Pamela Brown

8VAC20-800-760-A-1

“The family day home is required to have a first aid kit that contains all mandatory items. The first aid kit did not contain adhesive tape.”

22.1-289.035-B-4

“The family day home is required to obtain background checks from any state in which the individual has resided in the preceding five years. The family day home did not request a search of the child abuse and neglect registry, sex offenders, or criminal history from one state for Staff #1 who has been employed for more than 3 months and was working with children at the time of the inspection.”

8VAC20-800-510-C

“Occupied cribs, cots, rest mats, and beds shall be at least 12 inches from each other. There were four occupied cots that have less than 12 inches of space between them.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in safe condition. There are two electrical cords dangling down within reach of children posing an entanglement hazard.”

8VAC20-800-510-C

“Occupied cribs, cots, rest mats, and beds shall be at least 12 inches from each other. There were four occupied cots that have less than 12 inches of space between them.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in safe condition. There are two electrical cords dangling down within reach of children posing an entanglement hazard.”

8VAC20-800-60-B

“A child’s record shall contain the required documentation. The record for Child #2 did not include documented first date of attendance.”

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for Child #4, who was in care during the inspection and had been in care for 3 months.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, who had been employed for an unknown length of time, did not have a central registry search requested. Staff #1 was working with children.”

8VAC20-800-630-B

“When time out is used as a discipline technique it shall be used sparingly and shall not exceed one minute for each year of the child's age. A two-year-old was left in time out for six minutes.”

8VAC20-800-900-B

“Children shall not be allowed to eat or drink while walking. Child #1 was observed walking around the child care room while drinking from a sippy cup.”

8VAC20-800-120-B

“Providers must maintain a record for each caregiver and shall contain all required information. The record for Staff #2, who was present, did not contain the following required information date of employment, references, documentation of the education and training.”

8VAC20-800-60-B

“A child’s record shall contain the required documentation. The record for Child #2 did not include documented first date of attendance.”

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for Child #4, who was in care during the inspection and had been in care for 3 months.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, who had been employed for an unknown length of time, did not have a central registry search requested. Staff #1 was working with children.”

8VAC20-800-630-B

“When time out is used as a discipline technique it shall be used sparingly and shall not exceed one minute for each year of the child's age. A two-year-old was left in time out for six minutes.”

8VAC20-800-900-B

“Children shall not be allowed to eat or drink while walking. Child #1 was observed walking around the child care room while drinking from a sippy cup.”

8VAC20-800-120-B

“Providers must maintain a record for each caregiver and shall contain all required information. The record for Staff #2, who was present, did not contain the following required information date of employment, references, documentation of the education and training.”

8VAC20-800-240-A

“Based on observation and interview the provider failed to ensure that areas are maintained in safe condition. Evidence: 1 - There is a top loading freezer in the kitchen where children were observed eating snack, that does not have a child proof latch to prevent children from gaining access. 2 - The provider confirmed that there was not a child proof latch on the top loading freezer.”

8VAC20-800-280

“Based on observation the provider failed to ensure that potentially poisonous substances are stored in areas inaccessible to children. Evidence: 1 - The bathroom used by children in care, there were unlocked chemicals stored in a cabinet under the sink. 2 - Children were observed going into the bathroom during the inspection. 3 - The provider confirmed that the cabinet under the sink was unlocked.”

8VAC20-800-200-A

“Based on record review and interview the provided failed to orient the assistant by the end of their first week of assuming job responsibilities. Evidence: 1 - The record for the caregiver did not include documentation that orientation was completed by the end of their first week of assuming job responsibilities. 2 - The provider stated that she had not completed orientation with the caregiver.”

8VAC20-800-240-A

“Based on observation and interview the provider failed to ensure that areas are maintained in safe condition. Evidence: 1 - There is a top loading freezer in the kitchen where children were observed eating snack, that does not have a child proof latch to prevent children from gaining access. 2 - The provider confirmed that there was not a child proof latch on the top loading freezer.”

8VAC20-800-280

“Based on observation the provider failed to ensure that potentially poisonous substances are stored in areas inaccessible to children. Evidence: 1 - The bathroom used by children in care, there were unlocked chemicals stored in a cabinet under the sink. 2 - Children were observed going into the bathroom during the inspection. 3 - The provider confirmed that the cabinet under the sink was unlocked.”

8VAC20-800-200-A

“Based on record review and interview the provided failed to orient the assistant by the end of their first week of assuming job responsibilities. Evidence: 1 - The record for the caregiver did not include documentation that orientation was completed by the end of their first week of assuming job responsibilities. 2 - The provider stated that she had not completed orientation with the caregiver.”

8VAC20-800-870-G

“Based on observation the provider failed to ensure that tables and high chair trays are cleaned after each use. Evidence: The tables and high chair trays were not cleaned after p.m. snack. Immediately following the snack, children engaged in play activities on the tables. The tables and trays were never cleaned during the inspection.”

8VAC20-800-880

“Based on observation the provider failed to ensure that children were allowed second helpings of food listed in the child care food program patterns. Evidence: 1. Children were offered one additional cling peach section when they finished their first helping and requested a second helping. A single cling peach section does not equal a helping in the child care food program patterns.”

8VAC20-800-920

“Based on observation and interview the provider did not ensure that when snacks are provided the menu list any substituted food. Evidence: 1. The children were served pretzels and peaches for pm snack. However, the posted menu listed American cheese and wheat crackers for the pm snack. 2. The provider confirmed that the pm snack given was not listed as a substitution on the menu provided to parents.”

8VAC20-800-960-C

“Based on observation the provider failed to ensure that high chairs are used for children under 12 months and the safety straps are fastened when in use. Evidence: 1. Three two-year-old children were sitting in high chairs without the safety straps fastened. a. The label on the back of the three high chairs used for children in care today clearly states ?stay near and watch child during use.?”

8VAC20-800-980-A

“Based on record review the provider failed to obtain general written permission to take children off the premises of the family day home. Evidence: 1. The records for Child #2 and Child #3 did not contain written general permission to take children off the premises of the family day home. 2. The provider stated that she does transport children regularly.”

8VAC20-800-60-B

“Based on record review the provider did not ensure children’s records contained all the required information. Evidence: 1. The record for Child #1 did not contain one of two required emergency contacts information. 2. The record for Child #2 did not contain one parent work number, medical insurance number, one of two required emergency contacts or documentation of annual update. 3. The record for Child #3 did not contain the telephone number and address of the child’s physician or persons authorized to pick-up.”

8VAC20-800-70-A

“Based on record review, the provider did not ensure that parents are provided all required written information before the child’s first day of attendance. Evidence: 1. The record for Child #1 did not contain any documentation that any of the required written parent information was provided to the parent. 2. The record for Child #3 did not contain documentation of policies for medication administration.”

8VAC20-800-90-A

“Based on record review the provider did not obtain required immunization documentation prior to the child’s first day of attendance. Evidence: 1.Child #3 (enrollment date 4/4/24) did not have immunization documentation in their record. a.The child was in care during the inspection.”

8VAC20-800-390-A

“Based on observation and interview the provider failed to ensure that each child has access to an individual location to keep belongings. Evidence: There was a pile of coats and items stacked near the front door of the home. As children left the provider retrieved children’s personal items from the pile.”

8VAC20-800-560-A

“Based on observation the provider failed to ensure that a caregiver is physically present, provide direct care, supervise, and be near, aware, and responsible for each child in care. Evidence: 1. Upon arrival the provider was outside the home getting car seats from the vehicle while seven children were inside the home alone. a. The provider was the only caregiver present during the entire inspection. 2. Child #1 began to climb out the high chair. The high chair tripped and fell over with the child hanging from the side of the chair. a. The provider was not present in the child care room when this occurred.”

8VAC20-800-680-B

“Based on observation the provider failed to ensure that children wash their hands when their hands are dirty. Evidence: Children did not wash their hands after eating finger food for snack and were observed using their fingers to self-feed cling peaches during snack.”

8VAC20-800-240-A

“Based on observation and interview the provider did not ensure that areas of the family day home are maintained in a safe condition. Evidence: 1. A vertical plank on the wooden fence was broken, leaving an area of splitting, jagged edge accessible to children in care. 2. The provider confirmed that the vertical plank had an area of broken wood that was accessible to children.”

8VAC20-800-690-D

“Based on observation the provider failed to ensure that the diapering surface is a nonabsorbent surface. Evidence: The provider used absorbent quilted under pads to change each child’s diaper on the floor of the bathroom.”

8VAC20-800-870-G

“Based on observation the provider failed to ensure that tables and high chair trays are cleaned after each use. Evidence: The tables and high chair trays were not cleaned after p.m. snack. Immediately following the snack, children engaged in play activities on the tables. The tables and trays were never cleaned during the inspection.”

8VAC20-800-880

“Based on observation the provider failed to ensure that children were allowed second helpings of food listed in the child care food program patterns. Evidence: 1. Children were offered one additional cling peach section when they finished their first helping and requested a second helping. A single cling peach section does not equal a helping in the child care food program patterns.”

8VAC20-800-920

“Based on observation and interview the provider did not ensure that when snacks are provided the menu list any substituted food. Evidence: 1. The children were served pretzels and peaches for pm snack. However, the posted menu listed American cheese and wheat crackers for the pm snack. 2. The provider confirmed that the pm snack given was not listed as a substitution on the menu provided to parents.”

8VAC20-800-960-C

“Based on observation the provider failed to ensure that high chairs are used for children under 12 months and the safety straps are fastened when in use. Evidence: 1. Three two-year-old children were sitting in high chairs without the safety straps fastened. a. The label on the back of the three high chairs used for children in care today clearly states ?stay near and watch child during use.?”

8VAC20-800-980-A

“Based on record review the provider failed to obtain general written permission to take children off the premises of the family day home. Evidence: 1. The records for Child #2 and Child #3 did not contain written general permission to take children off the premises of the family day home. 2. The provider stated that she does transport children regularly.”

8VAC20-800-60-B

“Based on record review the provider did not ensure children’s records contained all the required information. Evidence: 1. The record for Child #1 did not contain one of two required emergency contacts information. 2. The record for Child #2 did not contain one parent work number, medical insurance number, one of two required emergency contacts or documentation of annual update. 3. The record for Child #3 did not contain the telephone number and address of the child’s physician or persons authorized to pick-up.”

8VAC20-800-70-A

“Based on record review, the provider did not ensure that parents are provided all required written information before the child’s first day of attendance. Evidence: 1. The record for Child #1 did not contain any documentation that any of the required written parent information was provided to the parent. 2. The record for Child #3 did not contain documentation of policies for medication administration.”

8VAC20-800-90-A

“Based on record review the provider did not obtain required immunization documentation prior to the child’s first day of attendance. Evidence: 1.Child #3 (enrollment date 4/4/24) did not have immunization documentation in their record. a.The child was in care during the inspection.”

8VAC20-800-390-A

“Based on observation and interview the provider failed to ensure that each child has access to an individual location to keep belongings. Evidence: There was a pile of coats and items stacked near the front door of the home. As children left the provider retrieved children’s personal items from the pile.”

8VAC20-800-560-A

“Based on observation the provider failed to ensure that a caregiver is physically present, provide direct care, supervise, and be near, aware, and responsible for each child in care. Evidence: 1. Upon arrival the provider was outside the home getting car seats from the vehicle while seven children were inside the home alone. a. The provider was the only caregiver present during the entire inspection. 2. Child #1 began to climb out the high chair. The high chair tripped and fell over with the child hanging from the side of the chair. a. The provider was not present in the child care room when this occurred.”

8VAC20-800-680-B

“Based on observation the provider failed to ensure that children wash their hands when their hands are dirty. Evidence: Children did not wash their hands after eating finger food for snack and were observed using their fingers to self-feed cling peaches during snack.”

8VAC20-800-240-A

“Based on observation and interview the provider did not ensure that areas of the family day home are maintained in a safe condition. Evidence: 1. A vertical plank on the wooden fence was broken, leaving an area of splitting, jagged edge accessible to children in care. 2. The provider confirmed that the vertical plank had an area of broken wood that was accessible to children.”

8VAC20-800-690-D

“Based on observation the provider failed to ensure that the diapering surface is a nonabsorbent surface. Evidence: The provider used absorbent quilted under pads to change each child’s diaper on the floor of the bathroom.”