Ms. Pauline Henley

‘Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

“The heat/air floor vent in the living room floor was broken, missing multiple slats, and accessible to children.”

Rule 8VAC20-800-240-A.

Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles.

“Child 1 (age 13 months) was in a crib laying down drinking a bottle.”

Rule 8VAC20-800-900-B.

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating each meal.

“Child # 2 did not have his hands washed after eating snack.”

Rule 8VAC20-790-390-A.

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 were no physical exams available for Child #2, and #3, who had been in care for over 60 days.”

Rule 8VAC20-800-100-A.

Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the Physician’s designee, or an official of a local health department.

“The immunizations for Child #2, and #3, were not signed or dated.”

Rule 8VAC20-800-110-B.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water.

“Child # 2 was fed a bottle, and the child’s hands were not washed.”

Rule 8VAC20-800-680-B.

Based on review of two staff’s records, the family day home failed to ensure that the required annual training was documented.

“Evidence: The record for staff # 1 and 2 did not contain documentation of the required 16 hours of annual training for 2023.”

Rule 8VAC20-800-210-B.

Based on observation, the provider failed to ensure that child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“Evidence: There were two uncovered electrical outlets located around the kitchen counter. The uncovered electrical outlets were not accessible to the children in care.”

Rule 8VAC20-800-320-B.

Based on observation, the provider failed to ensure that all garbage shall be removed on a daily basis from room occupied by children and removed from the premises at least once weekly or more often as needed.

“Evidence: Observed a opened full trash bag sitting in the kitchen where the children were playing on the floor.”

Rule 8VAC20-800-360-A.

Based on observation and interviews, record review and interviews, the provider failed to ensure that a caregiver does not exceed 16 points, determined by the point system in the standards, for each caregiver.

“Evidence: 1. There were 6 children, totaling 17 points, present during the inspection, requiring a total of two caregivers.”

Rule 8VAC20-800-570-A.

Based on observations and interviews, the provider failed to maintain an up-to-date record at the family day home for each enrolled child.

“Evidence: Child # 5 record did not contain the address for one of the two required emergency contacts.”

Rule 8VAC20-800-60-B.

Based on observation, the provider failed to ensure that children’s hands are washed with liquid soap and warm running water before eating and after toileting or diapering.

“Evidence: 1. The children did not wash their hands before eating snack.”

Rule 8VAC20-800-680-B.

Based on observation, the provider failed to ensure that caregivers shall wash their hands with liquid soap and warm running water after diapering a child.

“Evidence: Caregiver 1 was observed preparing and serving food. Caregiver 1 did not wash their hands before serving.”

Rule 8VAC20-800-690-A.

Based on observation, the provider failed to ensure that the required telephone numbers were posted in a visible area close to the telephone.

“Evidence: There were not posted telephone numbers in a visible location next to a telephone.”

Rule 8VAC20-800-790.

Based on observation, the provider failed to ensure that the tables and high chair trays shall be cleaned after each use.

“Evidence: Caregiver 1 was observed feeding the children in care. The trays were not cleaned before another child was placed in the high chair to eat snack.”

Rule 8VAC20-800-870-G.

Based on observation, the provider failed to ensure that when a family day home provides meals or snacks, the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the USDA is followed.

“Evidence: The USDA requires that a serving from two components (fluid milk, meat/meat alternates, vegetables, fruits and grains) must be served for snack. The children were served the following for morning snack: pop tart and a Carpi Sun. The children were not served two components.”

Rule 8VAC20-800-880.

Based on review of staff records, the provider failed to ensure that a repeat TB screening was completed every two years.

“Evidence: The provider and assistant most recent TB screening was dated 11/22/2021.”

Rule 8VAC20-800-180-A.

Based on observation of the back yard, the provider failed to ensure that the area and equipment of the family day home, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: Observed in the back yard area, several broken toys and infant equipment.”

Rule 8VAC20-800-240-A.

Based on review of three family pets, the provider failed to ensure that documentation of the current rabies vaccination.

“Evidence: Family Pet # 2 did not have documentation of a current rabies vaccination.”

Rule 8VAC20-800-460-D.

Based on review and interviews, the provider failed to ensure that a written attendance was taken daily.

“Evidence: The licensee stated that she was not taking written attendance of the children in care.”

Rule 8VAC20-800-50-A.

Based on review of two staff’s records, the family day home failed to ensure that a repeated eligibility letter for fingerprint background check was completed as required by the Code of Virginia.

“Evidence: 1.Staff # 1 most recent fingerprint eligibility letter was dated 06/04/2018. The fingerprints are to be completed every five years.”

Rule 22.1-289.036-A.

Based on review of two staff records, the family day home provider failed to obtain the finding from a search of the central registry within 30 days of hire.

“Evidence: Staff # 2 did not have a documented start date. Verified with staff # 1 that staff # 2 started work in April 2023. A return search of the central registry was not in the record. Staff # 1 did not provide documentation when requested.”

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

Based on review of two staff records, the family day home did not have the required documentation for their record.

“Evidence: The following was missing from the caregiver’s record: name, address, verification of age, job title, date of employment, name and address and phone number of a person to be notified in an emergency.”

Rule 8VAC20-800-120-A.

Based on review of two staff records, the family day home did not have the required documentation for the orientation.

“Evidence: The record for Staff # 2 did not contain the documentation of a completed orientation within the first week of employment. There was no documentation of the first day of employment. Staff # 1 confirmed the start date as April 2023.”

Rule 8VAC20-800-200-B.

Based on review of two staff’s records, the family day home failed to ensure that the required annual training was documented.

“Evidence: Staff # 1 record did not contain documentation of the required 16 hours of annual training for 2022.”

Rule 8VAC20-800-210-B.

Based on observation of the infant area, the family day home failed to ensure that all occupied cribs were at least 12 inches from each other.

“Evidence: Observed two full sized cribs that were occupied with two infants, the crib sides were touching.”

Rule 8VAC20-800-510-C.

Based on observation of diapering, the family day home failed to ensure that all requirement for diapering was met.

“Evidence: Verified through interviews with staff # 2, the family day home was using a spray bottle of bleach water and sanitizing wipes to clean and sanitize the diaper changing table. The standard requires a soap and water and a sanitizing agent.”

Rule 8VAC20-800-690-D.

Based on document review and discussion, the vendor failed to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: Departure was not documented daily as it occurs.”

Rule 8VAC20-790-180-B.

Based on record review, the provider failed to ensure that every adult living in a family day home shall undergo all background checks in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter.

“Evidence: 1. The most recent findings from a search of the central registry for Caregiver 1 was dated 04/12/2016; there was not a 2021 follow-up search available for review during the inspection. 2. The most recent findings from a search of the central registry for Household Member 1 was dated 04/12/2016; there was not a 2021 follow-up search available for review during the inspection.”

Rule 22.1-289.036-A.

Based on observation and discussion, the provider failed to ensure that access to the water in aboveground swimming pools shall be prevented by locking and securing the ladder in place or storing the ladder in a place inaccessible to children.

“Evidence: There was an aboveground pool on the property. The ladder was in the pool. There was approximately 6 inches of water in the pool.”

Rule 8VAC20-800-260-A.

Based on observation and discussion, the provider failed to ensure that potentially poisonous substances were stored in areas inaccessible to children.

Rule 8VAC20-800-280.

Based on observation and discussion, the provider failed to ensure that child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“Evidence: 1. There were 2 uncovered, unused electrical outlets in the living/dining room area of the home. 2. There was a surge protector by the fish tank. There were several uncovered, unused outlets on the surge protector that were accessible to children. 3. All of the children in care were under five years of age.”

Rule 8VAC20-800-320-B.

Based on record review and discussion, the provider failed to ensure that the child’s record shall contain all of the elements as required by the standard.

Rule 8VAC20-800-60-B.

Based on observations and discussion, the provider failed to ensure that medications, 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.

“Evidence: There was a white oval pill in a bowl on the provider’s dining room table that was accessible to children. The provider stated that it was her pain pill that she had not taken that morning.”

Rule 8VAC20-800-730-D.