operated radio observed. Interview with caregiver confirmed the batteries for the radio not being available during inspection.”

Rule 8VAC20-800-770.

Based on documentation review and interview, the center did not ensure practice shelter in place a minimum of twice per year.

“Evidence: In review of the emergency drills log, there was only one shelter in place drill documented. Interview with caregiver confirmed there was on shelter in place completed for year 2022.”

Rule 8VAC20-800-830-B.

Based on review of caregiver’s record and interview, the provider did not ensure to obtain a background check every five years thereafter.

“Evidence: In Caregiver#1’s record, there was no central registry findings available for review. Interview with provider confirmed there was no central registry finding for review during this inspection.”

Rule 22.1-289.035-A.

Based on review of records and interview, the provider did not ensure to obtain central registry finding within 30 days of employment.

“Evidence: In the Assistant’s record (date of hire: 01/07/2022), there were no central registry findings found for review. Interview with provider confirmed the documentation for central registry finding was not available for review during the inspection.”

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

Based on review of caregiver’s record and interview, the provider did not ensure to maintain documentation for 16 clock hours of training annually.

“Evidence: In caregiver’s record, there was no documentation of annual training in areas relevant to their job responsibilities found. Interview with provider confirmed documentation of trainings taken was not available for review during this inspection.”

Rule 8VAC20-800-210-A.