Helena Narisson

8VAC20-800-140-B-4

“Based on a review of provider record and provider interview, the provider has not maintained a current certification in first aid. Evidence: The provider has not updated the first aid certification. The first aid certification expired 1/6/2024.”

8VAC20-800-90-A

“Repeat violation: Based on a review of children records, the provider has not obtained documentation that the child has been adequately immunized prior to attending the family day home. Evidence: Child # 2, first day of attendance 9/11/2023 does not have documentation of a immunization record.”

8VAC20-800-70-A

“Repeat Violation: Based on a review of children records, the provider has not provided in writing whether or not there is liability insurance to include the child's name, parents signature and date obtained before the child's first day of attendance. Evidence: The information about insurance liability has not been obtained from parents of child # and child #2, both first day of attendance 9/11/2023.”

8VAC20-800-100-A

“Based on a review of children records, the provider has not obtained documentation of the child's physical examination within 30 days of first day of attendance. Evidence: There is no documentation of child # 1 and child #3 physical examination, both first day of attendance 9/11/2023.”

8VAC20-800-240-A

“Based on observation, the bathroom is not maintained in a clean and operable condition. Evidence: There was peeling pint observed in the hallway bathroom. The paint was peeling from the left side wall and above the toilet. There was a purple-black coloring covering the ceiling of the shower to indicate presence of mold.”

8VAC20-800-140-B-3

“Based on a review of provider record and provider interview, the provider has not maintained a current certification in CPR. Evidence: The provider has not updated the CPR certification. The CPR certification expired 1/6/2024.”

8VAC20-790-250-F

“Based on caregiver interview, the caregiver has not completed the annual health and safety update course. Evidence: The vendor stated that she has not taken the annual health and safety update course.”

8VAC20-790-180-B

“Based on a review of attendance records and provider interview, the vendor has not maintained daily attendance that documents the arrival and departure of each child in care. Evidence: The vendor is not maintaining attendance when the child arrives and departs. There were 3 children that according to the vendor, had come in the morning but had left by the time we arrived at 9:45 am. The 3 children were still marked present on the attendance log. The attendance log was also prepopulated for the 21st and 22nd with the 5 children names already written on the attendance log.”

8VAC20-820-120-A-6

“Based on observation and child record review, the provider is not operating within the terms of her license regarding the age range of children for whom care may be provided. Evidence: The provider was observed bottle feeding an infant upon our arrival. The infant record was reviewed, the date of birth is 8/4/2023. The infant is 6 1/2 weeks old. The provider's license states she may care for children 3 months through 12 years.”

8VAC20-800-530-B

“Based on observation and provider interview, the crib being used by an infant does not have a tight-fitting bottom sheet. Evidence: The 6 1/2 week old infant was placed in a crib without a fitted sheet. The infant was placed on a blanket that was being used for a bottom sheet.”

8VAC20-800-240-A

“Based on observation and provider interview, the furnishings are not maintained in a safe and operable condition. Evidence: The crib used by a 6 1/2 week infant is not maintained I a safe and operable condition. The side railing is pulled away from the lower portion of the main frame of the crib, leaving a gap that the infant can possible get stuck. The provider stated she has removed the bottom screws to allow the side panel to come up and over the top of the crib.”

8VAC20-800-90-A

“Based on a review of children records, the provider has not obtained documentation that the child has been adequately immunized prior to attending the family day home. Evidence: Child #3 and #4, date of first attendance 9/11/2023 does not have documentation of immunization records.”

8VAC20-800-70-A

“Based on a review of children records, the provider has not provided in writing the following information to parents before the child's first day of attendance. Evidence: The following information is missing for child # 3, #4, #5, all date of first attendance 9/11/2023. 2. Schedule of fees and payment plans; 3. Check in and check out procedures; 5. Whether or not there is liability insurance to include child's name and parent signature and date; 11. General daily schedule that is appropriate for the age of the enrolling child; 16. Provisions of the family day home's emergency preparedness and response plan to include name of provider and relocation name; 18. Policies for termination of care;”

8VAC20-800-920

“Based on observation and provider interview, the menu for the current week is not posted or given to parents. Evidence: The provider stated she does not have a menu, it is not posted nor given to the parents.”

8VAC20-800-60-B

“Repeat Violation: Based on a review of children records, the provider has not obtained the required information for each child in attendance. Evidence: The following information is missing for child # 3, #4, #5, all date of first attendance 9/11/2023. b.Name, address, and telephone number of each custodial parent's place of employment:; c.Telephone number of the child's physician; f..Policy number of the child's medical insurance; d.Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; 5. Proof of the child's age and identity to include date proofed and person viewing; 8. Written authorization for emergency medical care to include child name, provider's name and parent signature.”

8VAC20-790-250-F

“Based on caregiver interview, the caregiver has not completed the annual health and safety update course. Evidence: The vendor stated that she has not taken the annual health and safety update course.”

8VAC20-790-180-B

“Based on a review of attendance records and provider interview, the vendor has not maintained daily attendance that documents the arrival and departure of each child in care. Evidence: The vendor is not maintaining attendance when the child arrives and departs. There were 3 children that according to the vendor, had come in the morning but had left by the time we arrived at 9:45 am. The 3 children were still marked present on the attendance log. The attendance log was also prepopulated for the 21st and 22nd with the 5 children names already written on the attendance log.”

8VAC20-820-120-A-6

“Based on observation and child record review, the provider is not operating within the terms of her license regarding the age range of children for whom care may be provided. Evidence: The provider was observed bottle feeding an infant upon our arrival. The infant record was reviewed, the date of birth is 8/4/2023. The infant is 6 1/2 weeks old. The provider's license states she may care for children 3 months through 12 years.”

8VAC20-800-530-B

“Based on observation and provider interview, the crib being used by an infant does not have a tight-fitting bottom sheet. Evidence: The 6 1/2 week old infant was placed in a crib without a fitted sheet. The infant was placed on a blanket that was being used for a bottom sheet.”

8VAC20-800-240-A

“Based on observation and provider interview, the furnishings are not maintained in a safe and operable condition. Evidence: The crib used by a 6 1/2 week infant is not maintained I a safe and operable condition. The side railing is pulled away from the lower portion of the main frame of the crib, leaving a gap that the infant can possible get stuck. The provider stated she has removed the bottom screws to allow the side panel to come up and over the top of the crib.”

8VAC20-800-90-A

“Based on a review of children records, the provider has not obtained documentation that the child has been adequately immunized prior to attending the family day home. Evidence: Child #3 and #4, date of first attendance 9/11/2023 does not have documentation of immunization records.”

8VAC20-800-70-A

“Based on a review of children records, the provider has not provided in writing the following information to parents before the child's first day of attendance. Evidence: The following information is missing for child # 3, #4, #5, all date of first attendance 9/11/2023. 2. Schedule of fees and payment plans; 3. Check in and check out procedures; 5. Whether or not there is liability insurance to include child's name and parent signature and date; 11. General daily schedule that is appropriate for the age of the enrolling child; 16. Provisions of the family day home's emergency preparedness and response plan to include name of provider and relocation name; 18. Policies for termination of care;”

8VAC20-800-920

“Based on observation and provider interview, the menu for the current week is not posted or given to parents. Evidence: The provider stated she does not have a menu, it is not posted nor given to the parents.”

8VAC20-800-60-B

“Repeat Violation: Based on a review of children records, the provider has not obtained the required information for each child in attendance. Evidence: The following information is missing for child # 3, #4, #5, all date of first attendance 9/11/2023. b.Name, address, and telephone number of each custodial parent's place of employment:; c.Telephone number of the child's physician; f..Policy number of the child's medical insurance; d.Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; 5. Proof of the child's age and identity to include date proofed and person viewing; 8. Written authorization for emergency medical care to include child name, provider's name and parent signature.”

8VAC20-800-60-B

“Based on a review of 2 children records, the provider has not obtained all the required information for each child in attendance. Evidence: Child #1 and #2, first day of attendance 10/17/2022 does not have documentation of 2 emergency contact name, address and phone number. Child #1 and #2, first day of attendance 10/17/2022 does not have documentation of proof of child's age and identity.”

8VAC20-800-830-C

“Based on a review of emergency evacuation drills, the provider has not maintained emergency evacuation and shelter in place drills. Evidence: There was no documentation that emergency drills or shelter in place drills have been conducted. The provider showed me the fire drill form where 1 fire drill was documented for 1/10/2023. The provider could not provide the inspector the drills from the past 6 months.”

8VAC20-800-70-A

“Based on a review of 2 children records, before the child's first day of attendance the provider has not obtained in writing whether or not their is liability insurance and provisions of the family day home emergency preparedness and response plan. Evidence: Child #1 and #2, first day of attendance 10/17/2022 does not have documentation that the parent has been provided information whether the provider has liability insurance. Child #1 and #2, first day of attendance 10/17/2022 does not have documentation of the provisions of the family day home emergency preparedness and response plan.”

8VAC20-800-90-A

“Based on a review of 2 children records, the provider has not obtained documentation that the child has been adequately immunized before a child may attend the family day home. Evidence: Child #1, first day of attendance 10/17/2022, does not have documentation of immunization record.”

8VAC20-800-50-A

“Based on record review and provider interview, the provider is not keeping a written record of children's attendance each day. Evidence: There was no written record of attendance for the 2 children in care. There was no documentation of attendance for the month of March or February. The provider showed me an attendance record that had the 2 children written for 1 day in January.”

8VAC20-800-60-B

“Based on a review of 2 children records, the provider has not obtained all the required information for each child in attendance. Evidence: Child #1 and #2, first day of attendance 10/17/2022 does not have documentation of 2 emergency contact name, address and phone number. Child #1 and #2, first day of attendance 10/17/2022 does not have documentation of proof of child's age and identity.”

8VAC20-800-830-C

“Based on a review of emergency evacuation drills, the provider has not maintained emergency evacuation and shelter in place drills. Evidence: There was no documentation that emergency drills or shelter in place drills have been conducted. The provider showed me the fire drill form where 1 fire drill was documented for 1/10/2023. The provider could not provide the inspector the drills from the past 6 months.”

8VAC20-800-70-A

“Based on a review of 2 children records, before the child's first day of attendance the provider has not obtained in writing whether or not their is liability insurance and provisions of the family day home emergency preparedness and response plan. Evidence: Child #1 and #2, first day of attendance 10/17/2022 does not have documentation that the parent has been provided information whether the provider has liability insurance. Child #1 and #2, first day of attendance 10/17/2022 does not have documentation of the provisions of the family day home emergency preparedness and response plan.”

8VAC20-800-90-A

“Based on a review of 2 children records, the provider has not obtained documentation that the child has been adequately immunized before a child may attend the family day home. Evidence: Child #1, first day of attendance 10/17/2022, does not have documentation of immunization record.”

8VAC20-800-50-A

“Based on record review and provider interview, the provider is not keeping a written record of children's attendance each day. Evidence: There was no written record of attendance for the 2 children in care. There was no documentation of attendance for the month of March or February. The provider showed me an attendance record that had the 2 children written for 1 day in January.”

8VAC20-820-120-E-2

“Based on observation and provider interview, the provider has not posted the most recent inspection of the home. Evidence: The most recent inspection, dated 6/15/2022 was not posted.”

8VAC20-800-240-A

“Based on observation and provider interview, areas and furnishings of the family day home, inside, are not maintained in a clean, safe, and operable condition. Evidence: An elliptical machine was observed in the corner of the play area, a child could very easily pull the elliptical on themselves.”

8VAC20-800-280

“Based on observation and provider interview, potentially poisonous substances, materials and supplies such as, cleaning agents, disinfectants, deodorizers, pesticides were not stored inaccessible to children Evidence: Deodorizer spray was observed on the back of the toilet in the hallway bathroom. Drain cleaner was observed on the floor in the hallway bathroom. These were accessible to children.”

8VAC20-800-330-A

“Based on observation and provider interview, a landline telephone, excluding a cordless or cell phone, was not operable, and accessible during the family day home's hours of operation. Evidence: The provider purchased a landline phone, the phone was not operable. The phone was plugged into a wall jack but did not have a dial tone.”

8VAC20-820-120-E-1

“Based on observation and provider interview, the provider has not posted the most recently issued license. Evidence: The license was issued to the provider on 4/15/2022. The license was not posted. The provider stated that she did not post the license.”

8VAC20-820-120-E-2

“Based on observation and provider interview, the provider has not posted the most recent inspection of the facility. Evidence: The most recent inspection was dated 4/12/2022. The violation notice issued on 4/12/2022 was not posted. The provider stated that she did not post the last inspection.”

8VAC20-800-100-A

“Based on provider interview, the provider failed to obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: There was no child record maintained. The provider stated that she did not obtain the physical examination for the 3 children enrolled in the program. Child #1, date of first attendance 4/18, child #2, date of first attendance 4/22 and child #3, date of first attendance 4/22.”

8VAC20-800-60-A

“Based on record review and provider interview, the provider failed to maintain an up-to-date record at the family day home for each enrolled child. Evidence: The attendance sheet showed that child #1 attended the daycare on 4/18, 4/29, 5/13, and 6/03 Child #2 attended the daycare on 4/22, 5/26, and 5/27. Child #3 attended the daycare on 4/22, 5/26, and 5/27 There was no record maintained for child #1, #2 or #3.”

8VAC20-800-70-A

“Based on record review and provider interview, the provider failed to provided to parents in writing the information for parents to include; policies for medication administration, whether or not there is liability insurance, provisions of the emergency preparedness and response plan, requirements for the daycare to notify parents when the child becomes ill and requirements for the parent to inform the family day home within 24 hours of any reportable communicable disease. Evidence: There was no child record maintained. The information for parents form was not completed for child #1, date of first attendance 4/8/2022, child #2, date of first attendance 4/22 and child #3, date of first attendance 4/22.”

8VAC20-800-80-A

“Based on provider interview, the provider failed to obtain from the parents within seven business days of the child's first day of attendance at the family day home, proof of age and identity of each child. Evidence: There was no child record maintained. The provider stated that she did not ask the parents for the proof of identity for the 3 children. Child #1, date of first attendance 4/18, child #2, date of first attendance 4/22 and child #3, date of first attendance 4/22.”

8VAC20-800-90-A

“Based on provider interview, before a child may attend the family day home, the provider failed to obtain documentation that the child has been adequately immunized Evidence: There was no child record maintained. The provider stated that she did not obtain the immunization record for the 3 children enrolled in the program. Child #1, date of first attendance 4/18, child #2, date of first attendance 4/22 and child #3, date of first attendance 4/22.”

8VAC20-800-830-A

“Based on provider interview, he emergency evacuation procedures have not been practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: There was no documentation of fire emergency drills. According to the attendance, children were in care the following dates; 4/18, 4/22, 5/13, 5/26, 5/27, 6/03. The provider stated that she did not conduct drills with the childcare children.”

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, inside was not maintained in a clean, safe, and operable condition. Evidence: An elliptical machine was observed in the corner of the play area, a child could very easily pull the elliptical on themselves. A wall plate located in the play area was found pulled away from the wall, exposing wires. Cable wires were hanging from the wall in the play area which were accessible to children.”

8VAC20-800-770

“Based on observation and applicant interview, a working portable battery-operated weather band radio was not available. Evidence: The applicant did not have a portable battery-operated weather band radio.”

8VAC20-800-290

“Based on observation, sharp kitchen utensils were accessible to children. Evidence: Knives were observed in the unlocked kitchen cabinets.”

8VAC20-800-330-A

“Based on observation and provider interview, a landline telephone, was not available and operable. Evidence: The applicant does not have a landline phone.”

8VAC20-800-760-A

“Based on observation and applicant interview, the first aid kit did not contain triangular bandages. Evidence: The first aid kit did not contain triangular bandages.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, such as cleaning agents, disinfectants, deodorizers, were not inaccessible to children. Evidence: The door to the laundry room and bathroom cabinets were found unlocked with poisonous substances and cleaning agents inside and accessible to children.”