Tammy Brown

8VAC20-790-250-F

“Based on review of caregiver records, the provider did not ensure caregivers completed, in addition to 16 hours of training, the department’s health and safety update course annually. Evidence: 1. The record of caregiver #1 had documentation of completing the department’s health and safety updated course on 02/02/2023. There was no documentation of the annual health and safety course for the 2024 year. 2. The record of caregiver #2 had documentation of completing the department’s health and safety updated course on 02/02/2023. There was no documentation of the annual health and safety course for the 2024 year.”

8VAC20-800-460-D

“Based on review of documentation, the provider did not maintain documentation of the current rabies vaccination. Evidence: The vaccine record for Konahu (canine) stated the rabies vaccine expired 08/29/2023. There was no additional documentation of a current rabies vaccine.”

8VAC20-790-250-F

“Based on review of caregiver records, the provider did not ensure caregivers completed, in addition to 16 hours of training, the department’s health and safety update course annually. Evidence: 1. The record of caregiver #1 had documentation of completing the department’s health and safety updated course on 02/02/2023. There was no documentation of the annual health and safety course for the 2024 year. 2. The record of caregiver #2 had documentation of completing the department’s health and safety updated course on 02/02/2023. There was no documentation of the annual health and safety course for the 2024 year.”

8VAC20-800-460-D

“Based on review of documentation, the provider did not maintain documentation of the current rabies vaccination. Evidence: The vaccine record for Konahu (canine) stated the rabies vaccine expired 08/29/2023. There was no additional documentation of a current rabies vaccine.”

8VAC20-790-250-F

“Based on review of caregiver records, the provider did not ensure caregivers completed, in addition to 16 hours of training, the department’s health and safety update course annually. Evidence: 1. The record of caregiver #1 had documentation of completing the department’s health and safety updated course on 02/02/2023. There was no documentation of the annual health and safety course for the 2024 year. 2. The record of caregiver #2 had documentation of completing the department’s health and safety updated course on 02/02/2023. There was no documentation of the annual health and safety course for the 2024 year.”

8VAC20-800-460-D

“Based on review of documentation, the provider did not maintain documentation of the current rabies vaccination. Evidence: The vaccine record for Konahu (canine) stated the rabies vaccine expired 08/29/2023. There was no additional documentation of a current rabies vaccine.”

8VAC20-800-180-A

“Based on review of two caregiver records, the provider did not ensure each caregiver obtained a current report of tuberculosis screening every two years from the date of the first screening. Evidence: 1. The record of caregiver #1 contained documentation of a tuberculosis screening dated 08/30/2021, exceeding two years. 2. The record of caregiver #2 contained documentation of a tuberculosis screening dated 08/30/2021, exceeding two years. 3. The provider stated a current tuberculosis screening had not been obtained for either caregiver.”

8VAC20-800-540-B

“Based on observation, the provider did not ensure infant walkers shall not be used. Evidence: An infant walker with wheels was observed folded-up sitting next to a crib.”

8VAC20-800-100-A

“Based on review of ten children’s records, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #9, enrolled 04/20/2023, contained a school health form with the date of a physical, however the form did not contain the results of the physical nor a signature of a physician. 2. The provider acknowledged the form was not complete or signed by a physician.”

8VAC20-800-240-A

“Repeat: Based on observation, the provider did not ensure areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. There was an abundance of boxes, packaged food, plastic wrapped packages of diapers, wipes, plastic bags, a vacuum cleaner, diaper trash can, and other equipment around and under the two cribs located in the kitchenette area of the home. The items presented a tripping hazard, possible choking hazard and created a situation where heavy equipment could be pulled down by a child in care. The diaper changing table also located in the kitchenette area in between the two cribs has peeling paint. 3. The provider acknowledged that the areas used by children were not clean. 4. An outdoor, single seat swing, approximately six feet in height was observed in the backyard where children play. The swing was not anchored to the ground. The licensing inspector was able to lift the swing support poles easily off the ground. The swing poses a risk of tipping over when used. 5. The caregiver acknowledged the swing was not anchored to the ground.”

8VAC20-770-40-D-5

“Based on review of one household member record, the provider did not obtain the results of a central registry background check within 30 days of one household member becoming 14 years of age. Evidence: The record of household Member #1, 14 years in age as of March 19, 2023, was missing results of a central registry background check.”

22.1-289.035-A

“Based on review of two caregiver’s records, the provider did not obtain background checks every five years. Evidence: 1. The record for caregiver #1 contained the results of a fingerprint national criminal record check dated 05/30/2018, exceeding five years. 2. The record for caregiver #2 contained the results of a fingerprint national criminal record check dated 05/30/2018, exceeding five years.”

8VAC20-800-270-A

“Based on observation and interview, the provider did not ensure firearms were stored in a locked container, compartment, or cabinet and apart from ammunition. Evidence: The locked case containing firearms also contained a box of ammunition. The provider confirmed that the ammunition was not stored separate from the firearms.”

22.1-289.035-A

“Based on review of two caregiver’s records and interview, the provider did not obtained background checks every five years. Evidence: 1. The record for caregiver #1 contained the results of a fingerprint national criminal record check dated 05/30/2018, exceeding five years. 2. The record for caregiver #2 contained the results of a fingerprint national criminal record check dated 05/30/2018, exceeding five years. 3. The provider confirmed a request to update the fingerprint national criminal record check had not yet been requested.”

8VAC20-800-100-A

“Based on review of eight children’s records, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: The record of child #7, enrolled 07/19/2022, did not contain documentation of a physical exceeding 30 days from enrollment.”

8VAC20-800-270-A

“Based on observation and interview, the provider did not ensure firearms were stored in a locked container, compartment, or cabinet and apart from ammunition. Evidence: The locked case containing firearms also contained a box of ammunition. The provider confirmed that the ammunition was not stored separate from the firearms.”

22.1-289.035-A

“Based on review of two caregiver’s records and interview, the provider did not obtained background checks every five years. Evidence: 1. The record for caregiver #1 contained the results of a fingerprint national criminal record check dated 05/30/2018, exceeding five years. 2. The record for caregiver #2 contained the results of a fingerprint national criminal record check dated 05/30/2018, exceeding five years. 3. The provider confirmed a request to update the fingerprint national criminal record check had not yet been requested.”

8VAC20-800-100-A

“Based on review of eight children’s records, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: The record of child #7, enrolled 07/19/2022, did not contain documentation of a physical exceeding 30 days from enrollment.”

8VAC20-790-250-F

“Based on review of caregiver records, the provider did not ensure caregivers completed, in addition to 16 hours of training, the department’s health and safety update course annually. Evidence: 1. The record of caregiver #1 had documentation of completing the department’s health and safety updated course on 05/13/2021. There was no documentation of the annual health and safety course for the 2022 calendar year. 2. The record of caregiver #2 had documentation of completing the department’s health and safety updated course on 05/12/2021. There was no documentation of the annual health and safety course for the 2022 calendar year.”

8VAC20-800-780-B

“Based on review of six children’s records, the provider did not annually obtain the parent’s signed acknowledgment of the review of the parent emergency contact information required to ensure the information is correct. Evidence: 1. The record of child #2, enrolled 01/04/2021, was last reviewed by the parent on 03/22/2022 exceeding the annual requirement. 2. The record of child #6, enrolled 02/14/2022, was last reviewed by the parent on 02/14/2022 exceeding the annual requirement.”

8VAC20-800-800-B

“Based on review of documentation and interview, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The family day home emergency preparedness plan was last reviewed/ updated on 01/20/2021 exceeding the annual requirement.”

8VAC20-800-770

“Based on interview, the provider did not maintain a working battery-operated flashlight to be kept in a designated area and available to caregivers at all times. Evidence: The provider stated she did not have a flashlight in the family day home.”

8VAC20-800-280

“Based on observation the provider did not ensure potentially poisonous substances, materials, and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were stored away from food in areas inaccessible to children. Evidence: 1. Multiple containers of cleaning products were observed on the washing machine located in the bathroom and separated only by a curtain. The cleaning products were accessible to children in care. 2. A canister of air freshener was observed sitting on the ledge of a half wall next to an occupied crib.”

8VAC20-800-60-A

“Based on interview, the provider did not maintain an up-to-date record at the family day home for each child enrolled. Evidence: The provider stated child #4 was enrolled on 04/20/2023 however she did not have a record for child #4 that contained all the required information.”

8VAC20-800-70-B

“Based on interview, the provider did not obtain the parent’s written acknowledgement of the receipt of the information for parents. Evidence: The provider stated she did not have the parent’s signed acknowledgment of the parent information for child #4.”

8VAC20-800-90-A

“Based on review of six children’s records, the provider did not obtain documentation that one child had been adequately immunized before the child attended the family day home. Evidence: Child #4, enrolled 04/20/2023, and in attendance on 05/01/2023, did not have documentation of immunization. The provider stated she did not have documentation of immunizations for child #4.”

8VAC20-800-240-A

“Based on observation, the provider did not ensure areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. There was an abundance of boxes, packaged food, bags, a vacuum cleaner, and other equipment around and under the two cribs located in the kitchenette area of the home. The items prevented a clear path to and around the cribs posing a tripping hazard. There is a full-length curtains hanging next to the crib, accessible to a child in the crib that poses a hazard. The diaper changing table also located in the kitchenette area in between the two cribs had peeling paint. 2. The bathroom used by children in care had a latex glove that had been used for coloring hair in the sink. The floor of the bathroom had a sticky residue. 3. The provider acknowledged that the areas used by children were not clean.”

8VAC20-770-40-D-5

“Based on review of two household member records and interview, the provider did not obtain the results of a central registry background check within 30 days of one household member becoming 14 years of age. Evidence: The record of household Member #2, 14 years in age as of March 19, 2023, was missing results of a central registry background check. The provider stated she had not requested a central registry background check for household member #2.”

8VAC20-800-290

“Based on observation, the provider did not ensure sharp kitchen utensils and other sharp objects were inaccessible to children unless being used by the caregiver or with children under close supervision. Evidence: The drawer in the kitchen that contain the sharp knives had a child safety lock that was broken creating accesses to the sharp knives by children in care.”

8VAC20-790-250-F

“Based on review of caregiver records, the provider did not ensure caregivers completed, in addition to 16 hours of training, the department’s health and safety update course annually. Evidence: 1. The record of caregiver #1 had documentation of completing the department’s health and safety updated course on 05/13/2021. There was no documentation of the annual health and safety course for the 2022 calendar year. 2. The record of caregiver #2 had documentation of completing the department’s health and safety updated course on 05/12/2021. There was no documentation of the annual health and safety course for the 2022 calendar year.”

8VAC20-800-780-B

“Based on review of six children’s records, the provider did not annually obtain the parent’s signed acknowledgment of the review of the parent emergency contact information required to ensure the information is correct. Evidence: 1. The record of child #2, enrolled 01/04/2021, was last reviewed by the parent on 03/22/2022 exceeding the annual requirement. 2. The record of child #6, enrolled 02/14/2022, was last reviewed by the parent on 02/14/2022 exceeding the annual requirement.”

8VAC20-800-800-B

“Based on review of documentation and interview, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The family day home emergency preparedness plan was last reviewed/ updated on 01/20/2021 exceeding the annual requirement.”

8VAC20-800-770

“Based on interview, the provider did not maintain a working battery-operated flashlight to be kept in a designated area and available to caregivers at all times. Evidence: The provider stated she did not have a flashlight in the family day home.”

8VAC20-800-280

“Based on observation the provider did not ensure potentially poisonous substances, materials, and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were stored away from food in areas inaccessible to children. Evidence: 1. Multiple containers of cleaning products were observed on the washing machine located in the bathroom and separated only by a curtain. The cleaning products were accessible to children in care. 2. A canister of air freshener was observed sitting on the ledge of a half wall next to an occupied crib.”

8VAC20-800-60-A

“Based on interview, the provider did not maintain an up-to-date record at the family day home for each child enrolled. Evidence: The provider stated child #4 was enrolled on 04/20/2023 however she did not have a record for child #4 that contained all the required information.”

8VAC20-800-70-B

“Based on interview, the provider did not obtain the parent’s written acknowledgement of the receipt of the information for parents. Evidence: The provider stated she did not have the parent’s signed acknowledgment of the parent information for child #4.”

8VAC20-800-90-A

“Based on review of six children’s records, the provider did not obtain documentation that one child had been adequately immunized before the child attended the family day home. Evidence: Child #4, enrolled 04/20/2023, and in attendance on 05/01/2023, did not have documentation of immunization. The provider stated she did not have documentation of immunizations for child #4.”

8VAC20-800-240-A

“Based on observation, the provider did not ensure areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. There was an abundance of boxes, packaged food, bags, a vacuum cleaner, and other equipment around and under the two cribs located in the kitchenette area of the home. The items prevented a clear path to and around the cribs posing a tripping hazard. There is a full-length curtains hanging next to the crib, accessible to a child in the crib that poses a hazard. The diaper changing table also located in the kitchenette area in between the two cribs had peeling paint. 2. The bathroom used by children in care had a latex glove that had been used for coloring hair in the sink. The floor of the bathroom had a sticky residue. 3. The provider acknowledged that the areas used by children were not clean.”

8VAC20-770-40-D-5

“Based on review of two household member records and interview, the provider did not obtain the results of a central registry background check within 30 days of one household member becoming 14 years of age. Evidence: The record of household Member #2, 14 years in age as of March 19, 2023, was missing results of a central registry background check. The provider stated she had not requested a central registry background check for household member #2.”

8VAC20-800-290

“Based on observation, the provider did not ensure sharp kitchen utensils and other sharp objects were inaccessible to children unless being used by the caregiver or with children under close supervision. Evidence: The drawer in the kitchen that contain the sharp knives had a child safety lock that was broken creating accesses to the sharp knives by children in care.”

8VAC20-800-140-B-3

“Based on a review of three caregiver records, the provider did not ensure that providers and substitute providers have current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff #1 and Staff #2 had CPR that expired in January of 2022.”

8VAC20-800-140-B-4

“Based on a review of three caregiver records, the provider did not ensure that providers and substitute providers have current certification in First Aid. Evidence: Staff #1 and Staff #2 had First Aid that expired in January of 2022.”

8VAC20-800-240-A

“Based on observation and interview, the provider did not ensure that areas of the home, inside and outside, were maintained in a safe and operable condition. Evidence: The back yard contained children’s play equipment that had visible cracks, splinters, breakage, and protruding nails. When asked, the provider stated that she began to tear down the equipment so that she could replace it.”

8VAC20-800-460-D

“Based on a review of records, the provider did not ensure to maintain documentation of current rabies vaccination for a one of three dogs in the home. Evidence: Dog #3 had a rabies vaccine that expired 02/10/22.”

8VAC20-800-510-A

“Based on observation, the provider did not ensure that each child was provided with an individual cot, rest mat, or bed for resting or napping. Evidence: There were 3 children sleeping directly on the living room floor.”

8VAC20-800-530-F

“Based on observation, the provider did not ensure that no soft bedding of any kind shall be used under or around infants including but not limited to pillows, quilts, comforters, sheepskins, or stuffed toys. Evidence: Child #1 (18 months) was sleeping in a crib with a pillow and stuffed animals.”

8VAC20-800-900-B

“Based on observation and interview, the provider did not ensure that children are not allowed to eat or drink while walking, running, playing, or lying down. Evidence: 1) A child was sleeping in a crib and began to cry. The provider made a bottle for the child and walked in and handed it to the child and removed an empty bottle that was in the crib. When asked, the provider stated that was how the child liked to fall asleep. 2) The children were served snack while sitting on the living room floor. They were observed to be moving around and playing while eating the snack. When asked, the provider stated that she normally has them sit with trays but forgot to today.”

8VAC20-800-140-B-3

“Based on a review of three caregiver records, the provider did not ensure that providers and substitute providers have current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff #1 and Staff #2 had CPR that expired in January of 2022.”

8VAC20-800-140-B-4

“Based on a review of three caregiver records, the provider did not ensure that providers and substitute providers have current certification in First Aid. Evidence: Staff #1 and Staff #2 had First Aid that expired in January of 2022.”

8VAC20-800-240-A

“Based on observation and interview, the provider did not ensure that areas of the home, inside and outside, were maintained in a safe and operable condition. Evidence: The back yard contained children’s play equipment that had visible cracks, splinters, breakage, and protruding nails. When asked, the provider stated that she began to tear down the equipment so that she could replace it.”

8VAC20-800-460-D

“Based on a review of records, the provider did not ensure to maintain documentation of current rabies vaccination for a one of three dogs in the home. Evidence: Dog #3 had a rabies vaccine that expired 02/10/22.”

8VAC20-800-510-A

“Based on observation, the provider did not ensure that each child was provided with an individual cot, rest mat, or bed for resting or napping. Evidence: There were 3 children sleeping directly on the living room floor.”

8VAC20-800-530-F

“Based on observation, the provider did not ensure that no soft bedding of any kind shall be used under or around infants including but not limited to pillows, quilts, comforters, sheepskins, or stuffed toys. Evidence: Child #1 (18 months) was sleeping in a crib with a pillow and stuffed animals.”

8VAC20-800-900-B

“Based on observation and interview, the provider did not ensure that children are not allowed to eat or drink while walking, running, playing, or lying down. Evidence: 1) A child was sleeping in a crib and began to cry. The provider made a bottle for the child and walked in and handed it to the child and removed an empty bottle that was in the crib. When asked, the provider stated that was how the child liked to fall asleep. 2) The children were served snack while sitting on the living room floor. They were observed to be moving around and playing while eating the snack. When asked, the provider stated that she normally has them sit with trays but forgot to today.”

22VAC40-111-730-D

“Based on observation and interview, the provider did not ensure medications for household members were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A medication box located in the providers bedroom was not locked at the time of the inspection. The medication box contained medications identified by the provider as being for household members. 2. The provider stated the box was not locked as that time.”

22VAC40-111-730-D

“Based on observation and interview, the provider did not ensure medications for household members were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A medication box located in the providers bedroom was not locked at the time of the inspection. The medication box contained medications identified by the provider as being for household members. 2. The provider stated the box was not locked as that time.”