Ashley Dillman

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #1's immunization update was overdue by 3 months. Child #4's immunization update was overdue by 10 months.”

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 was measured at 126.5 degrees Fahrenheit.”

8VAC20-800-100-A

“Based on record review and interview it was determined the provider did not 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. Evidence: 1. The record for child #4 (enrolled 9/5/23) did not contain documentation of a physical exam. 2. provider confirmed there was no documentation of a physical exam in the record for child #4.”

8VAC20-800-240-A

“Based on observation and interview it was determined the provider did not ensure that all areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. Several of the plastic toy bins on the shelf were cracked, creating potential pinch points. 2. Provider confirmed that some of the bins were cracked were cracked during this inspection.”

8VAC20-800-60-B

“Based on record review and interview it was determined the provider did not ensure the record for each child contained all of the required information. Evidence: 1. The record for child #4 did not contain the addresses for the two required emergency contacts. 2. Provider confirmed this information was not available during this inspection.”

8VAC20-800-350-E

“Based on measurement and observation it was determined the provider did not maintain hot water taps available to children within a range of 105?F to 120?F. Evidence: The hot water tap was measured at 141.8 degrees Fahrenheit, steam was observed coming from the tap.”

8VAC20-800-440-B

“Based on observation it was determined the provider did not ensure that protective barriers or guardrails were constructed to prevent a child from falling through, or becoming entrapped. Evidence: 1. There were two gaps measuring approximately 8 and 16 inches wide respectively, in the guardrails on the raised area that transitions from the house to the back yard. 2. These gaps open to a recessed area which contains the outdoor HVAC unit, approximately 3 feet below the landing of the transition from the house.”

8VAC20-800-480-E

“Based on observation it was determined the provider did not ensure all equipment and materials used by children was free from hazards such as rust. Evidence: The hooks used for the swings were rusted.”