Marjorie Baskovich

8VAC20-800-70-A

“Based on review, 2 of 5 children files reviewed indicated that not all of the information provided by the parents in writing was complete. Evidence - 1. On the date of inspection (09/29/2023), the Medication Administration - Decision to Administer form was not signed by the Parent's of Child #2, and the Parent's of Child #4. In both cases, in the area for the Provider's and Parent's signatures, it was left blank. 2. The written notice of liability for Child #4 was also not completed (Code of Virginia 22.1-289.050).”

8VAC20-800-780-B

“Based on review, 1 of 5 children files indicated that the initial review of the child's emergency information as listed on the child's record was never signed. Evidence - 1. On the date of inspection (09/29/2023) the signature section at the bottom of the first page of the Child Record for Child #2 was never signed. 2. This was confirmed on the date of inspection by the Provider.”

8VAC20-800-100-A

“Based on review, 2 of 5 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the child's start date. Evidence - 1. On the date of inspection (09/29/2023), documentation of a physical examination was not available for: Child #1, and Child #4. 2. The listed start dates for these two children were: 10/01/2022 for Child #1, and 05/08/2023 for Child #4.”

8VAC20-800-60-B

“Based on review, 2 of 5 children files reviewed indicated that not all of the required information was contained within the child's record. Evidence - 1. On the date of inspection (09/29/2023), the following information was not available for Child #4 - Authorization for Emergency Medical Care. 2. The following information was not available for Child #5 - Child's doctor telephone number; the complete information 1 of 2 emergency contacts was listed; and the number for the child's insurance policy.”

8VAC20-800-100-A

“Based on review, 1 of 2 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (04/25/2023), documentation of a physical was not available for Child #2. 2. The start date for Child #2 was listed as 10/01/2022.”

8VAC20-800-100-A

“Based on review, 1 of 2 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (04/25/2023), documentation of a physical was not available for Child #2. 2. The start date for Child #2 was listed as 10/01/2022.”

8VAC20-790-170-G

“Based on review, 2 of 2 children files indicated that the vendor did not maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence - 1. On the date of inspection, the allergies documented within the records of Child #1, and Child #2 were not compiled on an allergy list for the Family Day Home (FDH). 2. This same standard was cited during an inspection that occurred previously on 09/28/2022.”

8VAC20-790-190-B-12

“Based on review, 2 of 2 children files indicated that a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction was not available. Evidence - 1. On the date of inspection (10/14/2022), an allergy was listed within the child record of the following children: Child #1, and Child #2. An action allergy plan was not available for review for either child. 2. This same standard was cited during an inspection that occurred previously on 09/28/2022.”

8VAC20-800-60-B

“Based on review, 2 of 2 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (10/14/2022), the action for the allergy listed was not available for review for the following children: Child #1, and Child #2. 2. The need of the action for allergy listed was previously cited for Child #1 during a monitoring inspection conducted on 09/28/2022.”

8VAC20-800-80-A

“Based on review, 1 of 2 children files indicated that the verification of each child's proof of identification was not on file. Evidence - 1. On the date of inspection (10/14/2022), the proof of identification was not available for Child #2. 2. The start date listed for Child #2 was listed as 10/01/2022. Child #2 was observed on site on the date of inspection.”

8VAC20-800-90-A

“Based on review, 1 of 2 children files indicated that the Provider did not obtain documentation that a child had 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 attending the Family Day Home (FDH). Evidence - 1. On the date of inspection (10/14/2022), and immunization page was not available for Child #2. 2. The start date for Child #2 was listed as - 10/01/2022.”

8VAC20-790-170-G

“Based on review, 2 of 2 children files indicated that the vendor did not maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence - 1. On the date of inspection, the allergies documented within the records of Child #1, and Child #2 were not compiled on an allergy list for the Family Day Home (FDH). 2. This same standard was cited during an inspection that occurred previously on 09/28/2022.”

8VAC20-790-190-B-12

“Based on review, 2 of 2 children files indicated that a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction was not available. Evidence - 1. On the date of inspection (10/14/2022), an allergy was listed within the child record of the following children: Child #1, and Child #2. An action allergy plan was not available for review for either child. 2. This same standard was cited during an inspection that occurred previously on 09/28/2022.”

8VAC20-800-60-B

“Based on review, 2 of 2 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (10/14/2022), the action for the allergy listed was not available for review for the following children: Child #1, and Child #2. 2. The need of the action for allergy listed was previously cited for Child #1 during a monitoring inspection conducted on 09/28/2022.”

8VAC20-800-80-A

“Based on review, 1 of 2 children files indicated that the verification of each child's proof of identification was not on file. Evidence - 1. On the date of inspection (10/14/2022), the proof of identification was not available for Child #2. 2. The start date listed for Child #2 was listed as 10/01/2022. Child #2 was observed on site on the date of inspection.”

8VAC20-800-90-A

“Based on review, 1 of 2 children files indicated that the Provider did not obtain documentation that a child had 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 attending the Family Day Home (FDH). Evidence - 1. On the date of inspection (10/14/2022), and immunization page was not available for Child #2. 2. The start date for Child #2 was listed as - 10/01/2022.”

8VAC20-790-190-B-12

“Based on review, a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction was not available. Evidence - 1. An action allergy plan for Child #1 was not available for review. 2. A need for this plan was based on the information contained within the record of Child #1.”

8VAC20-790-170-G

“Based on observation, the vendor did not maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence - 1. On the date of inspection (09/28/2022), the allergy, sensitivities, and dietary restrictions list was not available for review. 2. It was determined that the needs of Child #1 would be added to such a list.”

8VAC20-800-60-B

“Based on review, 1 child's file did not include all of the required information / documentation. Evidence - 1. On the date of inspection (09/28/2022), the action to be taken in an emergency for the allergy listed for Child #1 was not available. 2. The was 1 of 2 emergency contacts listed for Child #1.”

8VAC20-790-190-B-12

“Based on review, a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction was not available. Evidence - 1. An action allergy plan for Child #1 was not available for review. 2. A need for this plan was based on the information contained within the record of Child #1.”

8VAC20-790-170-G

“Based on observation, the vendor did not maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence - 1. On the date of inspection (09/28/2022), the allergy, sensitivities, and dietary restrictions list was not available for review. 2. It was determined that the needs of Child #1 would be added to such a list.”

8VAC20-800-60-B

“Based on review, 1 child's file did not include all of the required information / documentation. Evidence - 1. On the date of inspection (09/28/2022), the action to be taken in an emergency for the allergy listed for Child #1 was not available. 2. The was 1 of 2 emergency contacts listed for Child #1.”

8VAC20-800-690-D

“Based on observation, the Family Day Home (FDH) currently does not have a diapering surface available to change diapers. Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 04/14/2022) that she plans to have children as young as 2 years of age in her care who may not yet be potty-trained. 2. While non-absorbent mats were available and observed on site, these mats had a designated use for sleeping and not for diapering.”

8VAC20-800-280

“Based on observation and interview, cleaning agents were not stored away in areas inaccessible to children. Evidence - 1. On the date of inspection (04/14/2022) a cabinet located below the sink within the downstairs child care area did not have a child proof lock installed preventing access. 2. Cleaning agents were observed being stored in this cabinet on the date of inspection. 3. The Provider stated (during an interview on the date of inspection) that she was going to have someone install the child proof lock for her.”

8VAC20-800-330-A

“Based on interview, the landline telephone was not operable. Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 04/13/2022) that the Family Day Home (FDH) landline telephone had not yet been activated. 2. The Provider was however able to give the Licensing Inspector (LI) the telephone number for the FDH.”

8VAC20-800-790

“Based on observation, none of the three required emergency numbers were observed to be posted in a visible area close to the telephone. Evidence - 1. On the date of inspection (04/13/2022) the following numbers were observed not to be posted: 911 or local dial number for police, fire, and emergency medical responders; the responsible person for emergency backup care as required in 8VAC20-800-800 A 3; and the regional poison control center. 2. The Provider did have the number available for the responsible person for emergency back up care, but it was not posted by the telephone. This information was observed on file within the Emergency Preparedness and Response Plan (EP&RP).”

8VAC20-800-940-B

“Based on observation, the Provider did not have an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence - 1. On the date of inspection (04/14/2022), both the refrigerator and freezer in the downstairs child care area did not have a thermometer available. 2. The Provider stated that the food for the day care will be stored in these areas (refrigerator and freezer).”

8VAC20-800-690-E

“Based on observation, a foot operated trash can was not available for use. Evidence - 1. Based on the requested license, diapering will be needed for those children who will not be potty-trained. 2. While a trash can was available, it was not foot-operated.”

8VAC20-800-770

“Based on observation, a working portable battery-operated weather band radio was not available for use within the Family Day Home (FDH). Evidence - 1. On the date of inspection (04/13/2022), the radio on site was not a weather band radio (WB). 2. This radio was only an AM/FM radio.”

8VAC20-800-240-A

“Based on observations, two areas outside of the Family Day Home (FDH) were maintained in unsafe conditions. Evidence - 1. On the date of inspection (04/14/2022), outside in the backyard of the FDH, there were to areas of concern that posed as a tripping hazard or were protruding nails that could entangle or could snag skin. 2. A small circular hole about 1 foot wide and 6 inches deep was observed in the middle of the backyard. 3. Just outside the door into the backyard, both to the left and right of the boxed mat, are two large protruding nails. It appears that these nails located nearer to the door had not been nailed down into place (as those nails were in the front) but were left protruding up.”