Ms. Valerie Cotten

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection were not posted. Evidence: 1. The last inspection had fallen and was not posted.”

8VAC20-800-280

“Based on observation, there were potentially poisonous substances accessible to children. Evidence: 1. On the front porch there were plant care chemicals, armor all, bug and tar remover and fire starters.”

8VAC20-800-60-B

“Based on record review, child records did not contain all of the required information. Evidence: 1. Child #1's record did not have the doctor's name and #. 2. Child #3's record did not have emergency addresses listed. Two are required. No policy # was listed for the health insurance. There was no signature on the emergency medical authorization.”

8VAC20-800-90-C

“Based on record review, the provider did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements according to subsection B of this section: Evidence: 1. Child # 3 last had immunizations documented 12/7/2021. Immunizations are due once every six months for children under the age of two years.”

22.1-289.035-A

“Based on record review, the provider failed to get a central registry history check on an employee every five years. Evidence: 1. Staff person #4 has a central registry history check dated 1/11/2017; therefore a repeat central registry check was due 1/11/2022.”

8VAC20-800-770

“Based on observation, the provider did not have a working battery operated weather band radio. Evidence: 1. The provider had a battery operated radio but is was not working.”

8VAC20-800-60-A

“Based on record review, the provider did not maintain up to date records for each enrolled child. Evidence: 1. Five children's records were reviewed, child #2 was past due for an annual update.”

8VAC20-800-320-C

“Based on observation, the provider failed to keep an electrical device unplugged by the bathroom sink. Evidence: 1. The inspector observed a flat iron unplugged near the bathroom sink basin that the children use.”

8VAC20-800-280

“Based on observation, the provider failed to keep poisonous substance supplies inaccessible to children. Evidence: 1. the inspector observed a bottle of hydrogen peroxide, two bottles of oral rinse and other personal care items stored under the bathroom sink that the children use.”

8VAC20-800-140-D

“Based on interview, the substitute provider failed to maintain a record of arrivals and departures on each day that the substitute provider works.”

8VAC20-800-40-A Complaint related: Yes

“Based on observation and record review, the provider failed to ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. 1. The provider is licensed for a capacity of 12 children which is on the face of the license issued to the provider. 2. The inspector arrived at the home at approximately 8:50 a.m. on 4/11/2022 and observed 22 children in care ages seven months through five years of age. The inspector counted the children in two rooms. 3. The licensing inspector, licensing administrator, and local law enforcement arrived at the home at approximately 1:05 pm on 4/14/2022 and observed 23 children in care ages seven months through five years of age. The inspector counted the children in two rooms, the hallway (three children), and one bedroom (one child).”

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

“Based on observation, the provider had a piece of outdoor playground equipment over a hard surface that was not at least six feet from the perimeter of obstacles. Evidence: 1. The provider has a piece of climbing equipment (rock wall) that has a slide two feet high which has no resilient surfacing underneath it and is located on a wooden deck. The rock climbing wall, 46 inches tall, has a metal post for a shade canopy within 26 inches with the perimeter. The slide and other two other sides of the play equipment were approximately two feet from the deck rails and a bench.”

8VAC20-800-540-A Complaint related: No

“Based on observation and interview, infant carrier seats, swings, strollers, feeding or activity tables, and high chairs failed to be used according to the manufacturer's instructions and when occupied by a child, a safety strap shall be used and securely fastened. Evidence: 1. There were five infants (child #13, #14, #16, #18, and #19) in infant rocking seats that were approximately 18 inches off the floor. None of the safety straps were used and securely fastened while the children were asleep in them. The provider stated the straps were not fastened.”

8VAC20-800-60-A Complaint related: No

“Based on record review and interview, the provider failed to maintain an up-to-date record at the family day home for each enrolled child. evidence: 1. The inspector asked to see child records for all children in attendance. 2. There were no records for seven children. The provider stated that she had been providing care for children #11, #12, and #13 since last week because there was no day care available. Provider stated there was no record for child #16 who had been in care for approximately 10 months. Provider stated there was also no record for children #18, #20 or #23.”

8VAC20-770-60-C-2 Complaint related: No

“Based on interview with the provider, the provider failed to ensure that all persons who work with children have a search of the central registry search completed within 30 days of employment or volunteer service. Evidence: 1. There was no central registry completed for caregivers #2 and #5. 2. Caregiver #2 stated she had been working since 10/2021. 3. The provider confirmed that caregiver #2 had been working regularly as a caregiver since October 2021. 4. The provider stated caregiver #5 was "just helping out and is a sub."”

8VAC20-770-60-B Complaint related: No

“Based on interview with the provider, the provider failed to ensure that an employee or volunteer of a licensed or registered child day program or of a family day home approved by a family day system must not be employed or provide volunteer service until the agency or home has the person's completed sworn statement or affirmation. Evidence: 1. There is not a sworn statement on file for caregivers # 2 and #5 who were providing care to children on 04/11/2022. 2. Caregiver #2 stated she had been working since 10/2021. 3. The provider confirmed that caregiver #2 had been working regularly as a caregiver since October 2021. 4. The provider stated caregiver #5 was "just helping out and is a sub."”

8VAC20-820-120-E-1 Complaint related: No

“Based on observation, the most recently issued license was not posted. Evidence: 1. The license was on a bookshelf near the cubbies.”

22.1-289.035-B-2 Complaint related: No

“Based on interview with the provider, the provider failed to ensure that prior to employment, all persons who work with children have completed fingerprint background checks. Evidence: 1. There are no fingerprint background checks on file for caregivers #2 and # 5. 2. Caregiver #2 stated she had been working since 10/2021. 3. The provider confirmed that caregiver #2 had been working regularly as a caregiver since October 2021. 4. The provider stated caregiver #5 was "just helping out and is a sub."”

8VAC20-800-570-A Complaint related: Yes

“Based on observation, the provider failed to ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed. Evidence: 1. Upon arrival at 8:50 a.m. on 4/11/2022, the inspector observed 22 children in care ages seven (7) months through five years of age totaling 53 points with three caregivers present (#1, #2, and #5). At approximately 9:20 a.m., caregiver #4 arrived. 2. Upon arrival at 1:05 p.m. on 4/14/2022, the inspector, licensing administrator, and local law enforcement observed 23 children in care ages seven (7) months through five years of age totaling 55 points with the two caregivers (#1 and #3) present. A third caregiver (#2) arrived at 1:20 p.m.”

8VAC20-800-320-E Complaint related: No

“Based on observation and interview, the provider had a portable electric heater accessible to children and failed to have a barrier or screen and was located within three feet from combustible materials. Evidence: 1. The inspector observed a portable electric heater located approximately three feet off the floor, that was plugged up, in use and producing heat in the back room used by children in care. The heater was sitting directly on top of a rounded wooden trunk, hot to the touch and located less than the required 3 feet distance from combustibles including a large, cushioned chair with a fleece blanket covering it, two wooden plaques and a plastic play kitchen. The hot heater was accessible to the reach of the children in care.”

8VAC20-800-120-A Complaint related: No

“Based on interview and record review, the provider did not maintain a record for each caregiver. Evidence: 1. There were no records for caregiver #2 and #5. The provider stated she did not have have any records for the two caregivers. 2. Caregiver #2 stated she had been working since 10/2021. 3. The provider confirmed that caregiver #2 had been working regularly as a caregiver since October 2021. 4. The provider stated caregiver #5 was "just helping out and is a sub."”