Natacha Cox

8VAC20-800-60-A

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. The record for Child #2 did not have an address listed for the second emergency contact listed. Child #2 has been enrolled for two months.”

Rule 8VAC20-800-60-A.

8VAC20-800-530-F

“The family day home shall ensure no soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys. A boppy pillow was observed in the corner of the crib with child #1, seven months in age and who was asleep.”

Rule 8VAC20-800-530-F.

8VAC20-800-750-A

“When topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used, written parent authorization noting any known adverse reactions shall be obtained at least annually. 1. The provider stated oral teething medicine had been administered to child #1. There was no written parent authorization to administer the oral teething medicine. 2. The provider stated diaper cream had been administered to children when needed. There was no written parent authorizations to administer to children.”

Rule 8VAC20-800-750-A.

8VAC20-790-250-F

“Caregivers who work directly with children shall, in addition to preservice and orientation training, shall annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. Training shall be related to child safety, child development, the function of the center, and any required department sponsored training. Caregiver #1 did not complete the department’s health and safety updated training for the 2025 year.”

Rule 8VAC20-790-250-F.

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. The wooden lattice that ran along the stair railing leading to the outdoor play area was broken and had two nails exposed that were accessible to the children in care.”

Rule 8VAC20-800-240-A.

Repeat Based on review of caregiver records, the provider did not ensure caregivers who work directly with children completed, in addition to preservice and orientation training, at least 16 hours of training to include the department’s health and safety update course annually.

“Evidence: The record of caregiver #1 contained documentation of the department’s health and safety updated training dated 09/29/2022. The record did not contain the health and safety updated course for the 2023 year exceeding the annual requirement. The provider stated she had not completed the training.”

Rule 8VAC20-790-250-F.

Based on review of documentation, observation, and interview, the provider did not ensure when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parents within 14 days shall be taken to a pharmacy for proper disposal.

Rule 8VAC20-800-700-C.

Based on review of caregiver records, the provider did not ensure caregivers who work directly with children completed, in addition to preservice and orientation training, at least 16 hours of training to include the department’s health and safety update course annually.

“Evidence: The record of caregiver #1 contained documentation of the department’s health and safety updated training dated 09/29/2022. The record did not contain the health and safety updated course for the 2023 year exceeding the annual requirement. The provider stated she had not completed the training.”

Rule 8VAC20-790-250-F.

Based on review of caregiver records, the provider did for each caregiver a current report of tuberculosis screening every two years from the date of the first screening.

“Evidence: The record of caregiver #1 contained documentation of a tuberculosis screening dated 09/22/2021, exceeding two years. The provider stated a current tuberculosis screening had not yet been obtained.”

Rule 8VAC20-800-180-A.

Based on review of medication logs and interview, the provider did not ensure prescription and nonprescription medications were only given to a child with written authorization from the parents.

“Evidence: 1. The record of child #5 contained a medication log listing nine dates where a prescription medication was administered to the child. The record did not contain a medication authorization completed by the parent. 2. The provider stated she had administered the medication and the parent had only verbally authorized the administration of the medication.”

Rule 8VAC20-800-700-A.

Based on observation, the provider did not ensure medication, including refrigerated medication and medication for caregivers and household members, was kept in a locked place using a safe locking method that prevents access by children.

“Evidence: The providers personal medication was observed on a table in the bedroom. The bedroom door had a lock however the door was open at the time of the inspection. The provider acknowledged the door was open at the time of the inspection. The bedroom is located in an area children are not permitted.”

Rule 8VAC20-800-730-D.

Based on review of documentation and interview, the provider did not ensure emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children are in care.

“Evidence: The evacuation log had one evacuation drill documented on August 1, 2022. There were no drills documented for the months of September 2022 through December 2022. The provider stated she had only conducted the one evacuation drill.”

Rule 8VAC20-800-830-A.