Nancy Nell

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information is correct, and obtain the parent's signed acknowledgment of the review. The record for Child #1, enrolled for 2 years, was missing an annual review and was overdue by over 3 weeks.”

8VAC20-800-250-C

“Items tied across the top or corner of a crib shall be removed when the child begins to push up on hands and knees or is five months of age, whichever occurs first. Child #2 (1 year old) and Child #4 (10 months old) were asleep in cribs and blankets were tied to each end.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #1, 3 years old, last documented immunization was over 1 year and 8 months ago and overdue by over 1 year.”

8VAC20-800-120-B

“Repeat Violation Based on a review of records, one caregiver record did not contain documentation of an acceptable reference. Evidence: Caregiver A's record contained a reference provided by a relative. References may not be provided by anyone related by blood or marriage.”

8VAC20-800-900-B

“Based on observation, children were allowed to eat or drink while walking around. Evidence: At LI arrival (10:20 AM) a child was observed waking around while drinking from a bottle.”

8VAC20-800-940-A

“Based on observation, the temperature was not maintained at or below 0 degrees F in the freezer. Evidence: The freezer temperature was observed to be 8 degrees on the freezer thermometer.”

8VAC20-800-120-B

“Based on a review of records, assistants' records do not contain all required information. Evidence: *2 of 2 assistant records reviewed did not contain documentation of : Name, address, verification of age, date of employment and an emergency contact. (Staff A,B) *1 of 2 assistant records reviewed did not contain documentation of 2 references. (Staff A)”

8VAC20-800-60-A

“Based on a review of records, child records have not been kept up-to-date. Evidence: 1 of 4 records reviewed was not up-to-date. The record was signed by the parent 4/4/21, the form in use states it is to be updated annually. (Child 2). 1 of 4 records reviewed was dated 12/14/21; however, the child's date of birth is 06/10/22 (Child 1).”

8VAC20-800-30-A

“Based on the provider's statement, the facility has not operated in compliance with the standards and the terms of the license, and with relevant federal, state or local laws and other relevant regulations. Evidence: 1. The Provider stated she was providing care, outside of the hours of operation as stated on the most recent application, on the evening of Friday 11/04/2022 when an incident occurred with the parent of a child in care. Hours of operation are listed as 8:00AM-5:00PM. 2. The Provider stated she does provider care occasionally for parents, outside of normal operating hours. The Zoning permit issued by Fairfax County requires that the operating hours for the facility shall be limited to 5:00a.m. to 7:00 p.m. Monday through Friday.”

8VAC20-770-60-C-2

“Based on a review of records, one adult records does not contain documentation of a completed Central Registry Search ( CPS ). Evidence: Staff A's record does not include a completed Central Registry Search.”