Tamyon Williams

Based on observation, the caregivers failed to wash their hands with liquid soap and warm running soap after changing each child’s diaper.

“Evidence: Two staff members were observed changing diapers. Neither staff washed their hands between diaper changing.”

Rule 8VAC20-800-680-A.

Based on observation, caregivers failed to have children wash hands with liquid soap and warm running water after diaper changing.

“Evidence: Two staff were observed changing diapers. Neither staff had children wash hands after diaper changing.”

Rule 8VAC20-800-680-B.

Based on record review and interview, the provider failed to ensure the daily attendance log was documented as children arrived.

“Evidence: 1. The attendance log was reviewed at approximately 11:30 when children were down for nap. Eleven children were in care. Only eight children were on the attendance log. No additional children had arrived since the inspection started at 11:10. 2. The provider verified the names were missing from the attendance sheet.”

Rule 8VAC20-790-180-B.

Based on observation, the provider failed to change a child’s diaper on a surface that was nonabsorbent and washable.

“Evidence: The provider was observed changing a child’s diaper in the crib on a blanket.”

Rule 8VAC20-800-690-D.

Based on record review, the provider failed to have a complete street address for one child.

“Evidence: 1. Five children records were reviewed. 2. Child A did not have documentation of a complete physical address for 1 emergency contact. 3. The provider confirmed the complete address was not documented.”

Rule 8VAC20-800-60-A.

Based on review of medications, the provider failed to have one nonprescription medication labeled with the child’s name.

“Evidence: 1. Little Peoples Saline Nose drops was not labeled with the child’s name. 2. The provider confirmed the Saline Nose drops were not labeled with the child’s name.”

Rule 8VAC20-800-720-A.

Based on review of emergency supplies the provider failed to have two triangular bandages.

“Evidence: 1. Emergency supplies were reviewed. 2. Two triangular bandages were not found in the emergency supply kit. 3. The provider confirmed she did not have two triangular bandages.”

Rule 8VAC20-800-760-A.