Deborah King

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for caregiver #1 was not completed and was overdue by 12 days.”

Rule 8VAC20-800-180-A.

8VAC20-790-250-F

“Caregivers who work directly with children shall, annually attend at least 16 hours of training, to include the department’s health and safety update course. Caregiver #1 was overdue in taking the department’s health and safety update course by more than 6 months.”

Rule 8VAC20-790-250-F.

22.1-289.057-A

“Each child day program that is licensed pursuant to this chapter shall develop and implement a plan to test potable water for lead. The plan and the results of each test conducted pursuant to such plan shall be submitted to and reviewed by the Commissioner and the Department of Health’s Office of Drinking Water. Caregiver #1 has not developed or implemented a plan to test potable water for lead.”

Rule 22.1-289.057-A.

8VAC20-800-250-A

“Hanging items including window blind or curtain cords, appliance cords, and ropes shall be out of reach of children under five years of age. There were multiple appliance cords and extension cords from the tv to the mantel in the living room within the reach of children that posed a risk.”

Rule 8VAC20-800-250-A.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“Records for children #2, #3 and #5 did not have a parent’s signature for an annual review of the emergency contact information. Child #2 had been in care for over a year. Child #3 and #5 had been in care for over two years.”

Rule 8VAC20-800-780-B.

Providers shall complete the departments health and safety update course annually.

“Caregiver #1 did not have documentation of completing the annual health and safety update course for 2023.”

Rule 8VAC20-790-250-F.

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 #1 (enrolled for over 3 months) and child #2 (enrolled for 7 months).”

Rule 8VAC20-800-100-A.

A tuberculosis (TB) screening is required for each caregiver and adult household member every two years from the last screening.

“An updated TB screening for Caregiver #1 was completed 4 months after being due.”

Rule 8VAC20-800-180-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 obtained 1.5 of the 16 required hours in 2023.”

Rule 8VAC20-800-210-A.

**Repeat Violation** The provider shall keep a written record of children in attendance each day.

“There was no record of attendance for child #4, who was in care on the date of the inspection.”

Rule 8VAC20-800-50-A.

The provider shall maintain a separate record for each child enrolled that contains all of the required information.

“The record for child #2, enrolled for seven months, was missing the following required components: the name, address, and phone number of 1 designated person to contact in case of emergency. The record for child #3, enrolled for over 1 year, was missing the following required components: phone number and address for 1 parent, employment information for 1 parent, and work phone number for both parents.”

Rule 8VAC20-800-60-B.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“A prescription medication for child #6 was observed in the child’s backpack, not in a locked container, making accessible to children.”

Rule 8VAC20-800-730-D.

8VAC20-800-50-A

“Based on documentation review, and interview, the provider failed to maintain a written record of attendance each day for children in care. Evidence: Child #3 was in attendance. The written record of attendance did not have child #3 written down. The provider confirmed that child #3 was not written on the attendance sheet for that day.”

Rule 8VAC20-800-50-A.

8VAC20-800-830-C

“Based on documentation review, and interview, the provider failed to document emergency evacuation drills. Evidence: The emergency evacuation drill log did not have documentation of drills for the months of July, August, or September 2023. The provider stated that the drills were conducted but not documented.”

Rule 8VAC20-800-830-C.

22.1-289.035-B-2

“Based on records review, the provider failed to ensure that applicants undergo a criminal background check prior to beginning employment or volunteering. Evidence: The record for Assistant #1 did not contain a criminal history check. When asked, the provider acknowledged that Assistant #1 did not have a criminal history check.”

Rule 22.1-289.035-B-2.

8VAC20-800-120-B

“Based on records review, the provider failed to ensure that the record for the assistant contained the date of employment or volunteering. Evidence: Assistant #1 is listed as an assistant on the staff information form submitted with the application for licensure. The record for Assistant #1 does not document the date of employment or volunteering.”

Rule 8VAC20-800-120-B.

8VAC20-800-240-A

“Based on observation, and interview, the provider failed to ensure that areas and furnishings, inside and outside shall be maintained in a clean, safe, and operable condition. Evidence: The back yard has a fence that has several broken, splintered, and cracked fence pieces. When asked, the provider acknowledged that the fence needed to be repaired”

Rule 8VAC20-800-240-A.

8VAC20-800-320-G

“Based on interview, the provider failed to ensure that all wood burning stoves and fireplaces and associated chimney’s shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: The home has a wood burning fireplace. When asked to see documentation of the inspection and cleaning the provider stated that she was unable to locate it.”

Rule 8VAC20-800-320-G.

8VAC20-800-70-A

“Based on interview, the provider failed to provide a general daily schedule that is appropriate for the age of the enrolling child. Evidence: When asked to view the daily schedule that is provided to parents, the provider stated that she did not have one.”

Rule 8VAC20-800-70-A.

8VAC20-790-180-D

“Based on records review, the provider failed to document the arrival and departure of each child in care as it occurs. Evidence: The daily attendance record for 1 out of 5 children did not have any times of departure documented for the previous week.”

Rule 8VAC20-790-180-D.

8VAC20-800-100-A

“Based on records review, the provider failed to obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: The record for child #3, date of enrollment 10/18/21, did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-510-C

“Based on observation, the provider failed to ensure that there is at least 12 inches of space in between each crib. Evidence: There were 3 cribs along the back wall that were all touching each other with no space in between. Each crib was occupied by a sleeping child.”

Rule 8VAC20-800-510-C.

8VAC20-800-210-A

“Based on observation and interview, the provider did not ensure to obtain a minimum of 16 hours of annual training in addition to CPR First Aid. Evidence: The provider’s training hours totaled 8 hours for the year. When asked, the provider stated that she didn’t realize that she needed 16 hours per year.”

Rule 8VAC20-800-210-A.

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time did not exceed the maximum licensed capacity of the home. Evidence: 1) Upon the arrival of the inspector on July 22, 2022, at approximately 11:03 am there were six children in care, exceeding the licensed capacity of five children. 2) The attendance log for the week stated that every day during the current week an additional child was also cared for, for a total of 7 children in care.”

Rule 8VAC20-800-40-A.

8VAC20-800-50-A

“Based on a review of records, and interview, the provider did not keep a written record of children in attendance each day. Evidence: There were six children in attendance but only four children were signed in. When asked, the provider stated that she hadn’t made an attendance sheet for the two children enrolled 7/18/22, because they just started this week.”

Rule 8VAC20-800-50-A.

8VAC20-800-520-A

“Based on observation, and interview, the provider did not ensure a crib was provided for all children from birth through 12 months. Evidence: Two infants (age 7 months) were in bouncy seats. Two cribs contained toddlers. When asked where the infants sleep the provider stated that she is waiting for the other cribs to come in, and that right now they sleep in their bouncy seats.”

Rule 8VAC20-800-520-A.

8VAC20-800-520-B

Rule 8VAC20-800-520-B.

8VAC20-800-570-A

“Based on observation, and interview, the provider did not ensure that she did not exceed 16 points to determine if a second caregiver was needed. Evidence: There were 6 children in attendance for a total of 19 points.”

Rule 8VAC20-800-570-A.

8VAC20-800-600-B

“Based on observation, the provider did not ensure that infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining equipment. Evidence: Upon the arrival of the inspector at 11:03 am there were 2 infants (age 7 months) in bouncy seats. The provider did not remove one of the infants from the bouncy seat until approximately 12:30 pm.”

Rule 8VAC20-800-600-B.

8VAC20-800-680-A

“Based on observation, and interview, the provider did not ensure to wash her hands with liquid soap and warm running water after diapering a child. Evidence: The provider changed a diaper and then immediately changed another child. She did not leave the room to wash her hands. When asked, the provider stated that she put on hand sanitizer.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children’s hands were washed with liquid soap and running water, before eating, or after diapering. Evidence: 1) 4 out of 4 diaper changes observed the children’s hands were not washed afterwards. When asked, the provider stated that she usually just wipes their hands with a baby wipe. 2) The children sat down to eat lunch without first washing their hands.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“Based on observation, the provider did not ensure that the diapering surface was cleaned and sanitized after each use. Evidence: The provider was observed only wiping the diapering surface with ?Clorox? wipes after each diaper change. This was observed in 4 out of 4 diaper changes. When asked, the provider stated that her other Inspector gave her special permission to only use sanitizing wipes.”

Rule 8VAC20-800-690-D.

8VAC20-800-900-B

“Based on observation, the provider did not ensure children are not allowed to eat or drink while walking, running, or playing. Evidence: The provider handed a toddler who was standing and walking around in a crib a bottle to drink.”

Rule 8VAC20-800-900-B.

8VAC20-800-320-E

“Based on observation, the provider did not ensure that portable electric heaters located in areas accessible to children had barriers or screens. Evidence: A portable electric heater was observed in use on the floor in the daycare area. The heater did not have a barrier or screen around it. Children were observed in the daycare area, near the portable heater during the inspection.”

Rule 8VAC20-800-320-E.

8VAC20-800-690-E

“Based on observation and interview on January 26, 2022, the provider did not ensure that soiled disposable diapers and wipes be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: During the inspection, the provider indicated she lifts the lid of the garbage can in the daycare area when disposing diapers.”

Rule 8VAC20-800-690-E.

8VAC20-800-730-D

“Based on observation and interview on January 26, 2022, the provider did not ensure 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. Evidence: There was an unlocked medicine cabinet, containing household medications, in the caregiver’s bedroom. The door to the bedroom was not locked and the medicine cabinet was not locked.”

Rule 8VAC20-800-730-D.

22VAC40-111-100-A

“Description: Based on a review of records and interview, the provider did not obtain a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child #2 (DOE 10/16/17) did not contain documentation of a physical examination. 2. The provider acknowledged there was no documentation of a physical examination in Child #1’s record.”

Rule 22VAC40-111-100-A.

22VAC40-111-180-A

“Based on a review of caregiver records and interview, the provider did not obtain a current Report of Tuberculosis Screening form for each caregiver, 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 record of caregiver #1 contained documentation of a TB screening dated 7/11/19. 2. The provider acknowledged she had not gotten an updated TB.”

Rule 22VAC40-111-180-A.

22VAC40-111-520-A

Rule 22VAC40-111-520-A.

63.2-1721.1-A

“Based on a review of caregiver records, the provider did not obtain central registry search results every five years for all employees. Evidence: The record of caregiver #1 did not contain documentation of a repeat central registry check. The most recent central registry result in the record is dated 9/26/16.”

Rule 63.2-1721.1-A.