Edna Squire

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

“At the time of the inspection, Caregiver #1?s health and safety update course was 25 days overdue.”

Rule 8VAC20-790-250-F.

Before attendance, documentation of immunizations is to be obtained for each child.

“At the time of the inspection, there was no documentation of immunizations for Children #4 and #5, who had been in care for over four months.”

Rule 8VAC20-800-90-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 obtained 6 training hours in 2024.”

Rule 8VAC20-800-210-A.

Areas and furnishings of the family day home, outside, shall be maintained in a safe condition.

“There was a thin piece of wood with a protruding nail lying on the windowsill in the outdoor covered play area.”

Rule 8VAC20-800-240-A.

Fireplaces shall be 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 shall be maintained by the provider.

“The last documented annual wood-burning fireplace inspection was overdue by 47 days.”

Rule 8VAC20-800-320-G.

The temperature of all the inside areas occupied by children shall be maintained no lower than 65 degrees.

“During the inspection, the temperature on the second level, which was occupied by children, was observed at 63 degrees.”

Rule 8VAC20-800-400-A.

Based on observation and interview it was determined the provider did not ensure 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 shall not have access to stairs.

“Evidence: 1. The stairway leading to the upstair bedrooms did not have a gate that prevented access to children in care. 2. The stairs leading to the dining room from the living room area did not have a gate that prevented access to children in care. 3. The children in care on the day of the inspection were under two years of age.”

Rule 8VAC20-800-430-A.

Based on record review, 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: There was no documentation of a physical examination completed by or under the direction of a physician prior to or within 30 days of child #4’s first day of attendance. The start date for child #4 is 9/25/2023.”

Rule 8VAC20-800-100-A.

Based on observation and interview, small electrical appliances were not unplugged when not in use.

“Evidence: The home’s toaster was not unplugged and was not in use at the time of the inspection.”

Rule 8VAC20-800-320-A.

Based on observation and interview, child-resistant protective covers larger than 1-1/4 inches in diameter were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“Evidence: 1. A power strip underneath a desk had two outlets not covered. 2. A pwer strip next to an end table had four outlets not covered.”

Rule 8VAC20-800-320-B.

Based on documentation review and interview, the provider did not ensure that wood-burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed.

“Evidence: 1. There was no documentation of an annual wood-burning fireplace inspection at the time of the inspection. 2. Cargiver #2 stated they were unsure when the last time they had an inspection.”

Rule 8VAC20-800-320-G.

Based on observation and inteview, cribs when being used by infants did not have a tight-fitting bottom cover.

“Evidence: The crib in the family room used by child #4 did not have a tight-fitting sheet and did not cover the entire crib mattress.”

Rule 8VAC20-800-530-B.

Based on observation and interview, the provider did not obtain written parent authorization for topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent.

“Evidence: There was no documentation of written parent authorization for child #4’s topical ointment.”

Rule 8VAC20-800-750-A.

Based on record review and interview, documentation was not maintained of emergency evacuation drills.

“Evidence: There was no documentation of emergency evacuation drill for November 2023.”

Rule 8VAC20-800-830-C.

Based on review of children’s records, the provider failed to review with the parent the emergency contact information required in 8VAC20-800-60- B-2 to ensure the information is correct.

“Evidence: Child #1 and #2’s records do not have documentation of annual review of emergency contact information. Child #1’s last annual review is dated 03/06/22 and Child #2’s last annual review date is05/28/2021.”

Rule 8VAC20-800-780-B.

Based on a review of caregiver records, the provider failed to obtain documentation of a central registry background check every five years.

“Evidence: Caregiver #1’s central registry background check expired 09/08/2022.”

Rule 8VAC20-770-40-D-1-a.

Based on a review of household member’s records, the provider failed to obtain a search of the central registry background check every five years.

“Evidence: Household Member #1, HHM #2 and HHM #3’s central registry background checks expired 09/08/2022.”

Rule 8VAC20-770-40-D-4-a.

Based on observation, the provider failed to ensure that when diaper cream/ointments provided by the parents shall be in the original contain and labeled with the child’s name.

“Evidence: 2 containers of diaper cream were not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

Based on a review of evacuation logs, the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care.

“Evidence: Provider could not provide documentation of evacuation drills practiced monthly.”

Rule 8VAC20-800-830-A.

Based on observation, the provider failed to ensure that all bottles shall be refrigerated and labeled with the child’s full name and the date.

“Evidence: The bottle in the refrigerated was not labeled with the child’s name and the date.”

Rule 8VAC20-800-960-E.