Kristha Scott

Providers shall have Current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“The CPR certification for Provider #1 expired 4 months ago.”

Rule 8VAC20-800-140-B-3.

Providers shall have current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

“The First Aid certification for Provider #1 expired 4 months ago.”

Rule 8VAC20-800-140-B-4.

8VAC20-800-320-B

“Child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. There was an uncovered outlet in the living room within reach of children.”

Rule 8VAC20-800-320-B.

8VAC20-800-730-D

“Medications for caregivers shall be kept in a locked place using a safe locking method that prevents access by children. Multiple prescription medications were on the bedside table in the provider’s bedroom. The door to the bedroom was open and the medication was within reach of children.”

Rule 8VAC20-800-730-D.

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. Provider #1 completed 10 hours of training during the last year.”

Rule 8VAC20-800-210-A.

Based on observation and interview, the center failed to post the provisional license and the findings of the most recent inspections.

“Evidence: The provisional license with the effective dates of 7/24/24-1/23/25 was not posted. The provisional license was emailed to the provider on 7/10/24. The most recent inspections dated 6/21/24 were not posted. The inspection paperwork dated 6/21/24 was emailed to the provider on 6/24/24. In an exit interview on 8/19/24, the Program Director provider acknowledged that provisional license and the findings of the most recent inspections were not posted.”

Rule 22.1-289.011-F.

(Repeat Violation) Based on a review of four children’s records and interview, the provider did not 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.

“Evidence: The first day of attendance for Child #3 was documented in the record as 5/20/24. There was no physical examination in the record for Child #3. In an interview on 8/19/24, the provider acknowledged that documentation of a physical examination had not been obtained.”

Rule 8VAC20-800-100-A.

(Repeat Violation) Based on observations and interview, the provider did not maintain areas in the back yard in a clean and safe condition.

“Evidence: In the children’s outdoor play area in the back yard, there was a riding lawn mower. Under the air conditioning unit, there were rusted tools and a bottle of motor oil. Just under the deck there was poison ivy. On the deck floor, there was an ashtray that contained cigarette butts. In an interview on 8/19/24, the provider acknowledged that these items posed a hazard.”

Rule 8VAC20-800-240-A.

Based on observations and interview, the provider did not ensure the children’s hands were washed with soap and running water or disposable wipes before and after eating snacks.

“Evidence: During the inspection, eight children were observed to be seated and given a snack without washing their hands first. Seven of the eight children did not have their hands washed after finishing their snack. The provider acknowledged that she didn’t wash all the children’s hands after they had their snack.”

Rule 8VAC20-790-390-A.

(Repeat Violation) Based on review of five children’s records and interview, the provider did not 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.

“Evidence: The first day of attendance for Child #1 was documented in the record as 5/20/24. There was no physical examination in the record for Child #1. The provider acknowledged that documentation of a physical examination had not been obtained.”

Rule 8VAC20-800-100-A.

Based on observations and interview, the provider did not maintain areas in the back yard in a clean and safe condition.

“Evidence: In the children’s outdoor play area in the backyard, there was a rusted grill and compressor. There was a board on the back deck at the top of the steps that was warped and protruding which could cause a tripping hazard. There was peeling paint on the deck and on the trim around the back door. The children enter and exit the family day home through the back door. The provider acknowledged that the deck needs repairs and that the rusted equipment posed a hazard.”

Rule 8VAC20-800-240-A.

Based on observations and interview, the provider did not store poisonous materials safely in an area inaccessible to children.

“Evidence: In the corner of the deck leading to the back door there was an open box of mothballs and a can of RAID pesticide within reach of children. The children enter and exit the family day home through the back door. In the back yard near the children’s play equipment there was a full gasoline can and a container of Round Up weed killer. The provider acknowledged that these items were hazardous and needed to be stored away from the children.”

Rule 8VAC20-800-280.

8VAC20-800-100-A

“Based on child record review, the provider failed to assure the physical examination was conducted within the required 12 months prior to attendance for children two years of age through five. Evidence: The physical conducted 01/24/2023 for child, C3, age 4 years, enrolled 04/09/2024, was conducted more than 12 months prior to attendance.”

Rule 8VAC20-800-100-A.

8VAC20-800-830-A

“Based on review of emergency response drills documentation and interview, the provider failed to ensure that emergency evacuation procedures shall be practiced monthly. Evidence: The emergency drill documentation did not document an emergency response drill being conducted during March 2024. Caregiver, C1 reported conducting the drill but not documenting it.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-C

“Based on review of emergency evacuation drill documentation, the provider failed to ensure the documentation includes required information. Evidence: The emergency drill documentation (fire) dated January 2024 and February 2024 did not document: the identity of the person conducting the drill, the method used for notification of the drill; the number of caregivers participating; any special conditions simulated; problems encountered, if any; and weather conditions.”

Rule 8VAC20-800-830-C.

8VAC20-800-90-A

“Based on child record review, the provider failed to assure that before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Evidence: The record for child, C4 did not contain an immunization record.”

Rule 8VAC20-800-90-A.

8VAC20-800-60-B

“Based on record review, the provider failed to maintain a complete child record. Evidence: The record for child #1, date of enrollment 08/28/2023, did not contain the name, address and phone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Child #1 was in attendance.”

Rule 8VAC20-800-60-B. From a complaint.

8VAC20-800-100-A

“Based on records review, the provider failed to 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. Evidence: The record for child #6, date of enrollment 08/18/22, did not contain evidence of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-390-A

“Based on observation, and interview, the center failed to ensure that each child who is two years of age and older shall have access to an individual location in which to keep clothing, toys, and belongings. Evidence: There were two bookbags on the floor in the living room. There were 4 children ages 2 to 4 years in attendance. When asked where the children put their personal belongings such as bookbags, clothing, toys, and other personal belongings, the provider stated that she did not have additional storage for those items.”

Rule 8VAC20-800-390-A.

8VAC20-800-40-A

“Based on observation, the provider failed to ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: The maximum licensed capacity of the home is 5 children. There were 6 children in attendance.”

Rule 8VAC20-800-40-A.

8VAC20-800-50-A

“Based on interview, the provider failed to keep a written record of children in attendance each day. Evidence: When asked to see the written record of attendance the provider stated that she did not have a written record of attendance.”

Rule 8VAC20-800-50-A.

8VAC20-800-550

“Based on observation, the provider failed to ensure that playpens shall not be occupied by more than one child and shall not contain any pillows or filled comforters. Evidence: There was a playpen that was occupied by two children, age 19 months. The playpen had a large filled comforter and pillows in it .”

Rule 8VAC20-800-550.

8VAC20-800-280

“Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as cleaning agents, are stored away in areas inaccessible to children. Evidence: There was an aerosol can of ?Pledge Dust Spray? labeled ?Caution? and ?Keep out of reach of Children? on the back of the toilet in the bathroom. The children were observed going into the bathroom unattended.”

Rule 8VAC20-800-280.

8VAC20-800-290

“Based on observation, and interview, the provider failed to ensure that sharp kitchen utensils and other sharp objects are inaccessible to children. Evidence: There was a knife holder containing knives on the kitchen counter. The provider acknowledged that the knives were on the counter and needed to be stored away.”

Rule 8VAC20-800-290.

8VAC20-800-30-A

“Based on observation, documentation review, and interview, the provider failed to ensure compliance with the terms of the current license. Evidence: The current license states that the capacity is 5 children. Documentation and records review indicated that child #5, date of enrollment 03/06/23, and a sibling of child #3, child #4, and child #6, regularly attends. The provider stated that child #5 was absent that day. The provider acknowledged that there were several days that there were more than 5 children in attendance.”

Rule 8VAC20-800-30-A.

8VAC20-800-340-C

“Based on observation, and interview, the provider failed to ensure that the bathroom contains paper towels. Evidence: The bathroom that the children use did not contain paper towels. The children were observed washing their hands in the bathroom. The provider acknowledged that the bathroom did not contain paper towels.”

Rule 8VAC20-800-340-C.

8VAC20-800-510-A

“Based on observation, and interview, the provider did not provide each child with an individual crib, cot, rest mat, or bed for resting or napping. Evidence: Child #4, and child #6, were observed sleeping on a blanket on the living room floor. When asked, the provider stated that she did not have enough rest mats for the two sleeping children.”

Rule 8VAC20-800-510-A.

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children’s hands are washed before eating. Evidence: Child #4, and child #6, were sleeping in the living room. When they woke up the provider took them and placed them in chairs in the kitchen and fed them lunch. The provider did not ensure that their hands were washed prior to eating.”

Rule 8VAC20-800-680-B.