Lecrea Westmoreland

8VAC20-800-100-A

“The provider shall obtain 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. There was no physical on file for child #1.”

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 according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. There was no immunization documentation for child #1.”

8VAC20-800-60-B

“A child's record shall contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. The record for child #2 did not contain one of the two required emergency contacts, this child has been enrolled for over five months. The record for child #3 did not contain the address for one of the two required emergency contacts, this child has been enrolled for over three months.”

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 according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. There was no documentation of being adequately immunized for child #2 and child #3, who were in care during the inspection and had been in care for five months and three months, repsectively.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Record for Child #1did not have a parent’s signature for an annual review of the emergency contact information. Child #1 had been in care for over a year.”

22.1-289.011-F

“Based on observation and interview it was determined the provider did not have the result of the last inspection posted in a conspicuous place as required by the Superintendent. Evidence: 1. The last inspection was not posted. 2. Provider confirmed there was no inspection report posted during this inspection.”

8VAC20-800-780-B

“Based on record review and interview it was determined the provider did not annually review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence: 1. The record for child #1(enrolled 10/10/22) did not contain documentation of an annual review. 2. Provider confirmed that this record had not been reviewed with the parent.”

8VAC20-800-60-B

“Based on record review and interview it was determined the provider did not ensure each child's record contained all of the required information. Evidence: 1. The records for child #4 and #5 did not contain the addresses for the required emergency contacts. 2. The record for child #2 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. 3. Provider confirmed these children were in care and the information was not in the records during this inspection.”

8VAC20-800-100-A

“Based on record review and interview it was determined the provider did not obtain 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. The records for child #3(enrolled 12/19/23) and #5(enrolled 1/22/24) did not contain documentation of a physical examination by or under the direction of a physician. 2. Provider confirmed these children were in care and the information was not in the records during this inspection.”

8VAC20-800-800-B

“Based on record review and interview it was determined the provider did not ensure the emergency plan at least annually and update the plan as needed. Evidence: 1. The emergency preparedness plan had not been updated within the last year. 2. Provider confirmed the plan needed to be reviewed.”

8VAC20-800-90-A

“Based on record review and interview it was determined the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before a child may attend the family day home. Evidence: 1. The record for child #3(enrolled 3/1/23 and present during inspection) did not contain documentation that the child has been adequately immunized. 2. The documentation available did not contain a doctor's signature or statement that the child had been adequately immunized. 3. Provider confirmed that this documentation was not available during the inspection.”

8VAC20-800-770

“Based on observation and interview it was determined the provider did not ensure that there was a working portable battery-operated weather band radio available to caregivers at all times. Evidence: 1. There was a weather band radio in the provider's emergency bag however; the radio did not work. 2. The provider reported that they were unsure as to how to operate the radio during this inspection.”

8VAC20-800-350-E

“Based on measurement it was determined that the provider did not ensure that the hot water taps available to children shall be maintained within a range of 105?F to 120?F. Evidence: 1. The hot water measured at 136.1 degrees Fahrenheit. 2. The provider confirmed that they had not been able to turn the hot water temperature down.”

8VAC20-800-60-A

“Based on record review it was determined that the provider did not ensure that the record for each child was up-to-date. Evidence: 1. The record for child #2 did not contain the required work information for the parents. 2. The provider confirmed that this information was not available during this inspection.”

8VAC20-800-100-A

“Based on record review it was determined that the provider obtain 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. The records for child #1 and child #2 did not contain documentation of a physical examination. 2. The provider confirmed that these records were not available during this inspection.”

8VAC20-800-350-E

“Based on measurement and observation it was determined the provider did not ensure that hot water at taps available to children were maintained within a range of 105?F to 120?F. Evidence: The temperature of the hot water in the kitchen and bathroom measured at 137.8 degrees Fahrenheit. These taps are accessible to children in care.”

8VAC20-800-60-B

“Based on record review it was determined the provider did not ensure the record for each child contained all of the required information. Evidence: 1. The record for child #1 did not contain the first date of attendance and medical insurance policy number. 2. The record for child #2 did not contain the addresses and phone numbers for the parent's place of employment and medical insurance policy number. 3. The record for child #3 did not contain the medical insurance policy number.”

8VAC20-800-240-A

“Based on observation it was determined the provider did not ensure that all furnishings of the family day home, were maintained in a safe condition. Evidence: There was an unanchored 6' bookcase in the office that rocked when pulled on. Children have access to this area when in care.”