Rona Nile

A household member 14 years of age and older must have a search of the central registry and make the information available for regulatory purposes.

“Household member B (Age 14 years) did not have a completed central registry check on file for licensing review.”

Rule 8VAC20-770-40-D-5.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Household Member A was not completed and was overdue by three months.”

Rule 8VAC20-800-180-A.

Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Unsafe conditions shall include, but not be limited to, the presence of poisonous plants; tripping hazards; unstable heavy equipment, furniture, or other items that a child could pull down on himself; splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; and protruding nails, bolts, or other components that could entangle or could snag skin.

“Five cots were observed stacked on top of a box located next to an occupied crib, creating a risk of being pulled down onto child B (age 2 years).”

Rule 8VAC20-800-240-A.

When occupied, infant swings are required to be used according to the manufacturer’s instructions and a safety strap shall be used and securely fastened.

“Child A (Age: 6 months) was observed in a swing that was in motion without the safety strap securely fastened.”

Rule 8VAC20-800-540-A.

A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction is required to be on file.

“Child A who was diagnosed with a food allergy two months ago, did not have a written care plan on file.”

Rule 8VAC20-790-190-B-12.

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.”

Rule 22.1-289.057-A.

Repeat violation

“The telephone numbers for 911, poison control, and the responsible person for emergency backup care shall be posted in an area close to the landline telephone. The required telephone numbers for poison control and the responsible person for emergency backup care were not posted.”

Rule 8VAC20-800-790.

8VAC20-800-690-D

“Based on observation of the diapering area it was determined that not all procedures for diapering were followed. Evidence: There was plastic wrapped around the changing pad that had multiple holes in the plastic making the changing pad no longer nonabsorbent.”

Rule 8VAC20-800-690-D.

8VAC20-800-750-B

“Based on observation of the diapering area it was determined that diaper ointment was not kept inaccessible to children. Evidence: Three tubes of diaper ointment were observed hanging from a net container on the changing table accessible to children.”

Rule 8VAC20-800-750-B.

8VAC20-800-790

“Based on observation and interviews it was determined that the required telephone numbers were not posted. Evidence: The telephone numbers for the emergency back up person, poison control, and emergency services were not posted in a visible area close to the telephone.”

Rule 8VAC20-800-790.

8VAC20-770-40-D-5

“Based on interviews it was determined that not all household members obtained results of a central registry check within 30 days of turning 14 years old. Evidence: Household member A who has been 14 years old for more than 30 days did not have a central registry check on file.”

Rule 8VAC20-770-40-D-5.

8VAC20-800-280

“Based on observation it was determined that not all potentially poisonous substances were stored inaccessible to children. Evidence: 1. bottle of cleaner and a bottle of antiseptic were observed in an unlocked cabinet under the bathroom sink. 2. A can of air freshener and a can of disinfectant were observed on the counter of the bathroom sink.”

Rule 8VAC20-800-280.

8VAC20-800-40-A

“Based on observation and interview with the provider it was determined that the provider failed to ensure that the total number of children receiving care did not exceed the maximum licensed capacity of the home. Evidence: The provider who is licensed to care for 4 children was observed caring for 5 children, ages 7 months, 7 months, 7 months, 3 years, and 4 years.”

Rule 8VAC20-800-40-A.

8VAC20-800-540-B

“Based on observation it was determined that infant walkers were not prohibited in the family day home. Evidence: An infant walker was observed in the child care area of the family day home.”

Rule 8VAC20-800-540-B.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on review of five children’s records it was determined that not all records contained documentation that required information was provided to parent s before the child’s first day of attendance. Evidence: The records for Child A (start date: 01/30/23), B (start date: 01/30/23), C (start date: 02/06/23), D (start date: 02/06/23), and E (start date: 02/22/23) did not contain documentation of the required operating information for parents.”

Rule 8VAC20-800-70-A.

8VAC20-800-750-A

“Based on observation it was determined that not all requirements regarding topical skin products were met. Evidence: A bottle of lotion, diaper ointment, medicated ointment, and saline spray was observed under a shelf of the changing table. None of these topical skin creams were accompanied with the appropriate written parent authorization.”

Rule 8VAC20-800-750-A.

8VAC20-800-750-B

“Based on observation it was determined that not all topical skin products were kept inaccessible to children. A container of lotion, diaper ointment, medicated ointment, and saline spray was observed on a shelf under the changing table.”

Rule 8VAC20-800-750-B.

8VAC20-800-480-A

“Based on observation and interview it was determined that the family day home did not have sufficient quantity and variety of play materials and equipment readily accessible to children. Evidence: There was not a sufficient quantity and variety of materials for children. Play equipment observed for use in the family day home was two play chairs and two push toys.”

Rule 8VAC20-800-480-A.

8VAC20-800-480-C

“Based on observation and interview it was determined that the required equipment and materials such as arts and crafts materials, texture materials, construction materials, music and sound materials, books, social living equipment and manipulative equipment were not accessible for children. Evidence: There was two play chairs and two push toys available to children.”

Rule 8VAC20-800-480-C.

8VAC20-800-760-A

“Based on observation and interview with the provider it was determined that the required emergency supplies were not accessible in the family day home. Evidence: There was not a first aid kit available in the family day home.”

Rule 8VAC20-800-760-A.

8VAC20-800-770

“Based on observation and interview with the provider it was determined that emergency flashlights were not available in the family day home. Evidence: There was not a flashlight available in the family day home for emergency use.”

Rule 8VAC20-800-770.

8VAC20-800-790

“Based on observation and interview with the provider it was determined that the required telephone numbers were not posted. Evidence: The telephone numbers for emergency back up care, 911, and poison control were not posted.”

Rule 8VAC20-800-790.