Marietta Parham

Repeat Violation: No soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys.

“Pillows were used in the cribs for child #4, age 15 months, and child #2, age 15 months, who were observed sleeping at the time of the inspection.”

Rule 8VAC20-800-530-F.

The provider shall ensure that a caregiver does not exceed 16 points.

“On 10/06/2026, caregiver #1 was the only one present with six children at 17 points.”

Rule 8VAC20-800-570-A.

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

“Child #3, age two years, had an immunization dated three days after date of enrollment.”

Rule 8VAC20-800-90-A.

Repeat Violation:

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-A.

Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department’s health and safety update course.

“The health and safety update course for caregiver #1 and caregiver #2 was overdue by 23 days.”

Rule 8VAC20-790-250-F.

No soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys.

“A stuffed toy and blanket was observed in the infant crib for child #1, age 9 months. Caregiver confirmed the use of the soft materials during nap time.”

Rule 8VAC20-800-530-F.

A child’s record shall contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“Child # 2?s record contained one emergency contact at the time of inspection.”

Rule 8VAC20-800-60-B.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-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.

“Child #2, enrolled for seven weeks, did not have a physical on file at the time of inspection.”

Rule 8VAC20-800-100-A.

The provider shall obtain the parent’s written acknowledgement of the receipt of the information in this section.

“Child #2, enrolled for seven weeks, did not have written acknowledgement of the receipt of the provisions of the family day home’s emergency preparedness and response plan in the record at the time of inspection.”

Rule 8VAC20-800-70-B.

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

“Child #2, enrolled for seven weeks, did not have immunizations on file at the time of inspection.”

Rule 8VAC20-800-90-A.

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.

“Child #5, who has been enrolled for six months, has a food allergy and did not have a written care plan in their file.”

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

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 six months.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 and Caregiver #2 was not completed and was overdue by 11 months.”

Rule 8VAC20-800-180-A.

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

“Child #3, 21 months old, did not have additional documented immunization on record every six months.”

Rule 8VAC20-800-90-C.

Based on a review of two (2) caregiver records and interview, the provider did not ensure that the caregivers annually obtained a minimum of sixteen clock hours of training in areas relevant to their job responsibilities.

“Evidence: 1. The records of caregiver #1 and caregiver #2 contained 4.5 hours each of training in 2022. 2. The provider acknowledged that the caregivers had not obtained the required 16 hours of training.”

Rule 8VAC20-800-210-A.

Based on a review of five (5) children’s records and interview, the center did not ensure to obtain documentation that one (1) child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before the first date of attendance as required.

“Evidence: 1. The record of child #4 (date of attendance: 1/9/2023) did not contain an immunization record. 2. The provider acknowledged that they had not obtained an immunization record for child #4.”

Rule 8VAC20-800-90-A.

Based on observation and interview, the provider did not ensure that potentially poisonous substances were stored in areas inaccessible to children.

“Evidence: 1. A can of insecticide was observed in an unlocked lower cabinet in the kitchen. The kitchen is a room utilized by the children in care. 2. The provider acknowledged that the insecticide was not in an inaccessible place.”

Rule 8VAC20-800-280.

Based on observation and interview, the provider did not ensure that a caregiver did not exceed 16 points by using the point system.

“Evidence: 1. On 8/2/2022, 1 caregiver was observed with 9 children ranging in age from 1-12 years. The point system determined the caregiver had 18 points. The second caregiver returned after approximately 15 minutes. 2. The provider stated that caregiver #2 had stepped out to go to the store.”

Rule 8VAC20-800-570-A.

Based on record review and interview, the provider did not ensure to document in writing each annual review and update of the emergency preparedness and response plan.

“Evidence: 1. The last documented update was 4/13/2021. 2. The provider acknowledged that the 2022 annual review had not been documented in writing.”

Rule 8VAC20-800-800-B.

Based on a review of 5 children’s records and interview, the provider did not ensure that 3 records contained documentation that the child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations prior to the first date of enrollment as required.

“Evidence: 1. The record of child #1 (DOE:7/25/2022) contained an immunization record dated 7/26/2022. The record of child #2 (DOE:4/25/2022) contained an immunization record dated 4/28/2022. The record of child #3 (DOE: 4/26/2022) contained an immunization record dated 4/28/2022. 2. The provider acknowledged that the immunization records were obtained after the first date of enrollment.”

Rule 8VAC20-800-90-A.

Based on a review of 5 children’s records and interview, the provider did not ensure that 2 children had documentation of the required additional immunizations. Additional immunizations are required once every six months for children under the age of two years.

“Evidence: 1. The record of child #4 (DOE: 8/5/2019) and child #5 (DOE: 8/5/2019) did not contain updated immunizations every 6 months while the children were under the age of 2. 2. The provider acknowledged that the updates were not received.”

Rule 8VAC20-800-90-C.

Based on record review and interview, the provider did not ensure that each enrolled child’s record contained all of the required information.

“Evidence: 1. The record of child #1 (DOE:10/12/2021) and child #2 (DOE: 10/12/2021) did not contain the policy number of the child’s medical insurance. 2. The provider acknowledged that the information was missing.”

Rule 8VAC20-800-60-B.