Ms. Bianca Bland

8VAC20-800-70-B

“The provider shall obtain the parent's written acknowledgement of the receipt of the information in Provisions of the family day home's emergency preparedness response plan and medication administration. Child #3 was missing acknowledgement of provisions of the family day home's emergency preparedness response plan and medication administration. Child #3 has attended for 1year and 8 months.”

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Household member #1 TB test was more than two years old. The TB screening expired seven months ago.”

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. Confirmed by Staff #1.”

8VAC20-790-250-F

“Caregivers who work directly with children shall, in addition to preservice and orientation training required annually attend at least 16 hours of training, to include the department's health and safety update course. The record for Caregiver #2 did not have documentation of completion of health and safety updated course.”

8VAC20-800-70-B

“The provider shall obtain the parent's written acknowledgement of the receipt of the information in Provisions of the family day home's emergency preparedness response plan and medication administration. Child #3 was missing acknowledgement of provisions of the family day home's emergency preparedness response plan and medication administration. Child #3 has attended for 1year and 8 months.”

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Household member #1 TB test was more than two years old. The TB screening expired seven months ago.”

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. Confirmed by Staff #1.”

8VAC20-790-250-F

“Caregivers who work directly with children shall, in addition to preservice and orientation training required annually attend at least 16 hours of training, to include the department's health and safety update course. The record for Caregiver #2 did not have documentation of completion of health and safety updated course.”

8VAC20-800-900-B Complaint related: No

“Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles. A child was drinking while walking around during inspection visit.”

8VAC20-800-960-C Complaint related: No

“High chairs, infant carrier seats, or feeding tables with safety waist and crotch straps fastened according to the manufacturer's instructions shall be used for children under 12 months of age who are not held while being fed. Child #1was in a crib drinking a bottle.”

8VAC20-800-530-F Complaint related: No

“No soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys. Child #1 was propped with a boppy pillow in the crib.”

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 provider emergency plan documentation had date of 2019. There was not documentation the emergency plan was reviewed and /or updated since 2019.”

8VAC20-800-690-D

“Repeat violation The diapering surface shall be cleaned and sanitized after each use. The diapering surface was not cleaned with soap and water and sanitized. The diaper surface was sprayed with a aerosol disinfectant spray.”

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 provider emergency plan documentation had date of 2019. There was not documentation the emergency plan was reviewed and /or updated since 2019.”

8VAC20-800-690-D

“Repeat violation The diapering surface shall be cleaned and sanitized after each use. The diapering surface was not cleaned with soap and water and sanitized. The diaper surface was sprayed with a aerosol disinfectant spray.”

8VAC20-800-690-D

“The diapering surface shall be cleaned and sanitized after each use. The diapering surface was not cleaned with soap and water and sanitized between each use.”

8VAC20-800-330-A

“A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone. The provider only had a cordless phone and cell phone.”

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated. The menu was posted with out a date during the inspection.”

8VAC20-800-680-A

“Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Staff#1 confirmed sanitizer is used instead of handwashing between diapering. Staff #2 was observed using hanitizer after diapering.”

8VAC20-790-250-D-1

“All caregivers shall have within 90 days of employment or 90 days from subsidy vendor approval current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff #1 and Staff #2 CPR certification was not inperson.”

8VAC20-800-690-D

“The diapering surface shall be cleaned and sanitized after each use. The diapering surface was not cleaned with soap and water and sanitized between each use.”

8VAC20-800-330-A

“A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone. The provider only had a cordless phone and cell phone.”

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated. The menu was posted with out a date during the inspection.”

8VAC20-800-680-A

“Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Staff#1 confirmed sanitizer is used instead of handwashing between diapering. Staff #2 was observed using hanitizer after diapering.”

8VAC20-790-250-D-1

“All caregivers shall have within 90 days of employment or 90 days from subsidy vendor approval current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff #1 and Staff #2 CPR certification was not inperson.”

8VAC20-790-250-B

“Based on a review of records and interview, the licensee did not ensure that all caregivers complete, within their first 90 days of employment, the required Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Evidence: Two provider / assistant caregiver records were reviewed. The record for assistant #2, who began assisting in the family day home 6/14/2023, did not contain documentation of Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. The licensee stated that assistant #2 is currently working on this training but has not competed it.”

8VAC20-800-280

“Based upon observation, the licensee 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: A tube of E6000 Industrial Strength Contact Adhesive was lying on the surface of a changing table located in the designated childcare area where 11 infants and children under 2 years of age were in care. The adhesive contained a label that said "Keep out of reach of children" and had additional warnings to include contacting poison control if swallowed. The licensee acknowledged that the adhesive contained these warning label and was accessible to children at he time of the inspection.”

8VAC20-800-140-B-4

“Based on a review of records and interview, the licensee did not obtain Current First Aid certification 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: The record for the licensee contained documentation of completion First Aid training which was not conducted by an approved vendor and did not include a hands on component / skill demonstration of First Aid techniques. The licensee confirmed that the training she completed was completed online and did not have a hands on component.”

8VAC20-800-140-B-3

“Based on a review of records and interview, the licensee did not obtain 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: The record for the licensee contained documentation of completion of cardiopulmonary resuscitation (CPR) training which was not conducted by an approved vendor and did not include a hands on component / skill demonstration of CPR. The licensee confirmed that the training she completed was completed online and did not have a hands on component.”

8VAC20-800-90-A

“Based on a review of records, the licensee did not ensure that before a child may attend the family day home, the provider obtains 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. Evidence: Five children's records were reviewed. The record for child #1, enrolled 11/13/2023, did not contain documentation to demonstrate adequate immunization of the child. The record for child #3, enrolled 2/5/2024, did not contain documentation to demonstrate adequate immunization of the child. The provider acknowledged that the reports were not present in the children's records at the time of the inspection.”

8VAC20-800-110-B

“Based on a review of records and interview, the licensee was unable to demonstrate that she always obtains documentation of a physical examination and immunization record for enrolled children which is signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: Five children's records were reviewed. The record for child #1, enrolled 11/13/2023 contained the results of a physical exam that was not signed by a licensed physician, the physician's designee, or an official of a local health department. The record for child #3, enrolled 2/5/2024, contained the results of a physical exam and an immunization record that were not signed by a licensed physician, the physician's designee, or an official of a local health department. The licensee acknowledged that the reports were not signed by a licensed physician, the physician's designee, or an official of a local health department.”

22.1-289.036-A

“Based on a review of records, the licensee did not obtain an updated Criminal History Record Check for providers and adult household members every five years following the initial Criminal Background Checks completed. Evidence: Three provider, assistant, adult household member records were reviewed. The records for Provider #1 and adult Household Member #3 contained the most recent Criminal Record results which were dated 9/15/2018 (#1) and 12/27/2018 (#3). The results were more than 5 years old and required updating.”

8VAC20-800-540-A

“Based on observation, the licensee did not ensure that Infant carrier seats, swings, strollers, feeding or activity tables, and high chairs are used according to the manufacturer's instructions and when occupied by a child, a safety strap is used and securely fastened. Evidence: A 17 month old child was observed sitting in a high chair eating afternoon snack. The licensing agent observed that the safety strap on the occupied high chair was not fastened. The licensee confirmed that the safety strap had not been fastened.”

8VAC20-790-250-B

“Based on a review of records and interview, the licensee did not ensure that all caregivers complete, within their first 90 days of employment, the required Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Evidence: Two provider / assistant caregiver records were reviewed. The record for assistant #2, who began assisting in the family day home 6/14/2023, did not contain documentation of Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. The licensee stated that assistant #2 is currently working on this training but has not competed it.”

8VAC20-800-280

“Based upon observation, the licensee 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: A tube of E6000 Industrial Strength Contact Adhesive was lying on the surface of a changing table located in the designated childcare area where 11 infants and children under 2 years of age were in care. The adhesive contained a label that said "Keep out of reach of children" and had additional warnings to include contacting poison control if swallowed. The licensee acknowledged that the adhesive contained these warning label and was accessible to children at he time of the inspection.”

8VAC20-800-140-B-4

“Based on a review of records and interview, the licensee did not obtain Current First Aid certification 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: The record for the licensee contained documentation of completion First Aid training which was not conducted by an approved vendor and did not include a hands on component / skill demonstration of First Aid techniques. The licensee confirmed that the training she completed was completed online and did not have a hands on component.”

8VAC20-800-140-B-3

“Based on a review of records and interview, the licensee did not obtain 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: The record for the licensee contained documentation of completion of cardiopulmonary resuscitation (CPR) training which was not conducted by an approved vendor and did not include a hands on component / skill demonstration of CPR. The licensee confirmed that the training she completed was completed online and did not have a hands on component.”

8VAC20-800-90-A

“Based on a review of records, the licensee did not ensure that before a child may attend the family day home, the provider obtains 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. Evidence: Five children's records were reviewed. The record for child #1, enrolled 11/13/2023, did not contain documentation to demonstrate adequate immunization of the child. The record for child #3, enrolled 2/5/2024, did not contain documentation to demonstrate adequate immunization of the child. The provider acknowledged that the reports were not present in the children's records at the time of the inspection.”

8VAC20-800-110-B

“Based on a review of records and interview, the licensee was unable to demonstrate that she always obtains documentation of a physical examination and immunization record for enrolled children which is signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: Five children's records were reviewed. The record for child #1, enrolled 11/13/2023 contained the results of a physical exam that was not signed by a licensed physician, the physician's designee, or an official of a local health department. The record for child #3, enrolled 2/5/2024, contained the results of a physical exam and an immunization record that were not signed by a licensed physician, the physician's designee, or an official of a local health department. The licensee acknowledged that the reports were not signed by a licensed physician, the physician's designee, or an official of a local health department.”

22.1-289.036-A

“Based on a review of records, the licensee did not obtain an updated Criminal History Record Check for providers and adult household members every five years following the initial Criminal Background Checks completed. Evidence: Three provider, assistant, adult household member records were reviewed. The records for Provider #1 and adult Household Member #3 contained the most recent Criminal Record results which were dated 9/15/2018 (#1) and 12/27/2018 (#3). The results were more than 5 years old and required updating.”

8VAC20-800-540-A

“Based on observation, the licensee did not ensure that Infant carrier seats, swings, strollers, feeding or activity tables, and high chairs are used according to the manufacturer's instructions and when occupied by a child, a safety strap is used and securely fastened. Evidence: A 17 month old child was observed sitting in a high chair eating afternoon snack. The licensing agent observed that the safety strap on the occupied high chair was not fastened. The licensee confirmed that the safety strap had not been fastened.”