Holly King

Child resistant protective covers shall be installed on all unused electrical outlets and surge protectors.

“There were 2 uncovered electrical outlets in the area used by children.”

Rule 8VAC20-800-320-B.

The family day home shall obtain documentation of additional immunizations once every six months for children under the age of 2 years.

“Child 3 (age 12 months) last documented immunization was over 10 months ago. Child 4 (age 13 months) last documented immunization was over 9 months ago.”

Rule 8VAC20-800-90-C.

The provider shall obtain documentation of a physical examination prior to the child’s attendance or within 30 days after the first day of attendance.

“The record for Child 2, who has been enrolled for over 6 weeks, did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

High chairs, when occupied by a child, a safety strap shall be used and securely fastened.

“Child 1 (age 11 months) was in a high chair without the safety strap fastened.”

Rule 8VAC20-800-540-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“The record for Child 2, who has been enrolled for over 6 weeks, did not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after toileting or diapering.

“Caregiver 2 used a baby wipe on a child’s hands after diapering; the child did not wash their hands with liquid soap and warm running water after diapering.”

Rule 8VAC20-800-680-B.

The provider shall ensure that when highchairs are occupied by a child, a safety strap shall be used and securely fastened.

“Child 3 (9 months) was observed in a highchair without the safety strap securely fastened.”

Rule 8VAC20-800-540-A. From a complaint.

The provider shall ensure that a caregiver does not exceed 16 points by using the required point system to determine if an additional caregiver is needed.

“There was one caregiver and 8 children totaling 20 points present during the 12/18/2024 on-site inspection; a second caregiver was required.”

Rule 8VAC20-800-570-A. From a complaint.

The provider shall maintain an up-to-date record at the family day home for each enrolled child.

“There were no records on-site for Child 1 or Child 2, who were in care during the inspection.”

Rule 8VAC20-800-60-A. From a complaint.

Food that is hard, round, small, thick and sticky, or smooth and slippery, shall not be served to children under four years of age.

“The children, all of which were under the age of 3 years, were served sliced peaches with their lunch.”

Rule 8VAC20-800-900-A. From a complaint.

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

“The posted menu was dated 11/18-11/22.”

Rule 8VAC20-800-920. From a complaint.

Based on record review, the provider failed to ensure that all of the components of background checks are obtained prior to employment/residency and every 5 years there after.

“Evidence: 1. The most recent sworn statement in the record for Caregiver 1 was dated 03/09/2019; there was not a follow-up sworn statement completed by 03/09/2024. 2. The most recent sworn statement in the record for Caregiver 2 was dated 03/06/2019; there was not a follow-up sworn statement completed by 03/06/2024. 3. The most recent sworn statement in the record for Household Member 1 was dated 03/28/2019; there was not a follow-up sworn statement completed by 03/28/2024.”

Rule 22.1-289.036-A.

Based on record review, the provider failed to ensure that a child’s record shall contain all of the elements as required by the standards.

“Evidence: The record for Child 5 did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (there was only one designated person provided)”

Rule 8VAC20-800-60-B.

Based on record review, the provider failed to obtain for each caregiver and adult household member a current tuberculosis screening every two years from the date of the first screening.

“Evidence: 1. The most recent tuberculosis screening for Caregiver 1 was dated 06/01/2021. There was not a follow-up screening obtained before 06/01/2023. 2. The most recent tuberculosis screening for Household Member 1 was dated 05/30/2021. There was not a follow-up screening obtained before 05/30/2023.”

Rule 8VAC20-800-180-A.

Based on observation, the provider failed to ensure that caregivers shall wash their hands with liquid soap and warm running water after diapering a child.

“Evidence: Caregiver 2 was observed during two diaper changes. Caregiver 2 did not wash their hands after changing each of the diapers.”

Rule 8VAC20-800-680-A.

Based on observation, the provider failed to ensure that children’s hands are washed with liquid soap and warm running water before eating and after toileting or diapering.

“Evidence: Caregiver 2 was observed during two diaper changes. The two children that were observed during diapering did not wash their hands after diapering.”

Rule 8VAC20-800-680-B.

Based on observation, the provider failed to ensure that the diapering surface is cleaned and sanitized after each use.

“Evidence: Caregiver 2 was observed changing two diapers. Caregiver 2 did not sanitize the diapering surface after each use.”

Rule 8VAC20-800-690-D.

Based on 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 Child 5, determined to be 2 years old, contained a documented start date of 02/28/2022. The most recent immunization record for Child 5 was the initial immunization record dated 02/24/2022. Additional immunization records were not obtained between 02/24/2022 and the child’s 2nd birthday.”

Rule 8VAC20-800-90-C.