Dana Harris

8VAC20-790-170-G

“The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. The provider did not have a current written list listing food sensitivities and dietary restrictions for child 4 and child 5.”

Rule 8VAC20-790-170-G.

8VAC20-790-250-F

“Caregivers who work directly with children shall annually complete the department’s health and safety update course. Caregiver 1 and caregiver 2 did not complete the 3-hour annual subsidy health and safety course for 2025.”

Rule 8VAC20-790-250-F.

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. There was no documentation of a physical exam on file for child 3. Child 3 has been in care for more than 30 days.”

Rule 8VAC20-800-100-A.

8VAC20-800-890

“When food is brought from home, the following shall apply: The food container shall be clearly labeled in a way that identifies the owner. One container of frozen breast milk, for child 1, was not labeled with the child’s name.”

Rule 8VAC20-800-890.

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 immunization record for child 3 did not provide documentation that child 3 was adequately immunized according to his age.”

Rule 8VAC20-800-90-A.

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care. A bottle containing breast milk, for child 2, was not labeled with the child’s full name and date.”

Rule 8VAC20-800-960-E.

8VAC20-800-180-A

“The provider shall obtain for each caregiver a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening. The tuberculosis screening for caregiver 1 and caregiver 2 was completed in June of 2023.”

Rule 8VAC20-800-180-A.

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

“The attendance record for the family day home did not include written documentation to indicate the time of arrival and departure of children in care.”

Rule 8VAC20-790-180-B.

A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.

“Caregiver 1, who has functioned as a substitute provider, had not signed into any type of record to indicate days and times worked in the family day home.”

Rule 8VAC20-800-140-D.

Children shall be protected from materials that could be swallowed or present a choking hazard. Toys or objects less than 1-1/4 inches in diameter and less than two inches in length shall be kept out of reach of children under the age of three years.

“Child 1 was observed with a plastic gray object in his mouth. The object was round and approximately 1/2 inch in diameter and appeared to be a wheel that had fallen off of some type of plastic toy. Child 1 is under the age of 12 months.”

Rule 8VAC20-800-250-B.

Infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour.

“Child 2, who was awake, was observed in an infant seat from approximately 9:30 am - 10:34 am when he was placed in a crib for a nap. At 11:14 am child 2 was removed from the crib and placed in an infant seat until 12:10 pm. Child 2 was awake during this time.”

Rule 8VAC20-800-600-B.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after diapering.

“Caregiver 1 did not wash the hands of child 1 after a diaper change at approximately 9:50 am. Caregiver 2 did not wash the hands of child 2 after a diaper change at approximately 11:50 am.”

Rule 8VAC20-800-680-B.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“There was no written documentation to indicate that the emergency plan for the family day home has been reviewed, and updated, annually. Written documentation on file indicates the plan was last reviewed by the provider on 10/14/2023.”

Rule 8VAC20-800-800-B.

Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“Bottles of formula were not dated and labeled for two infants in care.”

Rule 8VAC20-800-960-E.

Based on record review and interview, the provider failed to ensure compliance with the home’s policies that have been disclosed to the parents as required by 8VAC20-800-70.

Rule 8VAC20-800-30-B. From a complaint.