Suma Rajanna

Items tied across the top or corner of a crib shall be removed when the child begins to push up on hands and knees or is five months of age, whichever occurs first.

“One crib had a mobile attached to the top, and the other crib had a toy tied across the top. The youngest child was six months old.”

Rule 8VAC20-800-250-C.

Small electrical appliances shall be unplugged unless being used by the caregiver.

“An electric water kettle was plugged into an electrical outlet in the kitchen.”

Rule 8VAC20-800-320-A.

Crib bumper pads shall not be used.

“Two cribs contained bumper pads.”

Rule 8VAC20-800-520-E.

Bottles shall be labeled with the date, if more than one infant is in care.

“Three bottles were not labeled with the date, there were four infants in care during the inspection.”

Rule 8VAC20-800-960-E.

The provider shall ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

“The maximum licensed capacity of the home is 7 and there were 8 children in care during the inspection.”

Rule 8VAC20-800-40-A.

Cribs when being used by infants shall have a tight-fitting bottom cover

“Child #2 (over 11 months old) and Child #4 (over 1 year old) were observed in cribs with loose-fitting bottom covers.”

Rule 8VAC20-800-530-B.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The annual emergency plan review was overdue by two days.”

Rule 8VAC20-800-800-B.

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“the most recent inspection notice (November 2024) was not posted.”

Rule 22.1-289.011-F.

The provider shall obtain the parent’s written acknowledgement of the receipt of the required fdh information.

“Child #2 who had been in care for two months and Child #4 who had been in care for three weeks, and were in care on the date of inspection, did not have in their records, the signed written acknowledgement of the receipt of the required fdh information.”

Rule 8VAC20-800-70-B.

The emergency evacuation procedures shall be practiced monthly.

“An evacuation drill for the month of November 2024 was not completed.”

Rule 8VAC20-800-830-A.

Shelter-in-place procedures shall be practiced a minimum of twice per year.

“A second shelter-in-place drill was not completed for the 2024 year.”

Rule 8VAC20-800-830-B.

22.1-289.011-F

“Based on review of required posted documents, the Provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program. Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility (12/2023) were not posted. An inspection notice dated 05/17/2023 was posted in the premises.”

Rule 22.1-289.011-F.

8VAC20-800-320-B

“*REPEAT VIOLATION* Based on observation, the Provider did not ensure that all unused electrical outlets have child-resistant protective covers. Evidence; 1) One electric outlet was observed without a protective cover in the dining room area.”

Rule 8VAC20-800-320-B.

8VAC20-800-50-A

“Based on documentation review, the family day home did not keep an accurate written record of children in attendance each day. Evidence: 1) At the time of entrance, 12 children were in care. The attendance record for the day had not been completed. The last entrance on the attendance record was dated 05/01.”

Rule 8VAC20-800-50-A.

8VAC20-770-40-D-4

“Based on record review, the provider did not ensure to obtain a completed Sworn Statement every five years for all Household Members. Evidence: 1) The Sworn Statement in the record for Household Member #1 was dated 11/08/2018.”

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

8VAC20-800-320-B

“*REPEAT VIOLATION* Based on observation, the provider did not ensure that all unused electrical outlets have child-resistant protective covers. Evidence; 1) Two electric outlets were observed without protective covers in the dining room area.”

Rule 8VAC20-800-320-B.

8VAC20-800-890

“Based on observation, food brought from the child’s home did not meet all requirements. Evidence: 1) On the date of inspection, 3 containers with milk brought from home for Child #1 were observed in the fdh’s fridge. These containers were not labeled or dated as required.”

Rule 8VAC20-800-890.

8VAC20-790-180-B

“Based on documentation review, the provider did not maintain an accurate record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1) The record of attendance for the week did not have documented the departure of children for 05/15 and 05/16.”

Rule 8VAC20-790-180-B.

8VAC20-790-250-B

“Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) On the date of inspection, the records for Staff #2 did not contain documentation of having completed the Virginia Department of Education-sponsored orientation course.”

Rule 8VAC20-790-250-B.

Based on review of required posted documents, the provider did not ensure that documents required by the Superintendent were posted.

“Evidence: 1) On the date of inspection, the most recent license for the program was not posted. The license posted had expired in January 2023.”

Rule 22.1-289.011-F.

8VAC20-800-320-B

“Based on observation, the provider did not ensure that all unused electrical outlets have child-resistant protective covers. Evidence: 1) One outlet in the bathroom of the care area did not have a protective cover.”

Rule 8VAC20-800-320-B.

8VAC20-800-50-A

“Based on documentation review, the provider did not ensure to keep a written record of children in attendance each day. Evidence: 1) On the date of inspection, the record of attendance was not current. The weekly attendance record showed attendance for 05/15 and 05/16. The attendance for 05/16 and 5/17 was not recorded.”

Rule 8VAC20-800-50-A.

8VAC20-800-540-A

“Based on observation, safety straps were not fastened when using infant seats. Evidence: 1) On the date of inspection, an infant was positioned on a bouncy chair and the safety straps were not fastened.”

Rule 8VAC20-800-540-A.

8VAC20-800-540-B

“Based on observation, infant walkers were used. Evidence: 1) On the date of inspection, while the children were playing outside, the inspector observed two children in infant walkers. While inside the fdh, the inspector observed one child in an infant walker.”

Rule 8VAC20-800-540-B.

8VAC20-800-60-A

“Based on record review, children’s records did not contain all required information. Evidence: 1) The record for Child #2 did not contain the address of one custodial parent’s place of employment; and the address of a second designated person to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-A.

Based on interview with the provider and documentation review, the menu for meals and snacks provided by the family day home did not meet all requirements.

“Evidence: 1) On the date of inspection, the menu available for review was not dated for the current one-week period. The date corresponded to April 2023.”

Rule 8VAC20-800-920.

8VAC20-800-780-B

“Based upon review of the emergency preparedness plan, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1. The most recent review of the Emergency Preparedness Plan documented by the provider was dated 11/16/2021.”

Rule 8VAC20-800-780-B.

8VAC20-800-120-B

“Based on documentation review, staff’s records did not contain all required information. Evidence: 1) On the date of inspection, the record for Staff #1 did not contain documentation that that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-800-120-B.

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, the 2021 emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of December 2021.”

Rule 8VAC20-800-830-A.

8VAC20-820-120-E-2

“Based on review of required posted documents, the provider did not ensure that all required documents related to the terms of the license were posted on the premises of the family day home. Evidence 1) On the date of inspection, the findings of the most recent inspection of the facility (11/2021) were not posted. The findings posted were dated 05/17/2021.”

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

22VAC40-111-870-A

“Based on documentation review, the menu for the one week period did not contain all required information. Evidence: 1) The morning snacks listed in the menu were missing one nutritional component. The provider stated that the second component would be milk that they offer everyday but it was not listed in the menu.”

Rule 22VAC40-111-870-A.

63.2-1720.1-B-2

“Based on record review and interview with the provider, it was determined that the provider did not ensure to obtain a fingerprint-based criminal history check determination letter prior to first day of employment for one caregiver. Evidence: 1) The record for Staff #3 (start date 09/27/2021) contains a fingerprint-based criminal history check determination letter dated 10/26/2021.”

Rule 63.2-1720.1-B-2.