Eylin Morales

Infant walkers shall not be used.

“The provider has a walker in the childcare space and used it during the inspection.”

Rule 8VAC20-800-540-B.

The child’s record shall contain the information regarding the employment information for the parents.

“Two children in care are missing the parents employment information. Child 3 and 4.”

Rule 8VAC20-800-60-B.

Fingerprints must be submitted for household members over the age of 18.

“One household member is missing the fingerprint check. The household member has turned 18 in the last 2 months.”

Rule 22.1-289.036-B-2.

The family day home shall keep a written record of children in attendance each day.

“The provider has attendance sheets for each child and parents sign the children in.One child is signed in for the next 7 days already at the time of the inspection. two other children present are not signed in and were not signed in for Thursday and Friday of last week.”

Rule 8VAC20-800-50-A.

A caregiver shall be physically present on site and provide direct care and supervision of each child at all times. Direct care and supervision of each child includes: 1. Awareness of and responsibility for each child in care, including being near enough to intervene if needed.

“At the beginning of the inspection the provider was in the driveway to secure a gate so she could let her two dogs outside.in the back yard. During this time three children were in the basement out of sight and sound supervision. The children are 18 months old. They were in a space safe for them but left for approximately 5 minutes while the provider took care of her dogs and was unable to be close enough to intervene if needed..”

Rule 8VAC20-800-560-A.

A child’s record shall contain information listed.

“One child in care, Child 2 is missing the parents work information, physicians information and second emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-60-B

“A child’s record shall contain the name, address and telephone number for two emergency contacts in the event a parent or guardian cannot be reached in an emergency. Child #1 who had been in care for over one year does not have the name, address and telephone for a second emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-A

“REPEAT VIOLATION Caregivers shall wash their hands with liquid soap and warm running water after each diaper change. Caregiver #2 did not wash their hands after assisting child #1 and #2 with diapering.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after diapering. Child #1 and #2 did not have their hands washed after diapering.”

Rule 8VAC20-800-680-B.

The diapering surface shall be cleaned and sanitized after each use.

“The diaper surface was not cleaned and sanitized after each diaper change.”

Rule 8VAC20-800-690-D.

22.1-289.058

“Based on observation, the family day home did not have at least one carbon monoxide detector. Evidence The carbon monoxide detector could not be located during the inspection.”

Rule 22.1-289.058.

8VAC20-800-130

“Based on a discussion with caregivers, not all caregivers met the general qualifications for caregivers. Evidence Caregiver #1, who was alone with the children when the inspector arrived, was not able to speak in English to the inspector.”

Rule 8VAC20-800-130.

8VAC20-800-280

“REPEAT VIOLATION Based on observation, potentially poisonous substances were not stored away in areas inaccessible to children. Evidence Located in the shower area of the bathroom the children use were potentially poisonous substances, including shampoo and body wash.”

Rule 8VAC20-800-280.

8VAC20-800-320-G

“Based on observation, fireplaces and associated chimneys were not inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained and cleaned as needed. Evidence A fireplace and chimney in the upstairs family room has not had an inspection conducted annually.”

Rule 8VAC20-800-320-G.

8VAC20-800-530-B

“Based on observation, cribs did not have a tight-fitting bottom cover. Evidence The crib that was used has a very loose fitting bottom sheet.”

Rule 8VAC20-800-530-B.

REPEAT VIOLATION Based on review of 4 children’s records, 4 did not contain the required documentation. Evidence The record for child #1 did not contain: the address for two emergency contacts, authorization to medical treat in case of an emergency, statement of liability insurance, and the medication policy of the family day home.

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on observation, the diapering surface was no longer non-absorbent. Evidence The diaper pad was torn exposing the inside, making the pad no longer non-absorbent.”

Rule 8VAC20-800-690-D.

8VAC20-800-830-A

“Based on review of emergency evacuation procedures, a drill was not practiced monthly with all caregivers and children in care. Evidence An emergency evacuation drill was not conducted in the month of June.”

Rule 8VAC20-800-830-A.

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets. Evidence: Electric outlets did not have protective covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-330-A

“Based on observation and interview, a landline telephone was not available. Evidence: The home did not have a landline phone at the time of inspection.”

Rule 8VAC20-800-330-A.

8VAC20-800-790

“Based on observation, telephone numbers were not posted in a visible area close to the telephone. Evidence: 911, emergency backup care, and poison control telephone numbers were not posted by a telephone in the home.”

Rule 8VAC20-800-790.

8VAC20-800-800-A

“Based on observation and interview, the provider did not update the emergency plan as needed. Evidence: The emergency plan was not updated to reflect the new family day home address.”

Rule 8VAC20-800-800-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances were accessible to children. Evidence In the bathroom the children use, air freshener, cleaning agents and other potentially poisonous substances were in a closet that was accessible to children.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on observation there the diapering surface was not being cleaned and sanitized after each diapering. Evidence There was no bleach and water, soap and water bottles available to use after a diaper change.”

Rule 8VAC20-800-690-D.

8VAC20-800-780-B

“Based on review of children’s records, the provider did not at least annually review the child’s record with a parent. Evidence The record for child #2, first day of attendance 5/2022, was last reviewed with a parent 5/2022 The record for child #3, first day of attendance 5/2022, was last reviewed with a parent 6/2022.”

Rule 8VAC20-800-780-B.

Based on review of the emergency preparedness plan, the provider did not review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. Evidence

“The last review of the emergency plan was 8/23/2023.”

Rule 8VAC20-800-800-B.

8VAC20-800-290

“Based on observation, sharp objects were accessible to children. Evidence Razors were located in the bottom unlocked drawer in the bathroom the children use, making them accessible to children.”

Rule 8VAC20-800-290.

8VAC20-800-810

“Based on review of emergency procedures, a monthly evacuation drill was not practiced each month. Evidence On the monthly evacuation drill log, there was no documentation of a practice drill in the month on June, 2023.”

Rule 8VAC20-800-810.

8VAC20-800-800-A

“Based on review of emergency procedures, the family day home did not have a written emergency preparedness plan. Evidence The provider did not have a written emergency preparedness plan that included emergency evacuation, emergency relocation and shelter in place procedures. One that addresses most likely to occur scenarios including severe storms, tornadoes, loss of utilities’ and who is in charge during such events.”

Rule 8VAC20-800-800-A.

Based on observations, central registry results were not received within regulated time frame.

“Evidence: The record for caregiver #1 did not contain central registry results within 30 days of employment.”

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

Based on observation, the posted menu was not updated to reflect what was being served.

“Evidence: Posted menu did not reflect what children were eating during inspection”

Rule 8VAC20-800-920.