Katrina Nelson

8VAC20-800-830-A

“Based on review of documentation and interview, the provider failed to practice monthly evacuation drill. Evidence: 1. The practice evacuation drills documented for 2023 did not include an evacuation drill for July 2023. 2. During an interview, the provider acknowledged the last drill was conducted on 6/19/2023.”

8VAC20-800-240-A

“Based on observation and interview, the provider failed to ensure areas and equipment of the home, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1.The changing table had visible brown stains and coffee beans were observed underneath the changing pad. 2. During an interview, the provider acknowledged spilled coffee beans were under the changing pad and the changing table was not clean.”

8VAC20-800-690-D

“Based on observation, the provider did not ensure that the diapering surface was nonabsorbent. Evidence: 1.The diaper changing pad on the changing table had tears making it an absorbent surface. 2. Children were observed being diapered on the torn changing pad.”

22.1-289.011-F

“Based on observation, the provider failed to ensure the license was posted in a conspicuous place. Evidence: The provider was not able to locate the license during the inspection.”

8VAC20-800-830-A

“Based on review of documentation and interview, the provider failed to practice monthly evacuation drill. Evidence: 1. The practice evacuation drills documented for 2023 did not include an evacuation drill for July 2023. 2. During an interview, the provider acknowledged the last drill was conducted on 6/19/2023.”

8VAC20-800-240-A

“Based on observation and interview, the provider failed to ensure areas and equipment of the home, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1.The changing table had visible brown stains and coffee beans were observed underneath the changing pad. 2. During an interview, the provider acknowledged spilled coffee beans were under the changing pad and the changing table was not clean.”

8VAC20-800-690-D

“Based on observation, the provider did not ensure that the diapering surface was nonabsorbent. Evidence: 1.The diaper changing pad on the changing table had tears making it an absorbent surface. 2. Children were observed being diapered on the torn changing pad.”

22.1-289.011-F

“Based on observation, the provider failed to ensure the license was posted in a conspicuous place. Evidence: The provider was not able to locate the license during the inspection.”

8VAC20-800-780-B

“Based on record review and interview, the provider failed to annually review contact information for 3 children to ensure the information was correct. Evidence: 1 Child #1(start date 8/30/21), Child #4 (start date 6/22/20) and child #5 (start date 7/2/19) did not document annual reviews for 2022 to ensure emergency contact information was correct. 2. During an interview with the provider, it was acknowledged that the annual reviews were not completed.”

8VAC20-800-170-A

“Based on record review and interview, the provider did not ensure to obtain a current Report of Tuberculosis Screening published by the Virginia Department of Health or a form consistent with it documenting the absence of a communicable form for adult household member prior to coming into contact with children. Evidence: 1. The record for adult household member #1 did not contain documentation of a tuberculosis screening. 2. During an interview with the provider, it was acknowledged that a tuberculosis screening has not been conducted.”

8VAC20-800-460-C

“Based on documentation reviewed and interview, the Provider failed to ensure all household pets (dogs or cats) are vaccinated for rabies and treated for fleas, ticks or worms as needed. EVIDENCE: 1. The provider's 3 dogs were observed in the backyard. 2. Vaccinations for the 3 dogs expired on 2/15/2023. 3. During an interview, the provider confirmed the vaccinations were expired.”

8VAC20-770-40-D-4-a

“Based on record review and interview, the provider failed to ensure a sworn disclosure statement and criminal history record check was completed for one household member within 30 days of the person turning 18 years old. Evidence: 1. Household member #1 became 18 years of age on 4/6/2023 and did not have documentation of a sworn disclosure statement or criminal history record check. 2. During an interview with the provider, household member #1's birthdate was confirmed as correct and the provider acknowledged the sworn disclosure statement and criminal history record check has not been completed.”

8VAC20-800-780-B

“Based on record review and interview, the provider failed to annually review contact information for 3 children to ensure the information was correct. Evidence: 1 Child #1(start date 8/30/21), Child #4 (start date 6/22/20) and child #5 (start date 7/2/19) did not document annual reviews for 2022 to ensure emergency contact information was correct. 2. During an interview with the provider, it was acknowledged that the annual reviews were not completed.”

8VAC20-800-170-A

“Based on record review and interview, the provider did not ensure to obtain a current Report of Tuberculosis Screening published by the Virginia Department of Health or a form consistent with it documenting the absence of a communicable form for adult household member prior to coming into contact with children. Evidence: 1. The record for adult household member #1 did not contain documentation of a tuberculosis screening. 2. During an interview with the provider, it was acknowledged that a tuberculosis screening has not been conducted.”

8VAC20-800-460-C

“Based on documentation reviewed and interview, the Provider failed to ensure all household pets (dogs or cats) are vaccinated for rabies and treated for fleas, ticks or worms as needed. EVIDENCE: 1. The provider's 3 dogs were observed in the backyard. 2. Vaccinations for the 3 dogs expired on 2/15/2023. 3. During an interview, the provider confirmed the vaccinations were expired.”

8VAC20-770-40-D-4-a

“Based on record review and interview, the provider failed to ensure a sworn disclosure statement and criminal history record check was completed for one household member within 30 days of the person turning 18 years old. Evidence: 1. Household member #1 became 18 years of age on 4/6/2023 and did not have documentation of a sworn disclosure statement or criminal history record check. 2. During an interview with the provider, household member #1's birthdate was confirmed as correct and the provider acknowledged the sworn disclosure statement and criminal history record check has not been completed.”

8VAC20-800-180-A

“Based on review of caregiver records, the provider did not obtain for each caregiver a current tuberculosis screening every two years from the date of the first screening. Evidence: The record of caregiver #2 contained documentation of a tuberculosis screening dated 10/20/2019, exceeding two years.”

8VAC20-800-210-A

“Based on review of caregiver records and interview, the provider did not ensure in addition to first aid and CPR training, caregivers obtained a minimum of 16 hours of training annually. Evidence: 1. The provider had documentation of three hours of training completed during the training period. The provider stated she could not locate her own record containing her remaining training hours for the year of September 17, 2021 through September 16, 2022. A total of 13 hours was missing. 2. The record of caregiver #2 contained documentation of 3 hours of annual training for the period 03/03/2021- 03/02/2022. A total of 13 hours was missing.”

8VAC20-800-280

“Based on observation, the provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants and deodorizers were stored in area inaccessible to children. Evidence: Two canisters of cleaning agents were observed under the bathroom sink in the unlocked cabinet. The bathroom is used by children in care.”

8VAC20-800-320-B

“Based on observation, the provider did not ensure child-resistant protective covers were installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: Two electrical outlets located in the living room where children were in care did not have protective covers installed.”

8VAC20-800-330-A

“Based on interview, the provider did not have a landline telephone available, operable, and accessible during the family day home’s hours of operation. Evidence: The provider stated she did not have a telephone in the home but did have service for one.”

8VAC20-800-90-A

“Based on review of four children’s records, the provider did not obtain documentation that a child had been adequately immunized before a child attended the family day home. Evidence: 1. The record of child #1, enrolled 05/23/2022, contained documentation of immunizations dated 05/25/2022, exceeding the first day of enrollment. 2. The record of child #2, enrolled 08/15/2022, contained documentation of immunizations dated 08/23/2022, exceeding the first day of enrollment 3. The record of child #3, enrolled 09/06/2022, contained documentation of immunizations dated 09/12/2022, exceeding the first day of enrollment”

8VAC20-800-180-A

“Based on review of caregiver records, the provider did not obtain for each caregiver a current tuberculosis screening every two years from the date of the first screening. Evidence: The record of caregiver #2 contained documentation of a tuberculosis screening dated 10/20/2019, exceeding two years.”

8VAC20-800-210-A

“Based on review of caregiver records and interview, the provider did not ensure in addition to first aid and CPR training, caregivers obtained a minimum of 16 hours of training annually. Evidence: 1. The provider had documentation of three hours of training completed during the training period. The provider stated she could not locate her own record containing her remaining training hours for the year of September 17, 2021 through September 16, 2022. A total of 13 hours was missing. 2. The record of caregiver #2 contained documentation of 3 hours of annual training for the period 03/03/2021- 03/02/2022. A total of 13 hours was missing.”

8VAC20-800-280

“Based on observation, the provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants and deodorizers were stored in area inaccessible to children. Evidence: Two canisters of cleaning agents were observed under the bathroom sink in the unlocked cabinet. The bathroom is used by children in care.”

8VAC20-800-320-B

“Based on observation, the provider did not ensure child-resistant protective covers were installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: Two electrical outlets located in the living room where children were in care did not have protective covers installed.”

8VAC20-800-330-A

“Based on interview, the provider did not have a landline telephone available, operable, and accessible during the family day home’s hours of operation. Evidence: The provider stated she did not have a telephone in the home but did have service for one.”

8VAC20-800-90-A

“Based on review of four children’s records, the provider did not obtain documentation that a child had been adequately immunized before a child attended the family day home. Evidence: 1. The record of child #1, enrolled 05/23/2022, contained documentation of immunizations dated 05/25/2022, exceeding the first day of enrollment. 2. The record of child #2, enrolled 08/15/2022, contained documentation of immunizations dated 08/23/2022, exceeding the first day of enrollment 3. The record of child #3, enrolled 09/06/2022, contained documentation of immunizations dated 09/12/2022, exceeding the first day of enrollment”

22VAC40-665-230-H

“Based on review of caregivers training and interview, the provider did not ensure Caregivers who work directly with children in addition to preservice and orientation training annually attend at least 16 hours of training, to include the department's health and safety update course. Evidence: 1. Caregiver #2 completed Virginia preservice on 07/19/2017 and had until 03/01/2020 to complete the training, and then every 12 months thereafter. Caregiver #2 did not have documentation of completing the health and safety training. 2. The provider stated the updated health and safety training had not been completed.”

22VAC40-111-550

“Based on interview, the provider did not ensure where used, a play pen shall not be the designated sleeping area. Evidence: 1. The provider stated that child #2, 3 months in age, slept in the pack-n-play daily that was provided by the parent. 2. During the time of the inspection, the unassembled crib was being stored in the shed.”

22VAC40-111-280

“Based on observation and interview, the provider did not ensure potentially poisonous substances, materials and supplies were stored away from food in areas inaccessible to children. Evidence: During the virtual tour of the home, a bottle of mouthwash was observed on the counter of the bathroom sink. The bathroom is used by children in care.”

22VAC40-111-90-A

“Based on review of children's records, the provider did not obtain documentation that each child had been adequately immunized before the child attended the family day home. Evidence: 1. The record of child #1, enrolled 08/30/2021, had documentation of immunizations dated 09/03/2021 exceeding the first day of attendance. 2. The records of child #2, enrolled 10/04/2021, did not contain documentation of immunizations.”

22VAC40-111-180-A

“Based on review of caregiver records and interview, the provider did not obtain a current Report of Tuberculosis Screening form for each caregiver and adult household member every two years from the date of the first screening. Evidence: 1. The most recent tuberculosis screening for caregiver #1 was dated 09/05/2019, exceeding the requirement to renew every two years from the date of the first screening. 2. Caregiver #1 stated she had not obtained an updated tuberculosis screening.”

22VAC40-665-230-H

“Based on review of caregivers training and interview, the provider did not ensure Caregivers who work directly with children in addition to preservice and orientation training annually attend at least 16 hours of training, to include the department's health and safety update course. Evidence: 1. Caregiver #2 completed Virginia preservice on 07/19/2017 and had until 03/01/2020 to complete the training, and then every 12 months thereafter. Caregiver #2 did not have documentation of completing the health and safety training. 2. The provider stated the updated health and safety training had not been completed.”

22VAC40-111-550

“Based on interview, the provider did not ensure where used, a play pen shall not be the designated sleeping area. Evidence: 1. The provider stated that child #2, 3 months in age, slept in the pack-n-play daily that was provided by the parent. 2. During the time of the inspection, the unassembled crib was being stored in the shed.”

22VAC40-111-280

“Based on observation and interview, the provider did not ensure potentially poisonous substances, materials and supplies were stored away from food in areas inaccessible to children. Evidence: During the virtual tour of the home, a bottle of mouthwash was observed on the counter of the bathroom sink. The bathroom is used by children in care.”

22VAC40-111-90-A

“Based on review of children's records, the provider did not obtain documentation that each child had been adequately immunized before the child attended the family day home. Evidence: 1. The record of child #1, enrolled 08/30/2021, had documentation of immunizations dated 09/03/2021 exceeding the first day of attendance. 2. The records of child #2, enrolled 10/04/2021, did not contain documentation of immunizations.”

22VAC40-111-180-A

“Based on review of caregiver records and interview, the provider did not obtain a current Report of Tuberculosis Screening form for each caregiver and adult household member every two years from the date of the first screening. Evidence: 1. The most recent tuberculosis screening for caregiver #1 was dated 09/05/2019, exceeding the requirement to renew every two years from the date of the first screening. 2. Caregiver #1 stated she had not obtained an updated tuberculosis screening.”