Valerie Knight

8VAC20-800-210-A

“Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. The record for caregiver #1 and caregiver #2 did not contain documentation of at least sixteen hours of annual training for the year 2025.”

8VAC20-800-60-A

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. The following required information was not documented in the children’s records. The record for child #1 information regarding liability insurance and topical skin products. The record for child #2 did not contain provisions of the family day home's emergency preparedness and response plan. The record for child #3 did not contain information regarding topical skin products.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

8VAC20-800-890

“REPEAT VIOLATION Based on observation and interviews, it was determined the provider did not ensure that when food is brought from home the container will be clearly labeled in a way that identifies the owner. Evidence: 1.There was a sippy cup in the refrigerator that had no name on it to identify who the cup belonged to. 2.The provider confirmed there was no name on the sippy cup.”

8VAC20-800-180-A

“Based on record review and interview, it was determined the provider did not ensure that subsequent tuberculosis screening for caregivers and household members shall be obtain in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1.The TB screening dated 9/17/21 had expired for caregiver #1 and caregiver #2. An updated TB screening was required as of 9/22/23. 2.Caregiver #1 confirmed an updated TB screening was not in the record.”

8VAC20-800-80-C

“Based on record review and interview, it was determined the provider did not ensure that children’s records contained documentation of the method the provider used to verify the child’s age and identity. Evidence: 1.The record for child #4 did not contain documentation that the provider viewed proof of age and identity. 2.The provider confirmed the documentation was not in the record.”

8VAC20-800-240-A

“Based on observation and interviews, it was determined the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a safe, and operable condition. Unsafe conditions include, but are not limited to cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; and protruding nails, bolts, or other components that could entangle or could snag skin. Evidence: 1.There was a vinyl fence next to the outdoor play equipment. The bottom of the fence had broken, cracked and jagged edges. These jagged edges were accessible to children and could snag or scratch skin. 2.The provider confirmed the edges were broken.”

8VAC20-800-210-A

“Based on record review and interviews, it was determined the provider did not ensure that in addition to satisfactory completion of first aid and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1.The records for caregiver #1 and caregiver #2 did not contain the required 16 hours of training for 2023. 2.Caregiver #1 confirmed the training documentation was not in the records.”

8VAC20-800-60-A

“REPEAT VIOLATION Based on record review, it was determined the provider did not ensure that an up-to-date record was maintained at the family day home for each enrolled child. Evidence: 1.The record for child #2 did contain parent work phone numbers. 2.The record for child #4 did not contain parent work phone numbers, medical insurance policy number, and emergency contact address.”

8VAC20-800-830-D

“Based on record review and interviews, it was determined the provider did not ensure that records of emergency evacuation and shelter-in-place drills were maintained for one year. Evidence: 1.The emergency drill log contained documentation for emergency drills completed in January, February, and March 2024. There was no documentation of emergency drills completed for the prior 12 months. 2.The owner confirmed there was no documentation of 2023 emergency drills available for review.”

8VAC20-800-140-D

“Based on record review and interviews, it was determined the provider did not ensure that the substitute provider records and signs the time of arrivals and departures on each day that the substitute works. Evidence: 1. There was no record for the time of arrival of substitute #3. This substitute was providing care on the date of the inspection, 2. Provider #1 confirmed there was no record of the arrival of the substitute provider.”

22.1-289.035-A

“Based on record review and interview, it was determined the facility did not ensure that all applicants for employment, employees, applicants to serve as volunteers, and volunteers shall undergo a background check prior to employment or beginning to serve as a volunteer and every five years thereafter. Evidence: 1.The provider did not have documentation of a repeat criminal history check for Household/Caregiver #1 and #2'. Both criminal history checks expired on 04/19/2023.”

8VAC20-800-890

“Based on observation and interviews, it was determined that the provider did not ensure that when food is brought from home the container will be clearly labeled in a way that identifies the owner. Evidence: 1. There was a bottle of formula in the freezer that had no label identifying the owner. 2. The provider confirmed there was no name on the bottle.”

8VAC20-800-350-E

“Based on observation, it was determined that the provider did not ensure that hot water at taps available to children shall be maintained within a range of 105?F to 120?F. Evidence: 1. The temperature of the hot water in the bathroom used by the children to wash their hands was 125.4. 2. Caregiver #1 confirmed that the water at taps available to children was not maintained within a range of 105?F to 120?F.”

8VAC20-800-60-A

“Based on a review of five child records, it was determined that the provider did not ensure that an up-to-date record is maintained at the family day home for each enrolled child. Evidence: 1. The record for child #2 did not indicate whether or not the child previously attended childcare previously. 2. The record for child #3 did not contain a second emergency contact. 3. The record for child #4 did not contain a second emergency contact and did not indicate whether or not the child previously attended childcare previously. 4. Caregiver #1 confirmed the records listed above did not contain all of the required information.”