Ms. Donna Sandiford

8VAC20-800-100-A

“Based on child record review, the provider failed to obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance. The physical exam for C1, enrolled 07/31/2023 was dated 11/15/2023. The record for C2, enrolled 08/16/2023 did not contain a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-110-B

“Based on child record review, the provider failed to assure that each report of physical examination and immunizations shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: The physical examination and immunizations for C4 were not signed by the licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

8VAC20-800-350-E

“(Repeat violation) Based on observation, the provider failed to ensure the hot water at the sink available to children was maintained within a range of 105-120 degrees Fahrenheit. Evidence: The inspector tested the hall bathroom sink used by the children in care with a digital thermometer. The hot water temperature registered at 124 degrees.”

Rule 8VAC20-800-350-E.

8VAC20-800-530-F

“Based on observation, the provider failed to ensure that no soft bedding shall be used under or around infants. Evidence: C4, an 8-month-old infant was observed sleeping in a crib on top of a contoured soft foam diaper changing pad.”

Rule 8VAC20-800-530-F.

8VAC20-800-830-A

“Based on review of emergency response drills documentation, the provider failed to ensure that emergency evacuation procedures shall be practiced monthly. Evidence: The emergency drill documentation did not document emergency response drills being conducted during February and July 2023.”

Rule 8VAC20-800-830-A.

8VAC20-800-90-A

“Based on child record review, the provider failed to obtain documentation that each child was adequately immunized accordingly to the requirements of the Code of Virginia and applicable State Board of Health regulations prior to attending the family day home. Evidence: The record for C2, enrolled 08/16/2023 did not contain an immunization record.”

Rule 8VAC20-800-90-A.

8VAC20-800-90-C

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C4 (under the age of 2 years) did not contain documentation of immunizations every six months. The immunizations documented in the record were dated 05/02/2023.”

Rule 8VAC20-800-90-C.

8VAC20-800-900-B

“Based on observation, the provider failed to ensure a child not being allowed to drink a bottle while lying down. Evidence: C4, an 8-month-old infant was observed in a crib lying down with a bottle filled with milk in her mouth.”

Rule 8VAC20-800-900-B.

8VAC20-800-40-A

“Based on observation and interview, the provider failed to ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: On 06/20/2023, the inspector observed the provider caring for 8 children. The maximum licensed capacity of the home is 7 children. Provider reported trying to be helpful to parents by providing care despite knowing she was exceeding her licensed capacity. Provider reports she has submitted a request to county zoning to increase the home’s capacity.”

Rule 8VAC20-800-40-A.

8VAC20-800-530-A

“Based on observation, the provider failed to ensure that cots used for children shall have linens consisting of a top cover and bottom cover or a one-piece covering that is open on three edges. Evidence: During rest time multiple children were observed to be resting on cots without bottom covers.”

Rule 8VAC20-800-530-A.

8VAC20-800-560-C

“Based on observation, the provider failed to allow only school-age children to play outdoors while the caregiver is indoors if the caregiver can hear the children playing outdoors. Evidence: Upon arrival for inspection, the provider and children were observed outside in the back yard with eight (8) children. The provider was observed to enter the home multiple times for several minutes at a time leaving children to play outside. Four (4) of the children were not school age.”

Rule 8VAC20-800-560-C.

8VAC20-800-60-B

“Based on child record review, the provider failed to ensure that one of five contained required documentation. Evidence: The record for C4, enrolled 09/08/2021 did not contain documentation of the review of the child’s emergency contact information as required by 8VAC20-800-780-B.”

Rule 8VAC20-800-60-B.

8VAC20-800-760-A-1

“Based on observation, the provider did not ensure that the first aid kit contained at a minimum, supplies required by 8VAC20-800-760- A-1 . Evidence: The first aid failed to contain triangular bandages.”

Rule 8VAC20-800-760-A-1.

8VAC20-790-180-B

“Based on observation, the vendor failed to maintain a written hard copy of daily attendance that documented the arrival and departure of each child in care as it occurs. Evidence: Daily attendance records reviewed for June 20, 2022 and June 21, 2022 did not document the arrival and departure time for children in care.”

Rule 8VAC20-790-180-B.

8VAC20-800-240-A

Rule 8VAC20-800-240-A.

8VAC20-800-350-E

“Based on observation, the provider failed to ensure the hot water at the sink available to children was maintained within a range of 105-120 degrees Fahrenheit. Evidence: On 06/21/2022, the inspector tested the hall bathroom sink used by the children in care with a digital thermometer. The hot water temperature registered at 135 degrees.”

Rule 8VAC20-800-350-E.

8VAC20-800-40-A

“Based on observation and interview, the provider exceed the licensed capacity of the home. Evidence: On 06/21/2022, the inspector observed the provider providing care for 8 children. The maximum licensed capacity of the home is 7 children. The provider reported a parent needed ?drop in? care for a child who was previously enrolled in the family day home.”

Rule 8VAC20-800-40-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-730-D

“Based on observation the provider failed to keep all medications in a locked place using a safe locking method that prevents access by children. Evidence: On 06/21/2022, the inspector observed caregiver medications in an unsecured upper kitchen cabinet during the inspection.”

Rule 8VAC20-800-730-D.