Mrs. Bristel White

A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction is required.

“Child #3, enrolled for over seven months, has a diagnosed food allergy and did not have a written care plan in their record.”

Rule 8VAC20-790-190-B-12.

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

“There was an electrical outlet in the living room that was not secure. The outlet felt loose and the plate cover did not fit securely, leaving a gap between the plate cover and the wall.”

Rule 8VAC20-800-240-A.

Documentation of additional immunizations is required once every six months for children under the age of two years. ’

“Child #2, 14 months old, last documented immunization was over six months ago.”

Rule 8VAC20-800-90-C.

Caregivers shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff #2 did not have current CPR certification, their certification expired three months ago.”

Rule 8VAC20-790-250-D-1.

Caregivers shall have current certification in first aid appropriate to the ages of children in care.

“Staff #2 did not have current first aid certification, their certification expired three months ago.”

Rule 8VAC20-790-250-D-2.

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 was no physical exam records available for child #5, who had been in care for 30 days.”

Rule 8VAC20-800-100-A.

Children’s records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached .

“The record for child #5 did not contain information for the two required emergency contacts. The child was present during the inspection and had been in care for a month.”

Rule 8VAC20-800-60-B.

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

“There was no documentation of immunizations for child #5, who was in care during the inspection and had been in care for a month.”

Rule 8VAC20-800-90-A.

8VAC20-800-240-A

“Based on observation it was determined the provider did not ensure that all areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: There was peeling paint on the banister and on the walls in the lower level of the day care.”

Rule 8VAC20-800-240-A.

8VAC20-800-240-A

“Based on observation it was determined all areas and furnishings of the family day home, inside and outside, were not maintained in a safe, and operable condition. Evidence: 1. There was peeling paint on the railing and banister of the steps leading to the lower level used for childcare. 2. Provider confirmed the paint needed to be repaired/removed.”

Rule 8VAC20-800-240-A.

8VAC20-800-920

“Based on observation and interview it was determined the current one-week menu was not posted. Evidence: 1. There was no menu posted. 2. The provider confirmed this was not posted during the inspection.”

Rule 8VAC20-800-920.