Ebony Tetteh

22.1-289.035-A

“The facility is required to have employees undergo a background check every five years. The most recent criminal history check for Staff 1 was overdue by over one week.”

Rule 22.1-289.035-A.

8VAC20-800-110-B

“Repeat Violation Physical and immunization reports shall be signed by a licensed physician, the physician’s designee, or an official of the local health department. An immunization record for Child 1 and a physical record for Child 2 was not signed as required.”

Rule 8VAC20-800-110-B.

8VAC20-800-120-B

“Assistant and substitute records shall contain all the required information. The record for Caregiver 2 did not include the following components: date of employment and emergency contact information.”

Rule 8VAC20-800-120-B.

8VAC20-800-110-B

“The required physical examination reports shall be signed by a licensed physician, the physician’s designee or an official of the local health department. The records for child #1 and child #2 did not contain physical examination reports that were signed by a physician or designee.”

Rule 8VAC20-800-110-B.

8VAC20-800-350-E

“Hot water at taps available to children shall be maintained within a range of 105?F to 120?F. The hot water at the bathroom sink measured 126 ?F.”

Rule 8VAC20-800-350-E.

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #1, 23 months old, last documented immunization was over 10 months ago.”

Rule 8VAC20-800-90-C.

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated. The posted menu was not dated for the current week. The menu was dated 3/3/25-3/7/25.”

Rule 8VAC20-800-920.

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review. The last review of the emergency contact information in the record for Child #2 was 15 months ago. The annual review of this information was 3 months overdue.”

Rule 8VAC20-800-780-B.

8VAC20-800-180-A

“Based on record review and interview, it was determined the provider did not ensure that subsequent tuberculosis screening for caregivers and household member shall be obtain in accordance with the requirements in 8VAC20-800-170, 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.The most recent TB screening for household member 2 was dated 1/28/2022. This was more than two years ago. a.The provider confirmed an updated TB screening was required.”

Rule 8VAC20-800-180-A.

8VAC20-800-350-E

“Based on observation and measurement, it was determined the provider did not ensure that hot water at taps available to children were maintained within a range of 105?F to 120?F. Evidence: 1. The water in the main child care room was measured at 130 degrees Fahrenheit.”

Rule 8VAC20-800-350-E.

8VAC20-800-830-A

“Based on record review and interviews, it was determined the provider did not ensure that the emergency evacuation procedures were practiced monthly with all caregivers and children in care. Evidence: 1.The emergency evacuation drill log did not include documentation that an emergency evacuation was practiced in March 2023. 2.The provider confirmed the evacuation drill was not documented”

Rule 8VAC20-800-830-A.

Based on a review of the daily attendance record for the family day home, it was determine that the vendor did not ensure that a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs is maintained.

“Evidence 1. The daily attendance record for the family day home only had the names of five children recorded, but there were ten children present when the Licensing Inspector arrived. 2. Caregiver #1 confirmed that the attendance record did not document the arrival of the children tot he family day home as it occurs.”

Rule 8VAC20-790-180-B.

Based on a review of four caregiver records, it was determined that the vendor did not ensure that all caregivers have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: 1. The record for caregiver #4 did not contain documentation of a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. Caregiver #1 confirmed that caregiver #4 did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

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

Based on a review of four caregiver records, it was determined that the vendor did not ensure that all caregivers have a current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. The record for caregiver #4 did not contain documentation of a current certification in first aid appropriate to the ages of children in care. 2. Caregiver #1 confirmed that caregiver #4 did not have a current certification in first aid appropriate to the ages of children in care.”

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

Based on a temperature check of the water supply at the sink located in the family day home, it was determined that the provider did not ensure that the temperature of the water was maintained within a range of 105?F to 120?F.

“Evidence: 1. The water temperature from the sink in the bathroom used by the children was 130.5 degrees. 2. Caregiver #1 confirmed the water temperature was not within the required range.”

Rule 8VAC20-800-350-E.