Ms. Beverly McPherson

Based on record review, the family day home failed to have a TB screening done every two years from the date of the first screening.

“EVIDENCE: The most recent TB screening for staff 1 was dated 3/21/2022.”

Rule 8VAC20-800-180-A.

Repeat violation

“Based on observation, the family day home failed to have a non-absorbent diapering surface. EVIDENCE: The new diapering surface has an absorbent surface (on one side) and absorbent cloth edges .”

Rule 8VAC20-800-690-D.

Based on document review and interview, the family day home failed to practice emergency evacuation procedures monthly.

“EVIDENCE: The record shows that an emergency evacuation drill was not done in January 2024, and this was confirmed by staff 1.”

Rule 8VAC20-800-830-A.

Based on document review and interview, the family day home failed to have two shelter-in-place drills in the past year.

“EVIDENCE: The record shows that one shelter-in-place drill was done in the past year, and this was confirmed by staff 1.”

Rule 8VAC20-800-830-B.

Based on observation, the family day home failed to have a non-absorbent diapering surface.

“EVIDENCE: The diaper mat had a rip in it, making it no longer non-absorbent.”

Rule 8VAC20-800-690-D.

Based on record review, the family day home failed to provide in writing the policy for the administration of medication.

“EVIDENCE: The record for child 1 has a documented start date of 4/5/2021 and has no documentation to show that the parent was provided with information regarding the administration of medication.”

Rule 8VAC20-800-70-A.

Based on record review and interview, the family day home failed to obtain written permission to take a child off the premises for regularly scheduled trips.

“EVIDENCE: The record for child 1 has no documentation that the parent has given permission for the child to be taken off the premises. An interview with staff 1 reveals that children in care regularly go on neighborhood walks.”

Rule 8VAC20-800-980-A.

Based on record review and interview, the provider failed to have required repeat background checks completed every five years.

“EVIDENCE: Staff 1?s most recent national fingerprint (criminal) check was dated 2/13/2018, and the most recent central registry ( CPS ) check was dated 2/21/2018. Staff 1 stated they have not yet been requested.”

Rule 22.1-289.036-A.

Based on record review, the provider failed to obtain documentation of a physical examination for a child prior to or within 30 days after the first date of attendance.

“EVIDENCE: The record for Child 2 shows that attendance began on 3/15/2021 and the only documentation of a physical examination was dated 2/22/2023.”

Rule 8VAC20-800-100-A.

Based on record review, the provider failed to have 16 hours of annual training.

“EVIDENCE: During the previous calendar year Staff 1 had 13 hours of documented training. This home uses calendar years to record training.”

Rule 8VAC20-800-230-A.

Based on observation, the provider failed to ensure that poisonous materials were stored in areas inaccessible to children.

“EVIDENCE: Cleaning agents were stored under kitchen and bathroom cabinets. Both rooms were accessible to children and the storage areas were accessible to children.”

Rule 8VAC20-800-280.

Based on observation, the provider failed to have a working portable battery-operated weather band radio, and extra batteries available to caregivers at all times.

“EVIDENCE: The battery-operated radio did not work when Staff 1 turned it on. Staff 1 was unable to locate more batteries to see if the radio would work if they were changed.”

Rule 8VAC20-800-770.

Based on observation, the provider failed to have the poison control and emergency back-up caregiver phone numbers posted.

“EVIDENCE: The phone numbers for poison control and the emergency back-up caregiver were not posted.”

Rule 8VAC20-800-790.

Based on record review, the provider failed to obtain documentation that a child has been adequately immunized prior to attending the family day home.

“EVIDENCE: The record for Child 2 shows that attendance began on 3/15/2021 and the only immunization record was dated 2/22/2023.”

Rule 8VAC20-800-90-A.

Based on inspection, the Licensee failed to ensure the family day home is equipped with at least one carbon monoxide detector.

“EVIDENCE: A carbon monoxide detector was not installed in the home.”

Rule 22.1-289.058.

Based on inspection, the Licensee failed to maintain hot water at taps available to children within a range of 105 Degree F to 120 Degree F.

“EVIDENCE: Using a food/liquid thermometer, Licensing Inspector observed the hot water temperature, in the bathroom sink used by the children in car, registered 122.9 Degree F. Hot water temperature was not maintained within a range of 105 degree F to 120 degree F.”

Rule 8VAC20-800-350-E.

Based on observations, the Licensee failed to ensure infant cribs are not used as a play space for infants.

“EVIDENCE: Licensing Inspector observed the Provider placed a child in an infant crib for purposes other than sleeping. The Child was observed playing with manipulative toys while in the crib. Infant cribs was used as a play space.”

Rule 8VAC20-800-520-B.

Based on record review, the Licensee failed to obtain documentation of additional immunizations every 6 months for children under the age of 2 years old.

“EVIDENCE: Licensing Inspector reviewed 4 children records. Record for Child #4, who is under the age of 2 years old, did not include documentation of updated immunizations every 6 months.”

Rule 8VAC20-800-90-C.

Based on review of files and discussions with the provider, the provider failed to maintain compliance with this standard related to obtaining background checks for a person residing in the home as required.

“Evidence: There was no documentation that the Finger-print Check or Central Registry Clearance was completed on household member #2 as required. The household member moved back into the home in October 2021. The allowed 30 day time frame to obtain these has expired.”

Rule 8VAC20-770-40-D-4-a.

Based on review of files and discussion with the provider, the provider failed to maintain compliance with this standard as required related to CPR certification.

“Evidence: The provider did not have current certification in CPR. The previous certification held expired in 2020.”

Rule 8VAC20-800-140-B-3.

Based on review of files and discussion with the provider, the provider failed to maintain compliance with this standard as required related to FA certification.

“Evidence: The provider did not have current certification in FA. The previous certification held expired in 2020”

Rule 8VAC20-800-140-B-4.

Based on review of files and discussions with the provider, the provider failed to maintain compliance with this standard related to PPD /TB testing of household members as required.

“Evidence: There was no PPD /TB testing results for household member #2 as required. The individual has been within the home since October 2021. Testing is required to be completed within 30 days of becoming a household member.”

Rule 8VAC20-800-170-A.

Based on review of files and discussions with the provider, the provider failed to maintain compliance with this standard as required related to proof of birth documentation.

“Evidence: Child records #1 and #3 did not have documentation of verification of birth as required. Both children had been in care longer than the allowed 7 days to obtain this verification.”

Rule 8VAC20-800-80-A.