Mrs. Tonya Hudson

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening was overdue for Caregiver #1 and Household Member #2.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-A

“An up to date record for each child enrolled shall be maintained by the provider. There was no record for Child #5 who was in care during the inspection and had been in care for three months.”

Rule 8VAC20-800-60-A.

8VAC20-790-250-F

“Caregivers who work directly with children shall complete the departments? health and safety updated course. Caregiver #1 stated the required departments? health and safety updated course was not completed for 2025 during the 01/23/2023 inspection.”

Rule 8VAC20-790-250-F.

8VAC20-800-60-A

“An up to date record for each child enrolled shall be maintained by the provider. There was no record for Child #1, who was in care during the inspection and had been in care for over a week.”

Rule 8VAC20-800-60-A.

8VAC20-800-120-B

“The provider shall maintain a record for each caregiver. The records shall contain all of the required information. The provider’s record did not contain documentation of the required annual training.”

Rule 8VAC20-800-120-B.

8VAC20-800-800-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 emergency plan was documented as being last reviewed and updated, if applicable, on July 28, 2023.”

Rule 8VAC20-800-800-B.

8VAC20-800-180-A

“Based on observation, the provider did not ensure that four caregiver/household members? records documented a tuberculosis (TB) screening at least every two years from the date of the first screening. Evidence: 1. The records of Caregiver #1 (start date: 2/04/1996), Caregiver #2, and Caregiver #3 had documentation of a tuberculosis screening dated 03/05/2022. 2. The record of Household Member #1 (start date: 2/04/1996) had documentation of a tuberculosis screening dated 03/05/2022.”

Rule 8VAC20-800-180-A.

8VAC20-800-320-B

“Based on observation, two outlets in the child care area were observed without protective covers. Evidence: 1. One outlet located in the bathroom did not contain protective covers. Children were observed using the bathroom during the inspection. 2. One outlet on the kitchen wall, near the floor did not contain protective covers. Children were observed using the kitchen area during the inspection.”

Rule 8VAC20-800-320-B.

8VAC20-800-60-A

“Based on the review of five children’s records, the provider did not ensure one child’s record contained the required information. Evidence: The record for Child #4 (first date of attendance 05/16/2024) did not contain two emergency contacts information including name, address and phone number and parent information regarding the family day home.”

Rule 8VAC20-800-60-A.

Based on review of four caregiver/household member records and interview, the provider did not ensure criminal history checks were completed every five years.

“Evidence: 1. The criminal history check for caregiver/household member #1, caregiver/household member #2, caregiver/household member #3 and caregiver/household member #4 are dated, 2/20/18, which is beyond 5 years. 2. During an interview with caregiver #1, it was acknowledged that repeat checks had not been completed.”

Rule 22.1-289.036-A.

Based on observation, the provider failed to ensure areas and equipment of the home, inside and outside, were maintained in a clean, safe and operable condition.

“Evidence: The wall in the bathroom directly behind the potty seats used for children in care had a chipped and peeling paint area within the reach of children.”

Rule 8VAC20-800-240-A.

Based on observation, the provider failed to ensure there was a nonclimbable barrier at least four feet high, surrounding the outdoor play area located within 30 feet of drowning hazard.

“Evidence: 1. An aboveground swimming pool was observed in the backyard within 30 feet of the play area of children in care. 2. There was no barrier surrounding the outdoor play area used for children in care.”

Rule 8VAC20-800-260-B.

Based on observation, the provider failed to ensure that the home’s facilities are conducive to the welfare of children in care.

“Evidence: 1.An aboveground swimming pool filled with water was observed in the backyard which is the play area for children in care. 2.A table and a bucket turned upside down were observed directly next to the aboveground swimming pool making the pool accessible. 3. During an interview with the provider, it was acknowledged that the table and bucket were next to the pool.”

Rule 8VAC20-800-30-E.

8VAC20-790-250-B

“Based on review of four caregiver records and interview, the vendor did not ensure three caregivers completed Virginia Preservice training for Child Care Staff sponsored by the Department of Education within the first 90 days of employment or service. Evidence: 1. Caregiver #2 and caregiver #3 did not have documentation of completing the Virginia Preservice training within 90 days from approval as a subsidy vender on 02/21/2019. 2. The vendor was not able to provide documentation to indicate caregivers completed the training.”

Rule 8VAC20-790-250-B.

Based on review of four caregiver/household member records and interview, the provider did not ensure criminal history checks and sworn disclosure statements were completed every five years.

“Evidence: 1.The criminal history check for caregiver/household member #1, caregiver/household member #2, caregiver/household member #3 and caregiver/household member #4 are dated, 2/20/18, which is beyond 5 years. 2.The sworn disclosure statement for caregiver/household member #2 is dated, 6/21/2018 and the sworn disclosure statements for caregiver/household member #3 and caregiver/household member #4 are dated, 5/30/2018, which are beyond 5 years. 3.During an interview with caregiver #1, it was acknowledged that repeat checks were not documented and confirmed having no record of the repeat checks being completed.”

Rule 22.1-289.036-A.

Based on review of four caregiver/household member records, the provider did not obtain a current report of Tuberculosis Screening every two years from the date of the first screening for one caregiver/household member.

“Evidence: 1.The most recent documentation of a tuberculosis screening for caregiver/household member #4 was dated, 03/19/2018, exceeding the requirement to renew every two years. 2.The provider stated caregiver/household member #4 did not have a current tuberculosis screening.”

Rule 8VAC20-800-180-A.

Based on review of children’s records and interview, the provider did not maintain a current written list of children’s allergies, sensitivities and dietary restrictions. This list shall be dated and kept confidential.

“Evidence: 1. The record of child #4, age 23 months, contained documentation of a food sensitivity. 2. The provider stated she did not have a written list of children’s allergies, sensitivities and dietary restrictions.”

Rule 8VAC20-790-170-G.

Based on review of four caregiver records and interview, the provider did not ensure three caregivers completed Virginia Preservice training for Child Care Staff sponsored by the Department of Education within the first 90 days of employment or service.

“Evidence: 1. Caregiver #1, caregiver #2 and caregiver #3 did not have documentation of completing the Virginia Preservice training within 90 days from approval as a subsidy vender dated 02/21/2019. 2. The provider stated caregiver #1, caregiver #2 and caregiver #3 had not completed the Virginia Preservice training.”

Rule 8VAC20-790-250-B.

Based on review of four caregiver records, the provider did not obtain a current report of Tuberculosis Screening every two years from the date of the first screening for one caregiver.

“Evidence: The most recent documentation of a tuberculosis screening for caregiver #4 was dated 03/19/2018, exceeding the requirement to renew every two years. The provider stated caregiver #4 did not have a current tuberculosis screening.”

Rule 8VAC20-800-180-A.

Based on observation, the provider did not ensure all areas of the family day home, inside and outside, were maintained in a clean, safe and operable condition.

“Evidence: Three wooden pickets of the fence were broken creating jagged edges that could snag the skin of a child.”

Rule 8VAC20-800-240-A.

22VAC40-665-230-B

“Based on review of caregivers training and interview, the provider did not ensure caregivers completed Virginia Preservice Training for Child Care Staff sponsored by the Department of Social Services within the first 90 days of employment or service. Evidence: 1. Caregiver #2 did not have documentation of completing the Virginia Preservice Training within 90 days from approval as a subsidy vender dated 02/21/2019. 2. The provider stated caregiver #2 had not completed the Virginia preservice training.”

Rule 22VAC40-665-230-B.

8VAC20-800-280

“Based on observation, the provider failed to ensure that hazardous substances such as cleaning materials, and disinfectants were stored away from food in areas and inaccessible to the children. Evidence: 1. A can of Lysol Disinfectant was accessible to children and stored on a counter. 2. Floor cleaner was accessible in an unlocked cabinet.”

Rule 8VAC20-800-280.

8VAC20-800-330-A

“Based on observation and interview, the provider did not ensure that there was a landline telephone available, operable, and accessible that does not require electricity to operate. Evidence: The licensing inspector observed no landline telephone in the family day home. The provider stated that she had a new phone but she had not plugged it in yet.”

Rule 8VAC20-800-330-A.

8VAC20-800-60-B

“Based on child record review, the provider failed to maintain a record for 1 out of 5 children in care Evidence: 1.Child #5 did not have a record on file.”

Rule 8VAC20-800-60-B.

8VAC20-800-730-D

“Based on observations conducted, the facility failed to ensure that medications were kept in a locked place. Evidence: 1 medication was stored in an unlocked cabinet in the kitchen.”

Rule 8VAC20-800-730-D.

8VAC20-800-830-A

“Based on a review of emergency drills and staff interviews, the provider failed to practice an evacuation drill monthly. Evidence: 1. The provider did not practice any evacuation drills between January 2022-May 2022.”

Rule 8VAC20-800-830-A.

8VAC20-800-90-A

“Based on child record review, the provider did not obtain documentation of immunizations prior to enrollment for 1 out of 5 child records Evidence: Child #5 did not have an immunization record on file.”

Rule 8VAC20-800-90-A.

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

“Evidence: During the virtual video call, the provider put in view the unlocked hall closet where cleaning materials were being storied. Two items of cleaning material were located on a low shelf in reach of children in care. The provider confirmed the cleaning materials were on the lower shelf.”

Rule 8VAC20-800-280.