Ms. Shonna Lawrence

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

“Cleaning chemicals and baby powder were accessible to the children in the bathroom.”

Rule 8VAC20-800-280.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. The TB screening for Household Member 1 was not signed by a physician.”

Rule 8VAC20-800-180-A.

8VAC20-800-780-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 and #2 did not have a parent’s signature for an annual review of the emergency contact information. Child #1 and #2 had been in care for over a year.”

Rule 8VAC20-800-780-B.

22.1-289.035-A

“Based on the review of two caregiver records, the provider failed to ensure that all background checks were complete. Evidence: 1. Caregiver 1 most recent criminal background was dated 1/25/2019 and on the day of the inspection did not have the required 5 year repeat check documented. 2. Caregiver 2 most recent criminal background was dated 1/25/2019 and on the day of the inspection did not have the required 5 year repeat check documented.”

Rule 22.1-289.035-A.

22.1-289.036-A

“Based on the review of two household member records, the provider failed to ensure that all background checks were complete. Evidence: 1. Household Member 1 most recent criminal background was dated 1/29/2019 and on the day of the inspection did not have the required 5 year repeat check documented. 2. Household Member 2 most recent criminal background was dated 1/29/2019 and on the day of the inspection did not have the required 5 year repeat check documented.”

Rule 22.1-289.036-A.

Based on observation, the provider failed to ensure that the diapering surface shall be nonabsorbent and washable.

“Evidence: The changing pad in the hallway bathroom had a tear approximately 1/4 inch long on the left side and the padding was exposed.”

Rule 8VAC20-800-690-D.

Based on review of two household member records, the provider failed to obtain for each household member a current report of tuberculosis screening form.

“Evidence: Household member 2 most recent tuberculosis screening was dated 7/10/2021 and on the day of the inspection no follow up tuberculosis screening was documented.”

Rule 8VAC20-800-180-A.

Based on review of two children’s records, 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.

“Evidence: Child 2 started on 2/1/2023 and on the day of the inspection did not have the required physical record documented.”

Rule 8VAC20-800-100-A.

Based on observation, the provider failed to ensure that small electrical appliances shall be unplugged unless being used by the caregiver or with children under close supervision.

“Evidence: 1. The licensing inspector observed a coffeemaker on the kitchen counter by the sink that was plugged into an outlet and was not in use. 2. The licensing inspector observed a microwave on the kitchen counter to the right of the coffeemaker that was plugged into an outlet and was not in use.”

Rule 8VAC20-800-320-A.

Based on observation and discussion, the provider failed to review the emergency plan at least annually and update the plan as needed.

“Evidence: The emergency plan was dated 10/18/2021 and on the day of the inspection did not have an annual update documented.”

Rule 8VAC20-800-800-B.

Based on review of two children’s records, the provider failed to obtain documentation that the child has been adequately immunized.

“Evidence: Child 2 started on 2/1/2023 and on the day of the inspection did not have the required immunization record documented.”

Rule 8VAC20-800-90-A.

Based on review of three children’s records, the provider failed to ensure that all physical records obtained were signed by a physician.

“Evidence: 1. Child #1 first date of attendance was 11/03/2020 and on the day of the inspection the physical form that was in the child’s record was not signed by a physician. 2. Child #2 first date of attendance was 12/07/2020 and on the day of the inspection the physical for that was in the child’s record was not signed by a physician.”

Rule 8VAC20-800-110-B.