Surisa Phumtim

Repeat Violation

“The provider shall obtain for each caregiver and adult household member 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 or more frequently as recommended by a physician or the local health department. Staff A Tb test has been expired for 7 months.”

Rule 8VAC20-800-180-A.

Before the child’s first day of attendance, parents shall be provided in writing.

“Child A was missing documentation of liability insurance disclosure. Child was in attendance for 4 days.”

Rule 8VAC20-800-70-A.

Emergency supplies shall be in the family day home, accessible to outdoor play areas, on field trips, in vehicles used for transportation and wherever children are in care.

“The first aid kit did not contain triangular bandages.”

Rule 8VAC20-800-760-A.

The provider shall obtain for each caregiver and adult household member 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 or more frequently as recommended by a physician or the local health department.

“Staff A’s TB screening expired approximately three weeks prior to inspection. Staff B’s TB screening expired approximately five months prior to inspection. Staff C’s TB screening expired approximately three weeks prior to inspection.”

Rule 8VAC20-800-180-A.

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

“There is peeling paint on window sill in child play area.”

Rule 8VAC20-800-240-A.

The diaper surface shall be nonabsorbent.

“The diaper changing pad had a tear.”

Rule 8VAC20-800-690-D.

Child resistant protective covers shall be installed on all unused outlets accessible to children under five years of age.

“There were six uncovered outlets in the nap room and 1 outlet not covered behind crib next to gate on main level.”

Rule 8VAC20-800-320-B.

Infant high chairs shall be used according to manufacturer’s instructions and when occupied by a child , a safety strap shall be used and securely fastened.

“Straps of 4 highchairs and booster seats were not securely fastened while children were watching TV and eating snack.”

Rule 8VAC20-800-540-A.

Caregivers shall wash their hands with soap and warm running water.

“Caregiver did not wash hands after changing diaper.”

Rule 8VAC20-800-680-A.

8VAC20-800-980-A

“General written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home. The general written permission shall be on a form that lists regularly scheduled trips (e.g., library, store, playground) and the driver, if the child is to be transported. ChildA and Child B did not have written permission obtained by parents to transport children from school to program.”

Rule 8VAC20-800-980-A.

Based on observation, bathroom did not have required materials.

“Evidence: The hand washing sink in the child care area did not have individual use paper towels.”

Rule 8VAC20-800-340-C.

Based on observation, equipment used by children were not used in accordance with manufacture guidelines.

“Evidence: 3 children eating in high chairs did not have lap buckle connected.”

Rule 8VAC20-800-480-D.

Based on record review, required documentation was not obtained within seven business days of the child’s first day of attendance.

“Evidence: Child A- start date of 5/31/2024 did not have verification of proof of identity at the time of the inspection on 7/11/2024.”

Rule 8VAC20-800-80-A.

8VAC20-800-200-C

“Based on record review, required documentation was not available of orientation. Evidence: Staff #1 ( start date 9/11/23) did not have documentation of the orientation signed and dated by the provider and the assistant.”

Rule 8VAC20-800-200-C.

Based on observation, electrical outlets did not contain protective covers.

“Evidence: 2 electrical outlets in the corner of the kitchen where children eat did not have protective covers.”

Rule 8VAC20-800-320-B.

Based on observation, occupied cribs and cots were not at least 12 inches from each other as required.

“Evidence: Cribs in the upstairs nap room were not spread apart to maintain a 12 inch distance as required.”

Rule 8VAC20-800-510-C.

Based on record review, documentation of orientation was not completed as required.

“Evidence: Staff #1 and Staff #2 did not have documentation of staff orientation.”

Rule 8VAC20-800-200-C.

8VAC20-800-690-D

“Based on observation he diaper changing surface was not non-absorbent. Evidence: The diaper changing pad was not able to be cleaned and sanitized and considered non-absorbent due to a tear in plastic.”

Rule 8VAC20-800-690-D.

Based on observation areas of the family day home were not maintained in a safe condition.

“Evidence: There was a small hole on the wall next to the dining table in the kitchen area that is within reach of children in care.”

Rule 8VAC20-800-240-A.

Based upon observation children were allowed to walk around while eating.

“Evidence: There was a child observed walking around with a green snack cup filled with cheerios in the play area during the inspection.”

Rule 8VAC20-800-900-B.