Ms. Kanikka Blakely

8VAC20-790-250-F

“Based on record review, the provider did not ensure that all staff completed the department's health and safety update course annually. Evidence: 1. Staff #1?s record contained documentation of the department's health and safety update course dated 11/21/2021. 2. Staff #1's did not have documentation of an annual updated health & safety training within 12 months of the original training.”

8VAC20-800-120-B

“Based on review of records, the provider did not maintain complete assistants' records. Evidence: 1. Assistant #1's record was missing the name, address, and phone number for emergency contact. 2. Assistant #2?s record was missing the name, address and phone number for an emergency contact.”

8VAC20-800-70-B

“Based on record review and interview, the provider failed to obtain all required information for children's records. Evidence: 1. The record for child #2 did not contain a signed statement from the parent affirming receipt of the Information to Parents Statement.”

8VAC20-800-350-E

“Based on measurement it was determined the provider did not maintain hot water taps available to children within a range of 105 degrees F to 120 degrees F. Evidence: The hot water temperature was measured at 137 degrees F.”

8VAC20-800-170-B

“Based on review of two staff records and confirmation from the provider, one staff's record did not contain the results a tuberculosis (TB) screening that was less than 30 calendar days old at the time of employment. Evidence: 1 Staff #1?s record contained a negative TB screening dated 2/3/2022. Staff #1?s hire date was 4/28/2022. 2. The owner confirmed that the negative TB screening report the staff member brought to the center at the time of hire was more than 30 calendar days old.”

8VAC20-790-250-F

“Based on record review, the provider did not ensure that all staff completed the department's health and safety update course annually. Evidence: 1. Staff #1?s record contained documentation of the department's health and safety update course dated 11/21/2021. 2. Staff #1's did not have documentation of an annual updated health & safety training within 12 months of the original training.”

8VAC20-800-120-B

“Based on review of records, the provider did not maintain complete assistants' records. Evidence: 1. Assistant #1's record was missing the name, address, and phone number for emergency contact. 2. Assistant #2?s record was missing the name, address and phone number for an emergency contact.”

8VAC20-800-70-B

“Based on record review and interview, the provider failed to obtain all required information for children's records. Evidence: 1. The record for child #2 did not contain a signed statement from the parent affirming receipt of the Information to Parents Statement.”

8VAC20-800-350-E

“Based on measurement it was determined the provider did not maintain hot water taps available to children within a range of 105 degrees F to 120 degrees F. Evidence: The hot water temperature was measured at 137 degrees F.”

8VAC20-800-170-B

“Based on review of two staff records and confirmation from the provider, one staff's record did not contain the results a tuberculosis (TB) screening that was less than 30 calendar days old at the time of employment. Evidence: 1 Staff #1?s record contained a negative TB screening dated 2/3/2022. Staff #1?s hire date was 4/28/2022. 2. The owner confirmed that the negative TB screening report the staff member brought to the center at the time of hire was more than 30 calendar days old.”

8VAC20-770-40-D-1-b

“Based on review of records, 1 of 3 staff was missing a Central Registry Background record result. Evidence: Staff # 2?s (DOH 3/4/2022) file did not contain documentation of a Central Registry Background Check.”

8VAC20-800-240-A

“Based on observation, the provider failed to keep areas and furnishings of the family day home, inside and outside in a clean, safe, and operable condition. Evidence: A drawer in the kitchen was broken off and left a hole accessible to children.”

8VAC20-770-40-D-1-b

“Based on review of records, 1 of 3 staff was missing a Central Registry Background record result. Evidence: Staff # 2?s (DOH 3/4/2022) file did not contain documentation of a Central Registry Background Check.”

8VAC20-800-240-A

“Based on observation, the provider failed to keep areas and furnishings of the family day home, inside and outside in a clean, safe, and operable condition. Evidence: A drawer in the kitchen was broken off and left a hole accessible to children.”

22VAC40-665-190-A

“Based on a review of caregiver records, the vendor did not ensure to obtain a current report of tuberculosis screening at the time of employment and before coming in contact with children. Evidence: The record of Caregiver #2 contains documentation of a tuberculosis screening dated 10/1/21. Caregiver #2 completed orientation training on 9/22/21.”

22VAC40-665-230-H

“Based on a review of records and interview, the vendor did not ensure that each caregiver complete the Virginia Annual Health and Safety updated training by March 1, 2020, and annually thereafter. Evidence: 1. The record of Caregiver #1 contains documentation of the 3-hour annual health and safety update training dated 6/2/20. 2. The provider reported she didn't know about the timeframe.”

63.2-1720.1-B-2

“Based on a review of caregiver records and interview, the provider did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each caregiver. Evidence: 1. The record of Caregiver #2 contains documentation of a fingerprint based national criminal record check dated 10/7/21. 2. Caregiver #2 completed orientation on 9/22/21. 3. The provider confirmed caregiver #2 was given training on 9/22/21.”

22VAC40-191-60-C-2

“Based on a review of caregiver records and interview, the provider did not ensure that each caregiver record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of Caregiver #2 contained documentation of a central registry finding dated 11/4/21. Caregiver #2 completed orientation training on 9/22/21.”

22VAC40-111-330-A

“Based on observation and interview, the provider did not ensure a landline telephone, excluding a cordless or cell phone, was available, operable, and accessible during the family day home's hours of operation. Evidence: 1. The telephone observed was a cordless phone requiring electricity to operate. 2. The provider reported she has a cordless phone and a cell phone.”

22VAC40-111-120-B

“Based on a review of two caregiver records and interview, the family day home provider did not obtain all required documentation for one caregiver's record. Evidence: 1. The record for Caregiver #2 contained documentation of two verbal references dated 9/27/21. The references did not contain the names of persons contacted or results.”

22VAC40-665-190-A

“Based on a review of caregiver records, the vendor did not ensure to obtain a current report of tuberculosis screening at the time of employment and before coming in contact with children. Evidence: The record of Caregiver #2 contains documentation of a tuberculosis screening dated 10/1/21. Caregiver #2 completed orientation training on 9/22/21.”

22VAC40-665-230-H

“Based on a review of records and interview, the vendor did not ensure that each caregiver complete the Virginia Annual Health and Safety updated training by March 1, 2020, and annually thereafter. Evidence: 1. The record of Caregiver #1 contains documentation of the 3-hour annual health and safety update training dated 6/2/20. 2. The provider reported she didn't know about the timeframe.”

63.2-1720.1-B-2

“Based on a review of caregiver records and interview, the provider did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each caregiver. Evidence: 1. The record of Caregiver #2 contains documentation of a fingerprint based national criminal record check dated 10/7/21. 2. Caregiver #2 completed orientation on 9/22/21. 3. The provider confirmed caregiver #2 was given training on 9/22/21.”

22VAC40-191-60-C-2

“Based on a review of caregiver records and interview, the provider did not ensure that each caregiver record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of Caregiver #2 contained documentation of a central registry finding dated 11/4/21. Caregiver #2 completed orientation training on 9/22/21.”

22VAC40-111-330-A

“Based on observation and interview, the provider did not ensure a landline telephone, excluding a cordless or cell phone, was available, operable, and accessible during the family day home's hours of operation. Evidence: 1. The telephone observed was a cordless phone requiring electricity to operate. 2. The provider reported she has a cordless phone and a cell phone.”

22VAC40-111-120-B

“Based on a review of two caregiver records and interview, the family day home provider did not obtain all required documentation for one caregiver's record. Evidence: 1. The record for Caregiver #2 contained documentation of two verbal references dated 9/27/21. The references did not contain the names of persons contacted or results.”

8VAC20-800-280 Complaint related: No

“Based on observation on September 9, 2021, the provider did not ensure 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: Hand sanitizer was located underneath an unlocked cabinet in the bathroom used by children. The label on the hand sanitizer contained the language "keep out of reach of children," "warning" and "flammable."”

8VAC20-800-730-D Complaint related: No

“Based on observation on September 9, 2021, the provider did not ensure medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were two purses observed on top of laundry machines in the room between the kitchen and bathroom used and accessible by children. The provider stated she needed to use the restroom and when she returned it was observed the purses were no longer on top of the laundry machines. When asked about the purses the provider retrieved them from inside the dryer. Inside a purse was unlocked prescription medication.”

8VAC20-800-570-A Complaint related: No

“Based on observation on December 20, 2021, the provider failed to ensure that a caregiver does not exceed 16 points when determining if an additional caregiver is needed. Evidence: 1. Upon arrival for the inspection there were 10 children observed in care, with one caregiver, totaling 25 points. The children in care included (1) four month old, (1) seven month old, (1) one year old, (1) sixteen month old, (3) two year old's, (1) three year old, (1) five year old, and (1) six year old. 2. The provider reported her assistant called out and so she had her mother come over to help. The provider's mother is not a caregiver. 3. The provider's mother reported she helps with the kids whenever someone calls out and denies ever being left alone with the children. 4. Upon leaving the inspection, the provider went outside, leaving the children in the care of her mother, while she spoke with the inspector outside at the car.”