Mrs. Carlena Scott

22.1-289.036-A

“Provider did not ensure to obtain updated background checks as required every 5 years. Provider and household member #1 sworn statement is overdue by 2 months.”

Rule 22.1-289.036-A.

8VAC20-790-170-G

“The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. There were 2 children in care one with a physician documented food allergy and one with documented food sensitivity and the provider did not have a list containing the required information.”

Rule 8VAC20-790-170-G.

8VAC20-790-190-B-12

“A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #1 has food allergy and there is not a written care plan available for review.”

Rule 8VAC20-790-190-B-12.

8VAC20-800-270-A

“Firearms of every type and purpose shall be stored unloaded in a locked container, compartment, or cabinet, and apart from ammunition. A firearm was observed stored in a locked box with ammunition.”

Rule 8VAC20-800-270-A.

8VAC20-800-730-D

“Repeat Violation Medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Prescription medication was observed stored in an unlocked manner in the refrigerator designated childcare.”

Rule 8VAC20-800-730-D.

8VAC20-800-770

“A working battery-operated flashlight, 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 provider did not have extra batteries for the weather radio.”

Rule 8VAC20-800-770.

8VAC20-800-60-B

“A child’s record shall contain the name and policy number of the child’s medical insurance, if applicable;. The record for Child #1 did not include the insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-730-D

“Medication for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Nonprescription medications were observed stored in a first aid kit in a unlocked cabinet .”

Rule 8VAC20-800-730-D.

22.1-289.057-A

Rule 22.1-289.057-A.

8VAC20-800-110-B

“The provider is required to obtain documentation of a physical examination , signed by a licensed physician, the physician’s designee, or an official of a local health department, prior to a child’s attendance or within 30 days after the first day of attendance. The physical examination results for child #1 who has been enrolled for more than 14 months, were not signed or stamped by the physician.”

Rule 8VAC20-800-110-B.

22.1-289.057-A

“The program is required to develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler-style and cooler-style drinking fountains, kitchen taps, classroom combination sinks and drinking fountains, home economics room sinks, teacher’s lounge sinks, nurse’s office sinks, classroom sinks in special education classrooms, and sinks known to be or visibly used for consumption. The licensee has not submitted a testing plan to VDH and has not implemented testing of the water in the family day home.”

Rule 22.1-289.057-A.

22.1-289.035-A

Rule 22.1-289.035-A.

8VAC20-770-40-D-5

“Based on a review of records and interview, the licensee did not ensure that a Child Protective Services Central Registry check is completed for any child living in the Family Day Home, within 30 days of becoming 14 years old. Evidence: The licensee confirmed that household member #4 turned 14 years old more than 30 days ago and that a Search of the Central Registry had not been requested for her.”

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

8VAC20-800-180-A

“Based on a review of records and interview, the licensee did not obtain an updated Tuberculosis (TB) Screening for each adult household member and caregiver within 2 years of the most recently obtained results. Evidence: The provider conformed that the TB screening results for adult household member #2 and adult caregiver #3 had been conducted more than 2 years ago and that more recent results had not been obtained.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“Based on a review of records and interview, the licensee was unable to demonstrate that each caregiver, in addition to CPR and First Aid Training. obtained a minimum of 16 hours of annual training in the previous12 month period. Evidence: The provider confirmed that she did not have substitute provider #3’s complete file available and did not have documentation of caregiver #3’s annual training hours totaling 16 hours.”

Rule 8VAC20-800-210-A.

8VAC20-800-240-A

Rule 8VAC20-800-240-A.

Based on observation, provider did not ensure areas and furnishings of the home are maintained in a clean, safe and operable condition to include unstable heavy items that a child could pull down on himself.

“Evidence: A 6’ step ladder was closed and propped against the wall in the hallway immediately outside the bathroom used by children.”

Rule 8VAC20-800-240-A.

Based on observation, provider did not ensure potentially poisonous substances including cleaning agents and disinfectants are stored in areas inaccessible to children.

“Evidence: Two multi-purpose cleaners labelled “Caution and keep out of reach of children” were observed in an unlocked cabinet under the sink in the bathroom used by children.”

Rule 8VAC20-800-280.

Based on observation, provider did not ensure the temperature of all inside areas occupied by children shall be maintained no lower than 65 degrees.

“Evidence: The temperature measured 61 degrees in the childcare room at 2:34 pm during inspection.”

Rule 8VAC20-800-400-A.

Based on observation and interview, provider did not ensure there is a written record of children in attendance each day.

“Evidence: Provider stated she did not have a written attendance of children today. Four children were observed present.”

Rule 8VAC20-800-50-A.

Repeat Violation Based on review and interview, provider did not ensure 2 of 4 child records have documentation of required information.

“Evidence: The following was found during record review for children present during inspection: 1. The record for child #1 did not have documentation of start date, father’s home information, parent’s employment information, emergency contact information, physician information and signed written agreement with parents. 2. The record for child #4 did not have documentation of start date. 3. Provider confirmed information was not available during inspection.”

Rule 8VAC20-800-60-B.

Based on observation and interview, provider did not ensure when meals or snacks are provided there is a menu posted for the current week showing what is served.

“Evidence: A menu for the current week was not posted. Provider confirmed she provides meals/snacks and that the menu has not been printed.”

Rule 8VAC20-800-920.

Based on observation, provider did not ensure documents required by the Superintendent are posted in a conspicuous place on the licensed premises.

“Evidence: The most recent inspection results dated 4/25/2023 were not posted.”

Rule 22.1-289.011-F.

Based on review and interview, provider did not ensure an assistant/substitute record had documentation of required information.

“Evidence: The record for caregiver #2 did not have documentation of date of employment and job title. Provider stated the individual began working the week of 7/24/2023.”

Rule 8VAC20-800-120-B.

Based on review and interview, provider did not ensure there is written documentation of each caregiver’s orientation training.

“Evidence: The record for caregiver #2 did not have documentation of orientation training although provider stated it was completed.”

Rule 8VAC20-800-230-A.

Repeat Violation Based on review, provider did not ensure 4 of 5 child records have documentation of required information.

“Evidence: The following was found during review of child records: 1. The records for child #1 and child #2 did not have parents’ employment addresses and employment phone numbers. 2. The records for child #4 and child #5 did not have father’s home information (address and phone number), parents’ employment information (place, address and phone number) and emergency contact addresses.”

Rule 8VAC20-800-60-B.

Based on review, provider did not ensure in addition to first aid training and CPR training, caregivers complete a minimum of 16 hours of training annually.

“Evidence: Provider had documentation of completing 10 hours of training in 2022.”

Rule 8VAC20-800-210-A.

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

Rule 8VAC20-800-240-A.

Based on review and observation, provider did not ensure there is a written record of children in attendance each day.

“Evidence: Children’s attendance was not documented for this day or the day prior. Three children were observed present on April 25, 2023.”

Rule 8VAC20-800-50-A.

Based on review, provider did not ensure 1 of 3 children’s record has documentation of required information.

“Evidence: The record for child #1 did not have documentation of first date of attendance, immunization record and proof of identity.”

Rule 8VAC20-800-60-B.

Based on observation, provider did not ensure there is a working battery-operated flashlight, a working battery-operated weather band radio and extra batteries.

“Evidence: The flashlight and weather band radio were not operable. Provider stated she needed to get batteries.”

Rule 8VAC20-800-770.

Based on review, provider did not ensure emergency drill documentation has required information.

“Evidence: The emergency evacuation drill conducted in August 2022 did not document the date of the drill.”

Rule 8VAC20-800-830-C.

Based on observation, provider did not ensure menus posted are dated for the current week.

“Evidence: The menu posted was dated 2/19/23 - 2/25/23 which is not the current week.”

Rule 8VAC20-800-920.

Based on documentation and interview, vendor did not ensure lockdown procedures are practiced at least annually.

“Evidence: The emergency response drill log was reviewed and there was not documentation of a practiced lockdown drill. Vendor confirmed that a lockdown drill was not completed in 2021.”

Rule 22VAC40-665-410-A-3.

Based on review and interview, provider did not ensure caregivers complete at least sixteen hours of training annually.

“Evidence: The record for caregiver #1 had documentation of completing four hours of training in 2021. This information was verified by the provider.”

Rule 8VAC20-800-210-A.

Based on review, provider did not ensure 2 of 2 children’s records have documentation of required information.

“Evidence: The records for child #1 and child #2 did not have documentation of father’s employment address and father’s employment phone number.”

Rule 8VAC20-800-60-B.