Ms. Cynthia Beverley

8VAC20-800-140-B-3

“Providers shall have current certification in CPR. The providers certification is expired by a few weeks.”

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

8VAC20-800-140-B-4

“Providers shall have current certification in first aid. The providers certification is expired by a few weeks.”

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

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry checks for caregiver 1 and household member 1 were overdue by seven days.”

Rule 22.1-289.035-A.

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were 5 children present at 11:50am but their arrival had not been documented on the attendance sheet.”

Rule 8VAC20-790-180-B.

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The license and the findings from the most recent inspection were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parent’s signed acknowledgment of the review. 4 out of the 5 children’s records reviewed did not have a parent’s signature of an annual review being done within the last year.”

Rule 8VAC20-800-780-B.

Based on observation and staff interview the center did not ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, shall be stored away from food in areas inaccessible to children.

“Evidence: There was a spray bottle of Lime A Way cleaner labeled “keep out of reach of children” and at least one other statement “caution”, “flammable” and “warning” in the bathroom the children use.”

Rule 8VAC20-800-280.

8VAC20-800-350-E

“(Repeat Violation) Based on observation and staff interview the center did not ensure the hot water at taps available to children shall be maintained within a range of 105?F to 120?F. Evidence: The licensing inspector using a temperature gauge confirmed that the hot water registered 123?F at the sink in the bathroom where the children wash their hands.”

Rule 8VAC20-800-350-E.

Based on observation and staff interview the center did not ensure that trampolines shall not be used during the hours children are in care.

“Evidence: The staff confirmed there were 2 trampolines with handles in the outdoor play yard where the children play.”

Rule 8VAC20-800-500-F.

22.1-289.035-A

“Based on record review and staff interview the licensee did not ensure to obtain background checks every five years. Evidence: Staff confirmed that the most recent criminal history check for staff #1 was dated 8/28/2018.”

Rule 22.1-289.035-A.

8VAC20-800-350-E

“Based on observation the licensee did not ensure the hot water at taps available to children shall be maintained within a range of 105?F to 120?F. Evidence: The licensing inspector using a temperature gauge confirmed that the hot water registered 123?F at the sink in the bathroom where the children wash their hands.”

Rule 8VAC20-800-350-E.

Based on record review and vendor interview, the vendor did not ensure to compete all required annual training.

“Evidence: The record for staff #1 did not have the annual department’s health and safety update course. The most recent health and safety update course for staff #1 was dated 1-28-2020.”

Rule 8VAC20-790-250-F.

Based on observation and provider interview the licensee did not ensure that each building that houses a child day program that is licensed, that serves preschool-age children, shall be equipped with at least one carbon monoxide detector.

“Evidence: The provider confirmed there was no carbon monoxide detector.”

Rule 22.1-289.058.

Based on observation and provider interview, the licensee did not ensure cots being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges.

“Evidence: The provider confirmed that 2 of the 3 children were observed resting on a mat with no bottom cover or top cover.”

Rule 8VAC20-800-530-A.

Based on observation and provider interview the licensee did not ensure that soiled disposable diapers and wipes shall be disposed of in a leak-proof or plastic lined storage system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.

“Evidence: A trash can without a lid was observed in the designated space where children were observed playing and there were 2 soiled diapers observed. The diapers were not disposed of as required.”

Rule 8VAC20-800-690-E.

Based on observation and staff interviews, the licensee did not ensure the license and results of the most recent inspection and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises.

“Evidence: The most recent inspection results dated February 20, 2022 were not posted in a conspicuous place.”

Rule 8VAC20-820-120-E-2.

Based on review of provider interviews and documents, the provider did not ensure to obtain current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“Evidence: The provider’s certification card available for review was dated with an expiration of 7-20-2021.”

Rule 22VAC40-111-140-B-3.

Based on review of provider interviews and documents, the provider did not ensure to obtain current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

“Evidence: The provider’s certification card available for review was dated with an expiration of 7-20-2021.”

Rule 22VAC40-111-140-B-4.

Based on virtual observation and provider interviews, the provider was unable to demonstrate that all areas and furnishings of the family day home, inside and outside, shall be are maintained in a clean, safe, and operable condition.

“Evidence: The provider was unable to provide documentation to demonstrate the crib observed during the virtual inspection met the compliance requirements for the new federal crib standards. The provider confirmed the crib was designated for child #3 in care.”

Rule 22VAC40-111-240-A.

Based on virtual observation and provider interviews, the provider did not ensure the diapering surface was non-absorbent and washable.

“Evidence: The diaper pad observed was inadequate as it had a cloth cover and was not non-absorbent and washable.”

Rule 22VAC40-111-690-D.

Based on virtual observation and provider interviews, the provider did not ensure medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: A container of non-prescription topical medication (cortisone cream) and a container of non-prescription pain reliever medication were observed in an unlocked plastic bin in the childcare room.”

Rule 22VAC40-111-730-D.

Based on virtual observation and provider interviews, the provider did not ensure that when topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used, the product shall be in the original container and labeled with the child’s name.

“Evidence: A container of diaper cream was observed and it was not labeled with a child’s name. The provider confirmed it belong to the child #3 who was in care.”

Rule 22VAC40-111-750-A.

Based on virtual observation and provider interviews, the provider did not ensure the first aid kit that contained all minimum items.

“Evidence: The first aid kit supplies were inadequate as it did not include gloves, tweezers and first aid tape The provider confirmed the missing required items.”

Rule 22VAC40-111-760-A-1.