Juliana Opoku

8VAC20-800-100-B

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. The provider did not obtain documentation of a physical examination for Child #1, who began attending the family day home a year ago.”

8VAC20-800-60-B

“A child’s record shall contain emergency contact information including name, home address, and telephone number of each parent who has custody. Child #1?s record did not contain their mother’s name, home address, and telephone number.”

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. The provider did not obtain documentation of immunizations for Child #1, who began attending the family day home a year ago and was present at the time of inspection.”

8VAC20-800-240-A

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY Areas and furnishings of the family day home, inside, shall be maintained in a clean, safe and operable condition. Mouse droppings were located at the bottom of a toy shelf, accessible to children. A frame located at the bottom of a staircase, accessible to children, had broken glass. Dust was accumulating on toys, books, toy shelves and a TV stand in the main daycare area. There was a large area of chipped and peeling paint on a wall in the living room, which is used by the children. There were multiple broken toys in the main daycare area.”

8VAC20-800-100-B

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. The provider did not obtain documentation of a physical examination for Child #1, who began attending the family day home a year ago.”

8VAC20-800-60-B

“A child’s record shall contain emergency contact information including name, home address, and telephone number of each parent who has custody. Child #1?s record did not contain their mother’s name, home address, and telephone number.”

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. The provider did not obtain documentation of immunizations for Child #1, who began attending the family day home a year ago and was present at the time of inspection.”

8VAC20-800-240-A

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY Areas and furnishings of the family day home, inside, shall be maintained in a clean, safe and operable condition. Mouse droppings were located at the bottom of a toy shelf, accessible to children. A frame located at the bottom of a staircase, accessible to children, had broken glass. Dust was accumulating on toys, books, toy shelves and a TV stand in the main daycare area. There was a large area of chipped and peeling paint on a wall in the living room, which is used by the children. There were multiple broken toys in the main daycare area.”

8VAC20-800-240-A

“Based on observation, areas of the family day home, inside, were not maintained in a clean condition. Evidence: There were three dead insects observed in the refrigerator that is used by the family day home.”

8VAC20-800-800-A

“REPEAT VIOLATION Based on record review and provider interview, the family day home did not have a written emergency preparedness and response plan. Evidence: When asked for the emergency preparedness and response plan, the provider confirmed that they did not have one.”

22.1-289.058

“Based on observation, the provider did not equip the home, that was built before 2015 and serves preschool-age children, with at least one carbon monoxide detector. Evidence: The family day home had a carbon monoxide detector, but there were no batteries installed.”

8VAC20-800-940-A

“Based on observation, the family day home did not ensure that temperatures were maintained at or below 40 degrees in refrigerator compartments. Evidence: The thermometer in the refrigerator used by the family day home read 50 degrees.”

8VAC20-800-240-A

“Based on observation, areas of the family day home, inside, were not maintained in a clean condition. Evidence: There were three dead insects observed in the refrigerator that is used by the family day home.”

8VAC20-800-800-A

“REPEAT VIOLATION Based on record review and provider interview, the family day home did not have a written emergency preparedness and response plan. Evidence: When asked for the emergency preparedness and response plan, the provider confirmed that they did not have one.”

22.1-289.058

“Based on observation, the provider did not equip the home, that was built before 2015 and serves preschool-age children, with at least one carbon monoxide detector. Evidence: The family day home had a carbon monoxide detector, but there were no batteries installed.”

8VAC20-800-940-A

“Based on observation, the family day home did not ensure that temperatures were maintained at or below 40 degrees in refrigerator compartments. Evidence: The thermometer in the refrigerator used by the family day home read 50 degrees.”

8VAC20-800-850-B Complaint related: No

“Based on review of emergency procedures, a written report was not completed and submitted to the department within five working days of the date the incident occurred. Evidence: On December 28, 2023, child #1 went missing from the family day home. A written report of the situation was not submitted to the department within five working days of December 28, 2023.”

8VAC20-800-850-A Complaint related: No

“Based on review of emergency procedures, the provider did not report to the department within 24 hours of the circumstances surrounding a lost or missing child when local authorities have been contacted for help. Evidence: 1.On December 28, 2023, at approximately 7:15am the provider went upstairs to take a shower, leaving child #1 (4 years of age) asleep on the main level of the home. 2. Child #1 was found by an anonymous community member at the intersection of Russell Road and Buckman Road at approximately 7:30am and called 911. 3.Local law enforcement arrived at the intersection of Russell Road and Buckman Road at approximately 7:33am. 4.At approximately 8:15am the provider came downstairs, searched the home inside and outside and determined child #1 was not in the home. 5. At approximately 8:30am law enforcement officer #1 stayed with child #1 while law enforcement officer #2 transported the provider to the location where child #1 and law enforcement #2 were waiting”

8VAC20-800-560-A Complaint related: No

“Based on interview with the provider and local law enforcement, it was determined the provider did not always provide direct care and supervision of each child. The Provider did not have awareness of and responsibility for each child in care, including being near enough to intervene if needed. Evidence: 1.On December 28, 2023, at approximately 7:15am the provider went upstairs to take a shower, leaving child #1 (4 years of age) asleep on the main level of the home. 2. Child #1 was found by an anonymous community member at the intersection of Russell Road and Buckman Road at approximately 7:30am and called 911. 3.Local law enforcement arrived at the intersection of Russell Road and Buckman Road at approximately 7:33am. Law enforcement officer #1 placed child #1 in his vehicle. Child #1 did not have a coat or shoes on, and their socks were wet. Estimated outdoor temperature was 44 degrees. 4.At approximately 8:15am the provider came downstairs, searched the home inside and outside and determined child #1 was not in the home. 5. At approximately 8:27am the provider called 911 and the parent of child #1. 6. At approximately 8:30am law enforcement officer #1 stayed with child #1 while law enforcement officer #2 transported the provider to the location where child #1 and law enforcement #2 were waiting 7. The Provider did not have awareness of and responsibility for each child in care, including being near enough to intervene if needed. Child #1 unlocked the front door, left the home, and walked approximately 550 feet, along Buckman Road (25PH) to the intersection of Buckman Road and Russell Road (25MPH). Provider did not provide direct care and supervision of child #1 from approximately 7:30am to 8:30am.”

8VAC20-800-210-A

“Based on record review, caregivers did not obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider has completed 8.5 hours of training since 2021.”

8VAC20-770-40-D-5

“Based on interview, the provider has not obtained central registry background check results for each person over the age of 14 years living in the home. Evidence: Household member #1 turned 14 years old in March 2023. The provider stated that they mailed that background check but has not received results. The provider confirmed that thy did not follow-up with the appropriate agency to inquire about the background check results.”

8VAC20-800-770

“Based on observation, the provider did not have a working battery-operated flashlight, a working portable battery-operated weather band radio with batteries kept available to the caregiver at all times. Evidence: The providers flashlight was not working during the inspection. The battery-operated radio did not have batteries near by. The provider was able to locate batteries in a different area of the house and install them into the radio.”

8VAC20-800-800-B

“Based on record review, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The most recent documented annual review of the emergency plan was dated 9/24/2022.”

8VAC20-800-920

“Based on observation, menu requirements were not met. Evidence: A food menu for the current was not posted during the inspection.”

8VAC20-800-100-A

“Repeat Violation Based on record review, the provider did not obtain documentation of a physical exam for each child within the first 30 days of attendance. Evidence: Child #2 (date of enrollment: 6/13/2023) file does not contain documentation of a physical exam.”

8VAC20-800-50-C

“Repeat Violation Based on observation, information contained in a child's record shall be privileged and confidential. Evidence: The Supplemental Pages from the last two inspections which clearly state "DO NOT POST" were observed posted on the Providers wall.”

8VAC20-800-240-A

“Based on observation, areas of the family day home were not maintained in a clean and safe condition. Evidence: There were tissues, food wrappers, food crumbs and dirt debris on the floor in the children's play area. The children were observed sitting, playing and laying on the floors.”

8VAC20-800-90-A

“Based on record review and interview, the provider did not obtain documentation of immunizations for each child prior to the first date of enrollment. Evidence: Child #4 (date of enrollment: 4/20/2022) record does not contain documentation of immunizations.”

8VAC20-800-140-B-4

“Based on record review and interview, the Provider does not have current certification in first aid. Evidence: The Providers first aid certification expired 4/25/2023. The Provider confirmed that they had not yet renewed their training.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical exam for each child within the first 30 days of attendance. Evidence: Child #4 (date of enrollment: 4/20/2022) file does not contain documentation of a physical exam.”

8VAC20-800-50-A

“Based on record review the family day home does not keep a written record of children in attendance each day. Evidence: The most recent documented attendance for the family day home was dated 5/4/2023.”

8VAC20-800-140-B-3

“Based on record review and interview, the Provider does not have current certification in cardiopulmonary resuscitation (CPR). Evidence: The Providers CPR certification expired 4/25/2023. The Provider confirmed that they had not yet renewed their training.”

8VAC20-800-680-B

“Based on observation, hand washing requirements were not met. Evidence: Children were observed taking snacks (chips and graham crackers) out of their personal bags and eating the snacks on the Providers couch. The children's did not wash their hands prior to eating.”

22.1-289.035-A

“Based on record review and interview, the Provider did not undergo subsequent background checks every five years. Evidence: The Providers most recent fingerprint background check is dated 3/12/2023. The Provider stated that they did not know that they needed to renew their fingerprint background check.”

8VAC20-800-50-C

“Based on observation, information contained in a child's record shall be privileged and confidential. Evidence: The Supplemental Pages from the last two inspections which clearly state "DO NOT POST" were observed posted on the Providers wall.”

8VAC20-800-240-A

“Based on observation, areas of the family day home were not maintained in a clean and safe condition. Evidence: There were tissues, food wrappers, food crumbs and dirt debris on the floor in the children's play area. The children were observed sitting, playing and laying on the floors.”

8VAC20-800-90-A

“Based on record review and interview, the provider did not obtain documentation of immunizations for each child prior to the first date of enrollment. Evidence: Child #4 (date of enrollment: 4/20/2022) record does not contain documentation of immunizations.”

8VAC20-800-140-B-4

“Based on record review and interview, the Provider does not have current certification in first aid. Evidence: The Providers first aid certification expired 4/25/2023. The Provider confirmed that they had not yet renewed their training.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical exam for each child within the first 30 days of attendance. Evidence: Child #4 (date of enrollment: 4/20/2022) file does not contain documentation of a physical exam.”

8VAC20-800-50-A

“Based on record review the family day home does not keep a written record of children in attendance each day. Evidence: The most recent documented attendance for the family day home was dated 5/4/2023.”

8VAC20-800-140-B-3

“Based on record review and interview, the Provider does not have current certification in cardiopulmonary resuscitation (CPR). Evidence: The Providers CPR certification expired 4/25/2023. The Provider confirmed that they had not yet renewed their training.”

8VAC20-800-680-B

“Based on observation, hand washing requirements were not met. Evidence: Children were observed taking snacks (chips and graham crackers) out of their personal bags and eating the snacks on the Providers couch. The children's did not wash their hands prior to eating.”

22.1-289.035-A

“Based on record review and interview, the Provider did not undergo subsequent background checks every five years. Evidence: The Providers most recent fingerprint background check is dated 3/12/2023. The Provider stated that they did not know that they needed to renew their fingerprint background check.”

8VAC20-800-50-C

“Based on observation, information contained in a child's record shall be privileged and confidential. Evidence: The Supplemental Pages from the last two inspections which clearly state "DO NOT POST" were observed posted on the Providers wall.”

8VAC20-800-50-A

“Based on record review the family day home does not keep a written record of children in attendance each day. Evidence: The provider did not have any documentation of attendance taken prior to the current week. This was previously cited on 6/30/2022.”

8VAC20-800-90-A

“Based on record review and interview, the provider did not obtain documentation of immunizations for each child prior to the first date of enrollment. Evidence: Child #1 record does not contain documentation of immunizations.”

8VAC20-800-770

“Based on observation, the provider does not have a working battery-operated weather band radio. Evidence: The provider did not have the correct size batteries for the radio to work.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical exam for each child within the first 30 days of attendance. Evidence: Child #1 (date of enrollment: 4/20/2022) file does not contain documentation of a physical exam.”

8VAC20-800-50-A

“Based on record review the family day home does not keep a written record of children in attendance each day. Evidence: The provider did not have any documentation of attendance taken prior to the current week. This was previously cited on 6/30/2022.”

8VAC20-800-90-A

“Based on record review and interview, the provider did not obtain documentation of immunizations for each child prior to the first date of enrollment. Evidence: Child #1 record does not contain documentation of immunizations.”

8VAC20-800-770

“Based on observation, the provider does not have a working battery-operated weather band radio. Evidence: The provider did not have the correct size batteries for the radio to work.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical exam for each child within the first 30 days of attendance. Evidence: Child #1 (date of enrollment: 4/20/2022) file does not contain documentation of a physical exam.”

8VAC20-790-180-B

“Based on record review and interview, the vendor has not maintained a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The most recent documented attendance for children in care is dated 4/15/2022.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: The inspection that is posted at the providers home is dated 6/3/2020. The providers most recent inspection was 10/14/2021.”

8VAC20-800-430-A

“Based on observation, children under two years of age had access to stairs. Evidence: 1. At the start of the inspection, the children were observed playing freely with the door to the basement open; there is no gate at the top of the stairs. 2. During the inspection, the children moved to the basement area; there is a gate at the bottom of the stairs, however the gate was left open. 3. Child #3 is 18 months old. Child #4 is 19 months old.”

8VAC20-800-210-A

“Based on record review, caregivers have not obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider did not have any training documented in 2021.”

8VAC20-800-80-A

“Based on record review, the provider did not obtain documentation to verify a child's age and identity within the first seven days of attendance. Evidence: Child #3 (date of enrollment: 7/19/2021) record does not contain documentation of the child's age and identity.”

8VAC20-800-830-A

“Based on record review and interview, emergency evacuation procedures were not practiced monthly. Evidence: The most recent documented evacuation drills was practiced in March 2022. The provider stated that they had knee surgery in April 2022 and hasn't been able to practice evacuating the house with the children.”

8VAC20-800-50-A

“Based on record review and interview, the family day home has not kept a written record of children in attendance each day. Evidence: Attendance records indicate that attendance has not been documented since April 15, 2022. The provider confirmed that they has not been documenting attendance.”

8VAC20-800-800-A

“Based on interview, the family day home does not have a written emergency preparedness and response plan. Evidence: When asked for the emergency preparedness plan, the provider confirmed that they did not have one.”

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets. Evidence: One unused outlet without a protective cover was observed upstairs and four unused outlets without protective covers were observed downstairs.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, such as cleaning agents and disinfectants were not kept inaccessible to children. Evidence: At the start of the inspection, there was one can of spray disinfectant observed sitting on the floor next to the couch upstairs, and one can of spray disinfectant observed on the side table next to the couch downstairs.”

8VAC20-800-240-A

“Based on observation, areas of the family day home were not maintained in a clean, safe and operable condition. Evidence: There were food wrappers, food crumbs and dirt debris on the floors on the main level and in the basement play area. The children were observed sitting, playing and laying on the floors.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical exam for each child within the first 30 days of attendance. Evidence: Child #3 (date of enrollment: 7/19/2021) file does not contain documentation of a physical exam.”

8VAC20-800-920

“Based on observation, menu requirements were not met when meals and snacks are provided by the family day home. Evidence: The food menu that is posted is not dated.”

8VAC20-790-180-B

“Based on record review and interview, the vendor has not maintained a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The most recent documented attendance for children in care is dated 4/15/2022.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: The inspection that is posted at the providers home is dated 6/3/2020. The providers most recent inspection was 10/14/2021.”

8VAC20-800-430-A

“Based on observation, children under two years of age had access to stairs. Evidence: 1. At the start of the inspection, the children were observed playing freely with the door to the basement open; there is no gate at the top of the stairs. 2. During the inspection, the children moved to the basement area; there is a gate at the bottom of the stairs, however the gate was left open. 3. Child #3 is 18 months old. Child #4 is 19 months old.”

8VAC20-800-210-A

“Based on record review, caregivers have not obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider did not have any training documented in 2021.”

8VAC20-800-80-A

“Based on record review, the provider did not obtain documentation to verify a child's age and identity within the first seven days of attendance. Evidence: Child #3 (date of enrollment: 7/19/2021) record does not contain documentation of the child's age and identity.”

8VAC20-800-830-A

“Based on record review and interview, emergency evacuation procedures were not practiced monthly. Evidence: The most recent documented evacuation drills was practiced in March 2022. The provider stated that they had knee surgery in April 2022 and hasn't been able to practice evacuating the house with the children.”

8VAC20-800-50-A

“Based on record review and interview, the family day home has not kept a written record of children in attendance each day. Evidence: Attendance records indicate that attendance has not been documented since April 15, 2022. The provider confirmed that they has not been documenting attendance.”

8VAC20-800-800-A

“Based on interview, the family day home does not have a written emergency preparedness and response plan. Evidence: When asked for the emergency preparedness plan, the provider confirmed that they did not have one.”

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets. Evidence: One unused outlet without a protective cover was observed upstairs and four unused outlets without protective covers were observed downstairs.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, such as cleaning agents and disinfectants were not kept inaccessible to children. Evidence: At the start of the inspection, there was one can of spray disinfectant observed sitting on the floor next to the couch upstairs, and one can of spray disinfectant observed on the side table next to the couch downstairs.”

8VAC20-800-240-A

“Based on observation, areas of the family day home were not maintained in a clean, safe and operable condition. Evidence: There were food wrappers, food crumbs and dirt debris on the floors on the main level and in the basement play area. The children were observed sitting, playing and laying on the floors.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical exam for each child within the first 30 days of attendance. Evidence: Child #3 (date of enrollment: 7/19/2021) file does not contain documentation of a physical exam.”

8VAC20-800-920

“Based on observation, menu requirements were not met when meals and snacks are provided by the family day home. Evidence: The food menu that is posted is not dated.”

22VAC40-111-100-A

“Based on a review of documentation and interview, the provider has not obtained a physical exam for each child within 30 days of enrollment. Evidence: 1. Child #1 (date of enrollment: 6/4/2021) file does not contain a physical exam. 2. Child #2 (date of enrollment: 2/9/2021) file does not contain a physical exam.”

22VAC40-111-170-A

“Based on interview, the provider has not obtained a negative tuberculosis (TB) screening for each adult household member. Evidence: Household member #2 turned 18 years old in March of 2020. The provider has confirmed that household member #2 has not received a TB screening. This was previously cited in September 2020.”

22VAC40-111-100-A

“Based on a review of documentation and interview, the provider has not obtained a physical exam for each child within 30 days of enrollment. Evidence: 1. Child #1 (date of enrollment: 6/4/2021) file does not contain a physical exam. 2. Child #2 (date of enrollment: 2/9/2021) file does not contain a physical exam.”

22VAC40-111-170-A

“Based on interview, the provider has not obtained a negative tuberculosis (TB) screening for each adult household member. Evidence: Household member #2 turned 18 years old in March of 2020. The provider has confirmed that household member #2 has not received a TB screening. This was previously cited in September 2020.”