Ms. Sarah Sheets

8VAC20-800-690-D

“Based on observation the provider failed to ensure that the diapering surface shall be: cleaned and sanitized after each use. Evidence: The assistant changed two diapers on the couch and the surface was not cleaned and sanitized.”

8VAC20-800-120-A

“Based on observation the provider failed to ensure that a record shall be maintained for each caregiver. Evidence: During the inspection a family member was providing care for the children. There was no record for this family member.”

8VAC20-800-50-E

“Based on record reviews the provider failed to ensure that records and reports on children, caregivers, and household members required by this chapter shall be maintained and made accessible to the department's representative for two years from the date of termination of services for a child, date of separation from employment for caregivers, or date of termination of residence for a household member, or unless specified otherwise. Evidence: During the inspection on 5/8/2023 staff #1 was not home. Staff #2, substitute, was not able to access the children and caregivers records.”

8VAC20-800-140-D

“Based on record review the provider failed to ensure that a substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works. Evidence: The provider did not record the arrival and departure of staff #2 when she was a substitute provider on 5/8/23.”

8VAC20-800-680-A

“Based on observation the provider failed to ensure that caregivers shall wash their hands with liquid soap and warm running water. Evidence: During the inspection on 5/8/23 assistant #1 changed two diapers on the couch. The assistant did not wash her hands following each diaper change.”

8VAC20-800-680-B

“Based on observation the provider failed to ensure that Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after toileting or diapering and after handling or caring for animals. Evidence: 1. The assistant changed two diapers and did not wash the children's hands. 2. The provider has kittens and the children will pick them up or pet them. The children did not wash their hands after playing with the kittens.”

8VAC20-800-170-A

“Based on record review and interviews the provider failed to ensure that each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: Assistant #1 does not have a tuberculosis screening on file. Assistant #1 was caring for children 5/8/23.”

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

“Based on observation and interviews the provider failed to ensure that medications shall be kept in a locked place using a safe locking methods that prevents access by children. Evidence: 1. Located in a bedroom used for napping was a six cube storage organizer that stood approximately three feet tall. 2. On top of this cube storage was two clear containers that had approximately 12 prescription medications. 3. An 18 month old was in this crib and was able to maneuver out of the crib. This child was alone and unsupervised.”

8VAC20-800-50-A Complaint related: No

“Based on observation and interviews the provider failed to ensure that a written record of children in attendance is kept daily. Evidence: The LI was present during the departure of children on 8/18/22. Staff #1 was not able to provide a written record of the children in attendance that day or any day for that week.”

8VAC20-800-240-A Complaint related: No

“Based on observation the provider failed to ensure that the areas of the family day home, inside and outside, shall be maintained n a clean condition. Evidence: The laundry room had dog urine in the floor. The gate to this area was open.”

8VAC20-800-260-F Complaint related: No

“Based on observations the provider failed to ensure that hot tubs shall be covered with safety covers while children are in care. Evidence: The hot tub in the back yard was full of water and the cover was off. There were eight children in care.”

8VAC20-800-290 Complaint related: No

“Based on observation the provider failed to ensure that sharp kitchen utensils and other sharp objects shall be inaccessible to children, unless under close supervision. Evidence: Located on the counter in the kitchen was a sharp knife. The gate to the kitchen was open and a child could access this area.”

8VAC20-800-500-F Complaint related: No

“Based on observations and interviews the provider failed to ensure that trampolines are not used during the hours children are in care. Evidence: On 8/18/22 the LI observed a small trampoline on the deck. This deck is used by the children. Staff #1 stated that the children in care use this trampoline.”

8VAC20-800-520-A Complaint related: No

“Based on observation and interviews the provider failed to ensure that cribs are provided for children from birth through 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot, rest mat, or bed. Evidence: On 8/17/22 child #1 (18 months old) was sleeping in a crib, staff # 1 & 2 verified this. The provider did not state the child was in the crib for developmental reasons.”

8VAC20-800-210-A

“Based on record review the provider and assistant do not have a minimum of 16 clock hours of annual training in areas relevant to their job responsibilities. Evidence: The provider has three hours of annual training and the assistant has 0 hours of annual training.”

8VAC20-800-210-A

“Based on record review the provider and assistant do not have a minimum of 16 clock hours of annual training in areas relevant to their job responsibilities. Evidence: The provider has three hours of annual training and the assistant has 0 hours of annual training.”