Ms. Varlie Thompson

Repeat Violation A child’s record shall contain all of the required information.

“The record for child #1, who had been enrolled and in attendance for one day, did not contain the name, address, and telephone number of two designated persons to be contacted in the event of an emergency when the parent cannot be reached.”

Rule 8VAC20-800-60-B.

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

“Documentation of immunizations had not been obtained for child #1, enrolled for 1 day, prior to attendance. Child #1 was in care during the inspection.”

Rule 8VAC20-800-90-A.

High chairs, infant carrier seats, or feeding tables with safety waist and crotch straps fastened according to the manufacturer’s instructions shall be used for children under 12 months of age who are not held while being fed.

“Child #3, age 8 months, was observed in a crib in the bedroom with a bottle of milk in the crib with the child. The child was not being held while being fed and was not placed in a high chair, infant carrier seat, or feeding table with the required safety restraints fastened.”

Rule 8VAC20-800-960-C.

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 exam records available for Child #3 and #4, who were present during the inspection and had been in care for six months.”

Rule 8VAC20-800-100-A.

8VAC20-800-460-D

“The provider shall maintain documentation of the current rabies vaccination. The updated vaccinations for Pet A and Pet B, were due four months ago.”

Rule 8VAC20-800-460-D.

A child’s record shall contain the following emergency contact information including : Name, 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 #1 was missing the two required emergency contacts. The child was present during the inspection and had been in care for one month.”

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 was present during the inspection and had been in care for one month.”

Rule 8VAC20-800-70-B.

All caregivers shall have within 90 days of employment a current certification in cardiopulmonary resuscitation (CPR).

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

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

All caregivers shall have within 90 days of employment a current certification in first aid.

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

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

Repeat violation

“Background checks are required every 5 years for any persons involved in the day-to-day operations of the family day home and supervision of children. The provider’s central registry search was last completed six years ago and is now 1 year overdue.”

Rule 22.1-289.035-A.

Repeat violation

“Equipment used by children were maintained in accordance with the manufacturer’s instructions and that equipment shall be free from hazards such as lead paint, sharp edges or points, loose parts, and rust. Splitting and splintering wood was observed on several areas on the wooden treehouse in the backyard and a picnic table in the play area in the backyard had a cracked tabletop.”

Rule 8VAC20-800-480-E.

Based on a review of the Provider’s record, the provider did not ensure that the department’s health and safety update course was completed annually.

“Evidence: 1. Annual Health and Safety update training expired on 5/24/2024 in Provider’s file.”

Rule 8VAC20-790-250-F.

Based on a review of the provider’s records, the provider did not ensure background check updates shall be completed every five years.

“Evidence: The central registry search that was in the record was completed on 10/9/2018 and expired on 10/9/2023.”

Rule 22.1-289.035-A.

Based on a review of household member records, the provider did not ensure that all required background checks were completed for Household Members.

“Evidence: 1. A sworn disclosure statement was not obtained for Household Member #1. 2. A central registry was not obtained for Household Member #1. 3. Provider verified that Household Member #1 was currently residing in the home.”

Rule 8VAC20-770-40-C-1-c.

Based on a review of children’s records, the provider failed to obtain documentation of a physical examination prior to child’s attendance or within 30 days after the first day of attendance.

“Evidence: Results of physical examination for child #4 (enrolled 2/1/2023) was not available in records.”

Rule 8VAC20-800-100-A.

Based on a review of provider records, the provider did not ensure that their certification in cardiopulmonary resuscitation (CPR) was current.

“Evidence: CPR certification card in the record expired on 03/10/2024.”

Rule 8VAC20-800-140-B-3.

Based on a review of provider records, the provider did not ensure that their first aid certification was current.

“Evidence: The first aid certification card in the record expired on 03/10/2024.”

Rule 8VAC20-800-140-B-4.

Based on a review of household member records, the provider did not ensure that all household members prior to coming in contact with a child, obtain a current report of Tuberculosis screening, documenting the absence of tuberculosis in a communicable form.

“Evidence: 1.A TB test/screening was not obtained for Household Member #1. 2. Provider verified that Household Member #1 was currently residing in the home.”

Rule 8VAC20-800-170-A.

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

Rule 8VAC20-800-240-A.

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

“Evidence: 1. Lysol, Febreze and a disinfectant spray were observed within children’s reach on a shelf near the toys in the play area. 2. Each substance, contained a warning label with the statement ? Keep out of reach of children?.”

Rule 8VAC20-800-280.

Based on observations, the provider did not ensure that equipment used by children were maintained in accordance with the manufacturer’s instructions and that equipment shall be clean, nontoxic and free from hazards such as lead paint, sharp edges or points, loose parts, and rust.

“Evidence: 1. Splitting and splintering wood was observed on several areas on the wooden treehouse in backyard. 2. A picnic table in the play area in the backyard had a cracked tabletop. 3. Several toys were observed unclean and with broken pieces in the play area in the backyard: three ride on car toys had broken headlights and a broken seat; play kitchen set had broken compartment drawers; a toy wagon, two fire fighter play trucks, and a stuffed animal were unclean with dirt and discoloration.”

Rule 8VAC20-800-480-E.

Based on observations, the provider did not ensure Cribs, cots, rest mats, and beds when being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges

“Evidence: During nap time, four children were laid on cots without a bottom cover.”

Rule 8VAC20-800-530-A.

Based on observations, the provider failed to ensure that caregiver did not exceed 16 points by using the point system.

“Evidence: 1. On 08/18/2024 there were six children present, (between the ages of 1 and 4 years of age), with one caregiver. The total number of points for the six children was 17 points. 2. Provider confirmed the total points on 08/13/2024 was 17 points.”

Rule 8VAC20-800-570-A.

Based on a review of children’s records, the provider did not maintain an up-to-date record for each enrolled child.

“Evidence: Child # 3 did not have a record completed and available on site for viewing.”

Rule 8VAC20-800-60-A.

Based on a review of children’s records, the provider failed to obtain all required information.

Rule 8VAC20-800-60-B.

Based on observations, medication was not kept in a locked place using a safe locking method that prevent access by children.

“Evidence: 1. An over-the-counter medication was on kitchen counter, it was labeled with the name of Child # 2. Medication was lying on top of the first aid kit, not stored in a locked place.”

Rule 8VAC20-800-730-D.

Based on review of caregiver records, the provider failed to obtain a criminal history record check prior to the 1st day of employment.

“Evidence: 1.The record for Caregiver #2 (date employment: 7/31/23) documented a criminal history check dated 8/8/23. 2. The provider confirmed the date of hire for Caregiver #2 during the inspection.”

Rule 22.1-289.035-B-2.

Based on review of caregiver records, the provider failed to obtain from each caregiver at the time of hire a current report of Tuberculosis Screening.

“Evidence: The record for Caregiver #2 (date employment: 7/31/23) documented a tuberculosis screening dated 8/8/23.”

Rule 8VAC20-800-170-A.

Based on documentation reviewed and interview, the provider failed to ensure all household pets (dogs or cats) are vaccinated for rabies and treated for fleas, ticks or worms as needed.

“Evidence: 1.The provider’s 3 dogs were observed in the backyard during the inspection. 2.The vaccinations for one dog expired on 7/27/2022 and a second dog’s vaccinations expired on 8/11/2022. 3. During an interview, the provider confirmed the vaccinations were expired.”

Rule 8VAC20-800-460-C.

8VAC20-800-520-A

“Based on observation and caregiver’s statement, a crib was not provided for an infant birth through 12months of age for sleeping. Evidence: Child #1 was placed on a mat for sleeping during rest time. The child should have been in a crib.”

Rule 8VAC20-800-520-A.

8VAC20-800-60-B

“Based on record review, child’s records were incomplete. Evidence: Child #1 was missing name, address and telephone number for 1 of 2 designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-800-B

“Based on record review and interview, the provider did not ensure to review the emergency preparedness plan at least annually and document the review in writing. Evidence: 1. The emergency preparedness plan contained a review that was signed and dated on 3/6/2020. This is a repeated violation.”

Rule 8VAC20-800-800-B.

Based on record review and interview, the provider did not ensure to obtain documentation of a physical examination by or under the direction of a physician prior to attendance or within 30 days after the first day of attendance for 2 children as required.

“Evidence: 1. The records of child #1 (DOE: 3/10/2022) and child #2 (3/10/2022) were missing documentation of a physical record. 2. The provider acknowledged that the physical records had not been obtained.”

Rule 8VAC20-800-100-A.

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

“Evidence: 1. In the outdoor play area, 2 gasoline containers were observed. One container contained gasoline. 3 rusted propane tanks and 3 rusted cans were also observed in areas accessible to the children. 2. The provider stated that the unsafe items would be removed prior to the children playing outside later in the day.”

Rule 8VAC20-800-240-A.

Based on record review and interview, the provider did not ensure to maintain a record for each enrolled child that contained all of the required information.

“Evidence: 1.The records of child #1 (DOE: 3/10/2022) and child #2 (DOE: 3/10/2022) were missing a complete home address for 1 of the 2 required emergency contacts and the policy number of each child’s medical insurance. 2. The provider acknowledged that the records were not complete.”

Rule 8VAC20-800-60-B.

Based on record review and interview, the provider did not ensure to review the emergency preparedness plan at least annually and document the review in writing.

“Evidence: 1. The emergency preparedness plan contained a review that was signed and dated on 3/6/2020. 2. The provider acknowledged that the plan had not been reviewed in 2021.”

Rule 8VAC20-800-800-B.