Deatrice Rabb-Green

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. 1. In room #1 an unlocked cabinet was discovered with approximately 10 bottles of cleaning agents in an area accessible to children. 2. In room #2 an unlocked cabinet was discovered with 3 bottles of cleaning agents in an area accessible to children. 3. All items were marked with warning labels "Keep Out of Reach of Children".”

8VAC20-800-170-A

“The provider shall obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Staff #2 who is actively working with children is overdue by 1 month.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, outside, shall be maintained in a clean, safe, and operable condition. 1. There was a toy wheelbarrow in the outdoor play area with jagged edges where a handle had broken off or been removed. 2. There was a broken window on the shed located directly next to the outdoor play area. The window pane contained broken glass shards. 3. There was a protruding nail at the top of the wooden handrail leading to the outdoor play area.”

8VAC20-800-690-D

“The diapering surface shall be nonabsorbent and washable. The diapering surface had a small tear in the corner and is no longer nonabsorbent.”

8VAC20-800-30-B

“The provider is required to comply with the family day home's policies that have been disclosed to the parents and are required by the Standards for Licensed Family Day Homes. The written discipline polices provided to parents of children enrolled in the family day home state "Corporal punishment such as spanking is prohibited". On 8/27/2025, provider #2 struck child #3 (1 year old) when she entered the day care area and discovered that child #1 had been removed from his infant seat and was lying face down on the floor.”

8VAC20-800-560-A

“Caregivers are required to be physically present on site and provide direct care and supervision of each child to include having an awareness and responsibility for each child in care and being near enough to intervene, if needed. On 8/27/2025, Staff #2 left 4 children (child #1 - 4 months old, child #2 - 2 years old, child #3 - 1 year old, child #4- 23 months old) alone in the home for approximately 8 to 10 minutes while she walked to the corner of the block where the family day home is located to retrieve children off of the school bus. The children in the home were not supervised by an adult and no adult had an awareness of the children or was near enough to intervene when needed during this time. While unsupervised, child #2 (2 years old) struck a 1 year old (child #3) and struck a 23 month old child (child #4). A 4 month old infant (child #1) was turned over in his infant seat where he was secured with a seatbelt, forcibly pulled out of the seat by his arm, repeatedly dragged around the room by his arm, and hit and kicked multiple times by child #2. The infant (child #1) sustained bruising and was taken for outside medical treatment to assess injuries.”

8VAC20-800-560-D

“Family Day Homes are required to protect infants from older children. On 8/27/2025, the family day home failed to protect a 4 month old infant (child #1) from other older children in care when staff #2 left 4 children (child #1 - 4 months old, child #2 - 2 years old, child #3 - 1 year old, child #4- 23 months old) unsupervised and a two year old child (child #2) pushed over an infant seat where a 4 month old infant (child #1) was buckled in, forcibly pulled child #1 out of the seat by his arm, repeatedly dragged child #1 around the room by his arm, and hit and kicked child #1 multiple times. Child #1 incurred bruising which required outside medical assessment.”

8VAC20-800-640-1

“Physical punishment including, but not limited to, striking a child in care is forbidden. On 8/27/2025, when staff #2 discovered that child #1 (4 months) had been removed from his infant seat and was lying face down on the floor, provider #2 struck child #3 (1 year old) exclaiming "Who took the baby out the seat?"”

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period must be dated, given to parents or posted or placed in an area accessible to parents, List any substituted food, and be kept on file one week at the family day home. There was not a current, dated menu posted or provided to parents at the time of inspection.”

8VAC20-800-50-A

“(Repeat Violation) The family day home is required to keep a written record of children in attendance each day. There was not a written attendance completed at the time of the inspection.”

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period must be dated, given to parents or posted or placed in an area accessible to parents, List any substituted food, and be kept on file one week at the family day home. There was not a current, dated menu posted or provided to parents at the time of inspection.”

8VAC20-800-50-A

“(Repeat Violation) The family day home is required to keep a written record of children in attendance each day. There was not a written attendance completed at the time of the inspection.”

8VAC20-790-250-F

“Caregivers who work directly with children are required to attend the department's health and safety update course. Staff #1 was over due to attend the department's health and safety update course by 9 months.”

8VAC20-800-690-D

“The diapering surface must be cleaned and sanitized after each use. Caregiver #4 changed a child's diaper at the diapering table and did not clean or sanitize the diapering pad afterward.”

8VAC20-800-680-B

“Caregivers are required to wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Caregiver #4 changed a child's diaper and did not wash her hands before moving on to other tasks.”

8VAC20-800-180-A

“The licensee must obtain from each caregiver updated documentation of a tuberculosis screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. The rerecord for caregiver #1 contained the most recent Tuberculosis screening results which were overdue by 3 months.”

8VAC20-800-50-A

“The family day home is required to keep a written record of children in attendance each day. There was no an attendance record documenting the arrival of the 6 children in care at the time of the inspection.”

8VAC20-800-880

“When family day homes provide meals or snacks the licensee must follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Food Program of the United States Department of Agriculture (USDA). The children were served potato chips, graham crackers and flavored water for afternoon snack. Only one food component was met (grain via graham crackers) of the minimal requirement that 2 components from 2 different food groups must be served for a snack.”

8VAC20-800-700-C

“When an authorization for medication expires, the licensee must notify the parent 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 must be taken to a pharmacy for proper disposal. There were 2 medications present in the family day home for child #2 which had an authorization form that was signed and dated by the parent on 7/9/2024 and was good for a maximum of 10 days without a physician's signature. The medication had not been returned to the parent or disposed of after 10 days.”

8VAC20-790-250-F

“Caregivers who work directly with children are required to attend the department's health and safety update course. Staff #1 was over due to attend the department's health and safety update course by 9 months.”

8VAC20-800-690-D

“The diapering surface must be cleaned and sanitized after each use. Caregiver #4 changed a child's diaper at the diapering table and did not clean or sanitize the diapering pad afterward.”

8VAC20-800-680-B

“Caregivers are required to wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Caregiver #4 changed a child's diaper and did not wash her hands before moving on to other tasks.”

8VAC20-800-180-A

“The licensee must obtain from each caregiver updated documentation of a tuberculosis screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. The rerecord for caregiver #1 contained the most recent Tuberculosis screening results which were overdue by 3 months.”

8VAC20-800-50-A

“The family day home is required to keep a written record of children in attendance each day. There was no an attendance record documenting the arrival of the 6 children in care at the time of the inspection.”

8VAC20-800-880

“When family day homes provide meals or snacks the licensee must follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Food Program of the United States Department of Agriculture (USDA). The children were served potato chips, graham crackers and flavored water for afternoon snack. Only one food component was met (grain via graham crackers) of the minimal requirement that 2 components from 2 different food groups must be served for a snack.”

8VAC20-800-700-C

“When an authorization for medication expires, the licensee must notify the parent 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 must be taken to a pharmacy for proper disposal. There were 2 medications present in the family day home for child #2 which had an authorization form that was signed and dated by the parent on 7/9/2024 and was good for a maximum of 10 days without a physician's signature. The medication had not been returned to the parent or disposed of after 10 days.”

8VAC20-790-250-F

“Caregivers who work directly with children shall, annually attend the department's health and safety update course. 1 of three staff (staff #2) had not completed the department's health and safety update course within the past 12 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 tap at the sink in the restroom that children use while in care measured 125 degrees Fahrenheit with a digital thermometer at the time of inspection”