Katrina Briggs

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..

“There was no updated TB screening for the two providers, this was overdue by 10 months.”

Rule 8VAC20-800-180-A.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“There was no emergency evacuation drill practiced in June 2026.”

Rule 8VAC20-800-830-A.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be posted accessible to parents or given to the parents.

“There was no menu posted.”

Rule 8VAC20-800-920.

Providers must keep a written record of children in attendance each day.

“There were no attendance records on the date of inspection.”

Rule 8VAC20-800-50-A.

An infant, toddler, or preschool child who falls asleep in a play space other than his own crib, cot, mat, or bed shall be moved promptly to his designated sleeping space if the safety or comfort of the infant, toddler, or preschool child is in question.

“Child #1 (7 months old) was sleeping in the swing during this inspection.”

Rule 8VAC20-800-590-B.

A child’s record shall contain all of the required information.

“The record for child #1 did not contain the medical insurance policy number, the addresses for both emergency contacts, and first date of attendance. The record for child #2 did not contain the first date of attendance and the annual review was not dated. The record for child #3 did not contain the medical insurance policy number.”

Rule 8VAC20-800-60-B.

The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements according to subsection B of this section.

“There were no updated immunization documentation in the record for child #3.”

Rule 8VAC20-800-90-C.

Hot water at taps available to children shall be maintained within a range of 105?F to 120?F.

“The hot water tap was measured at 144.8degrees Fahrenheit.”

Rule 8VAC20-800-350-E.

8VAC20-800-730-D

“Based on observation and interview it was determined the caregiver did not ensure that all medication was kept in a locked place using a safe locking method. Evidence: 1. There was a bottle of prescription nasal spray on the end table by the couch in the childcare area accessible to children in care. 2. Provider confirmed that this medication was out during this inspection.”

Rule 8VAC20-800-730-D.

8VAC20-800-830-A

“Based on record review and interview it was determined the provider did not practice evacuation procedures monthly. Evidence: 1. There was no drill recorded for June 2024. 2. Provider confirmed the evacuation procedures were not practiced for the month of June.”

Rule 8VAC20-800-830-A.

8VAC20-800-240-A

“Based on observation the licensee did not ensure all areas of the home were maintained in a safe condition. Evidence 1. There was peeling paint on the railing leading up the stair.”

Rule 8VAC20-800-240-A.

8VAC20-800-340-C

“Based on observation the licensee did not ensure all bathroom requirements were met. Evidence: There was no toilet paper or holder in the bathroom used by the children.”

Rule 8VAC20-800-340-C.

8VAC20-800-240-A

“Based on observation the licensee did not ensure all areas and furnishings of the family day home were maintained in a safe condition. Evidence: 1. There was peeling paint on the staircase rail. 2. At the top of the staircase was a tall metal shelf with boxes and other items stored on it. The shelf was not secured and posed a tipping hazard. 3. The staircase had 4.5 inches between each slat. Opening greater than 4inches can pose an entrapment hazard.”

Rule 8VAC20-800-240-A.

8VAC20-800-320-A

“Based on observation the licensee did not ensure small electrical appliances were unplugged. Evidence: In the kitchen there was an electrical can opener and coffee maker that were plugged into electrical outlets.”

Rule 8VAC20-800-320-A.