Kathleen Edwards

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a safe, and operable condition. The screen door of the family day home’s entrance has a metal netting that is peeling off the door which poses as a snagging and injury hazard. The outdoor playground area has a toddler tricycle with a broken plastic piece close to the seat.”

Rule 8VAC20-800-240-A.

8VAC20-800-730-D

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. There was medication in the first aid kit that was not locked and accessible to children.”

Rule 8VAC20-800-730-D.

8VAC20-800-760-B

“The first aid kit shall be readily accessible to caregivers and inaccessible to children. The first aid kit was stored on a low shelf accessible to children in care.”

Rule 8VAC20-800-760-B.

22.1-289.035-A

“The provider is required to have employees undergo a background check every five years. The most recent central registry checks for both provider and household member are expired.”

Rule 22.1-289.035-A.

8VAC20-800-180-A

“The provider shall obtain for each adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening. The household member has a tuberculosis screening which expired on November 19, 2023.”

Rule 8VAC20-800-180-A.

8VAC20-800-240-A

Rule 8VAC20-800-240-A.

8VAC20-800-280

Rule 8VAC20-800-280.

22.1-289.058

“Based on observation and interview, it was determined that the provider did not ensure that a carbon monoxide detector was in the home. Evidence: 1. There was no carbon monoxide detector in the home. 2. Staff #1 confirmed there was no carbon monoxide detector in the home.”

Rule 22.1-289.058.

8VAC20-800-100-A

“Based on record review and interview, it was determined that the provider did not ensure that there is 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 4/7/19) did not have a physical in their record. 2. Staff #1 confirmed that there was no physical to the child’s record.”

Rule 8VAC20-800-100-A.

8VAC20-800-240-A

Rule 8VAC20-800-240-A.

8VAC20-800-280

Rule 8VAC20-800-280.

8VAC20-800-410

“Based on observation and interview, it was determined that the provider did not ensure that portable electric fans be securely mounted out of the reach of children. Evidence: 1. In the children’s common area in the home was a running floor fan in reach of children. 2. Staff #1 confirmed that the running fan was used routinely and in reach of children.”

Rule 8VAC20-800-410.

8VAC20-800-500-F

“Based on observation and interview, the provider did not ensure that trampolines are not to be used during the hours children are in care. Evidence: 1. In the outdoor play area, inspectors observed a 40 inch trampoline for children to play on. 2. Staff #1 confirmed that the trampoline is used for outdoor play while children are in care.”

Rule 8VAC20-800-500-F.

8VAC20-800-520-A

“Based on observation and interview, the provider did not ensure that a crib be provided for children from birth through 12 months of age. Evidence: 1. Child #1, three months old, was sleeping on a bed. 2. The crib in the home was piled with bags, a car seat, and clothing. 3. Staff #1 confirmed that there is a crib available however is placing Child #1 on the bed to sleep.”

Rule 8VAC20-800-520-A.

8VAC20-800-60-A

Rule 8VAC20-800-60-A.

Based on observation, it was determined that the vendor did not ensure that all areas of the home, inside and outside were maintained in a safe manner.

“Evidence: There were nails sticking out on the porch that the children pass by on their way to the outdoor play area”

Rule 8VAC20-800-240-A.

Based on observation of the areas used by the children, it was determined that the provider did not ensure that children were protected from choking hazards.

“Evidence: There was an open package of small batteries on a table in the living room.”

Rule 8VAC20-800-250-B.

Based on observation at the home, it was determined that the provider did not ensure that potentially poisonous substances are kept in areas inaccessible to the children.

“Evidence: There were multiple potentially poisonous substances found throughout spaces used by children including, but not limited to: clorox wipes on the back of the toilet, Goody hangover pills on a table in the living room and hair gel on a table in the living room.”

Rule 8VAC20-800-280.

Based on a review of two children’s records, it was determined that the provider did not ensure that elements were present in each child’s record.

“Evidence: !. The record for child #1, who was in care at the time of the inspection, contained only one of the two required emergency contact persons. 2. The record for child #2, who was in care at the time of the inspection, did not contain addresses for the two emergency contact persons. 3. Provider verified that information was missing.”

Rule 8VAC20-800-60-A.