Lisa Brooks

8VAC20-800-110-B

“Each physical examination report shall be signed by a licensed physician, the physician's designee, or an official of a local health department. The physical examination documentation reviewed for Child #2 did not contain a signature by a licensed physician, the physicians designee, or an official of a local health department, which is required.”

8VAC20-800-940-A

“Repeat Violation Temperatures shall be maintained at or below 40?F in refrigerator compartments and at or below 0?F in the freezer compartments. At the time of the inspection, the temperature reading for the refrigerator was 42?F and 6?F in the freezer. Both temperatures were not at or below the requirement.”

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years. Additional documentation of immunizations for Child #1 were not received every six months, which is required for children under the age of two.”

8VAC20-800-940-A

“Temperatures shall be maintained at or below 40?F in refrigerator compartments. At the time of the inspection, the temperature reading for the refrigerator was 46?F, which is not maintained at the required temperature.”

8VAC20-800-530-B

“Cribs when being used by infants shall have a tight-fitting bottom cover. An infant crib reviewed on the day of the inspection did not have a bottom cover.”

8VAC20-800-940-A

“Temperatures shall be maintained at or below 40?F in refrigerator compartments. At the time of the inspection, the temperature reading for the refrigerator was 46?F, which is not maintained at the required temperature.”

8VAC20-800-530-B

“Cribs when being used by infants shall have a tight-fitting bottom cover. An infant crib reviewed on the day of the inspection did not have a bottom cover.”

8VAC20-790-180-B

“Repeat Violation The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. On the day of the inspection, one child was not signed in on the daily attendance. All children are required to be signed in as they arrive.”

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. The emergency preparedness plan was not reviewed and updated annually, which is required. The last review and update was documented in 2020.”

8VAC20-800-680-B

“Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating. The children did not wash their hands prior to eating lunch, which is required.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a safe condition. The safety straps of a highchair were broken, making the highchair unsafe to use.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

8VAC20-800-770

“Repeat Violation A working portable battery-operated weather band radio and extra batteries shall be kept in a designated area and be available to caregivers at all times. On the day of the inspection, the radio at the home was not operable and there were no extra batteries, which is required.”

8VAC20-790-180-B

“Repeat Violation The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. On the day of the inspection, one child was not signed in on the daily attendance. All children are required to be signed in as they arrive.”

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. The emergency preparedness plan was not reviewed and updated annually, which is required. The last review and update was documented in 2020.”

8VAC20-800-680-B

“Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating. The children did not wash their hands prior to eating lunch, which is required.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a safe condition. The safety straps of a highchair were broken, making the highchair unsafe to use.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

8VAC20-800-770

“Repeat Violation A working portable battery-operated weather band radio and extra batteries shall be kept in a designated area and be available to caregivers at all times. On the day of the inspection, the radio at the home was not operable and there were no extra batteries, which is required.”

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were four children in care at the time of the inspection; however zero of four children were signed in for the day.”

22.1-289.058

“Repeat Violation Each building that was built before 2015 and that houses a child day program that serves preschool-age children shall be equipped with at least one carbon monoxide detector. During the time of the inspection, there was not a carbon monoxide detector equipped in the home.”

8VAC20-800-280

“Repeat Violation 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 in areas inaccessible to children. There was laundry detergent and multi-purpose cleaner in the laundry area, which is in an area that is accessible to children. The manufacturer’s labels stated, ?Keep Out of Reach of Children.?”

8VAC20-800-940-A

“Temperatures shall be maintained at or below 0?F in the freezer compartments. At the time of the inspection, the temperature reading for the freezer was 10?F, which is not maintained at the required temperature.”

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were four children in care at the time of the inspection; however zero of four children were signed in for the day.”

22.1-289.058

“Repeat Violation Each building that was built before 2015 and that houses a child day program that serves preschool-age children shall be equipped with at least one carbon monoxide detector. During the time of the inspection, there was not a carbon monoxide detector equipped in the home.”

8VAC20-800-280

“Repeat Violation 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 in areas inaccessible to children. There was laundry detergent and multi-purpose cleaner in the laundry area, which is in an area that is accessible to children. The manufacturer’s labels stated, ?Keep Out of Reach of Children.?”

8VAC20-800-940-A

“Temperatures shall be maintained at or below 0?F in the freezer compartments. At the time of the inspection, the temperature reading for the freezer was 10?F, which is not maintained at the required temperature.”

8VAC20-800-830-D

“Based upon review of records, the provider has not ensured that the records of emergency evacuation and shelter-in-place drills are maintained for one year. Evidence: The provider had records of emergency drills for 2024 but was unable to produce records for the entire past year.”

8VAC20-800-770

“Based upon provider interview, the provider has not ensured that there is a working battery operated weather band radio. Evidence: The provider did not have a battery operated weather band radio and batteries.”

8VAC20-800-760-A-2

“Based upon review of the first aid kit supplies, the provider has not ensured that the first aid supplies include an ice pack. Evidence: The first aid kit did not include an ice pack.”

22.1-289.058

“Based upon observation and provider interview, the provider has not ensured that there is at least one working carbon monoxide detector. Evidence: The provider had a carbon monoxide detector but it was not taken it from the packaging and installed it.”

8VAC20-800-60-B

“Based upon review of children's records, the provider has not ensured that the records for each enrolled child contain all required documentation/information. Evidence: 1. The parent did not sign authorization for the provider to obtain emergency medical treatment for child 4. 2. The parent of child 4 did not sign the required Information for Parents document indicating that the information was received. 3. The liability insurance document in the records for child 1, 2, 3, 4 and 5 was not completed correctly indicating whether or not the provider has liability insurance. 4. The Decision to Administer Medication forms in the records of child 1, 4 and 5 were not signed by the parents. 5. The decision to Administer Medication forms in the records of child 1, 2, 3, 4 and 5 indicated that the provider would not administer medications, however the provider stated that emergency medications would be administered.”

8VAC20-800-100-A

“Based upon review of children's records, the provider has not ensured that documentation of a physical examination by or under the direction of a physician is obtained within 30 days after the child's first day of attendance. Evidence: The record for child 2 indicated a start date of 11/6/2023. The physical examination was not obtained until 12/13/2023”

8VAC20-800-880

“Based upon observation and review of the menu, the provider has not ensured that the most recent USDA food serving requirements are being met. Evidence: The children were observed eating a lunch of fish sticks, corn crackers, corn and milk. There was no fruit component. The posted menu did not include a fruit component for lunch on two days this week.”

8VAC20-800-250-B

“Based upon observation, the provider has not ensured that children are protected from materials that could be swallowed or present a choking hazard. Evidence: There were two pennies on the floor of the kitchen, an area to which the children have access.”

8VAC20-800-280

“Repeat violation Based upon observation, the provider has not ensured that potentially poisonous substances are stored in areas inaccessible to children. Evidence: There was a jug of laundry detergent with a warning label on top of the dryer which is in an open area across from the bathroom used by the children.”

8VAC20-800-530-A

“Based upon observation, the provider has not ensured that cots being used for napping by children have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges. Evidence: The children were observed being placed on cots and then covered by a blanket for nap time. The cots did not have a bottom cover.”

8VAC20-800-830-D

“Based upon review of records, the provider has not ensured that the records of emergency evacuation and shelter-in-place drills are maintained for one year. Evidence: The provider had records of emergency drills for 2024 but was unable to produce records for the entire past year.”

8VAC20-800-770

“Based upon provider interview, the provider has not ensured that there is a working battery operated weather band radio. Evidence: The provider did not have a battery operated weather band radio and batteries.”

8VAC20-800-760-A-2

“Based upon review of the first aid kit supplies, the provider has not ensured that the first aid supplies include an ice pack. Evidence: The first aid kit did not include an ice pack.”

22.1-289.058

“Based upon observation and provider interview, the provider has not ensured that there is at least one working carbon monoxide detector. Evidence: The provider had a carbon monoxide detector but it was not taken it from the packaging and installed it.”

8VAC20-800-60-B

“Based upon review of children's records, the provider has not ensured that the records for each enrolled child contain all required documentation/information. Evidence: 1. The parent did not sign authorization for the provider to obtain emergency medical treatment for child 4. 2. The parent of child 4 did not sign the required Information for Parents document indicating that the information was received. 3. The liability insurance document in the records for child 1, 2, 3, 4 and 5 was not completed correctly indicating whether or not the provider has liability insurance. 4. The Decision to Administer Medication forms in the records of child 1, 4 and 5 were not signed by the parents. 5. The decision to Administer Medication forms in the records of child 1, 2, 3, 4 and 5 indicated that the provider would not administer medications, however the provider stated that emergency medications would be administered.”

8VAC20-800-100-A

“Based upon review of children's records, the provider has not ensured that documentation of a physical examination by or under the direction of a physician is obtained within 30 days after the child's first day of attendance. Evidence: The record for child 2 indicated a start date of 11/6/2023. The physical examination was not obtained until 12/13/2023”

8VAC20-800-880

“Based upon observation and review of the menu, the provider has not ensured that the most recent USDA food serving requirements are being met. Evidence: The children were observed eating a lunch of fish sticks, corn crackers, corn and milk. There was no fruit component. The posted menu did not include a fruit component for lunch on two days this week.”

8VAC20-800-250-B

“Based upon observation, the provider has not ensured that children are protected from materials that could be swallowed or present a choking hazard. Evidence: There were two pennies on the floor of the kitchen, an area to which the children have access.”

8VAC20-800-280

“Repeat violation Based upon observation, the provider has not ensured that potentially poisonous substances are stored in areas inaccessible to children. Evidence: There was a jug of laundry detergent with a warning label on top of the dryer which is in an open area across from the bathroom used by the children.”

8VAC20-800-530-A

“Based upon observation, the provider has not ensured that cots being used for napping by children have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges. Evidence: The children were observed being placed on cots and then covered by a blanket for nap time. The cots did not have a bottom cover.”

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

“Based upon investigation, the provider failed to report to the department within 24 hours of the circumstances surrounding the serious injury to a child while under the family day home's supervision. Evidence: 1. The provider acknowledged that child 1 suffered a broken arm while under the care of the family day home provider. The provider did not notify the department of the child's serious injury requiring a physician's care. 2. The injury was discovered by the department when reported by the complainant.”

8VAC20-790-220-B

“Based upon provider interview, the provider failed to inform the department's representative of any injury to a child under the vendor's supervision when a referral is made for treatment from a medical professional. Evidence: According to the provider (vendor), child 1 was injured while in care on 10/02/2023 and was taken to the emergency room. The child has a fractured arm. The provider did not notify the department's representative or complete an online serious injury report.”

8VAC20-800-280

“Based upon observation, the provider has not ensured that potentially poisonous substances are stored away from food in areas inaccessible to the children. Evidence: 1. There was a spray container of insecticide and a can of disinfecting spray on the window sill above the sink in the kitchen, Both containers had warning labels. 2. There was a large jug of laundry detergent on the dryer in the open laundry closet. The detergent had a warning label. 3. The kitchen and laundry area was accessible to the child in care.”