Cynthia Garrett

8VAC20-800-460-C

“Dogs or cats, where allowed, shall be vaccinated for rabies. The rabies shot for the dog expired eight months prior.”

Rule 8VAC20-800-460-C.

8VAC20-800-680-A

“Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Staff #2 did not wash their hands with liquid soap and warm water after diapering an infant.”

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 toileting or diapering. Staff #2 did not wash a child’s hands after diapering.”

Rule 8VAC20-800-680-B.

8VAC20-800-100-A

“REPEAT VIOLATIONS The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance. The provider did not obtain a physical for child #3 that has been at the center for over three months.”

Rule 8VAC20-800-100-A.

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There was no physical exam record available for Child #6, who had been in care for over three months.”

Rule 8VAC20-800-100-A.

8VAC20-800-460-D

“The provider shall maintain documentation of the current rabies vaccination. The provider did not have documentation for cat #2.”

Rule 8VAC20-800-460-D.

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. There is no sworn statement for staff #3, who is currently working and has been employed for three months.”

Rule 22.1-289.035-B-1.

8VAC20-800-210-A

“In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Staff #2 completed 13 hours of annual training.”

Rule 8VAC20-800-210-A.

8VAC20-800-230-A

“The provider shall maintain written documentation of each caregiver’s applicable education and programmatic experience, applicable first aid and CPR certification, orientation, annual training, and applicable medication administration training. The record for staff 3 did not contain the documentation of completing first aid certification. The licensee and staff 3 state the certification was completed.”

Rule 8VAC20-800-230-A.

8VAC20-800-60-B

“A child’s record shall contain the following information: The policy number of the child’s medical insurance. Child #1 and child #2’s record did not have a medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“The diapering surface shall be cleaned and sanitized after each use. The caregiver did not clean and sanitize the diapering surface after each diapering.”

Rule 8VAC20-800-690-D.

Based on a review of training hours, the provider failed to ensure that the annual health and safety update was completed annually.

“Evidence: 1.There was no documentation in the provider’s record that the Virginia Health and Safety Update for 2023 was completed. 2. The provider verified that she had not completed the update for 2023.”

Rule 8VAC20-790-250-F.

Based on a review of pet vaccinations, the center failed to ensure that all pets shall be vaccinated for rabies.

“Evidence: 1. The provider has two cats in the residence. There was no documentation of a rabies vaccination. 2. The provider verified that he cats had not gotten their rabies vaccination.”

Rule 8VAC20-800-460-C.

Based on review of children records, the provider failed to obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. Child #4’s date of enrollment was 11/01/2023. There was not documentation in the record of a physical examination. 2. The provider verified that there was not a documentation of a physical exam in the record.”

Rule 8VAC20-800-100-A.

Based on observation, the provider failed to ensure that hazardous materials were inaccessible to children.

“Evidence: 1. In the sleeping area on a shelf next to the diaper changing table there was a can of Microban Sanitizing Spray, and a container of Clorox Wipes. 2. In the bathroom there was a bottle of Mrs. Meyers Toilet Bowl Cleaner on the floor next to the toilet. 3. Manufacturer label stated “keep out of the reach of children” and “caution”.”

Rule 8VAC20-800-280.

Based on a review of children records, the provider failed to obtain all required information for children records.

“Evidence: 1. Child #1 and #4’s file did not contain the date of enrollment. 2. Child #2’s file did not contain the name and policy number of the child’s medical insurance 3. Child #4’s file did not contain a complete address for the designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-A.

Based on observation, the provider failed to ensure that diapering ointment shall be inaccessible to children.

“Evidence: In the room with cubbies and diaper changing table there was a tube of Desitin Ointment on the floor next to the cubbies. Children have access to this room and area at all times.”

Rule 8VAC20-800-750-B.

Based on review of evacuation drills, the provider failed to ensure that an emergency evacuation was practiced monthly.

“Evidence: 1. There was no documentation that an emergency evacuation drill had been completed for May 2023. 2. The provider verified that the emergency evacuation drill had not been documented.”

Rule 8VAC20-800-830-A.

Based on interview and review of children records, the provider failed to obtain all required information.

“Evidence: 1. Child #1 and Child #2’s file did not contain the name and policy number of the child’s medical insurance. 2. Child #1 and Child #2’s file did not contain address for one of the designated persons to contact in case of an emergency if the parent cannot be reached. 3. The provider verified that records did not contain the name and policy number for medical insurance, and an address for one of the emergency contacts.”

Rule 8VAC20-800-60-A.

Based on interview and review of children records, the center failed to obtain all the required policies to the parents before the first day of attendance.

“Evidence: 1. Child #1 and Child #2’s first day of attendance was 02/20/2023. The file did not contain documentation of the providers policy for administration of medication. 2. The provider verified that the records did not contain the policy for administration of medication.”

Rule 8VAC20-800-70-A.