Ms. Sovonia Golden

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

Repeat Violation

Rule 8VAC20-800-240-A.

Based on record review and vendor interviews, the vendor did not ensure all caregiver have obtained updated CPR appropriate for the ages of children in care.

“Evidence: Caregiver #2 CPR certification expired in April 2024.”

Rule 8VAC20-790-250-D-1.

Based on record review and vendor interviews, the vendor did not ensure all caregiver have obtained updated First Aid appropriate for the ages of children in care.

“Evidence: Caregiver #2 First Aid certification expired in April 2024.”

Rule 8VAC20-790-250-D-2.

Based on record reviews and provider interviews, the provider did not each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physicians designee, or an official of a local health department.

“Evidence: Child #4?s record did not include a physical signed by a physician or their designee.”

Rule 8VAC20-800-110-B.

Based on observation, the provider did not ensure areas and furnishings of the family day home, outside, were maintained in a safe condition. Unsafe conditions shall include, but not be limited to, splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; and protruding nails, bolts, or other components that could entangle or could snag skin.

“Evidence: In the outside play area, observed and confirmed by the provider there were rusty and protruding nails from the wooden fence, the wooden fence had areas that were splintered and broken, the shed had areas of chipped, peeling paint and the shed’s plastic edges were broken and sharp”

Rule 8VAC20-800-240-A.

Based on record review and provider interviews, the provider did not ensue to obtain all parents written acknowledgement of the receipt of all required information before the child’s first day of attendance.

“Evidence: Provider confirmed the record for Child #1 and Child #3 did not have parent’s signed acknowledgement of the providers emergency plan.”

Rule 8VAC20-800-70-A.

Based on record reviews and provider interviews, the provider did not ensue caregivers had obtained in addition to completion of first aid training and CPR training, a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: Provider #1 had only eight hours of annual training documented and Caregiver #2 had only six hours of annual training. Documented. They did not meet the required sixteen hours annual training.”

Rule 8VAC20-800-210-A.

Based on observation and provider interviews, the provider did not maintain documentation of the current rabies vaccination.

“Evidence: Provider confirmed they had two household cats, and that one cat did not have documentation of obtaining a rabies shot and the second cat’s rabies vaccination expired on 9-27-2023.”

Rule 8VAC20-800-460-C.

Based on observation, record review and provider interviews, the provider did not ensure that a caregiver does not exceed 16 points when supervising children.

“Evidence: At approximately 3:48 PM one of two providers, Provider #1 left the family day home with 3 children and left the second provider, Caregiver #2 with 8 children that a totaled 17 points. At approximately 4:03 PM Provider #1 returned to the family day home. Caregiver #2 had more than 16 points for approximately 15 minutes.”

Rule 8VAC20-800-570-A.

Based on observation and provider interviews, the provider did not ensure children’s hands are washed with liquid soap and warm running water before eating.

“Evidence: Children were observed preparing for and eating snack and they did not wash their hands prior to eating”

Rule 8VAC20-800-680-B.

Based on observation, record review and provider interviews, the provider did not ensure emergency evacuation procedures shall be practiced monthly with all caregivers and children in care.

“Evidence: Provider #1 confirmed there was not documentation of drills conducted August, September, October, November and December of 2023.”

Rule 8VAC20-800-830-A.

Based on observation and provider interviews, the provider did not ensure when family day homes provide meals or snacks, they shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).

“Evidence: The provider served only animal crackers and water for afternoon snack and did not meet the requirement for serving 2 out of 5 food groups.”

Rule 8VAC20-800-880.

Based on interviews and documentation review, the provider did not ensure compliance with these the terms of the current license issued by the department.

“Evidence: The provider operated outside of the terms of the license by exceeding the capacity limit of 12 children on November 14, 2023 and November 15, 2023.”

Rule 8VAC20-800-30-A. From a complaint.

Based on interviews and documentation review, the provider did not ensure the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

“Evidence: The licensed capacity is 12 and on November 14, 2023 there were 14 children from approximately 4:00 PM to 4:16 PM and on November 15, 2023 there were 13 children from 4:15PM util 4:30 PM.”

Rule 8VAC20-800-40-A. From a complaint.

Based on observation and staff interview the vendor did maintain, in a way that is accessible to all caregivers, shall be dated and kept confidential, a current written list of all children’s allergies, sensitivities, and dietary restrictions.

“Evidence: A list of children’s allergies was posted near the front door where parents sign in to the program. This list was not dated or kept confidential.”

Rule 8VAC20-790-170-G.

Based on record review and provider interviews, the provider did not ensue to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Evidence: Provider #1 and Provider #2 did not have documentation of updated TB screenings as the most recent screening for Provider #1 was dated 5-10-21 and Provider #2’s screening was dated 5-20-21.”

Rule 8VAC20-800-180-A.

Based on record review and provider interviews, the provider did not ensue to maintain an up-to-date record at the family day home for each enrolled child with all the required information.

Rule 8VAC20-800-60-B.

Based on observation and staff interview the vendor did maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions.

“Evidence: Staff #1 confirmed they did not have a written list of children’s names listing their allergies, sensitivities, and dietary restrictions. There were two children enrolled, (child #1 and #4) with food sensitives or dietary restrictions.”

Rule 8VAC20-790-170-G.

8VAC20-800-70-B

“Based on record review and staff interview the licensee did not ensure documentation of the review of the child’s emergency contact information as required. . Evidence: The provider confirmed that the following records have not been updated / reviewed by parent /guardian annually as required. 1)Child #1 record was last signed by parent on 1-10-2022 2) Child #3 record was last signed by the parent on 9-4-2021 3) Child #5 record was last signed by the parent on 12-21-2021.”

Rule 8VAC20-800-70-B.

8VAC20-800-920

“Based on observation and staff interview the licensee did not ensure when meals and snacks are provided by the family day home, the menu for the current one-week period shall be given to parents or posted or placed in an area accessible to parents. Evidence: Staff #1 confirmed that the current week menu had not been posted and had not been given to parents.”

Rule 8VAC20-800-920.

Based on record review and vendor interviews, the vendor did not ensure to compete all required annual training.

“Evidence: The record for staff #1 and assistant #2 did not have the annual department’s health and safety update course. The most recent health and safety update course for staff #1 was dated 6-10-21 and for staff #2 it was dated 5-21-2019.”

Rule 8VAC20-790-250-F.

Based on observation and provider interviews, the provider did not ensue to wash their hands with liquid soap and warm running water as required.

“Evidence: The provider was observed conducting a diaper change for child #1. Immediately after the diaper change, the provider placed child #1 in a bouncy seat and then used hand sanitizer on their hands. The provider did not wash their hands with liquid soap and warm running water as required after helping a child with diapering.”

Rule 8VAC20-800-680-A.

Based on observation and provider interviews, the provider did not ensue children’s hands are washed with liquid soap and warm running water as required.

“Evidence: Child #1 was observed during a diaper change. Immediately after the diaper change child #1 was placed in a bouncy seat and the provider did not wash the child’s hands with liquid soap and warm running water as required after diapering or toileting.”

Rule 8VAC20-800-680-B.

Based on observation and provider interviews, the provider did not ensue the diapering surface shall be separate from the kitchen, food preparation areas, or surfaces used for children’s activities; nonabsorbent and washable; and cleaned and sanitized after each use.

“Evidence: The provider was observed during a diaper change for child #1. The provider placed child #1 on an absorbent blue and white pad, that had been placed on the carpeted floor which is an area used for the infants and toddlers activities.”

Rule 8VAC20-800-690-D.

Based on documentation review and provider interviews, the provider did not ensue emergency response drills included all required documentation.

“Evidence: The evacuation drills from March 2022 to August 2022 does not include the following information; 1.Identity of the person conducting the drill; 2.The method used for notification of the drill; 3.The time it took to complete the drill; 4.Problems encountered, if any 5.Weather conditions.”

Rule 8VAC20-800-830-C.

Based on observation and provider interviews, the provider did not ensue bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“Evidence: There were two bottles observed on a filing cabinet in the infant/ toddler area without the infant’s names and dates. Provider confirmed they belonged to two different infants.”

Rule 8VAC20-800-960-E.

Based on observation and provider interviews the provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.

“Evidence: On the washing located in the same space as the restroom used by the children was a container of clothes detergent pods. The container was labeled “keep out of reach of children” and at least one of the other statements “warning”, “hazardous” and “flammable.”

Rule 8VAC20-800-280.

Based on observation and provider interviews, the provider did not ensue wood burning stoves and fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider.

“Evidence: There was not documentation of an annual fireplace inspection available for review.”

Rule 8VAC20-800-320-G.

Based on record review and provider interviews, the licensee, the provider did not ensure a child’s record shall contain all the required information.

“Evidence: The following was missing from the children’s records as confirmed by provider; 1)The record for child #1 did not include a name, address and telephone number for a second person to contact in case of an emergency if the parent cannot be reached. 2)The record for child #2 did not include written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.”

Rule 8VAC20-800-60-B.

Based on record review and provider interviews, the licensee, the provider did not ensure to obtain the parent’s written acknowledgement of the receipt of the information in related to pro- visions of the family day home’s emergency preparedness and response plan.

“Evidence: The record for child #2 did not include a parent signature related to emergency preparedness / response plan. Child #2 first date of attendance was 12-7-2021. Parent of child #2 signed the emergency preparedness / response plan on 1-25-2022.”

Rule 8VAC20-800-70-B.

Based on observation and provider interviews, the provider did not ensure medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the kitchen, in an unlocked cabinet above the counter there were six nonprescription medications were observed.”

Rule 8VAC20-800-730-D.