Ms. Barbara Walton

8VAC20-800-120-B

“(Repeat Violation) Assistants’ and substitute providers’ records shall contain all required information. Caregiver #2, was missing documentation of two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-800-120-B.

8VAC20-800-60-A

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. There was no record for child #1.”

Rule 8VAC20-800-60-A.

8VAC20-800-70-B

“(Repeat Violation) Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration. Child #2, enrolled for eight months, was missing the information for parents sheet.”

Rule 8VAC20-800-70-B.

8VAC20-800-770

“A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times. The portable radio was not operable and there were no extra batteries available.”

Rule 8VAC20-800-770.

8VAC20-800-920

“Menus. When meals or snacks are provided by the family day home, the menu for the current one-week period shall be given to parents or posted or placed in an area accessible to parents. The menu that was posted was not for the current week.”

Rule 8VAC20-800-920.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Caregiver #2 did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

Assistants’ and substitute providers’ records shall contain all required information.

“Caregiver #2, was missing date of employment, and documentation of two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-800-120-B.

Documentation of the orientation shall be signed and dated by the provider and substitute provider or by the provider and assistant.

“Caregiver #2 did not have signed documentation of completing orientation, in their record.”

Rule 8VAC20-800-200-C.

A child’s record shall contain all required information.

“Child #2, enrolled for five months, was missing proof of the child’s identity, the home address for one parent, and the name, address, and telephone number of each parent’s place of employment.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“The diapering surface shall be cleaned and sanitized after each use. The diapering surface was sanitized but not cleaned in such a way as to remove dirt and debris by scrubbing and washing with soap and water.”

Rule 8VAC20-800-690-D.

(Repeat Violation) Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“Child #2, enrolled for five months, was missing the information for parents sheet.”

Rule 8VAC20-800-70-B.

(Repeat violation ) Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“Child #1 (enrolled 7 months), Child #2 (enrolled 17 months) and Child #3 (enrolled 17 months) did not have medication policy or emergency plan acknowledgements form parents. Child #2 (enrolled 17 months) and Child #3 (enrolled 17 months) did not have the liability form acknowledged by parent.”

Rule 8VAC20-800-70-B.

8VAC20-800-320-G

“Fireplaces and associated chimneys shall be inspected annually and documentation of the inspection and cleaning shall be maintained by the provider. The last documented inspection was 7 months past the annual due date.”

Rule 8VAC20-800-320-G.

8VAC20-800-350-E

“(Repeat Violation) Hot water at taps available to children shall be maintained within a range of 105 F to 120 F. Using a temperature gauge the hot water registered 125 F at the sink in the bathroom where the children wash their hands.”

Rule 8VAC20-800-350-E.

8VAC20-800-70-B

“Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration. Child #2 (enrolled 7 months) had no parent acknowledgements available, Child #3 (enrolled 13 months) and Child #5 (enrolled 13 months) did not have medication policy or emergency plan acknowledgements available”

Rule 8VAC20-800-70-B.

8VAC20-800-700-C

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days shall be taken to a pharmacy for proper disposal. The medication authorization had been expired for 3 months and the medication was still on the premises and had not been properly disposed of.”

Rule 8VAC20-800-700-C.

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 128.6?F at the sink in the bathroom where the children wash their hands.”

Rule 8VAC20-800-350-E.

Based on document review and staff interview the center did not ensure they 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.

“Evidence: The most recent documented review was 12/13/2022.”

Rule 8VAC20-800-800-B.

8VAC20-800-120-B

“Based on record review and staff interview the licensee did not ensure to obtain that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The provider confirmed that reference checks had not been completed for Staff #2.”

Rule 8VAC20-800-120-B.

8VAC20-800-70-A

“Based on record review and staff interview the licensee did not ensure, before the child’s first day of attendance, parents shall be provided in writing the necessary information. Evidence: The record for child #1 (First date of attendance 9/12/2023) did not include written acknowledgments from parents.”

Rule 8VAC20-800-70-A.

Based on record review and provider interviews, the provider did not ensure the results of the Central Registry Search (CRS) were received by the end of the 30th Day of employment for all providers.

“Evidence: The record for Provider #2 did not contain a CRS and thy began working on 2-28-23.”

Rule 8VAC20-770-60-C-2.

Based on record review and provider interviews, the provider did not ensure to orient the assistant by the end of their first week of assuming job responsibilities.

“Evidence: The provider confirmed they did not have information available for review regarding orientation for Provider #2 who began working on 2-28-23.”

Rule 8VAC20-800-200-A.

Based on observation and provider interviews, the provider did not ensure that when toddlers and infants use play pens the play pen shall not have torn mesh sides or vinyl-covered or fabric-covered rails, protruding rivets on the rails, or broken hinges.

“Evidence: Provider #1 confirmed the play pen was used last week for a toddler and there were 2 holes observed in the mesh sides.”

Rule 8VAC20-800-550.

Based on record review and provider interviews, the provider did not ensure to obtain the parent’s written acknowledgement of the receipt of the required written information for parents regarding the family day home.

“Evidence: The records for Child #1 (date of attendance 10-1-23), Child #2 (date of attendance 9-26-22) and Child #4 (date of attendance 9-19-22) did not include written acknowledgements from parents.”

Rule 8VAC20-800-70-B.

Based on document review and staff interview the licensee did not ensure fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed.

“Evidence: The licensee confirmed that the last inspection was conducted on January 26, 2022.”

Rule 8VAC20-800-320-G.

Based on observation and staff interview the licensee did not ensure stationary outdoor playground equipment shall be placed at least six feet from the perimeter of other play structures or obstacles.

“Evidence: A composite piece / play structure was observed without a six foot perimeter from other play structures or obstacles. 1. There was approximately 16 inches between one side of the structure and another caterpillar type play structure. 2. There was approximately 2? 6?-5? 6? between the sides of the structure and the perimeter plastic boarder on all sides.”

Rule 8VAC20-800-500-C.

Based on document review and staff interview the licensee did not ensure emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children are in care.

“Evidence: The licensee confirmed they did not conduct emergency evacuation drills during the months of May, June, July, and August 2022.”

Rule 8VAC20-800-830-A.

Based on observation and staff interview the licensee did not ensure they were following the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).

“Evidence: Three children were observed eating lunch and they were served crackers, cheese , ham, cookies and water. The licensee confirmed they only offered 3 of the five components required, by USDA, during lunch time.”

Rule 8VAC20-800-880.

Based on observation and provider interviews, the provider did not ensue to wash their hands with liquid soap and warm running water as required.

“Evidence: The provider was observed during the inspection, just after changing a diaper, for child #1 and was observed throwing away the soiled diaper. The provider then used hand sanitizer on their hands and began preparing and serving snack to the 3 children in care. The provider did not wash their hands with liquid soap and warm running water as required after helping a child with diapering and before serving food.”

Rule 8VAC20-800-680-A.

Based on observation and provider interviews, the provider did not ensue children’s hands are washed with liquid soap and warm running water as required.

“Evidence: At the time the inspection began, three children were observed outside and the provider confirmed the children had been playing outside. After the children went inside they used hand sanitizer and then snack was served and they began eating. The children did not wash their hands with liquid soap and warm running water as required before eating.”

Rule 8VAC20-800-680-B.

Based on observation and staff interviews, the provider did not ensure that 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.

“Evidence: On February 28, 2022, the hand sanitizer and room deodorizer both items are labeled “keep out of reach of children” and at least one of the other statements “hazardous”, “harmful” and “flammable”.”

Rule 8VAC20-800-280.

Based on observation, the provider did not ensure to use positive methods of discipline. Discipline shall be constructive in nature and include techniques such as giving positively worded direction and redirecting children to acceptable behavior.

“Evidence: During the inspection on February 28, 2022 at approximately 12:00 pm, there were three children in care and it was nap time. Child #1 and Child #2 were observed sleeping. Child #3 was not sleeping. Licensing inspector heard and saw the provider tell child #3 at least 3 times “lay down!” and said at least 2 times “I told you now lay down!” and once she said “if you wake up them up you will be in a lot of trouble!”.”

Rule 8VAC20-800-630-A.

Based on staff interviews and observation of type of food served, the provider did not ensure to assist in preventing choking, by serving food that is is hard, round, small, thick and sticky, or smooth and slippery such as whole hot dogs sliced into rounds, nuts, seeds, raisins, uncut grapes, uncut raw carrots, peanuts, chunks of peanut butter, hard candy, and popcorn shall not be served to children under four years of age, unless the food is prepared before being served in a manner that will reduce the risk of choking, i.e., hot dogs cut lengthwise, grapes cut in small pieces, and carrots cooked or cut lengthwise.

“Evidence: On February 28, 2022, the children ages 2 and 3 (Child #1, age 2 and Child #2 and Child #3 age 3) were served raw carrots as a part of their lunch. Provider confirmed the carrots were raw baby carrots and they were not sliced or cut but were served whole to the children. This item is considered a potential choking hazards.”

Rule 8VAC20-800-900-A.