Ms. Tina Stokes

8VAC20-800-780-B

“Annually the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Of the four records that required an annual review none had been reviewed by the parents.”

8VAC20-800-830-C

“Documentation shall be maintained of emergency evacuation and shelter-in-place drills. There was no documentation of drills.”

8VAC20-800-60-B

“A child's record should contain all the required information. The record for child #1 (enrolled 6/23/26) did not contain all of the required information.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parents' signed acknowledgment of the review. There was no documentation of annual reviews for child #1-5.”

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations every six months for a child under the age of two years. The record for child #1, under two years of age did not have documentation of additional immunizations, these were a year past due.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. There was no documentation of physical exam in the record for child #1, who had been attending for over a year.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. There was an exposed carpet tack strip at the threshold of the childcare area.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parents' signed acknowledgment of the review. There was no documentation of annual reviews for child #1-5.”

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations every six months for a child under the age of two years. The record for child #1, under two years of age did not have documentation of additional immunizations, these were a year past due.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. There was no documentation of physical exam in the record for child #1, who had been attending for over a year.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. There was an exposed carpet tack strip at the threshold of the childcare area.”

8VAC20-800-60-B

“Children's records are required to contain all of the required information. The record for Child #3 was missing the employment phone numbers for both parents, the medical insurance policy information, and first date of attendance.”

8VAC20-800-280

“Poisonous materials shall be stored in an area inaccessible to children. Acetone nail polish remover and hair products were in the unlocked under sink cabinet in the bathroom used by the children in care.”

8VAC20-800-60-B

“Children's records are required to contain all of the required information. The record for Child #3 was missing the employment phone numbers for both parents, the medical insurance policy information, and first date of attendance.”

8VAC20-800-280

“Poisonous materials shall be stored in an area inaccessible to children. Acetone nail polish remover and hair products were in the unlocked under sink cabinet in the bathroom used by the children in care.”

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening for Caregiver 2, who has been caring for children for approximately two months.”

8VAC20-800-120-B

“Providers must maintain a record with the required documentation for each caregiver. There was no proof of identity, documentation of orientation, and references in the record for Caregiver 2 who has been caring for children for approximately two months.”

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening for Caregiver 2, who has been caring for children for approximately two months.”

8VAC20-800-120-B

“Providers must maintain a record with the required documentation for each caregiver. There was no proof of identity, documentation of orientation, and references in the record for Caregiver 2 who has been caring for children for approximately two months.”

8VAC20-800-800-B

“Based on record review and interview it was determined the provider did not ensure that the emergency preparedness plan was reviewed at least annually and update the plan as needed. Evidence: 1. The provider could not locate the updated emergency preparedness during this inspection.”

8VAC20-800-850-A

“Based on record review and interview it was determined the provider did not report serious injuries to a child while under the family day home's supervision to the department within 24 hours. Evidence: 1. On 4/26/24 there was an injury to child #6 that required outside medical treatment that was not reported to the department. 2. Provider confirmed that they did not send in a serious injury report.”

8VAC20-800-60-B

“Based on record review and interview it was determined the provider did not ensure that children's records contained all of the required information. Evidence: 1. The record for child #3 did not have documentation of a second emergency contact. 2. The record for child #5 did not contain medical insurance policy information, and the city, state, zip code for the second emergency contact.”

8VAC20-770-60-C-2

“Based on record review and interview it was determined the provider did not ensure that staff did not have a central registry finding within 30 days of employment. Evidence: 1. There was no central registry search documentation for assistant provider(hired 8/20/23). 2. Provider confirmed that they could not find the central registry results.”

8VAC20-800-800-B

“Based on record review and interview it was determined the provider did not ensure that the emergency preparedness plan was reviewed at least annually and update the plan as needed. Evidence: 1. The provider could not locate the updated emergency preparedness during this inspection.”

8VAC20-800-850-A

“Based on record review and interview it was determined the provider did not report serious injuries to a child while under the family day home's supervision to the department within 24 hours. Evidence: 1. On 4/26/24 there was an injury to child #6 that required outside medical treatment that was not reported to the department. 2. Provider confirmed that they did not send in a serious injury report.”

8VAC20-800-60-B

“Based on record review and interview it was determined the provider did not ensure that children's records contained all of the required information. Evidence: 1. The record for child #3 did not have documentation of a second emergency contact. 2. The record for child #5 did not contain medical insurance policy information, and the city, state, zip code for the second emergency contact.”

8VAC20-770-60-C-2

“Based on record review and interview it was determined the provider did not ensure that staff did not have a central registry finding within 30 days of employment. Evidence: 1. There was no central registry search documentation for assistant provider(hired 8/20/23). 2. Provider confirmed that they could not find the central registry results.”

8VAC20-800-830-C

“Based on record review and interview it was determined the provider did not ensure that documentation of evacuation drills were maintained. Evidence: 1. There was no record of an evacuation drill completed in July 2023. 2. Provider stated there was a drill but she could not locate the documentation.”