Ms. Varlie Thompson

8VAC20-800-70-B

“Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. There was no parent acknowledgement available for Child #1, who was present during the inspection and had been in care for one month.”

8VAC20-800-60-B

“A child's record shall contain the following emergency contact information including : Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. The record for Child #1 was missing the two required emergency contacts. The child was present during the inspection and had been in care for one month.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #3 and #4, who were present during the inspection and had been in care for six months.”

8VAC20-800-460-D

“The provider shall maintain documentation of the current rabies vaccination. The updated vaccinations for Pet A and Pet B, were due four months ago.”

8VAC20-790-250-D-2

“All caregivers shall have within 90 days of employment a current certification in first aid. Staff #2, did not have a current certification in first aid, which is overdue by eight months.”

8VAC20-790-250-D-1

“All caregivers shall have within 90 days of employment a current certification in cardiopulmonary resuscitation (CPR). Staff #2, did not have a current certification in cardiopulmonary resuscitation (CPR), which is overdue by eight months.”

8VAC20-790-250-D-2

“All caregivers shall have within 90 days of employment a current certification in first aid. Staff #2, did not have a current certification in first aid, which is overdue by eight months.”

8VAC20-790-250-D-1

“All caregivers shall have within 90 days of employment a current certification in cardiopulmonary resuscitation (CPR). Staff #2, did not have a current certification in cardiopulmonary resuscitation (CPR), which is overdue by eight months.”

8VAC20-800-480-E

“REPEAT VIOLATION Equipment used by children were maintained in accordance with the manufacturer’s instructions and that equipment shall be free from hazards such as lead paint, sharp edges or points, loose parts, and rust. Splitting and splintering wood was observed on several areas on the wooden treehouse in the backyard and a picnic table in the play area in the backyard had a cracked tabletop.”

22.1-289.035-A

“REPEAT VIOLATION Background checks are required every 5 years for any persons involved in the day-to-day operations of the family day home and supervision of children. The provider’s central registry search was last completed six years ago and is now 1 year overdue.”

8VAC20-790-250-F

“Based on a review of the Provider’s record, the provider did not ensure that the department’s health and safety update course was completed annually. Evidence: 1. Annual Health and Safety update training expired on 5/24/2024 in Provider’s file.”

22.1-289.035-A

“Based on a review of the provider’s records, the provider did not ensure background check updates shall be completed every five years. Evidence: The central registry search that was in the record was completed on 10/9/2018 and expired on 10/9/2023.”

8VAC20-800-240-A

“Based on observations, the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. There were two metal rusting chairs were on the outside playground area against a tree; there was rust on a table where the wading pools and water toys are stored; and there was rusting workout equipment and a broken metal trailer that was within access to the playground area and accessible to children. 2. The railing on the deck was splintering. The children have access to the railing as it leads down to the backyard play area. 3. Loose nails and broken floorboards were identified on steps used on backyard deck.”

8VAC20-800-280

“Based on observations, the provider did not ensure that potentially poisonous substances were stored in areas inaccessible to children. Evidence: 1. Lysol, Febreze and a disinfectant spray were observed within children’s reach on a shelf near the toys in the play area. 2. Each substance, contained a warning label with the statement ? Keep out of reach of children?.”

8VAC20-800-480-E

“Based on observations, the provider did not ensure that equipment used by children were maintained in accordance with the manufacturer’s instructions and that equipment shall be clean, nontoxic and free from hazards such as lead paint, sharp edges or points, loose parts, and rust. Evidence: 1. Splitting and splintering wood was observed on several areas on the wooden treehouse in backyard. 2. A picnic table in the play area in the backyard had a cracked tabletop. 3. Several toys were observed unclean and with broken pieces in the play area in the backyard: three ride on car toys had broken headlights and a broken seat; play kitchen set had broken compartment drawers; a toy wagon, two fire fighter play trucks, and a stuffed animal were unclean with dirt and discoloration.”

8VAC20-800-530-A

“Based on observations, the provider did not ensure Cribs, cots, rest mats, and beds when being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges Evidence: During nap time, four children were laid on cots without a bottom cover.”

8VAC20-800-570-A

“Based on observations, the provider failed to ensure that caregiver did not exceed 16 points by using the point system. Evidence: 1. On 08/18/2024 there were six children present, (between the ages of 1 and 4 years of age), with one caregiver. The total number of points for the six children was 17 points. 2. Provider confirmed the total points on 08/13/2024 was 17 points.”

8VAC20-800-170-A

“Based on a review of household member records, the provider did not ensure that all household members prior to coming in contact with a child, obtain a current report of Tuberculosis screening, documenting the absence of tuberculosis in a communicable form. Evidence: 1.A TB test/screening was not obtained for Household Member #1. 2. Provider verified that Household Member #1 was currently residing in the home.”

8VAC20-800-140-B-4

“Based on a review of provider records, the provider did not ensure that their first aid certification was current. Evidence: The first aid certification card in the record expired on 03/10/2024.”

8VAC20-800-140-B-3

“Based on a review of provider records, the provider did not ensure that their certification in cardiopulmonary resuscitation (CPR) was current. Evidence: CPR certification card in the record expired on 03/10/2024.”

8VAC20-800-60-B

“Based on a review of children’s records, the provider failed to obtain all required information. Evidence: 1. Written authorization to administer prescription or nonprescription medication to a child was not in Child #2 record. Medication was identified onsite for Child #2. 2. The record of child #1 (enrollment date: 7/10/2024) did not have documentation of written permission to be taken off the premises of the family day home from the child’s parent. Provider stated that transportation is used. 3.The record of child #4 (enrollment date :2/1/2023) did not have documentation of written permission to be taken off the premises of the family day home from the child’s parent. Provider stated that transportation is used. 4.The record of child #5 (enrollment date: 3/21/2023) did not have documentation of written permission to be taken off the premises of the family day home from the child’s parent. Provider stated that transportation is used 5. The record of child #6 (enrollment date: 8/21/2023) did not have documentation of written permission to be taken off the premises of the family day home from the child’s parent. Provider stated that transportation is used. 6. The record of child #7 (enrollment date: 11/14/23) did not have documentation of written permission to be taken off the premises of the family day home from the child’s parent. Provider stated that transportation is used”

8VAC20-800-60-A

“Based on a review of children’s records, the provider did not maintain an up-to-date record for each enrolled child. Evidence: Child # 3 did not have a record completed and available on site for viewing.”

8VAC20-800-100-A

“Based on a review of children’s records, the provider failed to obtain documentation of a physical examination prior to child’s attendance or within 30 days after the first day of attendance. Evidence: Results of physical examination for child #4 (enrolled 2/1/2023) was not available in records.”

8VAC20-800-730-D

“Based on observations, medication was not kept in a locked place using a safe locking method that prevent access by children. Evidence: 1. An over-the-counter medication was on kitchen counter, it was labeled with the name of Child # 2. Medication was lying on top of the first aid kit, not stored in a locked place.”

8VAC20-770-40-C-1-c

“Based on a review of household member records, the provider did not ensure that all required background checks were completed for Household Members. Evidence: 1. A sworn disclosure statement was not obtained for Household Member #1. 2. A central registry was not obtained for Household Member #1. 3. Provider verified that Household Member #1 was currently residing in the home.”

8VAC20-790-250-F

“Based on a review of the Provider’s record, the provider did not ensure that the department’s health and safety update course was completed annually. Evidence: 1. Annual Health and Safety update training expired on 5/24/2024 in Provider’s file.”

22.1-289.035-A

“Based on a review of the provider’s records, the provider did not ensure background check updates shall be completed every five years. Evidence: The central registry search that was in the record was completed on 10/9/2018 and expired on 10/9/2023.”

8VAC20-800-240-A

“Based on observations, the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. There were two metal rusting chairs were on the outside playground area against a tree; there was rust on a table where the wading pools and water toys are stored; and there was rusting workout equipment and a broken metal trailer that was within access to the playground area and accessible to children. 2. The railing on the deck was splintering. The children have access to the railing as it leads down to the backyard play area. 3. Loose nails and broken floorboards were identified on steps used on backyard deck.”

8VAC20-800-280

“Based on observations, the provider did not ensure that potentially poisonous substances were stored in areas inaccessible to children. Evidence: 1. Lysol, Febreze and a disinfectant spray were observed within children’s reach on a shelf near the toys in the play area. 2. Each substance, contained a warning label with the statement ? Keep out of reach of children?.”

8VAC20-800-480-E

“Based on observations, the provider did not ensure that equipment used by children were maintained in accordance with the manufacturer’s instructions and that equipment shall be clean, nontoxic and free from hazards such as lead paint, sharp edges or points, loose parts, and rust. Evidence: 1. Splitting and splintering wood was observed on several areas on the wooden treehouse in backyard. 2. A picnic table in the play area in the backyard had a cracked tabletop. 3. Several toys were observed unclean and with broken pieces in the play area in the backyard: three ride on car toys had broken headlights and a broken seat; play kitchen set had broken compartment drawers; a toy wagon, two fire fighter play trucks, and a stuffed animal were unclean with dirt and discoloration.”

8VAC20-800-530-A

“Based on observations, the provider did not ensure Cribs, cots, rest mats, and beds when being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges Evidence: During nap time, four children were laid on cots without a bottom cover.”

8VAC20-800-570-A

“Based on observations, the provider failed to ensure that caregiver did not exceed 16 points by using the point system. Evidence: 1. On 08/18/2024 there were six children present, (between the ages of 1 and 4 years of age), with one caregiver. The total number of points for the six children was 17 points. 2. Provider confirmed the total points on 08/13/2024 was 17 points.”

8VAC20-800-170-A

“Based on a review of household member records, the provider did not ensure that all household members prior to coming in contact with a child, obtain a current report of Tuberculosis screening, documenting the absence of tuberculosis in a communicable form. Evidence: 1.A TB test/screening was not obtained for Household Member #1. 2. Provider verified that Household Member #1 was currently residing in the home.”

8VAC20-800-140-B-4

“Based on a review of provider records, the provider did not ensure that their first aid certification was current. Evidence: The first aid certification card in the record expired on 03/10/2024.”

8VAC20-800-140-B-3

“Based on a review of provider records, the provider did not ensure that their certification in cardiopulmonary resuscitation (CPR) was current. Evidence: CPR certification card in the record expired on 03/10/2024.”

8VAC20-800-60-B

“Based on a review of children’s records, the provider failed to obtain all required information. Evidence: 1. Written authorization to administer prescription or nonprescription medication to a child was not in Child #2 record. Medication was identified onsite for Child #2. 2. The record of child #1 (enrollment date: 7/10/2024) did not have documentation of written permission to be taken off the premises of the family day home from the child’s parent. Provider stated that transportation is used. 3.The record of child #4 (enrollment date :2/1/2023) did not have documentation of written permission to be taken off the premises of the family day home from the child’s parent. Provider stated that transportation is used. 4.The record of child #5 (enrollment date: 3/21/2023) did not have documentation of written permission to be taken off the premises of the family day home from the child’s parent. Provider stated that transportation is used 5. The record of child #6 (enrollment date: 8/21/2023) did not have documentation of written permission to be taken off the premises of the family day home from the child’s parent. Provider stated that transportation is used. 6. The record of child #7 (enrollment date: 11/14/23) did not have documentation of written permission to be taken off the premises of the family day home from the child’s parent. Provider stated that transportation is used”

8VAC20-800-60-A

“Based on a review of children’s records, the provider did not maintain an up-to-date record for each enrolled child. Evidence: Child # 3 did not have a record completed and available on site for viewing.”

8VAC20-800-100-A

“Based on a review of children’s records, the provider failed to obtain documentation of a physical examination prior to child’s attendance or within 30 days after the first day of attendance. Evidence: Results of physical examination for child #4 (enrolled 2/1/2023) was not available in records.”

8VAC20-800-730-D

“Based on observations, medication was not kept in a locked place using a safe locking method that prevent access by children. Evidence: 1. An over-the-counter medication was on kitchen counter, it was labeled with the name of Child # 2. Medication was lying on top of the first aid kit, not stored in a locked place.”

8VAC20-770-40-C-1-c

“Based on a review of household member records, the provider did not ensure that all required background checks were completed for Household Members. Evidence: 1. A sworn disclosure statement was not obtained for Household Member #1. 2. A central registry was not obtained for Household Member #1. 3. Provider verified that Household Member #1 was currently residing in the home.”

8VAC20-800-460-C

“Based on documentation reviewed and interview, the provider failed to ensure all household pets (dogs or cats) are vaccinated for rabies and treated for fleas, ticks or worms as needed. Evidence: 1.The provider's 3 dogs were observed in the backyard during the inspection. 2.The vaccinations for one dog expired on 7/27/2022 and a second dog’s vaccinations expired on 8/11/2022. 3. During an interview, the provider confirmed the vaccinations were expired.”

22.1-289.035-B-2

“Based on review of caregiver records, the provider failed to obtain a criminal history record check prior to the 1st day of employment. Evidence: 1.The record for Caregiver #2 (date employment: 7/31/23) documented a criminal history check dated 8/8/23. 2. The provider confirmed the date of hire for Caregiver #2 during the inspection.”

8VAC20-800-170-A

“Based on review of caregiver records, the provider failed to obtain from each caregiver at the time of hire a current report of Tuberculosis Screening. Evidence: The record for Caregiver #2 (date employment: 7/31/23) documented a tuberculosis screening dated 8/8/23.”

8VAC20-800-460-C

“Based on documentation reviewed and interview, the provider failed to ensure all household pets (dogs or cats) are vaccinated for rabies and treated for fleas, ticks or worms as needed. Evidence: 1.The provider's 3 dogs were observed in the backyard during the inspection. 2.The vaccinations for one dog expired on 7/27/2022 and a second dog’s vaccinations expired on 8/11/2022. 3. During an interview, the provider confirmed the vaccinations were expired.”

22.1-289.035-B-2

“Based on review of caregiver records, the provider failed to obtain a criminal history record check prior to the 1st day of employment. Evidence: 1.The record for Caregiver #2 (date employment: 7/31/23) documented a criminal history check dated 8/8/23. 2. The provider confirmed the date of hire for Caregiver #2 during the inspection.”

8VAC20-800-170-A

“Based on review of caregiver records, the provider failed to obtain from each caregiver at the time of hire a current report of Tuberculosis Screening. Evidence: The record for Caregiver #2 (date employment: 7/31/23) documented a tuberculosis screening dated 8/8/23.”