Esther Babatunde

8VAC20-770-40-D-5

“Household members 14 years of age and older must obtain the results of a central registry search within 30 days of a 14 year old person in the home becoming 14 years old. Household members # 5 & 6 did not have central registry results during the inspection and has been 14 years old for seven months.”

Rule 8VAC20-770-40-D-5.

8VAC20-800-900-B

“Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles. A child was in a crib drinking their bottle at nap time.”

Rule 8VAC20-800-900-B.

8VAC20-770-40-D-5

“Household members 14 years of age and older must obtain the results of a central registry search by the end of the 30th day of becoming 14 years old. Household Member #2 did not have central registry results during the inspection and is over the age of 14 years.”

Rule 8VAC20-770-40-D-5.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 and household member #1 was not completed and was over due by seven months.”

Rule 8VAC20-800-180-A.

8VAC20-800-30-A

“The provider shall ensure compliance with these standards and the terms of the current license issued by the department and with relevant federal, state or local laws, and other relevant regulations. Per the local Zoning Administrator the provider can have no more than five children under the age of 2 1/2 years. During the inspection, seven children in care were under 2 1/2 years of age.”

Rule 8VAC20-800-30-A.

8VAC20-800-530-B

“Cribs when being used by infants shall have a tight-fitting bottom cover. The crib sheets in the occupied cribs were not tight-fitting.”

Rule 8VAC20-800-530-B.

8VAC20-800-540-A

“High chairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened. Two of the seven occupied high chairs did not have the safety strap securely fastened.”

Rule 8VAC20-800-540-A.

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall dated. The menu posted for this week was not complete and was not dated.”

Rule 8VAC20-800-920.

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care. The infant bottles were not labeled with the child’s full name or dated. There was more than one infant in care.”

Rule 8VAC20-800-960-E.

8VAC20-800-280

“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. A spray bottle of disinfectant was on a shelf with food in the kitchen area, accessible to children.”

Rule 8VAC20-800-280.

8VAC20-790-190-B-12

“A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #1, who has been enrolled for six months, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-790-190-B-12.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver #3, who had been employed for a week and a half, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

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 record for Child #2 & 4 was missing a physical examination. Child #4 has been in care for six months and child 2 & 4 was in care during the inspection.”

Rule 8VAC20-800-100-A.

The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

“Caregiver #3 had not received the required orientation by the end of their first week of assuming job responsibilities.”

Rule 8VAC20-800-200-A.

The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

“Caregiver #3 was not provided orientation by the end of their first week as required by the standards. Caregiver # 3 has been employed one and half weeks.”

Rule 8VAC20-800-200-A.

Documentation of the orientation shall be signed and dated by the provider and substitute provider or by the provider and assistant.

“Caregiver #3, who has been employed for a week and a half, did not have documentation or orientation on file.”

Rule 8VAC20-800-200-C.

Documentation of the orientation shall be signed and dated by the provider and substitute provider or by the provider and assistant.

“There was no documentation in caregiver #3 file, regarding orientation.”

Rule 8VAC20-800-200-C.

The provider shall ensure that a caregiver does not exceed 16 points.

“Caregiver #1 had a total of 19 points during the inspection on 9/18/2024.”

Rule 8VAC20-800-570-A.

8VAC20-800-60-A

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. Enrolled child #5 did not have a record at the family day home. Child #5, has been in care for one year.”

Rule 8VAC20-800-60-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

Caregivers shall wash their hands with liquid soap and warm running water after diapering a child.

“Caregiver #1, changed three diapers and did not wash hands after each change.”

Rule 8VAC20-800-680-A.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating and after toileting or diapering.

“Caregiver #1, filled a wash basin container with soapy water and washed all of the children’s hands before eating lunch. Caregiver #1, did not wash children’s hands after diapering.”

Rule 8VAC20-800-680-B.

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

“Caregiver #1, changed three diapers, and did not clean and sanitize the diapering surface after each use.”

Rule 8VAC20-800-690-D.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“The record for Child # 2 & 4 was missing an immunization record. Child #4 has been in care for six months and was present during the inspection.”

Rule 8VAC20-800-90-A.

8VAC20-790-190-B-12

“Based on record reviews and interviews the provider failed to ensure that a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #3 listed a diagnosed food allergy. There is no written care plan on file for this child.”

Rule 8VAC20-790-190-B-12.

8VAC20-800-730-D

“Based on interviews the provider failed to ensure that all medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: A child’s medication is kept in a backpack, not locked, which is accessible to the children.”

Rule 8VAC20-800-730-D.

8VAC20-800-530-B

“Based on observation, the facility failed to ensure that cribs have a tight-fitting bottom cover. Evidence: 1. There are two cribs in the play room with bottom covers which are not tight-fitting. There is one crib in the living room with a bottom cover which is not tight-fitting.”

Rule 8VAC20-800-530-B.

8VAC20-800-730-D

“Based on a tour of the home the provider failed to ensure that all medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Household medications are inaccessible to children, but are not in a locked area.”

Rule 8VAC20-800-730-D.