Ms. Terrie Finney

Repeat violation

“The provider shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were three children present and six children documented as present on the written attendance record. The attendance record did not document the departure for three children as it occurred.”

Rule 8VAC20-790-180-B.

A child’s record shall contain the information required by the standards.

“The records for Child 1, Child 2, and Child 3 did not contain all of the information required by the standards.”

Rule 8VAC20-800-60-B.

The provider shall maintain a written hard copy of daily attendance that documents the arrival and departure of each child in care as it occurs.

“There were three children in attendance, and the daily attendance had not been taken to document the arrival of each child as it occurred.”

Rule 8VAC20-790-180-B.

Children’s hands shall be washed before and after eating meals and snacks and caregivers shall wash their hands with soap and running water before preparing or serving food or beverages.

“The children did not wash their hands after the morning snack. Caregiver 1 did not wash their hands before serving the morning snack.”

Rule 8VAC20-790-390-A.

Tables and high chair trays shall be cleaned and sanitized daily and before and after each use for feeding.

“The table and two high chair trays were not clean and sanitized before being used for the morning snack.”

Rule 8VAC20-790-440-E.

When a child is placed in a high chair, the protective belt shall be fastened securely.

“Child 1 and Child 2 were both in high chairs without the protective belts securely fastened.”

Rule 8VAC20-790-450-B.

Sharp kitchen utensil shall be inaccessible to children.

“There were 5 kitchen knives in a dish drying rack on the kitchen counter that were accessible to children.”

Rule 8VAC20-800-290.

Medications shall be kept in a locked place using a safe locking method that prevents access by children.

“There was a bottle of liquid children’s allergy medication on the kitchen counter.”

Rule 8VAC20-800-730-D.

When family day homes provide meals or snacks, the family day home shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program.

“The children were served only snack crackers for the morning snack; two components are required to be served to be considered a snack.”

Rule 8VAC20-800-880.

A child’s record shall contain all of the information required by the standards.

“The record for Child 1 did not contain the first date of attendance.”

Rule 8VAC20-800-60-B.

Before a child may attends the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“The immunization record for Child 3 was obtained 3 weeks after the first day of attendance.”

Rule 8VAC20-800-90-A.

Based on record review, the vendor failed to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: The attendance record for 03/26/2024 did not document the children’s departure. There was a total of 5 children observed in attendance during the 03/27/2024 inspection. The attendance record did not document any children in care; the attendance was not taken upon arrival as it occurred on 03/27/2024.”

Rule 8VAC20-790-180-B.

Based on observations and interviews, the provider failed to ensure that children under 2 years of age shall not use pillows or filled comforters.

“Evidence: There was a pillow observed in a crib. Provider 1 stated that Child 3 (18 months old) uses the pillow in the crib.”

Rule 8VAC20-800-530-G.

Based on observations, the provider failed to ensure that when toilet chairs are used, they shall be emptied promptly, cleaned and sanitized after each use.

“Evidence: The training urinal in the restroom was observed with urine in it; it had not been promptly emptied, cleaned and sanitized after it was used.”

Rule 8VAC20-800-690-L.

Based on record review, the provider failed to obtain the parent’s signed acknowledgement of reviewing the child’s emergency contact information annually.

“Evidence: 1. The most recent signed acknowledgement of the review of the emergency contact information in the record for Child 1 was obtained on 02/01/2023; an annual update was not obtained by 02/01/2024. 2. The most recent signed acknowledgement of the review of the emergency contact information in the record for Child 2 was obtained on 12/07/2022; an annual update was not obtained by 12/07/2023.”

Rule 8VAC20-800-780-B.

Based on record review, the provider failed to ensure that a child’s record shall contain all of the elements as required by the standards.

Rule 8VAC20-800-60-B.

Based on observations, the provider failed to ensure that children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles.

“Evidence: 1. Child 1 was observed walking around while drinking from a cup. 2. Child 2 was observed walking around while drinking from a bottle.”

Rule 8VAC20-800-900-B.

Based on observations, the provider failed to ensure that when meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated; given to parents or posted in an area accessible to parents; list any substituted foods; and kept on file one week at the family day home.

“Evidence: The posted menu for the current one-week period of March 6-10 was not complete. The menu was missing the following: the AM Snack provided on 03/07/2023; and the breakfast and afternoon snacks for Wednesday-Friday.”

Rule 8VAC20-800-920.

Based on record review and discussion, the provider failed to ensure that the record for each child enrolled contains all of the elements as required by the standard.

“Evidence: 1. The record for Child 1 did not contain the following information: office address and telephone number of the child’s physician; name, address and telephone number of two designated person to contact if case of an emergency if the parent cannot be reached (there was not an addresses provided for the second contact); and the names and addresses of previously attended child day care and schools. 2. The record for Child 2 did not contain the parent’s signed acknowledgement of the receipt of the information required by 8VAC20-800-70.”

Rule 8VAC20-800-60-B.