April Caudle

8VAC20-800-210-A

“Caregivers shall maintain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. The file for Caregiver 2 had no documentation of training for the past year.”

8VAC20-800-240-A

“Areas and furnishings of the family day home shall be maintained in a clean, safe, and operable condition. One of the sofas had large rips in the seats.”

8VAC20-800-760-A-1

“Based on observation and interview, the first aid kit was not complete. EVIDENCE: The first aid kit had no tweezers, and Staff 1 confirmed this, and stated there were none elsewhere in the house.”

8VAC20-800-770

“Based on observation and interview, the family day home failed to have a working battery powered radio. EVIDENCE: The radio did not operate after the batteries were installed. This was confirmed by Staff 1, who also stated there were no extra batteries in the house.”

8VAC20-800-830-A

“REPEAT VIOLATION Based on document review, the center failed to have monthly evacuation drills. EVIDENCE: The family day home’s Evacuation Drill log shows a drill has not been done since August 2023.”

8VAC20-800-60-B

“REPEAT VIOLATION Based on record review, the family day home failed to obtain some required information in children’s records. EVIDENCE: The record for Child 1 had no information regarding prior schools or care and no house numbers for either of the emergency contacts.”

8VAC20-800-140-B-3

“Based on record review, the family day home provider failed to be currently certified in CPR. EVIDENCE: The CPR certification training for Staff 1 expired January 2024.”

8VAC20-800-140-B-4

“Based on record review, the family day home provider failed to be currently certified in first aid. EVIDENCE: The first aid certification training for Staff 1 expired January 2024.”

8VAC20-800-180-A

“REPEAT VIOLATION Based on record review, the family day home failed to ensure that each caregiver and adult household member was screened for TB at least every two years. EVIDENCE: 1. The most recent TB screening for Staff 2 was dated 9/16/2023. 2. The most recent TB screening for Household member 1 was dated 1/3/2022.”

8VAC20-800-280

“REPEAT VIOLATION Based on observation, the family day home failed to have a potentially poisonous substance stored away from food in areas inaccessible to children. EVIDENCE: A bottle of Windex was on the kitchen counter, accessible to children.”

8VAC20-800-60-B

“Based on record review, the family day home failed to have some required information in children’s records. EVIDENCE: 1. The record for Child 1 did not show whether the child had allergies or intolerances to food, medications, or substances or not and did not show whether the child had chronic health problems or not. 2. The record for Child 2 did not show whether the child had chronic health problems or not. 3. The record for Child 2 did not show if the child has attended school and was missing the doctor’s address.”

8VAC20-800-90-A

“Based on record review, the family day home failed to obtain documentation that a child has been adequately immunized prior to attending the home. EVIDENCE: Child 3 has a documented start date of 1/24/2022 and the immunization record was dated 2/28/2022.”

8VAC20-800-280

“Based on observation the family day home failed to have potentially poisonous substances stored in an area inaccessible to children. EVIDENCE: A bottle of Windex was on the kitchen counter, and the children walk through the kitchen on their way to the lunch table. There were no adults in the kitchen area when this was observed.”

8VAC20-800-830-A

“Based on document review and interview, the family day home failed to practice the emergency evacuation procedures each month. EVIDENCE: The evacuation drill log shows that the most recent drill was on 8/29/2023. Staff 1 stated this was correct and drills were not done.”

8VAC20-800-240-A

“Based on observation and interview, the family day home was not maintained in a clean, safe, and operable condition. EVIDENCE: The floor in the entry/lunchroom is curling up at the edges of planks, and at the entrance to the kitchen a layer of the floor is missing. Both floor problems are trip hazards.”

8VAC20-790-180-A

“Based on record review, the family day home failed to ensure that an adult household member had a TB screening every two years. EVIDENCE: The most recent TB screening for household member 3 was dated 9/16/2021.”

22.1-289.036-B-2

“Based on record review, the Licensee failed to ensure all household members ages 18 year of age and older completes a fingerprint background check. EVIDENCE: Licensing Inspector reviewed 3 staff/household member records. Records for Household Member #1 did not include documentation of a completed fingerprint background check within 30 days of their 18th birthday. Household Member #1 date of birth is 2/2004.”

8VAC20-800-170-A

“Based on record review, the Licensee failed to obtain a current report of tuberculosis test/screening for household members who come into contact with children. EVIDENCE: Licensing Inspector reviewed 3 household member records. Record for HHM #2 did not include documentation of a negative tuberculosis skin test or screening.”

22.1-289.035-A

“Based on staff record review, the provider failed to have a subsequent (five-year) central registry ( CPS ) background check done. EVIDENCE: The most recent central registry background check for Staff 1 was dated 4/4/2017.”

8VAC20-800-800-C

“Based on staff record review, the provider failed to ensure that staff had annual training on the emergency preparedness and response plan. EVIDENCE: The records for Staff 2 and 3 have no documentation to show that annual training on the emergency preparedness and response plan has been done.”

22.1-289.058

“Based on observation, interview, and documentation, the provider failed to have a Carbon Monoxide monitor, which is required for buildings built prior to 2015 that house licensed child day programs. EVIDENCE: The caregivers were unable to show the LI the carbon Monoxide monitor, when the LI was unable to locate one. Staff 2 and 3 stated they didn?t think they had one. The Roanoke County GIS website shows the house was built in approximately 1955.”