Karlyn Davis

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, and deodorizers shall be stored away and inaccessible to children.

“The cabinet in the kitchen underneath the sink was unlocked and contained cleaning supplies. The cabinet in the basement bathroom used by children was unlocked and contained cleaning supplies. A spray bottle containing a bleach mixture was on the table accessible to children.”

Rule 8VAC20-800-280.

Sharp kitchen utensils and other sharp objects shall be inaccessible to children unless being used by the caregiver.

“A knife was unattended on the kitchen counter and accessible to children.”

Rule 8VAC20-800-290.

When topical skin products such as diaper ointment are used, the following requirements shall be met: The product shall be in the original container and, if provided by the parent, labeled with the child’s name.

“Destin diaper cream was observed unlabeled next to the changing area.”

Rule 8VAC20-800-750-A.

Bottles shall be labeled with the child’s full name and the date, if more than one infant is in care.

“Two bottles belonging to children in care were observed on the table and were not labeled.”

Rule 8VAC20-800-960-E.

Assistants’ records shall contain the following: Documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Staff #2 has been actively working with children for 12 weeks and does not have documented reference verifications on file.”

Rule 8VAC20-800-120-B.

Repeat violation

“Children’s records are required to contain address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. The record for Child #4 was missing the address and telephone number for one designated person to contact. The child was present during the inspection and had been in care for 10 months.”

Rule 8VAC20-800-60-B.

For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service.

“The Provider could not find the search results for Caregiver A who has been employed for over 1 year.”

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

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

“The Provider did not have documentation of a physical examination for Child A. Child A has been enrolled for approximately 4 months.”

Rule 8VAC20-800-100-A.

The provider shall obtain the parent’s written acknowledgement of the receipt of the information in this section.

“The provider did not obtain the parent’s written acknowledgement of the receipt of required information for Child A’s Liability Insurance Declaration and Child B’s Information for Parents document.”

Rule 8VAC20-800-70-B.

Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent verification of the identity and age of the child.

“The provider did not obtain the required verification of the identity and age of the child within seven business days of the child’s first day of attendance. Child A has been enrolled for approximately 4 months.”

Rule 8VAC20-800-80-A.

The provider shall document in the child’s record: 1. The method of verification of the child’s age and identity.

“The provider/person viewing the proof of identity, for Child B, did not sign or date when the proof of identity was seen.”

Rule 8VAC20-800-80-C.

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. The Provider did not have immunizations for Child A. Child A has been enrolled for approximately 4 months.”

Rule 8VAC20-800-90-A.

The provider must orient assistants by the end of their first week of assuming job responsibilities.

“Caregiver #1 and #2 provided care for children for two months without receiving orientation.”

Rule 8VAC20-800-200-A.

Repeat

“Poisonous materials shall be stored in an area inaccessible to children. Poisonous cleaning chemicals were located under the downstairs bathroom sink, accessible to children.”

Rule 8VAC20-800-280.

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. Documentation of the inspection and cleaning shall be maintained by the provider.

“The provider could not provide a fireplace inspection report during the inspection.”

Rule 8VAC20-800-320-G.

Children’s records are required to contain address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for Child #2 was missing the address and telephone number for two designated persons to contact. The child was present during the inspection and had been in care for two months.”

Rule 8VAC20-800-60-B.

The family day home shall have a written emergency preparedness and response plan.

“The provider could not locate the emergency preparedness and response plan during the inspection.”

Rule 8VAC20-800-800-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“The immunizations for Child #4 were not received prior to the first day of attendance. Child #4 was present during the inspection and had been enrolled for 7 days.”

Rule 8VAC20-800-90-A.

8VAC20-800-320-B

“Based on observation child-resistant protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: One outlet in bathroom, one outlet in play area and outlets in surge protector in pantry/dining room did not have protective covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-690-D

“Based on observation, the diapering surface was not nonabsorbent. Evidence: The diapering pad had several holes/tears.”

Rule 8VAC20-800-690-D.

8VAC20-800-80-A

“Based on record review, the provider did not obtain proof of age and identity within seven business days of the child’s first day of attendance at the family day home. Evidence: Child #2’s first day was 12/5/22, provider dated proof of age and identity 4/20/23.”

Rule 8VAC20-800-80-A.

8VAC20-800-800-B

“Based on observation and interview, the provider did not document review of the emergency plan at least annually. Evidence: Emergency preparedness plan was not dated.”

Rule 8VAC20-800-800-B.

8VAC20-770-40-D-5

“Based on household records review, 1 out 2 records did not contain documentation of the central registry of a person in the home becoming 14 years old. Evidence” Household member 2 did not have documentation in record of a submitted request for a central registry once becoming 14 years old.”

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

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. On November 28, 2023, there were 10 children including providers 2 children in the home. Provider was providing care for 8 children. Provider is licensed for capacity of 7 children. A modification inspection had not been conducted for approval to increase capacity for over 7 children.”

Rule 8VAC20-800-40-A.

Based on observation, the provider did not ensure potentially poisonous substances were stored away in areas inaccessible to children.

“1. In the play area, there were approximately 10 bottles of alcohol located on top of a cabinet shelf. 2. The cabinet shelf was located in a play area where children were observed playing.”

Rule 8VAC20-800-280.

8VAC20-800-320-A

“Based on observation, the provider did not ensure small electrical appliances such as, but not limited to, curling irons, toasters, blenders, can openers, and irons shall be unplugged unless being used by the caregiver. Evidence: 1. A toaster was plugged and not in use. 2. The children were at sitting at the table and in high chairs eating pretzels during the time of observation.”

Rule 8VAC20-800-320-A.

8VAC20-800-180-A

“Based on staff records review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. Staff #1 tuberculosis screening expired on 10/4/2022.”

Rule 8VAC20-800-180-A.

8VAC20-800-700-C

“Based on medication records review, when an authorization for medication expires, the provider did not notify 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. Evidence: 1. In a locked box, Child #1 authorized medication expired on 9/2022.”

Rule 8VAC20-800-700-C.

22.1-289.035-B-4

“Based on staff record review, the center did not have documentation of out of state child abuse and neglect results. Evidence: Staff #1 (date of employment 3/08/2022) did not have documentation of out of state (KY) child abuse and neglect results during inspection.”

Rule 22.1-289.035-B-4.

22VAC40-665-240-A

“Based on observation, areas of the family day home, inside were not maintained in a safe. Evidence: 1. In the lower lever of the family day home, one electrical outlets did not have cover. 2. Indoor climber equipment had rips in the corners of the material.”

Rule 22VAC40-665-240-A.

8VAC20-800-250-A

“Based on observation, the family day home did not ensure appliance cords were out of reach of children under the age five years old. Evidence: 1. Vacuum cord was plugged in outlet and cord was under table and chairs. During the inspection, children were observed walking over the cord.”

Rule 8VAC20-800-250-A.