Ms. Pauline Henley

8VAC20-800-180-A

“Based on review of staff records, the provider failed to ensure that a repeat TB screening was completed every two years. Evidence: The provider and assistant most recent TB screening was dated 11/22/2021.”

8VAC20-800-50-A

“Based on review and interviews, the provider failed to ensure that a written attendance was taken daily. Evidence: The licensee stated that she was not taking written attendance of the children in care.”

8VAC20-800-460-D

“Based on review of three family pets, the provider failed to ensure that documentation of the current rabies vaccination. Evidence: Family Pet # 2 did not have documentation of a current rabies vaccination.”

8VAC20-800-240-A

“Based on observation of the back yard, the provider failed to ensure that the area and equipment of the family day home, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: Observed in the back yard area, several broken toys and infant equipment.”

8VAC20-770-60-C-2

“Based on review of two staff records, the family day home provider failed to obtain the finding from a search of the central registry within 30 days of hire. Evidence: Staff # 2 did not have a documented start date. Verified with staff # 1 that staff # 2 started work in April 2023. A return search of the central registry was not in the record. Staff # 1 did not provide documentation when requested.”

8VAC20-800-690-D

“Based on observation of diapering, the family day home failed to ensure that all requirement for diapering was met. Evidence: Verified through interviews with staff # 2, the family day home was using a spray bottle of bleach water and sanitizing wipes to clean and sanitize the diaper changing table. The standard requires a soap and water and a sanitizing agent.”

8VAC20-800-510-C

“Based on observation of the infant area, the family day home failed to ensure that all occupied cribs were at least 12 inches from each other. Evidence: Observed two full sized cribs that were occupied with two infants, the crib sides were touching.”

8VAC20-800-210-B

“Based on review of two staff’s records, the family day home failed to ensure that the required annual training was documented. Evidence: Staff # 1 record did not contain documentation of the required 16 hours of annual training for 2022.”

8VAC20-800-200-B

“Based on review of two staff records, the family day home did not have the required documentation for the orientation. Evidence: The record for Staff # 2 did not contain the documentation of a completed orientation within the first week of employment. There was no documentation of the first day of employment. Staff # 1 confirmed the start date as April 2023.”

8VAC20-800-120-A

“Based on review of two staff records, the family day home did not have the required documentation for their record. Evidence: The following was missing from the caregiver’s record: name, address, verification of age, job title, date of employment, name and address and phone number of a person to be notified in an emergency.”

22.1-289.036-A

“Based on review of two staff's records, the family day home failed to ensure that a repeated eligibility letter for fingerprint background check was completed as required by the Code of Virginia. Evidence: 1.Staff # 1 most recent fingerprint eligibility letter was dated 06/04/2018. The fingerprints are to be completed every five years.”

8VAC20-770-60-C-2

“Based on review of two staff records, the family day home provider failed to obtain the finding from a search of the central registry within 30 days of hire. Evidence: Staff # 2 did not have a documented start date. Verified with staff # 1 that staff # 2 started work in April 2023. A return search of the central registry was not in the record. Staff # 1 did not provide documentation when requested.”

8VAC20-800-690-D

“Based on observation of diapering, the family day home failed to ensure that all requirement for diapering was met. Evidence: Verified through interviews with staff # 2, the family day home was using a spray bottle of bleach water and sanitizing wipes to clean and sanitize the diaper changing table. The standard requires a soap and water and a sanitizing agent.”

8VAC20-800-510-C

“Based on observation of the infant area, the family day home failed to ensure that all occupied cribs were at least 12 inches from each other. Evidence: Observed two full sized cribs that were occupied with two infants, the crib sides were touching.”

8VAC20-800-210-B

“Based on review of two staff’s records, the family day home failed to ensure that the required annual training was documented. Evidence: Staff # 1 record did not contain documentation of the required 16 hours of annual training for 2022.”

8VAC20-800-200-B

“Based on review of two staff records, the family day home did not have the required documentation for the orientation. Evidence: The record for Staff # 2 did not contain the documentation of a completed orientation within the first week of employment. There was no documentation of the first day of employment. Staff # 1 confirmed the start date as April 2023.”

8VAC20-800-120-A

“Based on review of two staff records, the family day home did not have the required documentation for their record. Evidence: The following was missing from the caregiver’s record: name, address, verification of age, job title, date of employment, name and address and phone number of a person to be notified in an emergency.”

22.1-289.036-A

“Based on review of two staff's records, the family day home failed to ensure that a repeated eligibility letter for fingerprint background check was completed as required by the Code of Virginia. Evidence: 1.Staff # 1 most recent fingerprint eligibility letter was dated 06/04/2018. The fingerprints are to be completed every five years.”

8VAC20-790-180-B

“Based on document review and discussion, the vendor failed to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Departure was not documented daily as it occurs.”

22.1-289.036-A

“Based on record review, the provider failed to ensure that every adult living in a family day home shall undergo all background checks in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter. Evidence: 1. The most recent findings from a search of the central registry for Caregiver 1 was dated 04/12/2016; there was not a 2021 follow-up search available for review during the inspection. 2. The most recent findings from a search of the central registry for Household Member 1 was dated 04/12/2016; there was not a 2021 follow-up search available for review during the inspection.”

8VAC20-800-320-B

“Based on observation and discussion, the provider failed to ensure that child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: 1. There were 2 uncovered, unused electrical outlets in the living/dining room area of the home. 2. There was a surge protector by the fish tank. There were several uncovered, unused outlets on the surge protector that were accessible to children. 3. All of the children in care were under five years of age.”

8VAC20-800-60-B

“Based on record review and discussion, the provider failed to ensure that the child’s record shall contain all of the elements as required by the standard. Evidence: 1. The record for Child 1 did not contain the following: immunization records for the child as required by the standards. 2. The record for Child 2 did not contain the following: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (contact 1 was a parent); immunization records for the child as required by the standards; and results of the health examination for the child as required by the standard. 3. The record for Child 3 did not contain the following: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (contact 1 was a parent); immunization records for the child as required by the standards; and results of the health examination for the child as required by the standard. 4. The record for Child 4 did not contain the following: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (contact 1 was a parent); immunization records for the child as required by the standards; and results of the health examination for the child as required by the standard. 5. The record for Child 5 did not contain the following: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (contact 1 was a parent); immunization records for the child as required by the standards; and results of the health examination for the child as required by the standard.”

8VAC20-800-260-A

“Based on observation and discussion, the provider failed to ensure that access to the water in aboveground swimming pools shall be prevented by locking and securing the ladder in place or storing the ladder in a place inaccessible to children. Evidence: There was an aboveground pool on the property. The ladder was in the pool. There was approximately 6 inches of water in the pool.”

8VAC20-800-280

“Based on observation and discussion, the provider failed to ensure that potentially poisonous substances were stored in areas inaccessible to children. Evidence: 1. There was an opened can of interior wall paint on a table in the living room of the home. The paint was accessible to children. 2. The bathtub in the bathroom used by children was full of cans of interior wall paint. The paint was accessible to children. 3. There was an aerosol can of 409 in the dining room of the home. The 409 was accessible to children. 4. There were 2 spray bottles of fabric freshener under the fish tank. The fabric freshener was accessible to children.”

8VAC20-800-730-D

“Based on observations and discussion, the provider failed to ensure that medications, 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 was a white oval pill in a bowl on the provider’s dining room table that was accessible to children. The provider stated that it was her pain pill that she had not taken that morning.”

8VAC20-790-180-B

“Based on document review and discussion, the vendor failed to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Departure was not documented daily as it occurs.”

22.1-289.036-A

“Based on record review, the provider failed to ensure that every adult living in a family day home shall undergo all background checks in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter. Evidence: 1. The most recent findings from a search of the central registry for Caregiver 1 was dated 04/12/2016; there was not a 2021 follow-up search available for review during the inspection. 2. The most recent findings from a search of the central registry for Household Member 1 was dated 04/12/2016; there was not a 2021 follow-up search available for review during the inspection.”

8VAC20-800-320-B

“Based on observation and discussion, the provider failed to ensure that child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: 1. There were 2 uncovered, unused electrical outlets in the living/dining room area of the home. 2. There was a surge protector by the fish tank. There were several uncovered, unused outlets on the surge protector that were accessible to children. 3. All of the children in care were under five years of age.”

8VAC20-800-60-B

“Based on record review and discussion, the provider failed to ensure that the child’s record shall contain all of the elements as required by the standard. Evidence: 1. The record for Child 1 did not contain the following: immunization records for the child as required by the standards. 2. The record for Child 2 did not contain the following: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (contact 1 was a parent); immunization records for the child as required by the standards; and results of the health examination for the child as required by the standard. 3. The record for Child 3 did not contain the following: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (contact 1 was a parent); immunization records for the child as required by the standards; and results of the health examination for the child as required by the standard. 4. The record for Child 4 did not contain the following: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (contact 1 was a parent); immunization records for the child as required by the standards; and results of the health examination for the child as required by the standard. 5. The record for Child 5 did not contain the following: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (contact 1 was a parent); immunization records for the child as required by the standards; and results of the health examination for the child as required by the standard.”

8VAC20-800-260-A

“Based on observation and discussion, the provider failed to ensure that access to the water in aboveground swimming pools shall be prevented by locking and securing the ladder in place or storing the ladder in a place inaccessible to children. Evidence: There was an aboveground pool on the property. The ladder was in the pool. There was approximately 6 inches of water in the pool.”

8VAC20-800-280

“Based on observation and discussion, the provider failed to ensure that potentially poisonous substances were stored in areas inaccessible to children. Evidence: 1. There was an opened can of interior wall paint on a table in the living room of the home. The paint was accessible to children. 2. The bathtub in the bathroom used by children was full of cans of interior wall paint. The paint was accessible to children. 3. There was an aerosol can of 409 in the dining room of the home. The 409 was accessible to children. 4. There were 2 spray bottles of fabric freshener under the fish tank. The fabric freshener was accessible to children.”

8VAC20-800-730-D

“Based on observations and discussion, the provider failed to ensure that medications, 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 was a white oval pill in a bowl on the provider’s dining room table that was accessible to children. The provider stated that it was her pain pill that she had not taken that morning.”