Laurie McCreedy

8VAC20-800-350-E

“Hot water at taps available to children shall be maintained within a range of 105?F to 120?F. The hand washing sink in the bathroom was reading at a temperature of 130?F.”

8VAC20-800-350-E

“Hot water at taps available to children shall be maintained within a range of 105?F to 120?F. The hand washing sink in the bathroom was reading at a temperature of 139.5?F.”

8VAC20-800-500-C

“Based on observation, stationary outdoor play equipment was placed over a hard surface. Evidence: 1. The slide and swing areas of the play structure had hard ground under them. (No grass or other resilient surfacing was present.)”

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children's hands were washed with soap and water after diapering. Evidence: 1. The provider changed one child's diaper and then wiped the child's hands with a baby wipe, and was then released to play.”

8VAC20-800-430-A

“Based on observation, children under the age of two years had direct access to stairs. Evidence: 1. The provider had three children in care under two years of age that had access to stairs in.the playroom. (Ages 12 months, 21 months, and 21 months).”

8VAC20-800-680-A

“Based on observation, the provider did not wash their hands with soap and water after diapering a child. Evidence: 1. The provider finished diapering a child, and wiped her hands with a baby wipe, before diapering another child.”

8VAC20-800-690-D

“Based on observation, The diapering surface was not cleaned and sanitized after each use. Evidence: 1. Following a diaper change of child #1, the changing mat was not cleaned with a soap and water solution and then sanitized with a bleach and water solution before another child's diaper was changed.”

8VAC20-800-750-B

“Based on observation and interview with the provider, topical skin products were not kept inaccessible to children. Evidence: 1. Two diaper ointments were accessible to children on a low shelf in the playroom.”

8VAC20-800-870-C

“Based on observation and interview with the provider, there is a period of more than three hours between meal times. Evidence: 1. The posted menu lists morning snack at 8:00 am, and the provider stated lunch was at 12:30 pm. The provider stated they typically have a snack between 10:00 am and 11:00 am, however no snack was served during those hours today.”

8VAC20-800-290

“Based on observation and interview with the provider, sharp objects were accessible to children. Evidence: 1. A map with push pins was on the wall in the play area, with several push pins on the map within reach of the children.”

8VAC20-800-50-C

“Based on observation, personally identifying information for the children was not kept privileged and confidential. Evidence: 1. The Supplemental Information page of the December 7, 2023 inspection was posted. Information found on the Supplemental Information page is considered confidential and not to be posted..”

8VAC20-800-280

“Based on observation, potentially poisonous substances were not stored in an area inaccessible to children. Evidence: 1. Hairspray and baby powder (both stating to be kept out of reach of children) were accessible to children on a low shelf in the playroom .”

8VAC20-800-570-A

“Based on observation and a review of children's records, the provider failed to ensure that the allowable points per caregiver did not exceed sixteen points. Evidence: On 5/15/2023 eight children were present with one caregiver for a total of 19 points. No additional qualified caregiver was on-site to assist with supervision.”

8VAC20-800-690-E

“Based on observation, a soiled diaper was not disposed of in a storage system that was either foot operated or used in such a way that the the caregiver's hands does not touch the exterior of the surface. Evidence: A soiled diaper was sitting on the kitchen floor by the trash can upon the Inspector's arrival. The Inspector observed the provider open the trash can door with her hand and drop the diaper into the can. It was not operated in a way that the caregiver's hand did not touch the exterior of the trash can during disposal. The provider stated she does not use the foot operated can downstairs to dispose of soiled diapers because it makes the room smell.”

8VAC20-800-100-A

“Based on record review, documentation of a physical within 30 days of enrollment was not available. Evidence: Child #1 re-enrolled in April 2023 and the provider has not moved the physical exam documentation into the current child's record.”

8VAC20-800-700-A

“Based on observation and record review, a non-prescription topical cream did not have the written authorization from the parent. Evidence: Child #2 has 2 diaper creams on-site and the file did not have written authorization for the provider to administer the diaper cream.”

8VAC20-800-40-A

“Based on observation and provider statement, the provider failed to ensure that the total number of children receiving care at any one time did not exceed the maximum licensed capacity of the home. Evidence: The license is currently issued for seven children. On the day of the inspection, eight children were present. After a conversation with the provider she stated that she enrolled and cares for up to 10 children since "the end of March". A review of the attendance sheet confirmed that on 4/21/23 ten children were present.”

8VAC20-800-90-C

“Based on record review and provider statement, the family day home did not obtain immunization documentation every six months for a child under two years of age. Evidence: Child #1's immunization record was updated 1/2022 and a follow-up immunization record was not in the child's record at the renewal study.”