Ms. Sandra Bundy

8VAC20-800-100-A

“The provider shall 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. The physical examination for Child #3 was dated more than four months after the first day of attendance.”

Rule 8VAC20-800-100-A.

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. The immunizations for Child #3 were received 9 days after the child began attending the Family Day Home.”

Rule 8VAC20-800-90-A.

Based on documentation review and interview with the provider, lockdown procedures were not practiced at least annually.

“Evidence: The last documentation of a lockdown drill was date 2/9/23.”

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

Based on observation the provider did not ensure small electrical appliances were unplugged when not in use.

“Evidence: In the kitchen area a toaster oven and coffee machine were plugged in and not in use.”

Rule 8VAC20-800-320-A.

Repeat Violation

“Based on review of the written attendance record and interview with the provider, the provider did not ensure all children were included on the written attendance record. Evidence: There was no written attendance record at the time of inspection.”

Rule 8VAC20-800-50-A.

Based on documentation review and provider interview, the provider has not maintained a written record of children in attendance each day.

“Evidence: The provider did not have a written record of attendance for Monday 3/20/23 or Tuesday 3/21/23 and the provider reported Child #1 was in attendance both days.”

Rule 8VAC20-800-50-A.

Based on documentation review and provider interview, the provider has not ensured that documentation is maintained of the monthly emergency evacuation drills.

“Evidence: The last emergency evacuation drill documented on the drill log was completed 10/1/2022. The provider advised she has been conducting monthly fire drills but has not maintained documentation.”

Rule 8VAC20-800-830-C.

Based on observation and provider interview, the provider did not ensure that the family day home was equipped with at least one carbon monoxide detector.

“Evidence: There was no carbon monoxide detector present at the family day home.”

Rule 22.1-289.058.

Based on record review, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance:

“Evidence: Child #1 (Start Date: 1/10/22) did not have a physical examination on file.”

Rule 8VAC20-800-100-A.

Based on provider interview, the provider did not keep a written record of children in attendance each day.

“Evidence: The provider stated she has not completed attendance for today.”

Rule 8VAC20-800-50-A.

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

“Evidence: Child #2 (Start Date: 1/14/22) did not have the name and policy number of the child’s medical insurance on file.”

Rule 8VAC20-800-60-B.