Ms. Tina Stokes

A child’s record should contain all the required information.

“The record for child #1 (enrolled 6/23/26) did not contain all of the required information.”

Rule 8VAC20-800-60-B.

Annually the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“Of the four records that required an annual review none had been reviewed by the parents.”

Rule 8VAC20-800-780-B.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“There was no documentation of drills.”

Rule 8VAC20-800-830-C.

The provider shall 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.

“There was no documentation of physical exam in the record for child #1, who had been attending for over a year.”

Rule 8VAC20-800-100-A.

Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

“There was an exposed carpet tack strip at the threshold of the childcare area.”

Rule 8VAC20-800-240-A.

Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parents’ signed acknowledgment of the review.

“There was no documentation of annual reviews for child #1-5.”

Rule 8VAC20-800-780-B.

The family day home shall obtain documentation of additional immunizations every six months for a child under the age of two years.

“The record for child #1, under two years of age did not have documentation of additional immunizations, these were a year past due.”

Rule 8VAC20-800-90-C.

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

“Acetone nail polish remover and hair products were in the unlocked under sink cabinet in the bathroom used by the children in care.”

Rule 8VAC20-800-280.

Children’s records are required to contain all of the required information.

“The record for Child #3 was missing the employment phone numbers for both parents, the medical insurance policy information, and first date of attendance.”

Rule 8VAC20-800-60-B.

Providers must maintain a record with the required documentation for each caregiver.

“There was no proof of identity, documentation of orientation, and references in the record for Caregiver 2 who has been caring for children for approximately two months.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening for Caregiver 2, who has been caring for children for approximately two months.”

Rule 8VAC20-800-170-A.

8VAC20-770-60-C-2

“Based on record review and interview it was determined the provider did not ensure that staff did not have a central registry finding within 30 days of employment. Evidence: 1. There was no central registry search documentation for assistant provider(hired 8/20/23). 2. Provider confirmed that they could not find the central registry results.”

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

8VAC20-800-60-B

“Based on record review and interview it was determined the provider did not ensure that children’s records contained all of the required information. Evidence: 1. The record for child #3 did not have documentation of a second emergency contact. 2. The record for child #5 did not contain medical insurance policy information, and the city, state, zip code for the second emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-800-B

“Based on record review and interview it was determined the provider did not ensure that the emergency preparedness plan was reviewed at least annually and update the plan as needed. Evidence: 1. The provider could not locate the updated emergency preparedness during this inspection.”

Rule 8VAC20-800-800-B.

8VAC20-800-850-A

“Based on record review and interview it was determined the provider did not report serious injuries to a child while under the family day home’s supervision to the department within 24 hours. Evidence: 1. On 4/26/24 there was an injury to child #6 that required outside medical treatment that was not reported to the department. 2. Provider confirmed that they did not send in a serious injury report.”

Rule 8VAC20-800-850-A.

8VAC20-800-830-C

“Based on record review and interview it was determined the provider did not ensure that documentation of evacuation drills were maintained. Evidence: 1. There was no record of an evacuation drill completed in July 2023. 2. Provider stated there was a drill but she could not locate the documentation.”

Rule 8VAC20-800-830-C.

8VAC20-800-900-A

“Based on observation it was determined the provider did not ensure that children under four years of age are not served food that is prepared in a manner that will reduce the risk of choking. Evidence: The provider was serving two children under the age of four in care hot dogs that were sliced in circles and whole grapes.”

Rule 8VAC20-800-900-A.

8VAC20-800-290

“Based on observation and interview it was determined the provider did not ensure that all sharp kitchen utensils and other sharp objects shall be inaccessible to children. Evidence: 1. There were multiple sharp kitchen knives in an unlocked drawer in the kitchen accessible to children in care. 2. The provider confirmed that the knives were in a drawer with no child proof latch.”

Rule 8VAC20-800-290.

8VAC20-800-60-B

“Based on record review and interview it was determined the provider did not ensure the record for each child enrolled contained all of the required components. Evidence: 1. The record for child #2(enrolled 2/9/22) did not contain the address for one of the two required emergency contacts, medication administration policy, and information for parents. 2. Provider confirmed that this documentation was not in child #2’s record during the inspection.”

Rule 8VAC20-800-60-B.

8VAC20-800-730-D

“Based on observation and interview it was determined the provider did not ensure that all household medications were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The provider’s medication was within the reach of children in their open bedroom. 2. Provider confirmed that the bedroom door was open during this inspection.”

Rule 8VAC20-800-730-D.

8VAC20-800-240-A

“Based on observation it was determined the provider did not ensure that all furnishings of the family day home were in a safe and operable condition. Evidence: The two shelves below the changing table were loose and cracking.”

Rule 8VAC20-800-240-A.

8VAC20-800-760-A-1

“Based on observation it was determined the first aid kit did not contain all of the required components. Evidence: There was no triangular bandage in the first aid kit.”

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