Phillis Combo

8VAC20-800-100-A

“Based upon review of children's records, the provider has not ensured that documentation of a physical examination by or under the direction of a physician is obtained prior to a child's attending or within 30 days after the first day of attendance. Evidence: The record provided for child 1 indicated that child 1 began attending on 7/27/2023. The record did not include the results of a physical examination.”

8VAC20-800-100-A

“Based upon review of children's records, the provider has not ensured that documentation of a physical examination by or under the direction of a physician is obtained prior to a child's attending or within 30 days after the first day of attendance. Evidence: The record provided for child 1 indicated that child 1 began attending on 7/27/2023. The record did not include the results of a physical examination.”

22.1-289.036-B-2

“Based upon review of caregivers records and provider interview, the provider has not ensured that the results of fingerprinting are obtained for all caregivers. Evidence: 1. The provider was unable to find the results of fingerprinting for caregiver 2 during the inspection. 2. The provider acknowledged that the results of fingerprinting for caregiver 2 were not in the records.”

8VAC20-800-280

“Based upon observation, the provider has not ensured that potentially poisonous substances such as cleaning agents, sanitizers and pesticides are stored away from food in areas inaccessible to children. Evidence: 1. There was a container of Raid pesticide on the counter in the kitchen. 2. After diapers were changed, there was a container of disinfectant left on a dresser inside a bedroom door beside where the diapers had been changed in the hallway. 3. There was a plug-in liquid air freshener in an electrical outlet that was approximately 1 foot from the floor in the child care room.”

8VAC20-800-560-A

“Based upon observation and provider interview, the provider has not ensured the direct care and supervision of each child including the awareness of and responsibility for each child in care in order to intervene, if needed. Evidence: 1. Child 1, two years old, was observed running around the child care room and climbing on furniture during the entire inspection. She climbed up the outside of a high chair and onto the serving tray three times during the inspection. She was also observed running around and over other children while pushing them out of her way. 2. The provider acknowledged child 1's behavior and the challenge presented in ensuring her safety and the safety of the other children.”

22.1-289.036-B-2

“Based upon review of caregivers records and provider interview, the provider has not ensured that the results of fingerprinting are obtained for all caregivers. Evidence: 1. The provider was unable to find the results of fingerprinting for caregiver 2 during the inspection. 2. The provider acknowledged that the results of fingerprinting for caregiver 2 were not in the records.”

8VAC20-800-280

“Based upon observation, the provider has not ensured that potentially poisonous substances such as cleaning agents, sanitizers and pesticides are stored away from food in areas inaccessible to children. Evidence: 1. There was a container of Raid pesticide on the counter in the kitchen. 2. After diapers were changed, there was a container of disinfectant left on a dresser inside a bedroom door beside where the diapers had been changed in the hallway. 3. There was a plug-in liquid air freshener in an electrical outlet that was approximately 1 foot from the floor in the child care room.”

8VAC20-800-560-A

“Based upon observation and provider interview, the provider has not ensured the direct care and supervision of each child including the awareness of and responsibility for each child in care in order to intervene, if needed. Evidence: 1. Child 1, two years old, was observed running around the child care room and climbing on furniture during the entire inspection. She climbed up the outside of a high chair and onto the serving tray three times during the inspection. She was also observed running around and over other children while pushing them out of her way. 2. The provider acknowledged child 1's behavior and the challenge presented in ensuring her safety and the safety of the other children.”

8VAC20-800-830-C

“Based upon review of the documentation of emergency drills and provider interview, the provider has not ensured that documentation is maintained of all emergency drills with the required information. Evidence: 1. The provided documentation of emergency drills ended in December 2021. No drills have been documented in 2022. 2. The provider verified that the drills conducted since December 2021 have not been documented.”

8VAC20-800-280

“Based upon observation, the provider has not ensured that potentially poisonous substances are stored in areas inaccessible to children. Evidence: There was an aerosol container of Raid insect spray in the unlocked cabinet under the sink in the bathroom used by the children.”

8VAC20-790-430-A-3

“Based upon review of documentation, the provider has not ensured that lockdown drills are practiced at least annually. Evidence: The documentation of drills conducted did not have a lockdown drill conducted within the past year.”

8VAC20-800-830-C

“Based upon review of the documentation of emergency drills and provider interview, the provider has not ensured that documentation is maintained of all emergency drills with the required information. Evidence: 1. The provided documentation of emergency drills ended in December 2021. No drills have been documented in 2022. 2. The provider verified that the drills conducted since December 2021 have not been documented.”

8VAC20-800-280

“Based upon observation, the provider has not ensured that potentially poisonous substances are stored in areas inaccessible to children. Evidence: There was an aerosol container of Raid insect spray in the unlocked cabinet under the sink in the bathroom used by the children.”

8VAC20-790-430-A-3

“Based upon review of documentation, the provider has not ensured that lockdown drills are practiced at least annually. Evidence: The documentation of drills conducted did not have a lockdown drill conducted within the past year.”