Janet Ward

8VAC20-800-100-A

“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. Child #1 who has been in care for approximately a month did not have documentation of a completed physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-100-A

“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. The record for child #1, who has been in care for approximately nine months, did not have documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-510-C

“Occupied cribs, cots, rest mats, and beds shall be at least 12 inches from each other. The cot spacing for five of the seven occupied cots were less than 12 inches.”

Rule 8VAC20-800-510-C.

8VAC20-800-800-A

“The family day home shall have a written emergency preparedness and response plan that includes emergency evacuation. The family day home’s emergency preparedness plan did not include an evacuation map.”

Rule 8VAC20-800-800-A.

8VAC20-800-990-B

“During transportation of children the driver has a copy of each child’s emergency contact information and emergency supplies. The provider’s transportation vehicle did not contain the children’s emergency contacts or emergency supplies.”

Rule 8VAC20-800-990-B.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-800-270-A

“Based on observation and interview, the provider did not ensure that firearms of every type and purpose shall be stored unloaded in a locked container, compartment, or cabinet, and apart from ammunition. Evidence: 1. The firearm in the household was locked together with the ammunition. 2. Staff #1 confirmed that the firearm was locked and stored together.”

Rule 8VAC20-800-270-A.

8VAC20-800-60-B

“Based on record review and interview, the provider did not ensure that children’s records contain information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation. Evidence: 1. The record for Child #1 did not contain an allergy action plan for the physician diagnosed food allergy. 2. Staff #1 confirmed there was no documented allergy action plan in the record for child #1.”

Rule 8VAC20-800-60-B.

8VAC20-800-730-A

“Based on observation and interview, the provider did not ensure that medications for children in care shall be stored separately from medications for household members and caregivers. Evidence: 1. The medication for child #1 was stored in a cabinet in the kitchen with the household member’s and caregiver’s medications. 2. Staff #1 confirmed that the medication for child #1 was stored with the household member’s and caregiver’s medication.”

Rule 8VAC20-800-730-A.

8VAC20-800-940-B

“Based on observation and interview, the provider did not ensure that the provider shall have an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: 1. The provider did not have a thermometer available to monitor the refrigerator and freezer temperatures. 2. Staff # 1 confirmed that there was no thermometer available.”

Rule 8VAC20-800-940-B.

8VAC20-800-960-E

“Based on observation and interview, the provider did not ensure that bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care. Evidence: 1. Approximately eight bottles of milk and water were stored in the refrigerator and did not contain labels with names or dates. 2. Staff #1 confirmed the bottles were not labeled with a date and the children’s name.”

Rule 8VAC20-800-960-E.

8VAC20-800-120-B

“Based on record review it was determined the provider did not ensure that caregiver records contained all the required information. Evidence: 1. The record for assistant #2 (hired 12/22/22) did not contain documentation of the orientation as required by 8VAC20-800-230. 2. The record for assistant #1 (hired 4/21/23 did not contain documentation of the time of arrivals and departures as a substitute provider as required by 8VAC20-800-140 D.”

Rule 8VAC20-800-120-B.

8VAC20-800-50-A

“Based on record review and interview it was determined the center did not have a written record of children in attendance each day. Evidence: 1. The attendance sheet dated for 7/19/23 contained 8 children’s names. 2. At time of inspector’s arrival 10 children were in care, 8 of the 10 were listed on the sign in sheet. 3. Staff confirmed that there were 10 children in care and only 8 were on the sign in sheet during this inspection.”

Rule 8VAC20-800-50-A.

8VAC20-800-570-A

“Based on observation and interview it was determined the provider did not ensure that each caregiver did not exceed 16 points. Evidence: 1. There were 10 children in care totaling 26 points with the assistant provider at the time of inspectors arrival at 2:15pm. 2. The substitute provider returned at approximately 2:30pm. 3. The assistant provider confirmed they were the only provider at the time.”

Rule 8VAC20-800-570-A.

8VAC20-800-900-B

“Based on observation it was determined the provider did not ensure that children are not allowed to drink while laying down. Evidence: 1. Child #4 (5 months old) was reclined in an infant rocker seat at nap time with a bottle.”

Rule 8VAC20-800-900-B.

8VAC20-800-100-A

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Based on record review and interview it was determined the provider did not obtain a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form from each caregiver at time of hire. Evidence: 1. The record for assistant #3 (hired 11/1/22) did not contain a TB screening. 2. Provider confirmed that there was no TB screening for assistant #3.”

Rule 8VAC20-800-170-A.

8VAC20-800-210-A

“Based on record review and interview it was determined the provider did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record for the provider did not contain documentation of the required annual 16 clock hours of training. 2. Provider confirmed that she has not completed the required annual training hours.”

Rule 8VAC20-800-210-A.

8VAC20-800-240-A

“Based on observation it was determined the provider did not ensure that areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. In the bathroom used by the children in care there was exposed rust on the paper towel holder. 2. In the kitchenette area there were kitchen trash bags, adult scissors, and a chest style freezer unlocked and accessible to the children in care.”

Rule 8VAC20-800-240-A.

8VAC20-800-50-A

“Based on record review and interview it was determined the center did not have a written record of children in attendance each day. Evidence: 1. The attendance sheet was not dated or completed for 5/16/23. 2. At time of inspector’s arrival 8 children were in care, 5 of the 3 were listed on the sign in sheet. 3. Staff confirmed that there were 8 children in care and only 5 were on the sign in sheet during this inspection.”

Rule 8VAC20-800-50-A.

8VAC20-800-530-A

“Based on observation it was determined that the provider did not ensure that children had top cover and a bottom cover when napping. Evidence: 1. 6 children were observed napping without bottom covers. 2. Provider confirmed that the children didn’t have bottom covers.”

Rule 8VAC20-800-530-A.

8VAC20-800-60-A

Rule 8VAC20-800-60-A.

8VAC20-800-830-A

“Based on record review and interview it was determined the provider did not ensure monthly emergency evacuation procedures were practiced. Evidence: 1. There was no evacuation drill documented for April 2023. 2. Staff confirmed that this was not completed in April 2023.”

Rule 8VAC20-800-830-A.

8VAC20-800-90-A

“Based on record review and interview it was determined the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before attending. Evidence: 1. Child #4’s(enrolled 3/20/23) record did not contain documentation of immunizations. 2. Provider confirmed that child #4 was in care during this inspection and their record did not contain immunization documentation.”

Rule 8VAC20-800-90-A.

8VAC20-800-900-B

“Based on observation it was determined the provider did not ensure that children are not allowed to drink while laying down. Evidence: 1. Three infants/toddlers were laying down at nap time with bottles. 2. Two of the three was observed laying on their cot drinking from a bottle.”

Rule 8VAC20-800-900-B.

22.1-289.035-B-2

“Based on record review and interview it was determined that the provider did not ensure that all staff submit to fingerprinting as required. Evidence: 1. The record for the assistant provider (hired 7/27/22) did not contain fingerprint results. 2. The provider confirmed this documentation was not available.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on record review and interview it was determined the provider did not ensure all staff had the results of a central registry finding. Evidence: 1. The record for the assistant provider (hired 7/27/22) did not contain documentation of the central registry search. 2. The provider confirmed that this documentation was not available during this inspection.”

Rule 8VAC20-770-60-C-2.

8VAC20-800-100-A

“Based on record review it was determined 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. The record for child #3 (enrolled 4/10/19) did not contain documentation of a physical exam. 2. There was no record on file for child #2. 3. Provider confirmed that there were no physicals for the above noted children.”

Rule 8VAC20-800-100-A.

Based on record review it was determined that the provider did not ensure that each child enrolled had a record with all of the required information. Evidence: 1. There was no record available for child #2. 2. The record for child #3 did not contain the medical insurance policy name and number, the addresses of the two required emergency contacts, persons authorized for pick up, authorization for emergency medical care, proof of identification and age, and any previously attended child cares or schools. 3. The record for child #4 did not contain the name, address, and phone number of the parents, the name, address, and phone number of each parent’s place of employment, the name, address, and phone number for the two required emergency contacts, proof of identification and age, and any previously attended child cares or schools.

“3.”

Rule 8VAC20-800-60-B.

8VAC20-800-760-A-1

“Based on observation and interview it was determined the provider did not ensure that the first aid kit contained all of the required components. Evidence: 1. The first aid kit did not contain gauze pads and triangular bandages. 2. The assistant provider stated that these items were not available during the inspection.”

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

8VAC20-800-770

“Based on observation and interview it was determined the provider did not ensure that emergency flashlight and radio were kept in a designated area and be available to caregivers at all times. Evidence: 1. There were no flashlight and radio available in the child care area. 2. The assistant reported these items were not available during this inspection.”

Rule 8VAC20-800-770.

8VAC20-800-830-C

“Based on record review it was determined that the provider did not maintain documentation of emergency drills as required. Evidence: 1. There was no documentation of emergency drills. 2. Provider confirmed that there was no drills documented.”

Rule 8VAC20-800-830-C.

8VAC20-800-100-A

“Based on record review and interview it was determined the provider did not maintain 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. The records for Child #1 and Child #2 did not contain documentation of physical exams. 2. The provider stated these documents were ruined when there was a flood in the home.”

Rule 8VAC20-800-100-A.

8VAC20-800-280

“Based on observation it was determined the provider did not ensure that all potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were stored in areas inaccessible to children. Evidence: 1. There were chemicals stored in the unlocked cabinet below the sink in the rest room used by the children in care. 2. Children were observed utilizing the restroom during this inspection.”

Rule 8VAC20-800-280.

8VAC20-800-760-A-1

“Based on observation and interview it was determined the provider did not ensure that the first aid kit contained all of the required components. Evidence: 1. The first aid kit did not contain gauze pads and triangular bandages. 2. The assistant provider stated that these items were not available during the inspection.”

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

8VAC20-800-770

“Based on observation and interview it was determined the provider did not ensure that emergency flashlight and radio were kept in a designated area and be available to caregivers at all times. Evidence: 1. There were no flashlight and radio available in the child care area. 2. The assistant reported these items were not available during this inspection.”

Rule 8VAC20-800-770.

8VAC20-800-90-A

“Based on record review it was determined the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before attending. Evidence: 1. Child #1’s record did not contain documentation of immunizations. 2. Provider stated that this documentation was damaged when the home flooded.”

Rule 8VAC20-800-90-A.

22VAC40-111-60-A

“Based on record review it was determined the center did not ensure that all children’s records contained all of the required components. Evidence: The record for child #2 did not contain 1 of the 2 required emergency contacts.”

Rule 22VAC40-111-60-A.