Deborah King

22.1-289.035-B-2

“Based on records review, the provider failed to ensure that applicants undergo a criminal background check prior to beginning employment or volunteering. Evidence: The record for Assistant #1 did not contain a criminal history check. When asked, the provider acknowledged that Assistant #1 did not have a criminal history check.”

8VAC20-800-120-B

“Based on records review, the provider failed to ensure that the record for the assistant contained the date of employment or volunteering. Evidence: Assistant #1 is listed as an assistant on the staff information form submitted with the application for licensure. The record for Assistant #1 does not document the date of employment or volunteering.”

8VAC20-800-70-A

“Based on interview, the provider failed to provide a general daily schedule that is appropriate for the age of the enrolling child. Evidence: When asked to view the daily schedule that is provided to parents, the provider stated that she did not have one.”

8VAC20-800-320-G

“Based on interview, the provider failed to ensure that all wood burning stoves and fireplaces and associated chimney’s shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: The home has a wood burning fireplace. When asked to see documentation of the inspection and cleaning the provider stated that she was unable to locate it.”

8VAC20-800-240-A

“Based on observation, and interview, the provider failed to ensure that areas and furnishings, inside and outside shall be maintained in a clean, safe, and operable condition. Evidence: The back yard has a fence that has several broken, splintered, and cracked fence pieces. When asked, the provider acknowledged that the fence needed to be repaired”

8VAC20-790-180-D

“Based on records review, the provider failed to document the arrival and departure of each child in care as it occurs. Evidence: The daily attendance record for 1 out of 5 children did not have any times of departure documented for the previous week.”

8VAC20-800-100-A

“Based on records review, the provider failed to obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: The record for child #3, date of enrollment 10/18/21, did not contain documentation of a physical examination.”

8VAC20-800-510-C

“Based on observation, the provider failed to ensure that there is at least 12 inches of space in between each crib. Evidence: There were 3 cribs along the back wall that were all touching each other with no space in between. Each crib was occupied by a sleeping child.”

8VAC20-790-180-D

“Based on records review, the provider failed to document the arrival and departure of each child in care as it occurs. Evidence: The daily attendance record for 1 out of 5 children did not have any times of departure documented for the previous week.”

8VAC20-800-100-A

“Based on records review, the provider failed to obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: The record for child #3, date of enrollment 10/18/21, did not contain documentation of a physical examination.”

8VAC20-800-510-C

“Based on observation, the provider failed to ensure that there is at least 12 inches of space in between each crib. Evidence: There were 3 cribs along the back wall that were all touching each other with no space in between. Each crib was occupied by a sleeping child.”

8VAC20-800-520-A

“Based on observation, and interview, the provider did not ensure a crib was provided for all children from birth through 12 months. Evidence: Two infants (age 7 months) were in bouncy seats. Two cribs contained toddlers. When asked where the infants sleep the provider stated that she is waiting for the other cribs to come in, and that right now they sleep in their bouncy seats.”

8VAC20-800-900-B

“Based on observation, the provider did not ensure children are not allowed to eat or drink while walking, running, or playing. Evidence: The provider handed a toddler who was standing and walking around in a crib a bottle to drink.”

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time did not exceed the maximum licensed capacity of the home. Evidence: 1) Upon the arrival of the inspector on July 22, 2022, at approximately 11:03 am there were six children in care, exceeding the licensed capacity of five children. 2) The attendance log for the week stated that every day during the current week an additional child was also cared for, for a total of 7 children in care.”

8VAC20-800-50-A

“Based on a review of records, and interview, the provider did not keep a written record of children in attendance each day. Evidence: There were six children in attendance but only four children were signed in. When asked, the provider stated that she hadn?t made an attendance sheet for the two children enrolled 7/18/22, because they just started this week.”

8VAC20-800-210-A

“Based on observation and interview, the provider did not ensure to obtain a minimum of 16 hours of annual training in addition to CPR First Aid. Evidence: The provider’s training hours totaled 8 hours for the year. When asked, the provider stated that she didn?t realize that she needed 16 hours per year.”

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children’s hands were washed with liquid soap and running water, before eating, or after diapering. Evidence: 1) 4 out of 4 diaper changes observed the children’s hands were not washed afterwards. When asked, the provider stated that she usually just wipes their hands with a baby wipe. 2) The children sat down to eat lunch without first washing their hands.”

8VAC20-800-520-B

“Based on observation and interview, the provider did not ensure that a crib was not used as a play space. Evidence: Upon the arrival of the inspector at 11:03 am there were two toddler children (age 13 months and age 14 months) in separate cribs awake and standing up. There were toys in the cribs with each child. The provider did not remove one child until approximately 12:00 pm to feed a bottle, then placed him back in the crib after only a few minutes. The other child was not removed until approximately 12:30 pm to be fed lunch. When asked the provider stated that one child was in the crib because of ?a runny nose? and because ?she didn?t want the child to make the other children sick.? She stated the other child was in the crib because of a peanut allergy and because she could smell peanut butter on another child and she was scared to let the children get close to each other.”

8VAC20-800-570-A

“Based on observation, and interview, the provider did not ensure that she did not exceed 16 points to determine if a second caregiver was needed. Evidence: There were 6 children in attendance for a total of 19 points.”

8VAC20-800-600-B

“Based on observation, the provider did not ensure that infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining equipment. Evidence: Upon the arrival of the inspector at 11:03 am there were 2 infants (age 7 months) in bouncy seats. The provider did not remove one of the infants from the bouncy seat until approximately 12:30 pm.”

8VAC20-800-680-A

“Based on observation, and interview, the provider did not ensure to wash her hands with liquid soap and warm running water after diapering a child. Evidence: The provider changed a diaper and then immediately changed another child. She did not leave the room to wash her hands. When asked, the provider stated that she put on hand sanitizer.”

8VAC20-800-690-D

“Based on observation, the provider did not ensure that the diapering surface was cleaned and sanitized after each use. Evidence: The provider was observed only wiping the diapering surface with ?Clorox? wipes after each diaper change. This was observed in 4 out of 4 diaper changes. When asked, the provider stated that her other Inspector gave her special permission to only use sanitizing wipes.”

8VAC20-800-730-D

“Based on observation and interview on January 26, 2022, the provider did not ensure 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. Evidence: There was an unlocked medicine cabinet, containing household medications, in the caregiver's bedroom. The door to the bedroom was not locked and the medicine cabinet was not locked.”

8VAC20-800-320-E

“Based on observation, the provider did not ensure that portable electric heaters located in areas accessible to children had barriers or screens. Evidence: A portable electric heater was observed in use on the floor in the daycare area. The heater did not have a barrier or screen around it. Children were observed in the daycare area, near the portable heater during the inspection.”

8VAC20-800-690-E

“Based on observation and interview on January 26, 2022, the provider did not ensure that soiled disposable diapers and wipes be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: During the inspection, the provider indicated she lifts the lid of the garbage can in the daycare area when disposing diapers.”

22VAC40-111-100-A

“Description: Based on a review of records and interview, the provider did not obtain a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child #2 (DOE 10/16/17) did not contain documentation of a physical examination. 2. The provider acknowledged there was no documentation of a physical examination in Child #1's record.”

63.2-1721.1-A

“Based on a review of caregiver records, the provider did not obtain central registry search results every five years for all employees. Evidence: The record of caregiver #1 did not contain documentation of a repeat central registry check. The most recent central registry result in the record is dated 9/26/16.”

22VAC40-111-180-A

“Based on a review of caregiver records and interview, the provider did not obtain a current Report of Tuberculosis Screening form for each caregiver, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. The record of caregiver #1 contained documentation of a TB screening dated 7/11/19. 2. The provider acknowledged she had not gotten an updated TB.”

22VAC40-111-520-A

“Based on observation and interview, the provider did not ensure that cribs are provided for children from birth through 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot, rest mat, or bed. Evidence: 1. During interview on October 22, 2021, the provider stated that Child #1 (DOE 10/18/21), did not have a crib to sleep in. 2. The crib was observed in an unopened box in a hallway. 3. The provider reported she was waiting for someone to come put it together and that the infant was sleeping in a swing in the meantime.”