Nattaya Cleary

No equipment, materials, or furnishings shall be used if recalled or identified by the U.S. Consumer Product Safety Commission as being hazardous.

“A recalled product was observed in the area used for childcare, the product was identified by the U.S. Consumer Product Safety Commission as being recalled over three years ago. Caregiver #1 stated that they have recently used the product for infants.”

Rule 8VAC20-800-240-B.

Poisonous materials shall be stored in an area inaccessible to children.

“Cleaning wipes were observed within reach of children on the kitchen counter and a teacher desk. Camphor Cough Suppressant was observed within reach of children on a console table.”

Rule 8VAC20-800-280.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“Two lower outlets were observed uncovered in the living room and accessible to children under five years of age.”

Rule 8VAC20-800-320-B.

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 #1, #2 and #3 did not have a parent’s signature for an annual review of the emergency contact information. Child #1 had been in care for over a year without an annual review. Child #2 had been in care for over two years without an annual review. Child #3’s last annual review was dated over a year ago.”

Rule 8VAC20-800-780-B.

Each caregiver shall submit documentation of a negative tuberculosis screening at the time of employment and the form shall have been completed within the last 30 days.

“The screening for caregiver #1 was completed five months prior to their date of employment.”

Rule 8VAC20-800-170-B.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

Repeat Violation

“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 two weeks.”

Rule 8VAC20-800-180-A.

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

“There was no documentation of immunizations for child #1, who was in care during the inspection and had been in care for a month.”

Rule 8VAC20-800-90-A.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening.

“The most recent screening for Household Member #2, was completed two years and 6 months ago.”

Rule 8VAC20-800-180-A.

Repeat Violation

“Areas of the family day home, outside, shall be maintained in a clean, safe, and operable condition. On the play structure, the large yellow tube slide was cracked in three places. The wood that attached the large yellow tube slide to the top of the play structure was un-attached at one of four points. The bottom step on the wooden ladder attached to the play structure, was cracked at the bottom exposing cracked and splintering wood. In the backyard play area, a plastic wagon was cracked exposing sharp plastic.”

Rule 8VAC20-800-240-A.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated.

“The menu, was not dated and only contained meals and snacks for one day.”

Rule 8VAC20-800-920.

8VAC20-790-480-D

“Based on observation, equipment used by children was not used in accordance with the manufacturer’s instructions. Evidence: 1) Child #1 was observed sitting in the Bumbo floor seat which was sitting on top of a table. The manufacturers instructions say that the Bumbo floor seat should be used on the floor. 2) The safety straps in a Bumbo floor seat were not buckled in while being used by Child #1.”

Rule 8VAC20-790-480-D.

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: 1) Child #2 (date of enrollment: 08/08/2022) record did not contain documentation of a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-240-A

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances were accessible to children. Evidence: 1) A bottle of air deodorizer and topical ointments (keep out of reach of children) were located on the kitchen counter within reach of children.”

Rule 8VAC20-800-280.

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1) In the dinning area occupied by one crib, 1 electrical outlet was observed not having protective covers. 2) In the infant nap room, 3 electrical outlets were observed not having protective covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-90-C

“Based on record review, the provider did not obtain documentation of additional immunizations every six months for children under the age of two years. Evidence: 1) Child #2 (enrollment date: 08/08/2022) last immunization on record was dated 05/05/2022. 2) Child #4 (enrollment date: 08/21/2023) last immunization on record was dated 06/06/2023. 3) Child #5 (enrollment date: 07/26/2021) last immunization on record was dated 07/07/2021.”

Rule 8VAC20-800-90-C.

Based on observation, the provider did not ensure that a caregiver does not exceed 16 points.

“Evidence: 1. At approximately 11:30am, it was observed that the Provider was alone with 8 children (22 points) and was over the allowed 16 points per caregiver. At approximately 11:43am, the Provider’s Assistant returned from lunch and began caring for the children. 2. The Provider was over the allowed 16 points for approximately 13 minutes.”

Rule 8VAC20-800-570-A.

Based on a review of caregiver records, all caregivers did not complete the central registry background check every five years after the initial background check.

“Evidence: 1. Caregiver #1’s most recent central registry on file was dated 8/4/2017 during the time of the inspection.”

Rule 22.1-289.036-A.

Based on a review of children’s records, 1 out of 3 children did not have documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #3 (doe: 1/3/2023) did not have documentation of a physical examination on file during the time of the inspection.”

Rule 8VAC20-800-100-A.

Based on a review of children’s records, 1 out of 3 children’s records were not up-to-date.

“Evidence: 1. Child #1 (doe: 3/16/2020) did not have an annual update of required emergency information. The last update of Child #1’s emergency information was on 2/25/2020.”

Rule 8VAC20-800-60-A.

Based on a review of children’s records, 1 out of 3 children did not have documentation that the child has been adequately immunized before attending the family day home.

“Evidence: 1. Child #3 (doe: 1/3/2023) did not have documentation of immunizations on file during the time of the inspection.”

Rule 8VAC20-800-90-A.

Based on a review of caregiver records, 1 out of 3 caregivers did not submit to fingerprinting as required.

“Evidence: 1. Caregiver #3 (doh: 8/8/2022) did not have fingerprints results on file during the time of the inspection.”

Rule 22.1-289.035-B-2.

Based on a review of caregiver records, the Provider did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years for 2 out of 3 caregivers.

“Evidence: 1. Caregiver #2 (doh: 8/9/2022) did not have documentation of a search of the child abuse and neglect registry or equivalent registry for state #1 in which the caregiver resided in the preceding 5 years. 2. Carevier #3 (doh: 8/8/2022) did not have documentation of a search of the child abuse and neglect registry or equivalent registry for state #2 in which the caregiver resided in the preceding 5 years.”

Rule 22.1-289.035-B-4.

Based on a review of caregiver and household member records, all caregivers and household members did not complete the central registry background check every five years after the initial background check.

“Evidence: 1. Caregiver #4’s most recent central registry background check was dated 8/4/2017 at the time of the inspection. 2. Household Member #1’s most recent central registry background check on file was dated 8/2/2017 at the time of the inspection.”

Rule 22.1-289.036-A.

Based on a review of caregiver records, Assistant’s records did not contain the required information.

“Evidence: 1. Caregiver #3 (doh: 8/8/2022) did not have documentation on file that two or more references as to character and reputation, as well as competency, were checked before employment during the time of the inspection.”

Rule 8VAC20-800-120-B.

Based on a review of caregiver records, all caregivers did not have a Tuberculosis screening, documenting the absence of tuberculosis in a communicable form, at the time of hire and prior to coming into contact with children.

“Evidence: 1. Caregiver #3 (doh: 8/8/2022) did not have documentation of a tuberculosis screening on file at the time of the inspection.”

Rule 8VAC20-800-170-A.

Based on observation, areas and furnishings of the family day home, outside, were not maintained in a clean, safe, and operable condition.

“Evidence: 1. Deteriorating wood was observed on the wooden deck leading to the backyard from the house. There were broken/splintering pieces of wood in multiple areas of the deck.”

Rule 8VAC20-800-240-A.

Based on observation, soft bedding was used around infants in their cribs.

“Evidence: 1. Child #1 (dob: 11/21/2021) was observed sleeping in a crib with 2 small, soft stuffed animals in the crib. 2. Child #2 (dob: 11/21/2021) was observed sleeping in a crib with a blanket on the infant and 2 small, soft stuffed animals in the crib. 3. Child #3 (dob: 12/29/2021) was observed sleeping in a crib with bumper pillows around the infant and soft toys in the crib with the infant.”

Rule 8VAC20-800-530-F.