Deatrice Rabb-Green

8VAC20-800-170-A

“The provider shall obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Staff #2 who is actively working with children is overdue by 1 month.”

Rule 8VAC20-800-170-A.

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.

“1. In room #1 an unlocked cabinet was discovered with approximately 10 bottles of cleaning agents in an area accessible to children. 2. In room #2 an unlocked cabinet was discovered with 3 bottles of cleaning agents in an area accessible to children. 3. All items were marked with warning labels “Keep Out of Reach of Children”.”

Rule 8VAC20-800-280.

Areas and furnishings of the family day home, outside, shall be maintained in a clean, safe, and operable condition.

“1. There was a toy wheelbarrow in the outdoor play area with jagged edges where a handle had broken off or been removed. 2. There was a broken window on the shed located directly next to the outdoor play area. The window pane contained broken glass shards. 3. There was a protruding nail at the top of the wooden handrail leading to the outdoor play area.”

Rule 8VAC20-800-240-A.

8VAC20-800-690-D

“The diapering surface shall be nonabsorbent and washable. The diapering surface had a small tear in the corner and is no longer nonabsorbent.”

Rule 8VAC20-800-690-D.

8VAC20-800-30-B

“The provider is required to comply with the family day home’s policies that have been disclosed to the parents and are required by the Standards for Licensed Family Day Homes. The written discipline polices provided to parents of children enrolled in the family day home state “Corporal punishment such as spanking is prohibited”. On 8/27/2025, provider #2 struck child #3 (1 year old) when she entered the day care area and discovered that child #1 had been removed from his infant seat and was lying face down on the floor.”

Rule 8VAC20-800-30-B.

8VAC20-800-560-A

Rule 8VAC20-800-560-A.

8VAC20-800-560-D

Rule 8VAC20-800-560-D.

8VAC20-800-640-1

“Physical punishment including, but not limited to, striking a child in care is forbidden. On 8/27/2025, when staff #2 discovered that child #1 (4 months) had been removed from his infant seat and was lying face down on the floor, provider #2 struck child #3 (1 year old) exclaiming “Who took the baby out the seat?””

Rule 8VAC20-800-640-1.

8VAC20-800-50-A

“(Repeat Violation) The family day home is required to keep a written record of children in attendance each day. There was not a written attendance completed at the time of the inspection.”

Rule 8VAC20-800-50-A.

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period must be dated, given to parents or posted or placed in an area accessible to parents, List any substituted food, and be kept on file one week at the family day home. There was not a current, dated menu posted or provided to parents at the time of inspection.”

Rule 8VAC20-800-920.

8VAC20-790-250-F

“Caregivers who work directly with children are required to attend the department’s health and safety update course. Staff #1 was over due to attend the department’s health and safety update course by 9 months.”

Rule 8VAC20-790-250-F.

8VAC20-800-180-A

“The licensee must obtain from each caregiver updated documentation of a tuberculosis screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. The rerecord for caregiver #1 contained the most recent Tuberculosis screening results which were overdue by 3 months.”

Rule 8VAC20-800-180-A.

8VAC20-800-50-A

“The family day home is required to keep a written record of children in attendance each day. There was no an attendance record documenting the arrival of the 6 children in care at the time of the inspection.”

Rule 8VAC20-800-50-A.

8VAC20-800-680-B

“Caregivers are required to wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Caregiver #4 changed a child’s diaper and did not wash her hands before moving on to other tasks.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“The diapering surface must be cleaned and sanitized after each use. Caregiver #4 changed a child’s diaper at the diapering table and did not clean or sanitize the diapering pad afterward.”

Rule 8VAC20-800-690-D.

8VAC20-800-700-C

Rule 8VAC20-800-700-C.

8VAC20-800-880

“When family day homes provide meals or snacks the licensee must follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Food Program of the United States Department of Agriculture (USDA). The children were served potato chips, graham crackers and flavored water for afternoon snack. Only one food component was met (grain via graham crackers) of the minimal requirement that 2 components from 2 different food groups must be served for a snack.”

Rule 8VAC20-800-880.

Caregivers who work directly with children shall, annually attend the department’s health and safety update course.

“1 of three staff (staff #2) had not completed the department’s health and safety update course within the past 12 months.”

Rule 8VAC20-790-250-F.

Hot water at taps available to children shall be maintained within a range of 105?F to 120?F.

“The hot water tap at the sink in the restroom that children use while in care measured 125 degrees Fahrenheit with a digital thermometer at the time of inspection”

Rule 8VAC20-800-350-E.

Based on a review of records and interview, the provider did not ensure that each child’s parent is provided all required information, in writing, before the child’s first day of attendance.

Rule 8VAC20-800-70-A.

8VAC20-790-250-F

“Based on a review of records and interview, the licensee did not ensure that each caregiver who works directly with children completes that department’s annual health and safety training. Evidence: Two caregiver records were reviewed for updates and changes. The records for caregiver #1 contained the most recent health and safety update training which was completed 9/20/2021. Caregiver #1 confirmed that she had not taken the training more recently.”

Rule 8VAC20-790-250-F.

Based on a review of records and interview, the provider did not ensure that each enrolled child’s record contains all of the required information and documentation.

“Evidence: Four children’s records were reviewed. The record for child #1 did not contain an address for the two individuals listed as emergency contacts in case a parent cannot be reached. The record for child #2 did not contain a second emergency contact to be called in the event of an emergency if the parent(s) of the child cannot be reached.”

Rule 8VAC20-800-60-B.