Sheila Martin

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“The record for Caregiver #1 contained a Tuberculosis screening that was due to be updated 3 months ago.”

Rule 8VAC20-800-180-A.

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.

“There was a disinfectant stored on a classroom shelf and accessible to children.”

Rule 8VAC20-800-280.

The Provider is required to obtain documentation of a completed Central Registry check for each Household member within 30 days of a person in the home becoming 14 years old.

“The record for Household member #1 (Age 14) did not contain documentation of a completed Central Registry check. The background check was overdue by 1 month.”

Rule 8VAC20-770-40-D-5.

The Provider is required to ensure that small electrical appliances were unplugged when not being used.

“During an inspection of the kitchen, a toaster and air fryer were all plugged in and not in use.”

Rule 8VAC20-800-320-A.

Based on observation and staff interview, the center did not ensure they post the findings of the most recent licensing inspection of the facility.

“Evidence: The most recent licensing inspection of the facility was not posted.”

Rule 22.1-289.011-F.

Based on observation, the Provider did not ensure that items tied across the top or corner of a crib or playpen or toys hung from the sides with strings or cords should be removed when the child begins to push up on hands and knees or is five months of age, whichever occurs first.

“Evidence: Child #1 (age 5 months) was resting in a crib that had 2 toys hung down the sides of the crib from the top rails.”

Rule 8VAC20-790-250-C.

Based on review of 2 Caregiver records and Provider interview, the Provider did not ensure that all caregivers obtain a minimum of sixteen clock hours of training annually.

“Evidence: 1)The record for Caregiver #1 did not contain documentation of the completion of any training hours in the last year. The Provider confirmed during inspection that there was no training to report. 2)The record for Caregiver #2 contained documentation of 10 hours of annual training instead of the required 16 hours.”

Rule 8VAC20-800-210-A.

(Repeat Violation) Based on review of the written attendance record and interview with the Provider, the Provider did not ensure they maintained a written record of children in attendance each day.

“Evidence: During the inspection in was determined there were 9 children present, but the written record reflected there were 6 children present.”

Rule 8VAC20-800-50-A.

Based on observation, the provider did not ensure that no soft bedding of any kind should be used under or around infants.

“Evidence: Upon arrival to the home, a blanket was observed under infant #1 (age 5 months) on top of the fitted sheet while the infant was resting.”

Rule 8VAC20-800-530-F.

(Repeat Violation) Based on documentation and provider interview, the provider did not have documentation of a menu for the current one-week period.

“Evidence: During the inspection, the provider stated that they did not have a menu ready for 3 days of the current week.”

Rule 8VAC20-800-920.

Based on review of documentation and Provider interview, the Provider did not ensure that fireplaces and associated chimneys were inspected annually and cleaned as needed.

“Evidence: The Provider had documentation that the last fireplace inspection was completed on 1/13/23 and stated that it had not been inspected since this date.”

Rule 8VAC20-800-320-G.

Based on review of the written attendance record and interview with the Provider, the Provider did not ensure they maintained a written record of children in attendance each day.

“Evidence: During the inspection in was determined there were 10 children present, but the written record reflected there were 8 children present.”

Rule 8VAC20-800-50-A.

Based on observation, the Provider did not ensure that outdoor play equipment did not have equipment that may pinch or crush children’s hands or fingers.

“Evidence: The brown plastic play structure had large cracks in the plastic on 2 sides that could pinch a child’s hand or fingers.”

Rule 8VAC20-800-500-D.

Based on observation, the Provider did not ensure that the diapering surface was cleaned and sanitized after use.

“Evidence: During inspection, residue and debris were noticed on the diaper pad surface.”

Rule 8VAC20-800-690-D.

Based on documentation and provider interview, the provider did not have a documentation of a menu for the current one-week period or a menu kept on file for one week.

“Evidence: During the inspection, the provider stated that they did not have a menu ready for the remainder of the current week.”

Rule 8VAC20-800-920.

Based on review of 2 household records, the Provider did not obtain for each Household member or caregiver a current report of Tuberculosis screening every 2 years from the date of the first screening.

“Evidence: The record for Caregiver #2 contained a Tuberculosis screening that was last completed on 10/19/21.”

Rule 8VAC20-800-180-A.

Based on documentation review, the provider did not ensure they maintain documentation of current rabies vaccination.

“Evidence: There was no documentation on file that a dog who lives at the home was current with a rabies vaccination. The rabies vaccination on file expired on 3/13/23.”

Rule 8VAC20-800-460-D.

Description: Based on review of the written attendance record and interview with the Provider, the Provider did not ensure they maintained a written record of children in attendance each day.

“Evidence: 1)During the inspection in was determined there were 9 children present, but the written record reflected there were 5 children present.”

Rule 8VAC20-800-50-A. From a complaint.

Based on review of 2 children’s records, the Provider did not obtain all of the required documentation for child records.

“Evidence: The record for Child #1 did not contain the contact information for 2 people to call in an emergency if parents can’t be reached, the father’s work phone number, allergy information, parent acknowledgement of whether or not the Provider holds liability insurance, policy for the administration of medication to parents, or proof of child’s identity.”

Rule 8VAC20-800-60-B. From a complaint.

Based on documentation and staff interview, the provider did not practice shelter-in-place procedures a minimum of twice per year.

“Evidence: The provider provided documentation and stated that there were no shelter-in-place procedures practiced since 3/8/2022.”

Rule 8VAC20-800-830-B.

Based on review of 3 Household member records, the provider did not obtain a central registry background check report every five years from the date of the last check.

“Evidence: The record for Household member #2 did not contain documentation that a central registry background check report had been completed every five years from the date of the last check. The last central registry check was completed 12/7/2017.”

Rule 22.1-289.036-A.

Based on review of 3 Household member records, the provider did not obtain documentation of the results of a national fingerprint background check by the end of the 30th day of residence.

“Evidence: The record for Household Member #3 (Date of Move in 9/20/22), did not contain documentation of a fingerprint background check completed by the end of the 30th day of beginning residence in the home.”

Rule 22.1-289.036-B-2.

Based on review of 3 Household member records, the Provider did not obtain the results of a central registry check from all states in which Household members have resided within the last five years by the end of the 30th day of residence.

“Evidence: The record for Household Member #3 (Date of Move in 9/20/22), did not contain documentation of a completed central registry record check from all states where they resided within the last five years completed by the end of the 30th day of beginning residence in the home.”

Rule 22.1-289.036-B-4.

Based on observation and Provider interview, the provider did not ensure that the home was equipped with at least one working carbon monoxide detector.

“Evidence: The Provider stated there was no carbon monoxide detector in the home.”

Rule 22.1-289.058.

Based on review of 3 Household member records, the provider did not obtain documentation of the results of a Central Registry background check by the end of the 30th day of residence.

“Evidence: The record for Household Member #3 (Date of Move in 9/20/22) did not contain documentation of a Central Registry background check by the end of the 30th day of beginning residence in the home.”

Rule 8VAC20-770-40-C-1-c.

Based on review of 3 household records, the provider did not obtain for each Household member a current report of Tuberculosis screening every 2 years from the date of the first screening.

“Evidence: The record for Household member #1 contained a Tuberculosis screening that was last completed on 10/6/20.”

Rule 8VAC20-800-180-A.

Based on review of 2 Caregiver records and Provider interview, the Provider did not ensure that all caregivers obtain a minimum of sixteen clock hours of training annually.

“Evidence: The record for the Provider and the assistant (Date of Hire 10/19/22) did not contain documentation of the completion of 16 training hours in the last year.”

Rule 8VAC20-800-210-A.

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

“Evidence: 1)A bottle of sanitizer was hanging on the side of the changing table and was accessible to children. 2)In the unlocked child height drawer in the changing table, there was a disinfectant spray that was accessible to children. 3)There was spray paint on the edge of the counter in the kitchen that was accessible to children.”

Rule 8VAC20-800-280.

Based on review of documentation and Provider interview, the Provider did not ensure that fireplaces and associated chimneys were inspected annually and cleaned as needed.

“Evidence: The Provider had documentation that the last fireplace inspection was completed on 11/26/19 and the Provider confirmed that it had not been inspected since this date.”

Rule 8VAC20-800-320-G.

Based on observation the provider did not ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed.

“Evidence: Upon arrival for the inspection at approximately 12:00pm, the assistant was alone with 7 children (20 points) and the Provider did not arrive until approximately 12:20pm.”

Rule 8VAC20-800-570-A.

Based on observation, the Provider did not ensure that the diapering surface was nonabsorbent and washable.

“Evidence: During inspection, a hole was noticed in the diaper changing pad preventing it from being nonabsorbent and washable.”

Rule 8VAC20-800-690-D.

8VAC20-800-170-A

“Based on review and the provider interview, the provider did not ensure that all adult household members had documentation of an initial TB screening. Evidence: Reviewed the provider’s records and found that Household Member A did not have documentation of an initial TB screening.”

Rule 8VAC20-800-170-A.