Lesa Burkett

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

“The caregiver did not complete the department’s health and safety update course.”

Rule 8VAC20-790-250-F.

Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“The caregiver did not obtain the minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.”

Rule 8VAC20-800-210-A.

Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“The caregiver did not complete sixteen clock hours of training in 2025.”

Rule 8VAC20-800-210-A.

The diapering surface shall be cleaned and sanitized after each use.

“The diapering surface had two visible brown stains.”

Rule 8VAC20-800-690-D.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening.

“The Provider, Assistant #1, Assistant #2 and Assistant #3 did not have a current tuberculosis screening in their file.”

Rule 8VAC20-800-180-A.

Caregivers shall obtain minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Assistant #1, #2 and #3 did not have the required sixteen hours of training in 2024.”

Rule 8VAC20-800-210-A.

A child shall be provided with an individual crib, cot, rest mat, or bed for resting or napping.

“There were cots or rest mats provided during nap time.”

Rule 8VAC20-800-510-A.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The current emergency plan had not been reviewed since 2023.”

Rule 8VAC20-800-800-B.

Based on observation, the provider failed to ensure the license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“Evidence: The last inspection summary was not posted.”

Rule 22.1-289.011-F.

(REPEAT VIOLATION) Based on observation, the provider failed to maintain the family day home, inside and outside, in a clean, safe and operable conditions.

“Evidence: The wooden door between the kitchen and child care area had worn, exposed wood.”

Rule 8VAC20-800-240-A.

Based on record review, failed to ensure that dogs or cats, where allowed, shall be vaccinated for rabies and shall be treated for fleas, ticks or worms as needed.

“Evidence: Pet #4’s rabies vaccination expired 7/23/2024. Pet #7’s rabies vaccination expired 9/6/2024.”

Rule 8VAC20-800-460-C.

8VAC20-790-250-D-1

“Based on record review, a provider did not have the correct CPR certification. Evidence: Provider #1 had first aid and cpr certification (exp3/2025) but it did not state it was for infant and children.”

Rule 8VAC20-790-250-D-1.

8VAC20-800-240-A

Rule 8VAC20-800-240-A.

8VAC20-800-320-B

“Based on observation, there was an electrical outlet without a cover. Evidence: In the corner of the room on the wall with a crib there was an electrical outlet without a child-resistant protective cover.”

Rule 8VAC20-800-320-B.

8VAC20-800-750-B

“Based on observation, topical skin products were accessible to children. Evidence: There was Desitin in a cabinet that was within reach of children.”

Rule 8VAC20-800-750-B.

8VAC20-800-830-A

“Based on record review, emergency evacuations procedures had not been completed monthly. Evidence: There were no drills documented for Nov.,2023-April 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-120-A

“Based on record review, a caregiver did not have the required paperwork. Evidence: 1. There was an assistant working and did not have letters of reference; two are required from non-relatives.”

Rule 8VAC20-800-120-A.

8VAC20-800-200-A

“Based on record review, the provider did not have assistant orientation documentation. Evidence: 1. FIle #1 was reviewed and did not have orientation documentation.”

Rule 8VAC20-800-200-A.

8VAC20-800-240-A

“Based on observation the areas of the family day home were not maintained in a clean, safe, and operable condition. Evidence: 1. The wall leading to the bathroom in which the children have access to has an of approximately 4 by 12 inches that the plaster and paint have been scratched.”

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Based on observation, there were cleaning supplies accessible to children. Evidence: 1. In the bathroom the children use there was a spray bottle of cleaner and a bottle of h. peroxide under the sink unlocked.”

Rule 8VAC20-800-280.

8VAC20-800-530-F

“Based on observation, there were items in the crib with an infant sleeping. Evidence: 1. The inspector observed an infant in the crib asleep with a bobby pillow, a doll and a fleece blanket.”

Rule 8VAC20-800-530-F.

8VAC20-800-960-E

“Based on observation, bottles were not labeled. Evidence: 1. Two infants were in care and the bottle were not labeled; name and date are required if more than one infant is in care.”

Rule 8VAC20-800-960-E.

8VAC20-800-240-A

“Based on observation, the area of the home was not maintained in a safe condition. Evidence: 1. The door to the child care inside and outside was chipped with wood exposed and peeling paint.”

Rule 8VAC20-800-240-A.

8VAC20-800-320-B

“Based on observation, there was an electrical outlet without a child-resistant protective cover. Evidence: 1. There was not protective cover in the outlet by the diapering table.”

Rule 8VAC20-800-320-B.

8VAC20-800-60-A

“Based on record review, the provider did not have the required information in the children’s records. Evidence: 1. Child record #1 -5 did not contain emergency contact addresses.”

Rule 8VAC20-800-60-A.

8VAC20-800-730-D

“Based on observation, medication was not locked. Evidence: 1. The provider had a lock box but the lock was not locked.”

Rule 8VAC20-800-730-D.

8VAC20-800-240-A

“Based on observation, the inside of the home failed to be maintained in a safe condition. Evidence: The basement door is accessible to children. The basement steps are open and steep and the handrails are loose. The doorknob has a child-resistant cap on it; however a school-age child could open the door and or it could be left unsecured giving access to younger children.”

Rule 8VAC20-800-240-A.

8VAC20-800-260-E

“The provider failed to empty a container of water accessible to children. Evidence: There is a baby pool full of rainwater on the deck.”

Rule 8VAC20-800-260-E.

8VAC20-800-320-E

“Based on observation, the prodder failed to have a barrier or screen around a portable heater that is accessible to children. Evidence: There is a portable heater in the corner of the living room that does not have a screen or barrier. The children have access to this room when going to the bathroom and to the are where they rest.”

Rule 8VAC20-800-320-E.

8VAC20-800-350-E

“Based on measurement, the provider failed to maintain hot water tap below 120 degrees. Evidence: The water in the bathroom that the children use measured 126 degrees.”

Rule 8VAC20-800-350-E.

8VAC20-800-730-A

“Based on interview and observation, medications for children and household members were stored together. Evidence: The provider showed the inspector the cabinet in the kitchen where medications are stored and stated that children’s medications and household medications were both stored there.”

Rule 8VAC20-800-730-A.