Ms. Shreco Thompson

Children over the age of two shall not have access to stairs with three or more risers that do not have protective barriers or guardrails on each side.

“Child #3 was observed sitting at the top of the stairs leading to the daycare area, there was no protective barrier or guardrail on one side of the stairs.”

Rule 8VAC20-800-430-C.

Emergency supplies shall be accessible in vehicles used for transportation.

“The first aid kit in the van did not contain the required minimum first aid kit supplies, only adhesive bandages were observed.”

Rule 8VAC20-800-760-A.

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

“Evidence: In the daycare area six chairs were stacked on top of a table while the children were present and a rug near the table had a large wrinkle in it posing a trip hazard.”

Rule 8VAC20-800-240-A.

Children under two years of age shall not have access to stairs.

“Evidence: In the basement area of the daycare, the gate preventing access to the stairs was not secured while a child under two years of age was present.”

Rule 8VAC20-800-430-A.

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

“Evidence: The record for Child #1 did not contain the office address and phone number of the child’s physician. The record also did not contain the address of two designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

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

“Evidence: The record for Child #2 did not contain documentation of immunizations. Child #2 has been enrolled for ten days.”

Rule 8VAC20-800-90-A.

Caregivers who work directly with children shall annually attend at least 16 hours of training, to include the department’s health and safety update course.

“Evidence: The record for Caregiver #1 did not contain the department’s annual health and safety update course.”

Rule 8VAC20-790-250-F.

Occupied rest mats shall be at least 12 inches from each other.

“Evidence: During the inspection four children were observed sleeping on rest mats, the spacing between each rest mat was six inches.”

Rule 8VAC20-800-510-C.

Children under two years of age shall not use pillows or filled comforters.

“Evidence: During the inspection an 18-month-old child was observed sleeping on a pillow.”

Rule 8VAC20-800-530-G.

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

“Evidence: The record for Child #2 did not contain the address for the two designated persons to contact in case of emergency.”

Rule 8VAC20-800-60-B.

Repeat Violation

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. At the bottom of the stairs of the daycare area a vent was observed, two of the slats of the vent had a gap wide enough to pose a finger entrapment hazard.”

Rule 8VAC20-800-240-A.

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, shall be stored in areas inaccessible to children

“In the bathroom of the daycare area, a mildew cleaning product and a cleaning rag was observed on the bathroom sink of the daycare”

Rule 8VAC20-800-280.

Repeat Violation

“Before the child’s first day of attendance, parents shall be provided required information in writing. The parents of Child #1 and Child #2 did not have signed provisions of the emergency preparedness plan.”

Rule 8VAC20-800-70-A.

Based on observation, the Provider did not ensure that areas and furnishing of the family day home, inside and outside were maintained in a safe condition.

“Evidence: In the play area there was a large carpet that had several large wrinkles, posing a potential trip hazard.”

Rule 8VAC20-800-240-A.

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

“Evidence: In the kitchen a coffee machine was plugged in and not in use”

Rule 8VAC20-800-320-A.

Based on observation the provider did not ensure that children under two years of age did not have access to stairs.

“Evidence: On 8/26/24 there was one child under two years of age (20-months-old) in attendance. There was no gate at the bottom of the stairs of the daycare area to prevent access by the child.”

Rule 8VAC20-800-430-A.

Based on observation, it was determined that not all caregivers washed the children’s hands with liquid soap and warm running water before eating.

“Evidence: The children’s hands were not washed before the provider served breakfast.”

Rule 8VAC20-800-680-B.

Based on record review; the provider did not ensure that before the child’s first day of attendance that parents are provided all required policies in writing.

“Evidence: The record for Child #1 (Start Date 3/25/24) and Child #3 (Start Date 5/6/24) did not have signed provisions of the emergency preparedness plan.”

Rule 8VAC20-800-70-A.

Based on review of five child records, the provider did not maintain an up-to-date record at the family day home for each enrolled child.

“Evidence: On 5/6/24 there was no record at the family day home for Child #1.”

Rule 8VAC20-800-60-A.

Based on review of five child records, the provider did not ensure that they reviewed with the parent the emergency contact information annually for each child and obtained the parent’s signature acknowledging the review.

“Evidence: The record for Child #5, with a start date of 9/2/20, did not contain documentation of an annual review with parent signature.”

Rule 8VAC20-800-780-B.

Based on review of five children’s records it was determined that not records contained documentation of children’s proof of identity within the first seven days of enrollment.

“Evidence: The record for child #4, with a start date of 3/25/24, did not contain documentation of proof of identity.”

Rule 8VAC20-800-80-A.

Based on review of five child records, the provider did not obtain documentation that all children had been adequately immunized before attending the family day home.

“Evidence: There was no documentation of immunizations on record for Child #1.”

Rule 8VAC20-800-90-A.

Based on review of five child records and interview, not all children’s records contain general written permission from the parent of each child for the provider to take the child off the premises of the family day home.

“Evidence: The provider did not obtain written permission from the parent of Child #1 to take the child off the premises of the family day home to pick up and drop off children that attend public school.”

Rule 8VAC20-800-980-A.

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

“Evidence: 1. Child #1’s record did not have documentation of the annual review of the child’s emergency contact information. The last annual review of emergency contact information for Child #1 was dated 9/2/2020. 2. Child #3’s record did not have name and policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not review the emergency preparedness plan at least annually.

“Evidence: The emergency preparedness plan was last reviewed on 8/16/2019.”

Rule 8VAC20-800-800-B.

Based on record review, the provider did not obtain immunizations records for all children prior to the child attending the family day home.

“Evidence: Child #2 was present at the time of inspection and did not have immunization records on file.”

Rule 8VAC20-800-90-A.

Based on record review and provider interview, the provider has not obtained an updated tuberculosis screening or test for all adult household members completed within the last two years.

“Evidence: Household Member #2’s most recent tuberculosis screening on file was completed 9/4/2019.”

Rule 8VAC20-800-180-A.