Clara Battle

22.1-289.035-B-1

“The provider is required to obtain a completed sworn statement prior to the caregiver’s first day of employment. The record for Caregiver #3 did not a signed sworn statement and the individual has been working for over a month.”

Rule 22.1-289.035-B-1.

8VAC20-790-250-F

“Caregivers shall annually complete the department’s health and safety update course. Caregiver #1 is overdue completing the annual update course by five months.”

Rule 8VAC20-790-250-F.

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. A lockdown drill was not conducted in 2025.”

Rule 8VAC20-790-430-A-3.

8VAC20-800-50-A

“Providers must keep a written record of children in attendance each day. There were nine children present but the attendance documented ten children.”

Rule 8VAC20-800-50-A.

8VAC20-800-540-A

“When children are in high chairs, a safety strap shall be used and securely fastened. A child (fourteen months old) was observed sitting in a high chair and the strap was not fastened.”

Rule 8VAC20-800-540-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-680-A

“Caregivers shall wash their hands with soap and warm running water after changing a child’s diaper. Caregiver #2 changed a child’s diaper and did not wash her hands before touching other surfaces.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Caregivers shall ensure children’s hands are washed with soap and warm running water after diapering. Caregiver #2 did not ensure a child’s hands were washed after having a diaper change.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“The diapering surface shall be cleaned and sanitized after each use. Caregiver #2 cleaned the surface after a diaper change but the surface was not sanitized.”

Rule 8VAC20-800-690-D.

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided required information in writing. The records for Child #2 and Child #3 did not have completed written information for parents. The children have been attending for at least two weeks.”

Rule 8VAC20-800-70-A.

8VAC20-800-940-B

“The provider shall have an operable thermometer available to monitor refrigerator and freezer temperatures. There was not a operable thermometer available to show the temperatures in the refrigerator and freezer.”

Rule 8VAC20-800-940-B.

8VAC20-800-510-C

“Occupied cots must have at least twelve inches between the cots. Children were napping and there were four cots approximately two inches from each other.”

Rule 8VAC20-800-510-C.

8VAC20-800-60-B

“(Repeat violation) Children’s records are required to contain two emergency contacts. The record for Child #2 was missing the second emergency contact. The child had been in care for more than a year.”

Rule 8VAC20-800-60-B.

8VAC20-800-110-B

“Each physical examination shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. The record for Child #1 had a physical report and immunization report that were not signed.”

Rule 8VAC20-800-110-B.

8VAC20-800-60-B

“Children’s records are required to contain all required information. The record for Child #4 (in care for two months) was missing the employment address for one parent. The record for Child #4 (in care for two months) and Child #5 (in care for seven months) was missing an insurance plan number.”

Rule 8VAC20-800-60-B.

8VAC20-800-880

“Family day homes shall follow the most recent, age appropriate nutritional requirements of a recognized authority such as USDA. The snacks provided did not meet the nutritional requirements.”

Rule 8VAC20-800-880.

8VAC20-800-110-B

“Each physical examination shall be signed by a licensed physician, physician’s designee or an official of a local health department. The record for Child #4 had a physical that was not signed.”

Rule 8VAC20-800-110-B.

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. The swing set outside has two plastic seats that have portions that are cracked and broken.”

Rule 8VAC20-800-240-A.

8VAC20-800-60-B

“(Repeat violation) Children’s records are required to contain parental home and employment addresses and phone numbers. The record for Child #2 was missing insurance plan number. The record for Child #4 was missing parent employment phone number. The record for Child #5 was missing insurance plan number, parent’s employment address/phone number and second emergency contact. These children were present during the inspection and had been in care for at least a month.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-L

“Toilet chairs, when used, shall be emptied promptly, cleaned and sanitized after each use. The toddler potty chair in the bathroom used by children had liquid and tissue paper in the bowl.”

Rule 8VAC20-800-690-L.

Repeat Violation Based on review, provider did not ensure 3 of 5 child records have documentation of required information.

“Evidence: The following was found during record review: 1. The record for child #3 did not have start date, mother’s employment phone number and medical insurance information. 2. The record for child #4 (start date 9/5/2023) did not have father’s employment information and emergency contact addresses. 3. The record for child #5 did not have start date, father’s home information, father’s employment information and second emergency contact address.”

Rule 8VAC20-800-60-B.

Based on review, provider did not ensure a assistant/substitute had a completed sworn statement or affirmation prior to beginning employment.

“Evidence: The record for assistant/substitute #1 (start date 5/23/2023) did not have a completed sworn statement or affirmation.”

Rule 8VAC20-770-60-B.

Based on review, provider did not ensure assistants/substitutes have orientation training by the end of their first week.

“Evidence: The record for assistant/substitute (start date 5/23/2023) did not have documentation of orientation training.”

Rule 8VAC20-800-200-A.

Based on review, provider did not ensure 2 of 3 child records have documentation of required information.

“Evidence: The following was found during record review: 1. The record for child #1 (start date 5/30/2023) did not have father’s employment address, father’s employment phone number, mother’s employment address, second emergency contact information (name, address, phone), parent’s signed acknowledgement of the receipt of the information required by 8VAC20-800-70 and signed acknowledgement of provision of emergency preparedness procedures. 2. The record for child #2 (start date 9/20/2022) did not have father’s employment information (place, address, phone) and mother’s employment phone number.”

Rule 8VAC20-800-60-B.

Based on observation, provider did not ensure when meals or snacks are provided by the family day home that there is a posted menu that is dated.

“Evidence: The menu posted was not dated.”

Rule 8VAC20-800-920.

Based on observation, provider did not ensure there is a landline telephone available that is not a cordless or cell phone.

“Evidence: The landline available is a cordless phone.”

Rule 8VAC20-800-330-A.

Based on observation and review, provider did not ensure there is documentation that cribs meet current US federal crib requirements.

“Evidence: The full size crib present had a label dated 2016. There was not documentation that the crib meets current federal crib requirements.”

Rule 8VAC20-800-520-C.

Based on review, provider did not ensure there is a first aid kit with required components

“Evidence: The first aid kit did not have triangular bandages.”

Rule 8VAC20-800-760-A-1.