Kathleen Malcolm

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 #2 had been working for more than three weeks and had not received the required orientation.”

Rule 8VAC20-800-200-A.

8VAC20-800-680-A

“Caregivers shall wash their hands with liquid soap and warm running water: Caregiver #1 used hand sanitizer and did not wash their hands as required before preparing and serving a bottle to Child #2 and after changing the diaper for Child #3.”

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. Caregiver #1 did not ensure 6 children in care washed their hands before eating snack and Child #3 washed their hands after diapering”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“The diapering surface shall be cleaned and sanitized after each use. Caregiver #1 did not clean the diaper pad as required or sanitized as required after changing Child #3, sanitizer was sprayed on the diaper pad but was wiped off immediately.”

Rule 8VAC20-800-690-D.

8VAC20-800-700-C

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days shall be taken to a pharmacy for proper disposal. A prescription medication authorization Child #1 had expired over 3 months ago. The authorization had not been renewed and the medication was not returned or disposed of as required”

Rule 8VAC20-800-700-C.

8VAC20-800-730-D

“Medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Non-prescription medications belonging to household members were observed in an unlocked cabinet in the restroom used by children.”

Rule 8VAC20-800-730-D.

8VAC20-800-800-C

“The provider shall ensure that each caregiver receives training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of his first week of assuming job responsibilities, on an annual basis, and at the time of each plan update. Caregiver #2 had been working for more than three weeks and had not received the required training.”

Rule 8VAC20-800-800-C.

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. Bottles were observed belonging to infants in care that were not labeled with names and dates.”

Rule 8VAC20-800-960-E.

8VAC20-800-270-A

“Firearms of every type and purpose shall be stored unloaded in a locked container, compartment, or cabinet, and apart from ammunition. The ammunition was observed stored in a locked container with the firearm.”

Rule 8VAC20-800-270-A.

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. There was no documentation of drills practiced in October, November, December and January.”

Rule 8VAC20-800-830-A.

8VAC20-800-940-B

“The provider shall have an operable thermometer available to monitor refrigerator compartment temperatures. The refrigerator did not have thermometer.”

Rule 8VAC20-800-940-B.

8VAC20-800-320-G

“Wood burning stoves and fireplaces and associated chimneys shall must be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. The provider did not have documentation of a current inspection of the fireplace and chimney in the home.”

Rule 8VAC20-800-320-G.

8VAC20-800-330-A

“An operable landline telephone that does not require electricity to operate, excluding a cordless or cell phone, must be available, operable, and accessible during the family day home’s hours of operation. The licensee does not have a landline telephone.”

Rule 8VAC20-800-330-A.

8VAC20-800-350-E

“Hot water at taps available to children shall be maintained within a range of 105?F to 120?F. The hot water tap at the hand washing sink in the bathroom designated for children in care measured 137 degrees Fahrenheit at the time of inspection.”

Rule 8VAC20-800-350-E.

8VAC20-800-320-G

“The provider is required to maintain documentation to demonstrate that any wood burning stoves and fireplaces and associated chimneys in the home are inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. The daycare home contains a fireplace. The provider did not have documentation to demonstrate that the fireplace has been inspected.”

Rule 8VAC20-800-320-G.

8VAC20-800-330-A

“The provider is required to have a landline telephone, excluding a cordless or cell phone, available, operable, and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. The provider does not have a landline telephone capable of operating in the event of a power outage. The phone designated as the landline is a coax phone which is not operable in a power outage.”

Rule 8VAC20-800-330-A.

8VAC20-800-460-C

“Family Day Homes must ensure that dogs or cats, where are vaccinated for rabies. The provider was unable to show documentation that the three household cats are current on rabies vaccinations.”

Rule 8VAC20-800-460-C.

8VAC20-800-70-A

Rule 8VAC20-800-70-A.