Ms. Adrienne Camper

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There was no physical exam record available for Child #1, who had been in care for six months.”

Rule 8VAC20-800-100-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #1 was not completed and was overdue by six months.”

Rule 8VAC20-800-180-A.

Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment and protruding nails.

“Two cribs in use had chipping paint on several areas along the bed rails. One of the cribs, not in use, contained a torn mattress that exposed the interior material. There was a protruding nail in the wall ,near the crib area, within reach of children. Peeling paint and loose plaster were observed in several areas along the walls, within children’s reach.”

Rule 8VAC20-800-240-A.

Cribs shall have mattresses that fit snugly next to the crib so that no more than two fingers can be inserted between the mattress and the crib.

“Two cribs being used for infants, contained mattresses that were undersized. The mattresses did not fit snugly against the crib and failed to cover the full base of the crib.”

Rule 8VAC20-800-520-C.

A child’s record shall contain emergency contact information including: Name, home address, and telephone number of each parent who has custody. Name, address and telephone number of each custodial parent’s place of employment; Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached and information on allergies and intolerance to food, medication, or any other substances.

“The record for Child #2 did not include the mother’s home address, and employer information for both parents was missing. The record for Child #3 did not include the father’s home address. The record for Child #4 did not include either parent’s employer information, the allergy and health section was not completed, and only one emergency contact was listed.”

Rule 8VAC20-800-60-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.

“There was no parent acknowledgement available for Child #1, who had been in care for at least six months.”

Rule 8VAC20-800-70-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 parents signed acknowledgment of the review.

“The record for Child #3 did not contain a parent’s signature verifying the annual review of emergency contact information, and the required annual update was overdue by seven years.”

Rule 8VAC20-800-780-B.

Before attendance, documentation of immunizations is to be obtained for each child.

“Child #1?s immunization was received six months after the first day of attendance.”

Rule 8VAC20-800-90-A.

All caregivers shall have a current certification in cardiopulmonary resuscitation (CPR).

“Staff #2, did not have a current certification in cardiopulmonary resuscitation (CPR), which is overdue by five months.”

Rule 8VAC20-790-250-D-1.

All caregivers shall have a current certification in first aid.

“Staff #2, did not have a current certification in first aid, which is overdue by five months.”

Rule 8VAC20-790-250-D-2.

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.

“In the main room used for care, a bottle of Awesome, an All purpose cleaner, with the warning label “Keep out of reach of children” , was sitting on top of the table within reach of the children.”

Rule 8VAC20-800-280.

Caregivers shall annually complete the department’s health and safety update course.

“Caregivers #1 and #2 did not complete the health and safety update training for 2024.”

Rule 8VAC20-790-250-F.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

Repeat violation

“Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregivers #1 obtained 5.5 training hours in 2024.”

Rule 8VAC20-800-210-A.

REPEAT Based on review of two caregivers? records, one record did not contain the required updated tuberculosis (TB) screening.

“Evidence: The record for Caregiver #2 (first date of employment: 06/20/2022) contained a TB screening dated 09/03/2021.”

Rule 8VAC20-800-180-A.

Based on review of two caregiver’s records, one caregiver did not obtain the required 16 annual training hours.

“Evidence: The record for Caregiver #2 (first date of employment: 06/20/2022) did not contain training hours.”

Rule 8VAC20-800-210-A.

Based on observation, the caregivers did not ensure all potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were stored away from areas accessible to children.

“Evidence: An aerosol can of air freshener, labeled keep out of the use of children, was sitting on the top of the toilet tank in the bathroom used by children.”

Rule 8VAC20-800-280.

Based on review of five children’s records, three records did not contain the required information.

“Evidence: 1. The record for Child #1 (first day of attendance: 04/01/2024) did not contain the addresses for two emergency contacts. 2. The record for Child #2 (first day of attendance: 09/06/2022) did not contain documentation of the review of the child’s emergency contact information. 3. The record for Child #3 (first day of attendance: 02/20/2024) did not contain parent’s signed acknowledgement of the receipt of required information.”

Rule 8VAC20-800-60-B.

8VAC20-800-180-A

“Based on review of two providers records and interview, the provider did not ensure one provider obtained a current report of tuberculosis (TB) screening every two years from the date of the first screening. Evidence: The record for Provider #1 contained a TB screening dated 10/23/2021. Provider #1 stated she needs to obtain a current TB screening.”

Rule 8VAC20-800-180-A.

8VAC20-800-900-B

“Based on observation, the provider allowed children to drink while lying down. Evidence: A cup containing a liquid substance was observed in the crib where one child was sleeping.”

Rule 8VAC20-800-900-B.

8VAC20-800-100-A

“Based on records review, the provider failed to obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: The record for child #2, date of enrollment 10/9/22, did not contain documentation of a physical.”

Rule 8VAC20-800-100-A.

8VAC20-800-240-A

Rule 8VAC20-800-240-A.

8VAC20-800-500-C

“Based on observation, and interview, the provider did not ensure that stationary outdoor playground equipment is not installed over a hard surface. Evidence: The stationary outdoor equipment is sitting on the bare ground in the back yard. The provider stated that she is going to replace the climbing equipment.”

Rule 8VAC20-800-500-C.

8VAC20-800-90-A

“Based on records review, the provider failed to obtain documentation that a child has been adequately immunized prior to the child’s first day of attendance. Evidence: The record for child #2, date of enrollment 10/9/22, did not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-800-100-A

“Based on a review of children’s records, the provider failed to obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: The record for child #2, date of enrollment 5/2/21 did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-C

“Based on review of substitute provider record, the provider failed to retain documentation of the time of arrivals and departures for substitute providers. Evidence: The record for the substitute provider, date of employment 9/4/18, did not contain documentation of the time of arrivals and departures. The substitute provider was working alone at the home during the inspection.”

Rule 8VAC20-800-120-C.

8VAC20-800-140-D

“Based on interview, the provider failed to document the time of arrivals and departures of the substitute provider. Evidence: The substitute provider stated that she does not document the time of arrivals and departures.”

Rule 8VAC20-800-140-D.

8VAC20-800-530-A

“Based on observation, the provider failed to ensure that cots used for sleeping or napping have linens consisting of a top cover and a bottom cover. Evidence: Three out of three cots where children were observed sleeping did not contain a bottom cover. The children were observed sleeping directly on the cot with a blanket on top of them.”

Rule 8VAC20-800-530-A.

8VAC20-800-690-D

“Based on observation, and interview, the provider failed to ensure that the diapering surface is nonabsorbent and washable; and cleaned and sanitized after each use. Evidence: The substitute provider changed each child after they woke up from nap on the cot that they were sleeping on. She then sprayed the cot with cleaning spray and stacked it on top of the other cots. When asked she said she changes the children on top of their cot each time.”

Rule 8VAC20-800-690-D.

8VAC20-800-80-A

“Based on a review of children’s records, the provider failed to obtain verification of the identity and age of the child within seven days of the child’s first day of attendance. Evidence: The record for child #2, date of enrollment 5/2/21 did not contain verification of viewing the identity and age of the child.”

Rule 8VAC20-800-80-A.

8VAC20-800-800-B

“Based on a review of documentation, the provider failed to review the emergency plan at least annually and update the emergency preparedness and response plan as needed. Evidence: The emergency preparedness and response plan was last reviewed and updated in 2018.”

Rule 8VAC20-800-800-B.

8VAC20-820-120-E-2

“Based on observation and interview, the provider failed to ensure that the most recently issued inspection finding was posted on the premises. Evidence: The most recent inspection was not visible. When asked, the provider stated that the most recent inspection was not posted.”

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

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

“Evidence: Caregiver #1 stated a carbon monoxide detector has not been purchased as of May 4, 2022 when the licensing inspectors asked to see the carbon monoxide detector. The family day home was built before 2015.”

Rule 22.1-289.058.

Based on documentation review and interview, the caregiver did not obtain a central registry finding for one household member within 30 days of the household member becoming 14 years old.

“Evidence: Caregiver #1 stated Household Member #1 turned 14 years old in the Fall of 2021. When the licensing inspector asked to review the central registry finding for Household Member #1, Caregiver #1 stated it had not been requested as of May 4, 2022.”

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

Based on documentation review and interview, the caregiver did not ensure a substitute providers’ record contained the required information.

“Evidence: 1. The records for Caregiver #1 and Caregiver #2 did not documentation of the education and training. 2. The record for Caregiver #2 did not contain the name address and telephone number of a person to be notified in an emergency and the substitute providers’ records containing documentation of the time of arrivals and departures times.”

Rule 8VAC20-800-120-B.

Based on observation and interviews, the caregiver did not ensure the use of a substitute provider was limited to no more than a total of 240 hours per calendar year.

“Evidence: Caregiver #1 arrived at the home at approximately 10:10am. Caregiver #1 stated since February 2022, she had been at another location from approximately 6:00am until 10:30am to 11:00am, Monday through Friday.”

Rule 8VAC20-800-140-C.

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

“The licensing inspectors observed sections of the wooden fencing surrounding the backyard including the outdoor play equipment had fallen over, creating unsafe conditions. Caregiver #1 stated the children play on the outdoor play equipment and plans have been made to fix and replace the broken wooden fence.”

Rule 8VAC20-800-240-A.

Based on observation and interview, the caregiver did not ensure the home was equipped with a fire extinguisher that met the Uniform Statewide Building Code.

“Evidence: The licensing inspectors requested to see the fire extinguisher. Caregiver #1 looked for the fire extinguisher while the licensing inspectors were on site but could not locate it.”

Rule 8VAC20-800-320-I.

Based on observation and interview, the caregiver did not ensure children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision had access to stairs.

Rule 8VAC20-800-430-A.

Based on observation and interview, the caregiver did not ensure stationary outdoor playground equipment was not installed on a hard surface.

“Evidence: The licensing inspectors observed stationary outdoor playground equipment sitting on the bare ground. Caregiver #1 stated she is going to replace the climbing equipment and add resilient surfacing underneath the play equipment.”

Rule 8VAC20-800-500-C.

Based on observation, documentation review and interview, the caregiver did not ensure an additional caregiver was present when the caregiver exceed 16 points based on the ages of the children in care.

“Evidence: Two licensing inspectors arrived at the home on May 4, 2022 at approximately 9:55am. Upon arrival, the licensing inspectors observed seven children in care with one caregiver, Caregiver #2. The children ranged in age from 15 months to four years, for a total of 19 points. The attendance record for the day indicated there were seven children in care. Caregiver #2 stated Caregiver #1 was on her way. Caregiver #1 arrived at the home at approximately 10:10am.”

Rule 8VAC20-800-570-A.

Based on documentation review and interview, the caregiver did not ensure an up-to-date record at the family day home for each enrolled child. Evidence:

“The licensing inspector requested to review seven children’s records. The provider stated she had taken some of children’s records from the home for training purposed. The provider could not locate three children’s records while the licensing inspectors were one site.”

Rule 8VAC20-800-60-A.

Based on review of five children’s records, the caregiver did not maintain the required information in the children’s records.

Rule 8VAC20-800-60-B.

Based on observation and interview, the caregiver did not ensure a working portable battery-operate weather band radio was available to caregivers at all times.

“Evidence: The licensing inspectors asked to view the working portable battery-operated weather band radio. Caregiver #1 and Caregiver #2 looked for the radio during the inspection and could not find it.”

Rule 8VAC20-800-770.

Based on documentation review and interview, the caregiver did not have a written emergency preparedness and response plan available.

“Evidence: The provider stated the written emergency preparedness and response plan was taken out of the home and used for training when the licensing inspectors asked to review the written emergency preparedness and response plan.”

Rule 8VAC20-800-800-A.

Based on documentation review and interview, the caregiver did not maintain documentation of emergency evacuation and shelter-in-place drills.

“Evidence: The provider stated the documentation of emergency evacuation and shelter-in place drills were taken out of the home and used for training when the licensing inspectors asked to review the emergency drill log. The provider stated the drills are practiced as required.”

Rule 8VAC20-800-830-D.