Ruth Hill

A child’s record shall contain the following information: Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

“Child #3 was missing one emergency contact and written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Caregiver #1 did not have 16 hours of annual training documented for 2024.”

Rule 8VAC20-800-210-A.

Repeat violation

“A child’s record shall contain the following information: Emergency contact information including:address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. Child #1 was missing 1 emergency contact. Child #4 did not have authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“An emergency evacuation drill was not practiced for the month of June 2025. The last documented emergency evacuation drill was 5/23/2025.”

Rule 8VAC20-800-830-A.

Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain proof of identification.

“Child #1 has been enrolled for 2 weeks and did not have documentation of proof of identification on record.”

Rule 8VAC20-800-80-A.

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

“Child #4 has been enrolled for 2 weeks and did not have immunizations on record during the inspection.”

Rule 8VAC20-800-90-A.

8VAC20-800-60-B

“Based on record review, the provider did not ensure a child’s record contained all the required information. Evidence: Child #2 and child #5 were missing one emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-B

“Based on observation, the provider did not ensure children’s hands were washed with liquid soap and warm running water at required times. Evidence: 7 of 7 children did not wash their hands before lunch.”

Rule 8VAC20-800-680-B.

8VAC20-800-780-B

“Based on a review of records, the provider did not ensure they received all annual updated. Evidence: Child #4 did not have an annual review of emergency contacts.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-C

“Based on a review of documentation, the provider did not ensure emergency evacuation drills were documented. Evidence: The last documented emergency evacuation drill was on 06/18/2024.”

Rule 8VAC20-800-830-C.

Based on observation, the provider did not ensure potentially poisonous substances were inaccessible to children.

“Evidence: Clorox cleaning wipes were in the diapering area and accessible to children.”

Rule 8VAC20-800-280.

Based on observation, the provider did not ensure child-resistant protective covers were installed on all unused electrical outlets accessible to children under five years of age.

“Evidence: An outlet located in the children’s cot room was uncovered.”

Rule 8VAC20-800-320-B.

Based on observation, the provider did not ensure soiled disposable diapers and wipes shall be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.

“Evidence: A diaper pail that required hand operation to lift the lid was being utilized in the diapering area.”

Rule 8VAC20-800-690-E.

Based on record review, children’s records were missing required documents.

“Evidence: The file of Child A was missing the insurance policy number, 1 emergency contact address and 1 emergency contact.”

Rule 8VAC20-800-60-B.

Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually.

“Evidence: Caregiver A stated that she and Caregiver B did not complete 16 hours of annual training in 2022.”

Rule 8VAC20-800-210-A.

Based on record review, the family day home did not keep a written record of children in attendance each day.

“Evidence: The documentation of attendance taken in 2022 was not kept.”

Rule 8VAC20-800-50-A.

Based on observation, the first aid kit was missing required contents.

“Evidence: The first aid kit was missing 1 of 2 required triangle bandages.”

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

Based on observation and interview, a working portable battery-operated weather band radio, and extra batteries were not kept in a designated area and be available to caregivers at all times.

“Evidence: Caregiver A stated she did not have extra batteries for the radio.”

Rule 8VAC20-800-770.

Based on record review, documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“Evidence: The facility did not maintain documentation of emergency evacuation and shelter-in-place drills for 2022.”

Rule 8VAC20-800-830-C.

Based on observation, bottles were not refrigerated and labeled with the child’s full name and the date.

“Evidence: 3 bottles located in the refrigerator and two bottles located on the counter top were not labeled with the child’s full name and the date.”

Rule 8VAC20-800-960-E.

Based on observation, small electrical appliances were unused and plugged in during the inspection.

“Evidence: A hair blow dryer, and small kitchen appliances were plugged in and not being used.”

Rule 8VAC20-800-320-A.

Based on observation, A child-resistant protective cover was not installed on all unused electrical outlets and surge protectors.

“Evidence: There was an unused and uncovered outlet in the bathroom of the main child care area.”

Rule 8VAC20-800-320-B.

Based on record review, a child’s record was missing required information.

“Evidence: 1) The record of Child A was missing the start date 2) The record of Child B was missing the insurance policy number.”

Rule 8VAC20-800-60-B.

Based on observation, the first aid kit did not contain required content.

“Evidence: The first aid kit was missing adhesive tape and 1 of 2 required triangle bandages.”

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

Based on observation, the provider did not have an operable thermometer available to monitor refrigerator and freezer compartment temperatures.

“Evidence: There was no thermometer in the refrigerator and freezer located in the main child care area.”

Rule 8VAC20-800-940-B.

Based on observation, the findings of the most recent inspection were not posted.

“Evidence: The findings of the most recent inspection were not posted.”

Rule 8VAC20-820-120-E-2.