Zoe Kapogiannis

8VAC20-800-240-A

“Repeat Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Unsafe conditions shall include, but not be limited to, the presence of poisonous plants; tripping hazards; unstable heavy equipment, furniture, or other items that a child could pull down on himself; splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible 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. The wooden railing at the side door entrance has separated and eight nails were exposed and accessible to the children in care.”

8VAC20-800-60-B

“A child's record shall contain all required information. The record of child #1, enrolled for over a year, did not have documentation of the annual review of the child’s emergency contact information.”

8VAC20-800-280

“Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children. The playhouse on the patio where children walk to the outdoor play area contained multiple buckets of paint.”

8VAC20-790-190-B-12

“Based on a review of children's records and interview, the vendor did not obtain a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record of Child #8, enrolled on 10/02/23, contained documentation of a diagnosed food allergy. The record did not contain a written care plan. Caregiver #1 reported a written allergy care plan had not been obtained for child #8.”

8VAC20-800-90-C

“Based on review of children’s records, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record of child #1 (under the age of 2 years) did not contain documentation of immunizations every six months. The most recent documentation of immunizations was dated 08/07/2023. 2. The record of child #2 (under the age of 2 years) did not contain documentation of immunizations every six months. The most recent documentation of immunizations was dated 05/08/2023.”

8VAC20-800-60-B

“Repeat Based on review of children’s records, the provider did not obtain all required information for each child’s record. Evidence: 1. The record of child #1, enrolled 08/14/2023, did not contain documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. 2. The record of child #2, enrolled 05/09/2023, did not contain the name, address and telephone number of each custodial parent's place of employment, and documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. 3. The record of child #9, enrolled 01/29/2018, did not contain documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. The most recent review of emergency contact information was documented on 07/17/2023.”

8VAC20-800-240-A

“Repeat Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition. Evidence: 1. A fish tank in the main childcare area had a buildup of mold/ algae. The fish tank did not have a working filtration system. 2. The outside deck, identified as the play area for children in care, had a glass top coffee table that had a small rug on it lined up along the railing. The table gave access to children to be able to climb up and over the rail of the deck and posed a risk of cutting a child if broken. 3. The deck railing had a splintered piece of wood that was raised above the surface that could snag the skin of a child in care. A floorboard also had splintered wood.”

8VAC20-790-190-B-12

“Based on a review of children's records and interview, the vendor did not obtain a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record of Child #8, enrolled on 10/02/23, contained documentation of a diagnosed food allergy. The record did not contain a written care plan. Caregiver #1 reported a written allergy care plan had not been obtained for child #8.”

8VAC20-800-90-C

“Based on review of children’s records, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record of child #1 (under the age of 2 years) did not contain documentation of immunizations every six months. The most recent documentation of immunizations was dated 08/07/2023. 2. The record of child #2 (under the age of 2 years) did not contain documentation of immunizations every six months. The most recent documentation of immunizations was dated 05/08/2023.”

8VAC20-800-60-B

“Repeat Based on review of children’s records, the provider did not obtain all required information for each child’s record. Evidence: 1. The record of child #1, enrolled 08/14/2023, did not contain documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. 2. The record of child #2, enrolled 05/09/2023, did not contain the name, address and telephone number of each custodial parent's place of employment, and documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. 3. The record of child #9, enrolled 01/29/2018, did not contain documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. The most recent review of emergency contact information was documented on 07/17/2023.”

8VAC20-800-240-A

“Repeat Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition. Evidence: 1. A fish tank in the main childcare area had a buildup of mold/ algae. The fish tank did not have a working filtration system. 2. The outside deck, identified as the play area for children in care, had a glass top coffee table that had a small rug on it lined up along the railing. The table gave access to children to be able to climb up and over the rail of the deck and posed a risk of cutting a child if broken. 3. The deck railing had a splintered piece of wood that was raised above the surface that could snag the skin of a child in care. A floorboard also had splintered wood.”

8VAC20-800-680-B

“Based on observation, the caregiver did not ensure children’s hands were washed with liquid soap and warm running water after toileting or diapering. Evidence: Caregiver #2 diapered child #7. After diapering, caregiver #2 set child #7 down at the table for snack without washing the child’s hands.”

8VAC20-800-680-A

“Based on observation, the caregiver did not wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Evidence: Caregiver #2 was observed diapering child #7. After diapering, caregiver #2 cleaned the diaper surface and called the next child to be diapered without washing her hands.”

8VAC20-800-240-A

“Repeat Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition. Evidence: 1. A desk chair in the main childcare area was torn along the seat exposing the interior foam. The foam was accessible to children and posed a risk of chocking. 2. A fish tank in the main childcare area had a build up of mold/ algae. The fish tank did not have a working filtration system and no fish were in the tank. 3. The outside deck, identified as the play area for children in care, had four small slides, a small picnic table and a coffee table that were lined up along the railing. The climbing toys gave access to children to be able to climb up and over the rail of the deck. 4. The deck railing had a splintered piece of wood that was raised above the surface that could snag the skin of a child in care.”

8VAC20-800-200-C

“Based on record review, the provider did not ensure orientation shall be signed and dated by the provider and substitute provider. Evidence The record of caregiver #4 did not contain documentation of orientation.”

8VAC20-800-140-D

“Based on interview, the substitute provider did not record and sign the time of arrivals and departures on each day that the substitute provider worked. Evidence: Caregiver #4 stated she did not sign in at arrival or departure for the days of 07/22/2024 and 07/23/2024 and did not sign at arrival today, 7/24/2024.”

8VAC20-800-140-B-4

“Based on review of caregiver records and interview, the provider did not ensure substitute providers had current certification in first aid. Evidence: The record of caregiver #4 did not contain documentation of current first aid certification. Caregiver #4 stated she did not have first aid certification.”

8VAC20-800-140-B-3

“Based on review of caregiver records and interview, the provider did not ensure substitute providers had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Evidence: The record of caregiver #4 did not contain documentation of current CPR certification. Caregiver #4 stated she did not have CPR certification”

8VAC20-800-70-A

“Based on review of nine children’s records, the provider did not ensure the amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child before the child’s first day of attendance. Evidence: 1. The record of child #1, child #2, child #3, child #4, child #5, child #6, child #6, child #7, child #8, and child # 9, all had signed information for parents sheets that listed caregiver #5 (terminated) and caregiver #6 (terminated) as the substitute providers. There was no documentation of the amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child. 2. On 07/24/2024, caregiver #2 and caregiver #4 were on cite and caring for children instead of the provider.”

8VAC20-800-120-C

“Based on interview and record review, the provider did not maintain documentation of the time of arrivals and departures for substitute providers. Evidence: 1. Caregiver #4 was identified as the substitute provider by the provider via phone on 07/24/2024. 2. Caregiver #2 stated caregiver #4 had been acting as the substitute provider since 07/22/2024 and would continue through 07/26/2024 while the provider was on vacation. 3. Caregiver #2 stated there was no documentation of caregiver #4?s arrival and or departure.”

8VAC20-800-120-B

“Repeat Based on review of four caregiver records, the provider did not obtain all required documentation for one caregivers? record. Evidence: The record of caregiver #4, employed 07/22/2024 and identified as the substitute caregiver, did not contain the name, address, and telephone number of a person to be notified in an emergency, documentation of a high school program completion or the equivalent and three months of programmatic experience.”

8VAC20-800-210-A

“Based on review of caregivers? records, the provider did not ensure in addition to first aid training and CPR training, caregivers obtained a minimum of sixteen clock hours of training annually. Evidence: The record of caregiver #1 contained documentation of 8 hours of annual training between the period of May 30, 2023, through May 29, 2024, when 16 hours was required.”

8VAC20-800-680-B

“Based on observation, the caregiver did not ensure children’s hands were washed with liquid soap and warm running water after toileting or diapering. Evidence: Caregiver #2 diapered child #7. After diapering, caregiver #2 set child #7 down at the table for snack without washing the child’s hands.”

8VAC20-800-680-A

“Based on observation, the caregiver did not wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Evidence: Caregiver #2 was observed diapering child #7. After diapering, caregiver #2 cleaned the diaper surface and called the next child to be diapered without washing her hands.”

8VAC20-800-240-A

“Repeat Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition. Evidence: 1. A desk chair in the main childcare area was torn along the seat exposing the interior foam. The foam was accessible to children and posed a risk of chocking. 2. A fish tank in the main childcare area had a build up of mold/ algae. The fish tank did not have a working filtration system and no fish were in the tank. 3. The outside deck, identified as the play area for children in care, had four small slides, a small picnic table and a coffee table that were lined up along the railing. The climbing toys gave access to children to be able to climb up and over the rail of the deck. 4. The deck railing had a splintered piece of wood that was raised above the surface that could snag the skin of a child in care.”

8VAC20-800-200-C

“Based on record review, the provider did not ensure orientation shall be signed and dated by the provider and substitute provider. Evidence The record of caregiver #4 did not contain documentation of orientation.”

8VAC20-800-140-D

“Based on interview, the substitute provider did not record and sign the time of arrivals and departures on each day that the substitute provider worked. Evidence: Caregiver #4 stated she did not sign in at arrival or departure for the days of 07/22/2024 and 07/23/2024 and did not sign at arrival today, 7/24/2024.”

8VAC20-800-140-B-4

“Based on review of caregiver records and interview, the provider did not ensure substitute providers had current certification in first aid. Evidence: The record of caregiver #4 did not contain documentation of current first aid certification. Caregiver #4 stated she did not have first aid certification.”

8VAC20-800-140-B-3

“Based on review of caregiver records and interview, the provider did not ensure substitute providers had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Evidence: The record of caregiver #4 did not contain documentation of current CPR certification. Caregiver #4 stated she did not have CPR certification”

8VAC20-800-70-A

“Based on review of nine children’s records, the provider did not ensure the amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child before the child’s first day of attendance. Evidence: 1. The record of child #1, child #2, child #3, child #4, child #5, child #6, child #6, child #7, child #8, and child # 9, all had signed information for parents sheets that listed caregiver #5 (terminated) and caregiver #6 (terminated) as the substitute providers. There was no documentation of the amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child. 2. On 07/24/2024, caregiver #2 and caregiver #4 were on cite and caring for children instead of the provider.”

8VAC20-800-120-C

“Based on interview and record review, the provider did not maintain documentation of the time of arrivals and departures for substitute providers. Evidence: 1. Caregiver #4 was identified as the substitute provider by the provider via phone on 07/24/2024. 2. Caregiver #2 stated caregiver #4 had been acting as the substitute provider since 07/22/2024 and would continue through 07/26/2024 while the provider was on vacation. 3. Caregiver #2 stated there was no documentation of caregiver #4?s arrival and or departure.”

8VAC20-800-120-B

“Repeat Based on review of four caregiver records, the provider did not obtain all required documentation for one caregivers? record. Evidence: The record of caregiver #4, employed 07/22/2024 and identified as the substitute caregiver, did not contain the name, address, and telephone number of a person to be notified in an emergency, documentation of a high school program completion or the equivalent and three months of programmatic experience.”

8VAC20-800-210-A

“Based on review of caregivers? records, the provider did not ensure in addition to first aid training and CPR training, caregivers obtained a minimum of sixteen clock hours of training annually. Evidence: The record of caregiver #1 contained documentation of 8 hours of annual training between the period of May 30, 2023, through May 29, 2024, when 16 hours was required.”

8VAC20-800-170-A

“Repeat Based on review of one caregiver record and interview, the provider did not obtain from each caregiver at the time of hire and prior to coming into contact with children a current report of tuberculosis screening documenting the absence of tuberculosis in a communicable form. Evidence: 1. The record of caregiver #1, employed 05/15/2024, did not contain documentation of a tuberculosis screening. 2. The provider stated caregiver #1 had not gone to get a tuberculosis screening yet. 3. Caregiver#1 was observed working with children in care on May 15, 2024.”

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. In the den, where a child was observed, a hole in the wall created access to peeling paint and debris from the wallboard. 2. In the main child care room, the corner of the wall where the cots are kept the wall board was exposed.”

8VAC20-800-180-A

“Repeat Based on review of one household member’s record, the provider did not obtain for each caregiver and adult household member, a current report of tuberculosis screening every two years from the date of the first screening. Evidence: The record of household member #1 contained documentation of a tuberculosis screening dated 02/13/2022 exceeding two years.”

22.1-289.035-B-2

“Based on review of one caregiver record, interview, and observation, the provider did not obtain a national fingerprint background check for one caregiver prior to employment. Evidence: The record of caregiver #1, employed 05/15/2024, did not contain a national fingerprint background check. Caregiver #1 was observed working during the inspection on 05/15/2024. The provider stated caregiver #1 had not completed a national fingerprint check.”

22.1-289.035-B-4

“Based on review of one caregiver record and interview, the provider did not obtain an out of state criminal history check and an out of state sex offender registry check required for all states in which an individual has resided in the past 5 years prior to the 1st day of employment. Evidence: 1. The record of caregiver #1, employed 05/15/2024, contain a signed sworn statement dated 05/15/2024 indicating the caregiver had lived outside the state of Virginia in the past 5 years. 2. The record for caregiver #1 did not contain documentation of an out of state criminal history search and an out of state sex offender registry check. 3. The provider stated she had not requested the required out of state background checks for caregiver #1. 4. Caregiver #1 was observed on 05/15/2024 working with children.”

8VAC20-800-120-B

“Based on review of one record and interview, the provider did not obtain all required information for one caregiver record. Evidence: 1. The record for caregiver #1, employed 05/15/2024, did not contain documentation of two or more references as to the character and reputation as well as competency that were checked before employment. 2. Caregiver #1 stated she had left her references in her mother’s car. The provider acknowledged she did not have the references.”

8VAC20-800-60-B

“Repeat Based on review of four children’s records, the provider did not obtain all required information for each child’s record. Evidence: 1. The record of child #1, enrolled 04/02/2024, did not include the parents work phone number. 2. The record of child #2, enrolled 02/07/2024, did not include the address for one emergency contact listed. 3. The record of child #3, enrolled 02/07/2024, did not include the address for one emergency contact listed. 4. The record of child #4, enrolled 02/07/2024, did not include the address for one emergency contact listed.”

8VAC20-800-570-A

“Based on observation and interview, the provider did not ensure that a caregiver did not exceed 16 points. Evidence: 1. At the time of the inspector’s arrival on May 15, 2024 at 12:30 pm, eleven children (ages three months thru four years) were in care for a total of 27 points. The provider was the only caregiver on site. 2. The provider stated that her assistant had left for lunch. 3. At 1:10 pm, caregiver #1 arrived.”

8VAC20-800-510-A

“Based on observation, the provider did not ensure each child was provided with an individual crib, cot, rest mat, or bed for resting or napping. Evidence: 1. Child #5, three years in age, was observed asleep on the sofa in the den of the home. 2. When asked by the inspector why he was sleeping on the sofa, the provider stated, ?it’s his favorite place to sleep.?”

8VAC20-800-320-B

“Based on observation, the provider did not ensure child-resistant protective covers were installed in all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: Two unused electrical outlets in the kitchen and one electrical outlet in the den were observed without child-resistant protective covers. The kitchen and den are open to each other. Child #5, three years in age was observed in the den sleeping.”

8VAC20-800-800-B

“Based on review of documentation, the provider did not ensure the emergency plan was reviewed at least annually and updated as needed. The provider shall document in writing each review and update to the emergency plan. Evidence: The most recent review of the emergency plan was documented on 12/13/2022, exceeding the annual requirement.”

8VAC20-800-60-A

“Based on review of children’s records, attendance record and interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. On February 15, 2024, the inspector observed ten children in care. The attendance sheet confirmed ten children were signed into care on February 15, 2024. 2. Seven children’s records were reviewed, the provider stated she did not have the records for three of the children in attendance (child #4, child #5, and child #6) and that the parent was bringing the information at pick-up. 3. Attendance records showed the first day of attendance for child #4, child #5, and child #6 was February 7, 2024.”

8VAC20-800-90-A

“Based on review of children’s records, attendance record and interview, the provider did not obtain documentation that the child has been adequately immunized before a child may attend the family day home. Evidence: 1. Child #4, child #5 and child #6, all in attendance on 02/15/2024 did not have documentation of immunizations. 2. Attendance sheets indicated the first day of attendance for child #4, child #5, and child #6 was 02/07/2024. 3. The provider stated she did not have immunizations records for child #4, child #5, and child #6.”

8VAC20-800-140-B-1

“Based on review of three caregiver records, the provider did not obtain documentation of a high school program completion or equivalent evidence of having met the requirements for admission to an accredited college or university for providers and substitute providers. Evidence: 1. The record of caregiver #3, employed 06/01/2023 and identified as a substitute provider did not contain documentation of education. 2. The provider stated she did not have documentation of education for the substitute provider.”

8VAC20-800-170-A

“Based on review of three caregiver’s records, the provider did not obtain a current report of tuberculosis screening for one caregiver at the time of hire and prior to coming into contact with children. Evidence: The record of caregiver #3, employed 06/01/2023, contained documentation of a tuberculosis screening dated 06/02/2023 exceeding the date of employment.”

8VAC20-800-560-A

“Based on observation, the provider did not ensure direct care and supervision of each child in care to include monitoring a sleeping infant in one of the following ways: placing an infant for sleep in a location where the infant is within sight and hearing of a caregiver; by in-person observation of each sleeping infant at least once every 15 minutes; or by using a baby monitor. Evidence: 1. The provider was observed putting child #3, 8 months in age, in the crib located in the living room for nap at approximately 10:30 am. The living room is not within sight and hearing of the main room used for childcare. 2. The provider did not check on the infant in-person until 11:04 am, exceeding 15 minutes. 3. The provider stated she did not have a baby monitor”

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, plastic wrapped packages of diapers, wipes, and other items around and under the two cribs located in the living room of the home. One crib was filled with patio furniture cushions. The items presented a tripping hazard, possible choking hazard and created a situation where heavy items could be pulled down by a child in care. There was no clear path through the living room. 2. In the main room used for childcare, peeling paint was observed around the windows and near the fireplace. 3. The highchair tray and seat had a layer of dirt and was being used by a child in care. 4. The provider acknowledged that the areas used by children were not clean and the peeling paint.”

8VAC20-800-180-A

“Based on review of three household member’s records, the provider did not obtain for each caregiver and adult household member, a current report of tuberculosis screening every two years from the date of the first screening. Evidence: The record of household member #1 contained documentation of a tuberculosis screening dated 02/13/2022 exceeding two years”

8VAC20-800-800-B

“Based on review of documentation, the provider did not ensure the emergency plan was reviewed at least annually and updated as needed. The provider shall document in writing each review and update to the emergency plan. Evidence: The most recent review of the emergency plan was documented on 12/13/2022, exceeding the annual requirement.”

8VAC20-800-60-A

“Based on review of children’s records, attendance record and interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. On February 15, 2024, the inspector observed ten children in care. The attendance sheet confirmed ten children were signed into care on February 15, 2024. 2. Seven children’s records were reviewed, the provider stated she did not have the records for three of the children in attendance (child #4, child #5, and child #6) and that the parent was bringing the information at pick-up. 3. Attendance records showed the first day of attendance for child #4, child #5, and child #6 was February 7, 2024.”

8VAC20-800-90-A

“Based on review of children’s records, attendance record and interview, the provider did not obtain documentation that the child has been adequately immunized before a child may attend the family day home. Evidence: 1. Child #4, child #5 and child #6, all in attendance on 02/15/2024 did not have documentation of immunizations. 2. Attendance sheets indicated the first day of attendance for child #4, child #5, and child #6 was 02/07/2024. 3. The provider stated she did not have immunizations records for child #4, child #5, and child #6.”

8VAC20-800-140-B-1

“Based on review of three caregiver records, the provider did not obtain documentation of a high school program completion or equivalent evidence of having met the requirements for admission to an accredited college or university for providers and substitute providers. Evidence: 1. The record of caregiver #3, employed 06/01/2023 and identified as a substitute provider did not contain documentation of education. 2. The provider stated she did not have documentation of education for the substitute provider.”

8VAC20-800-170-A

“Based on review of three caregiver’s records, the provider did not obtain a current report of tuberculosis screening for one caregiver at the time of hire and prior to coming into contact with children. Evidence: The record of caregiver #3, employed 06/01/2023, contained documentation of a tuberculosis screening dated 06/02/2023 exceeding the date of employment.”

8VAC20-800-560-A

“Based on observation, the provider did not ensure direct care and supervision of each child in care to include monitoring a sleeping infant in one of the following ways: placing an infant for sleep in a location where the infant is within sight and hearing of a caregiver; by in-person observation of each sleeping infant at least once every 15 minutes; or by using a baby monitor. Evidence: 1. The provider was observed putting child #3, 8 months in age, in the crib located in the living room for nap at approximately 10:30 am. The living room is not within sight and hearing of the main room used for childcare. 2. The provider did not check on the infant in-person until 11:04 am, exceeding 15 minutes. 3. The provider stated she did not have a baby monitor”

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, plastic wrapped packages of diapers, wipes, and other items around and under the two cribs located in the living room of the home. One crib was filled with patio furniture cushions. The items presented a tripping hazard, possible choking hazard and created a situation where heavy items could be pulled down by a child in care. There was no clear path through the living room. 2. In the main room used for childcare, peeling paint was observed around the windows and near the fireplace. 3. The highchair tray and seat had a layer of dirt and was being used by a child in care. 4. The provider acknowledged that the areas used by children were not clean and the peeling paint.”

8VAC20-800-180-A

“Based on review of three household member’s records, the provider did not obtain for each caregiver and adult household member, a current report of tuberculosis screening every two years from the date of the first screening. Evidence: The record of household member #1 contained documentation of a tuberculosis screening dated 02/13/2022 exceeding two years”

8VAC20-790-250-F

“Based on record review and interview, the vendor did not complete the department's annual health and safety update course. Evidence: 1. The record for the vendor documented a certificate of training for the department's annual health and safety update course dated, 2/4/2022. 2. During an interview with caregiver #2, it was acknowledged that the vendor had not completed an updated training.”

8VAC20-800-60-B

“Based on review of five children's records, the provider failed to ensure records for each child contained the required information. Evidence: The record for Child #3 failed to include a second emergency contact person to call if a parent cannot be reached and the address for the one emergency contact person documented.”

8VAC20-800-780-B

“Based on review of five children's records, the provider did not annually review with the parent the emergency contact information to ensure the information is correct. Evidence: The record for Child #5 (start date: 1/29/18) documented 5/8/2020 as the last review.”

8VAC20-800-770

“Based on observation, the provider failed to ensure a working battery-operated flashlight was kept in a designated area and available to caregivers at all times. Evidence: 1. During the inspection, the battery-operated flashlight was observed as not working. 2. The substitute caregiver acknowledged during the inspection, that the flashlight was not operating and was not able to locate a working flashlight during the inspection.”

8VAC20-800-340-C

“Based on observation, the provider failed to ensure the bathroom was kept clean. Evidence: The bathroom used by children in care had brown dirt stains around the bottom of the toilet and sink.”

8VAC20-790-250-F

“Based on record review and interview, the vendor did not complete the department's annual health and safety update course. Evidence: 1. The record for the vendor documented a certificate of training for the department's annual health and safety update course dated, 2/4/2022. 2. During an interview with caregiver #2, it was acknowledged that the vendor had not completed an updated training.”

8VAC20-800-60-B

“Based on review of five children's records, the provider failed to ensure records for each child contained the required information. Evidence: The record for Child #3 failed to include a second emergency contact person to call if a parent cannot be reached and the address for the one emergency contact person documented.”

8VAC20-800-780-B

“Based on review of five children's records, the provider did not annually review with the parent the emergency contact information to ensure the information is correct. Evidence: The record for Child #5 (start date: 1/29/18) documented 5/8/2020 as the last review.”

8VAC20-800-770

“Based on observation, the provider failed to ensure a working battery-operated flashlight was kept in a designated area and available to caregivers at all times. Evidence: 1. During the inspection, the battery-operated flashlight was observed as not working. 2. The substitute caregiver acknowledged during the inspection, that the flashlight was not operating and was not able to locate a working flashlight during the inspection.”

8VAC20-800-340-C

“Based on observation, the provider failed to ensure the bathroom was kept clean. Evidence: The bathroom used by children in care had brown dirt stains around the bottom of the toilet and sink.”

8VAC20-800-730-D

“Based on observation and interview, the provider did not ensure medications, including the medications for household members, were kept in a locked place using a safe locking method that prevents access by children. Evidence: Two bottles of prescription medications were observed unlocked on the nightstand in two bedrooms on the second floor. The provider acknowledged the medications were unlocked and stated children do not use the second level of the home. All medications, except those prescriptions designated otherwise by a written physician’s order are required to be kept in a locked place using a safe locking method that prevents access by children.”

8VAC20-800-320-B

“Based on observation, the provider did not ensure child-resistant protective covers were installed in all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: Three unused electrical outlets in a surge protector did not have protective covers installed. The surge protector was in the opening under the desk in the childcare room accessible to children in care.”

8VAC20-800-240-A

“Based on observation, the provider did not ensure areas and furnishing of the family day home, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. On the deck, used by children in care, small trees/shrubs had grown through the space between the floor planks. The trees/shrubs had been cut however jagged stalks approximately an inch to two inches remained sticking above the floor surface posing a rick of tripping or snagging the skin of a child. 2. In the room used for childcare, around the fireplace, peeling paint was observed. The prrling paint was within reach to children in care.”

8VAC20-800-730-D

“Based on observation and interview, the provider did not ensure medications, including the medications for household members, were kept in a locked place using a safe locking method that prevents access by children. Evidence: Two bottles of prescription medications were observed unlocked on the nightstand in two bedrooms on the second floor. The provider acknowledged the medications were unlocked and stated children do not use the second level of the home. All medications, except those prescriptions designated otherwise by a written physician’s order are required to be kept in a locked place using a safe locking method that prevents access by children.”

8VAC20-800-320-B

“Based on observation, the provider did not ensure child-resistant protective covers were installed in all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: Three unused electrical outlets in a surge protector did not have protective covers installed. The surge protector was in the opening under the desk in the childcare room accessible to children in care.”

8VAC20-800-240-A

“Based on observation, the provider did not ensure areas and furnishing of the family day home, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. On the deck, used by children in care, small trees/shrubs had grown through the space between the floor planks. The trees/shrubs had been cut however jagged stalks approximately an inch to two inches remained sticking above the floor surface posing a rick of tripping or snagging the skin of a child. 2. In the room used for childcare, around the fireplace, peeling paint was observed. The prrling paint was within reach to children in care.”

8VAC20-790-250-B

“Based on review of caregiver records, the provider did not ensure caregivers completed Virginia preservice training for Child Care staff sponsored by the Department of Education, within the first 90 days of employment. Evidence: Caregiver #3, employed 07/25/2022, did not have documentation of completing the Virginia preservice training, exceeding 90 days from employment.”

8VAC20-800-800-B

“Based on interview and review of documentation, the provider did not review the emergency preparedness plan at least annually and document in writing each review and update to the emergency plan. Evidence: 1. The provider stated that the emergency preparedness plan had been reviewed however the most resent date of review documented was 08/31/2020, exceeding the annual requirement. 2. The provider stated she had forgotten to document the date reviewed.”

8VAC20-800-140-B-4

“Based on review of caregiver records, the provider did not obtain all required documentation for the substitute provider’s record. Evidence: 1. The record for caregiver #3, identified as the substitute provider, did not contain documentation of a high school program completion or the equivalent or evidence of having met the requirements for admission to an accredited college or university; documentation of three months of programmatic experience; documentation of current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care; documentation of current certification in first aid. 2. The provider stated she did not have the required documentation for the substitute’s record.”

8VAC20-790-250-B

“Based on review of caregiver records, the provider did not ensure caregivers completed Virginia preservice training for Child Care staff sponsored by the Department of Education, within the first 90 days of employment. Evidence: Caregiver #3, employed 07/25/2022, did not have documentation of completing the Virginia preservice training, exceeding 90 days from employment.”

8VAC20-800-800-B

“Based on interview and review of documentation, the provider did not review the emergency preparedness plan at least annually and document in writing each review and update to the emergency plan. Evidence: 1. The provider stated that the emergency preparedness plan had been reviewed however the most resent date of review documented was 08/31/2020, exceeding the annual requirement. 2. The provider stated she had forgotten to document the date reviewed.”

8VAC20-800-140-B-4

“Based on review of caregiver records, the provider did not obtain all required documentation for the substitute provider’s record. Evidence: 1. The record for caregiver #3, identified as the substitute provider, did not contain documentation of a high school program completion or the equivalent or evidence of having met the requirements for admission to an accredited college or university; documentation of three months of programmatic experience; documentation of current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care; documentation of current certification in first aid. 2. The provider stated she did not have the required documentation for the substitute’s record.”

8VAC20-800-140-B-3

“Based on review of caregiver records and interview, the provider did not maintain current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Evidence: The CPR certification for caregiver #1 expired on 11/02/2021. Caregiver #1 stated she did not have current CPR as she had not renewed her CPR certification as of yet.”

8VAC20-800-180-A

“Based on record review, the provider did not ensure each caregiver and adult household member obtained a current Report of Tuberculosis Screening every two years from the date of the first screening. Evidence: Documentation of the most recent tuberculosis screening for household member #1 was dated 05/16/2019 exceeding the requirement to renew every two years.”

8VAC20-800-210-A

“Based on review of training certificates, logs and interview, the provider did not ensure in addition to satisfactory completion of first aid training and CPR training, caregivers obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The training log for caregiver #1 had a total of 15 hour of annual training for the period 05/31/2020 through 05/30/2021 when 16 hours was required.”

8VAC20-800-140-B-3

“Based on review of caregiver records and interview, the provider did not maintain current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Evidence: The CPR certification for caregiver #1 expired on 11/02/2021. Caregiver #1 stated she did not have current CPR as she had not renewed her CPR certification as of yet.”

8VAC20-800-180-A

“Based on record review, the provider did not ensure each caregiver and adult household member obtained a current Report of Tuberculosis Screening every two years from the date of the first screening. Evidence: Documentation of the most recent tuberculosis screening for household member #1 was dated 05/16/2019 exceeding the requirement to renew every two years.”

8VAC20-800-210-A

“Based on review of training certificates, logs and interview, the provider did not ensure in addition to satisfactory completion of first aid training and CPR training, caregivers obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The training log for caregiver #1 had a total of 15 hour of annual training for the period 05/31/2020 through 05/30/2021 when 16 hours was required.”