Ms. Belinda Hubble

22.1-289.036-B-2

“Based on record reviews the center failed to ensure that new household members submit to a finger print background check by the end of 30th day for new household members. Evidence: HHM #2 moved into the house February 1, 2024. As of 3/8/24 no fingerprint background check has been obtained.”

8VAC20-770-40-D-4

“Based on observation the provider failed to ensure that when person age 18 years or older begins residing in the home a search of central registry be requested by the individual within 30 days of a person beginning to reside in the home. Evidence: HHM #2 began residing in the home February 1, 2024. The central registry request was not made until February 26, 2024. There is no central registry check on file for HHM #2 as of 3/8/24.”

8VAC20-800-210-A

“Based on record reviews and interviews the provider failed to ensure that caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Staff #1 has 12 hours of annual training. Staff #2 & 3 have zero hours of annual training.”

22.1-289.036-A

“(REPEAT VIOLATION) Based on record reviews the provider failed to ensure that every applicant for licensure as a family day home, adult living in such family day home shall undergo a background check every five years after issuance of fingerprint background check. Evidence: Staff #1 and HHM #1 have a fingerprint background check that expired 5/16/23 and 5/15/23.”

8VAC20-800-140-B-3

“(REPEAT VIOLATION) Based on record reviews the provider failed to ensure that caregivers have Current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Evidence: Staff #1 & assistant/sub #2 have CPR certificates that have expired 3/20/2023.”

8VAC20-800-140-B-4

“(REPEAT VIOLATION) Based on record reviews the provider failed to ensure that current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. Evidence: Staff #1 and assistant/sub #3 have a first aid certificate that expired 3/20/2023.”

22.1-289.011-F

“Based on observation the provider failed to ensure that the license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: The violation notice that was posted was dated 10/3/2022.”

8VAC20-800-140-B-3

“Based on record reviews the provider failed to ensure that providers licensed after June 30, 2010, shall have: Current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Evidence: Staff #1's CPR certification expired 3/20/23.”

8VAC20-800-140-B-4

“Based on record reviews the provider failed to ensure that current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. Evidence: Staff #1 has a first aid certification that expired 3/20/23.”

8VAC20-800-460-D

“Based on record reviews the provider failed to maintain documentation of the current rabies vaccination. Evidence: There is a dog at the family day home that is there during the hours that children are in care. The rabies vaccination provided for review expired 8/2023.”

8VAC20-800-280

“REPEAT VIOLATION Based on observation the provider failed to ensure that 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 stored away from food in areas inaccessible to children. Evidence: Located in the nap room is a bathroom that is being used as a storage space for cleaning supplies. The door is not locked and there was also cleaning supplies, disinfectants on the floor of the nap room. A child was on a cot in this room and had access to all of the cleaning supplies that were not locked.”

22.1-289.036-A

“Based on record reviews the provider failed to ensure that every applicant for licensure as a family day home, adult living in such family day home shall undergo a background check in accordance with subsection B prior to issuance of a license , and every five years thereafter. Evidence: Staff #1 and HHM #1 have a fingerprint background check that expired 5/16/23 and 5/15/23.”

22.1-289.011-F

“Based on observation the provider failed to ensure that the license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: The violation notice that was posted was dated 10/3/2022.”

8VAC20-800-140-B-3

“Based on record reviews the provider failed to ensure that providers licensed after June 30, 2010, shall have: Current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Evidence: Staff #1's CPR certification expired 3/20/23.”

8VAC20-800-140-B-4

“Based on record reviews the provider failed to ensure that current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. Evidence: Staff #1 has a first aid certification that expired 3/20/23.”

8VAC20-800-460-D

“Based on record reviews the provider failed to maintain documentation of the current rabies vaccination. Evidence: There is a dog at the family day home that is there during the hours that children are in care. The rabies vaccination provided for review expired 8/2023.”

8VAC20-800-280

“REPEAT VIOLATION Based on observation the provider failed to ensure that 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 stored away from food in areas inaccessible to children. Evidence: Located in the nap room is a bathroom that is being used as a storage space for cleaning supplies. The door is not locked and there was also cleaning supplies, disinfectants on the floor of the nap room. A child was on a cot in this room and had access to all of the cleaning supplies that were not locked.”

22.1-289.036-A

“Based on record reviews the provider failed to ensure that every applicant for licensure as a family day home, adult living in such family day home shall undergo a background check in accordance with subsection B prior to issuance of a license , and every five years thereafter. Evidence: Staff #1 and HHM #1 have a fingerprint background check that expired 5/16/23 and 5/15/23.”

8VAC20-800-240-A

“Based on observation the provider failed to ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: The flooring in the dining room located at the entrance to the kitchen has holes and is peeling.”

8VAC20-800-320-F

“Based on observation the provider failed to ensure that unvented fuel burning heaters shall not be used when children are in care. Evidence: Located on the wall in the kitchen is a 30000 BTU vent free blue flame natural gas heater. This heater was on during the inspection, a child was in care and had access to the heater.”

8VAC20-800-730-D

“Based on observation the provider failed to ensure that all medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Located on the dining room table, stove and kitchen counter was prescription medications and vitamins, not locked. These areas are accessible to the children in care.”

8VAC20-800-830-A

“Based on record review the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: The fire drill log reviewed did not show emergency evacuations (fire drills) for the months of June, July, August 2022.”

8VAC20-800-180-A

“Based on review of records the provider failed to ensure that each caregiver and adult household member obtains a current TB screening every two years from the date of the first screening. Staff #1 TB expired 1/25/23, staff #2 TB expired 5/13/21 and HHM #1 TB expired 1/22/23.”

8VAC20-800-280

“Based on observation the provider failed to ensure that all potentially poisonous material and supplies are stored away from areas accessible to children. Evidence: Located in the bathroom, that is being used as a storage closet, in the nap room there is cleaning supplies not locked. These areas are accessible to the children.”

8VAC20-800-240-A

“Based on observation the provider failed to ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: The flooring in the dining room located at the entrance to the kitchen has holes and is peeling.”

8VAC20-800-320-F

“Based on observation the provider failed to ensure that unvented fuel burning heaters shall not be used when children are in care. Evidence: Located on the wall in the kitchen is a 30000 BTU vent free blue flame natural gas heater. This heater was on during the inspection, a child was in care and had access to the heater.”

8VAC20-800-730-D

“Based on observation the provider failed to ensure that all medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Located on the dining room table, stove and kitchen counter was prescription medications and vitamins, not locked. These areas are accessible to the children in care.”

8VAC20-800-830-A

“Based on record review the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: The fire drill log reviewed did not show emergency evacuations (fire drills) for the months of June, July, August 2022.”

8VAC20-800-180-A

“Based on review of records the provider failed to ensure that each caregiver and adult household member obtains a current TB screening every two years from the date of the first screening. Staff #1 TB expired 1/25/23, staff #2 TB expired 5/13/21 and HHM #1 TB expired 1/22/23.”

8VAC20-800-280

“Based on observation the provider failed to ensure that all potentially poisonous material and supplies are stored away from areas accessible to children. Evidence: Located in the bathroom, that is being used as a storage closet, in the nap room there is cleaning supplies not locked. These areas are accessible to the children.”

8VAC20-800-140-B-3

“Based on review of records and interviews the provider failed to ensure that all substitutes have a current certificate in CPR. Evidence: Staff #1 listed as a substitute. Staff #1 was not able to locate her current certification in CPR.”

8VAC20-800-60-B

“Based on record reviews the provider failed to ensure that a child's record contained all the required information. Evidence: 1. Child #2 (first day 8/22/22) and child #3 (first day8/12/22) are missing information regarding if a child has allergies, chronic physical problems and results of a health examination (physical)”

8VAC20-820-120-E-2

“Based on observation the provide failed to ensure that the findings of the most recent inspection is posted. Evidence: The violation notice from the last inspection conducted on 6/23/2022 was not posted.”

8VAC20-800-730-D

“Based on observation the provider failed to ensure that all medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: Located on a shelf beside the bathtub and in front of the toilet was more than three tubes of over the counter creams (Benadryl, Cortizine, etc). These items are not locked and are accessible to the children.”

8VAC20-800-140-B-4

“Based on record reviews and interviews the provider failed to ensure that all substitutes have a current certification in first aid. Evidence: Staff #1 is listed as a substitute. Staff #1 was not able to locate her current certification in first aid.”

8VAC20-800-140-B-3

“Based on review of records and interviews the provider failed to ensure that all substitutes have a current certificate in CPR. Evidence: Staff #1 listed as a substitute. Staff #1 was not able to locate her current certification in CPR.”

8VAC20-800-60-B

“Based on record reviews the provider failed to ensure that a child's record contained all the required information. Evidence: 1. Child #2 (first day 8/22/22) and child #3 (first day8/12/22) are missing information regarding if a child has allergies, chronic physical problems and results of a health examination (physical)”

8VAC20-820-120-E-2

“Based on observation the provide failed to ensure that the findings of the most recent inspection is posted. Evidence: The violation notice from the last inspection conducted on 6/23/2022 was not posted.”

8VAC20-800-730-D

“Based on observation the provider failed to ensure that all medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: Located on a shelf beside the bathtub and in front of the toilet was more than three tubes of over the counter creams (Benadryl, Cortizine, etc). These items are not locked and are accessible to the children.”

8VAC20-800-140-B-4

“Based on record reviews and interviews the provider failed to ensure that all substitutes have a current certification in first aid. Evidence: Staff #1 is listed as a substitute. Staff #1 was not able to locate her current certification in first aid.”

8VAC20-800-830-A

“Based on record and documentation review the provider failed to ensure the emergency evacuation procedures are practiced monthly with all caregivers and children in care. Evidence: The only fire drill practiced and documented for 2022 was conducted in January.”

8VAC20-800-140-B-3

“Based on review of records and interviews the provider failed to ensure that all substitutes have a current certification in CPR. Evidence: Staff #3 is listed as a substitute. Staff #3 was not able to locate her current certification in CPR.”

8VAC20-800-140-B-4

“Based on review of records and interviews the provider failed to ensure that all substitutes have a current certification in first aid. Evidence: Staff #3 is listed as a substitute. Staff #3 was not able to locate her current certification in first aid.”

8VAC20-800-280

“Based on observation the provider failed to ensure that all potentially poisonous, material and supplies are stored away form areas accessible to children. Evidence: Located on a shelf beside the bathtub was a bottle and a tube of Calamine lotion and Whip It stain remover, not locked. This was accessible to the children.”

8VAC20-800-500-F

“Based on observation and interviews the provider failed to ensure that trampolines are not used during the hours children are in care. Evidence: Located in the living room is a work out trampoline. Staff stated that the children use this trampoline.”

8VAC20-800-260-C

“Based on observation the provider failed to ensure that the portable wading pool when not in use during the family day home's hours of operation, be emptied, sanitized and stored in a position to keep then clean and dry. Evidence: Upon arrival to the family day home at 9:40 am, in the yard next to the porch, was wading pool with water. Interviews reveled that the children used the wading pool the previous day and the water was being drained the next day.”

8VAC20-800-830-A

“Based on record and documentation review the provider failed to ensure the emergency evacuation procedures are practiced monthly with all caregivers and children in care. Evidence: The only fire drill practiced and documented for 2022 was conducted in January.”

8VAC20-800-140-B-3

“Based on review of records and interviews the provider failed to ensure that all substitutes have a current certification in CPR. Evidence: Staff #3 is listed as a substitute. Staff #3 was not able to locate her current certification in CPR.”

8VAC20-800-140-B-4

“Based on review of records and interviews the provider failed to ensure that all substitutes have a current certification in first aid. Evidence: Staff #3 is listed as a substitute. Staff #3 was not able to locate her current certification in first aid.”

8VAC20-800-280

“Based on observation the provider failed to ensure that all potentially poisonous, material and supplies are stored away form areas accessible to children. Evidence: Located on a shelf beside the bathtub was a bottle and a tube of Calamine lotion and Whip It stain remover, not locked. This was accessible to the children.”

8VAC20-800-500-F

“Based on observation and interviews the provider failed to ensure that trampolines are not used during the hours children are in care. Evidence: Located in the living room is a work out trampoline. Staff stated that the children use this trampoline.”

8VAC20-800-260-C

“Based on observation the provider failed to ensure that the portable wading pool when not in use during the family day home's hours of operation, be emptied, sanitized and stored in a position to keep then clean and dry. Evidence: Upon arrival to the family day home at 9:40 am, in the yard next to the porch, was wading pool with water. Interviews reveled that the children used the wading pool the previous day and the water was being drained the next day.”

22VAC40-111-100-A

“Based on record reviews, the provider failed to obtain documentaion of a physical examination withi 30 days after the first day of attendance. Evidence: 1. The inspector reviewed three children's records. Child Record #2 did not contain documentation of a physical exam and child's first day of attendance was 12/14.2021.”

22VAC40-111-100-A

“Based on record reviews, the provider failed to obtain documentaion of a physical examination withi 30 days after the first day of attendance. Evidence: 1. The inspector reviewed three children's records. Child Record #2 did not contain documentation of a physical exam and child's first day of attendance was 12/14.2021.”