Kathleen Edwards

8VAC20-800-240-A

“Based on observation and interview, it was determined that the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. Upon walking up to the family day home, the brick steps to the entrance of the home are damaged with pieces of sharp brick exposed and in reach of children. This poses as a tripping and injury hazard to the children in care. 2. Staff #1 confirmed that the brick steps to go into the family day home is damaged and is aware that this is both a tripping and injury hazard to the children in care.”

8VAC20-800-240-A

“Based on observation and interview, it was determined that the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. Upon walking up to the family day home, the brick steps to the entrance of the home are damaged with pieces of sharp brick exposed and in reach of children. This poses as a tripping and injury hazard to the children in care. 2. Staff #1 confirmed that the brick steps to go into the family day home is damaged and is aware that this is both a tripping and injury hazard to the children in care.”

8VAC20-800-280

“Based on observation and interview, it was determined that the provider did not ensure that 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. Evidence: 1. In the kitchen, there were 2 bottles of bug/ant/insect killer, 1 can of deodorizer sprays, 1 can of disinfectant spray, and a bottle of disinfectant wipes, on top of the refrigerator beside the children’s cereal. 2. Staff #1 confirmed the 6 bottles of potentially poisonous substances were stored close to the cereal.”

8VAC20-800-280

“Based on observation and interview, it was determined that the provider did not ensure that 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. Evidence: 1. In the kitchen, there were 2 bottles of bug/ant/insect killer, 1 can of deodorizer sprays, 1 can of disinfectant spray, and a bottle of disinfectant wipes, on top of the refrigerator beside the children’s cereal. 2. Staff #1 confirmed the 6 bottles of potentially poisonous substances were stored close to the cereal.”

8VAC20-800-60-A

“Based on record review and interview, the provider did not ensure that children's record contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. 1. In review of five children’s record, 4 of the 5 record did not contain the required emergency contact information. a. Child #1 had one of the two designated persons to contact. b. Child #2 had no address or phone number for both names listed. c. Child #3 did not have any emergency contact listed. d. Child #4 did not have the street address listed for the emergency contacts. 2. Staff #1 confirmed that the 4 of the 5 records did not contact the required information regarding the emergency contacts.”

8VAC20-800-410

“Based on observation and interview, it was determined that the provider did not ensure that portable electric fans be securely mounted out of the reach of children. Evidence: 1. In the children’s common area in the home was a running floor fan in reach of children. 2. Staff #1 confirmed that the running fan was used routinely and in reach of children.”

8VAC20-800-240-A

“Based on observation and interview, it was determined that the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. The concrete area on the steps going into the family day home is cracked and elevated which poses a tripping and injury hazards to children in care. 2. The tall lamp post in the common child care area is unstable and leaning against the wall and TV stand. This poses as a falling hazards. Children sleep and nap in close proximity to the lamp. 3. The hallway towards the bathroom and education room has several boxes and cases of water and soda which minimizes the walking area to and from the rooms. This poses as a tripping hazard to the children in care. 4. The common child care area has several boxes and paperwork items stacked throughout the room which poses as a tripping and tipping hazard to the children. Children nap in close proximity to these items. 5. Staff #1 confirmed the physical plant concerns inside and out of the home and that items in the home poses tripping and injury hazards to the children in care.”

8VAC20-800-280

“Based on observation and interview, it was determined that the provider did not ensure that poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, and pesticides be stored away in areas inaccessible to children. Evidence: 1. Upon entrance to the home were two cans of pesticides that have a warning label to keep out of reach of children. The two cans were accessible to children. 2. The kitchen had two cans of disinfectant wipes that have a warning label, ?Harmful to humans? that were in reach of children in care. 3. Staff #1 confirmed that the substances outdoor and in the kitchen were in reach of children.”

8VAC20-800-520-A

“Based on observation and interview, the provider did not ensure that a crib be provided for children from birth through 12 months of age. Evidence: 1. Child #1, three months old, was sleeping on a bed. 2. The crib in the home was piled with bags, a car seat, and clothing. 3. Staff #1 confirmed that there is a crib available however is placing Child #1 on the bed to sleep.”

22.1-289.058

“Based on observation and interview, it was determined that the provider did not ensure that a carbon monoxide detector was in the home. Evidence: 1. There was no carbon monoxide detector in the home. 2. Staff #1 confirmed there was no carbon monoxide detector in the home.”

8VAC20-800-500-F

“Based on observation and interview, the provider did not ensure that trampolines are not to be used during the hours children are in care. Evidence: 1. In the outdoor play area, inspectors observed a 40 inch trampoline for children to play on. 2. Staff #1 confirmed that the trampoline is used for outdoor play while children are in care.”

8VAC20-800-100-A

“Based on record review and interview, it was determined that the provider did not ensure that there is 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. Child #2 (date of enrollment 4/7/19) did not have a physical in their record. 2. Staff #1 confirmed that there was no physical to the child’s record.”

8VAC20-800-60-A

“Based on record review and interview, the provider did not ensure that children's record contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. 1. In review of five children’s record, 4 of the 5 record did not contain the required emergency contact information. a. Child #1 had one of the two designated persons to contact. b. Child #2 had no address or phone number for both names listed. c. Child #3 did not have any emergency contact listed. d. Child #4 did not have the street address listed for the emergency contacts. 2. Staff #1 confirmed that the 4 of the 5 records did not contact the required information regarding the emergency contacts.”

8VAC20-800-410

“Based on observation and interview, it was determined that the provider did not ensure that portable electric fans be securely mounted out of the reach of children. Evidence: 1. In the children’s common area in the home was a running floor fan in reach of children. 2. Staff #1 confirmed that the running fan was used routinely and in reach of children.”

8VAC20-800-240-A

“Based on observation and interview, it was determined that the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. The concrete area on the steps going into the family day home is cracked and elevated which poses a tripping and injury hazards to children in care. 2. The tall lamp post in the common child care area is unstable and leaning against the wall and TV stand. This poses as a falling hazards. Children sleep and nap in close proximity to the lamp. 3. The hallway towards the bathroom and education room has several boxes and cases of water and soda which minimizes the walking area to and from the rooms. This poses as a tripping hazard to the children in care. 4. The common child care area has several boxes and paperwork items stacked throughout the room which poses as a tripping and tipping hazard to the children. Children nap in close proximity to these items. 5. Staff #1 confirmed the physical plant concerns inside and out of the home and that items in the home poses tripping and injury hazards to the children in care.”

8VAC20-800-280

“Based on observation and interview, it was determined that the provider did not ensure that poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, and pesticides be stored away in areas inaccessible to children. Evidence: 1. Upon entrance to the home were two cans of pesticides that have a warning label to keep out of reach of children. The two cans were accessible to children. 2. The kitchen had two cans of disinfectant wipes that have a warning label, ?Harmful to humans? that were in reach of children in care. 3. Staff #1 confirmed that the substances outdoor and in the kitchen were in reach of children.”

8VAC20-800-520-A

“Based on observation and interview, the provider did not ensure that a crib be provided for children from birth through 12 months of age. Evidence: 1. Child #1, three months old, was sleeping on a bed. 2. The crib in the home was piled with bags, a car seat, and clothing. 3. Staff #1 confirmed that there is a crib available however is placing Child #1 on the bed to sleep.”

22.1-289.058

“Based on observation and interview, it was determined that the provider did not ensure that a carbon monoxide detector was in the home. Evidence: 1. There was no carbon monoxide detector in the home. 2. Staff #1 confirmed there was no carbon monoxide detector in the home.”

8VAC20-800-500-F

“Based on observation and interview, the provider did not ensure that trampolines are not to be used during the hours children are in care. Evidence: 1. In the outdoor play area, inspectors observed a 40 inch trampoline for children to play on. 2. Staff #1 confirmed that the trampoline is used for outdoor play while children are in care.”

8VAC20-800-100-A

“Based on record review and interview, it was determined that the provider did not ensure that there is 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. Child #2 (date of enrollment 4/7/19) did not have a physical in their record. 2. Staff #1 confirmed that there was no physical to the child’s record.”

8VAC20-800-280

“Based on observation at the home, it was determined that the provider did not ensure that potentially poisonous substances are kept in areas inaccessible to the children. Evidence: There were multiple potentially poisonous substances found throughout spaces used by children including, but not limited to: clorox wipes on the back of the toilet, Goody hangover pills on a table in the living room and hair gel on a table in the living room.”

8VAC20-800-60-A

“Based on a review of two children's records, it was determined that the provider did not ensure that elements were present in each child's record. Evidence: !. The record for child #1, who was in care at the time of the inspection, contained only one of the two required emergency contact persons. 2. The record for child #2, who was in care at the time of the inspection, did not contain addresses for the two emergency contact persons. 3. Provider verified that information was missing.”

8VAC20-800-240-A

“Based on observation, it was determined that the vendor did not ensure that all areas of the home, inside and outside were maintained in a safe manner. Evidence: There were nails sticking out on the porch that the children pass by on their way to the outdoor play area”

8VAC20-800-250-B

“Based on observation of the areas used by the children, it was determined that the provider did not ensure that children were protected from choking hazards. Evidence: There was an open package of small batteries on a table in the living room.”