Ms. Valerie Cotten

8VAC20-800-60-A · The provider shall maintain an up-to-date record at the family day home for each enrolled child.

Child record # 6 did not have an annual update completed for the child's record.

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8VAC20-800-60-B · A child's record shall contain emergency contact including name, address, and phone # of two designated persons to contact in case of an emergency.

Child #1 who had been enrolled for 3 months had one emergency contact listed. Child #2 who had been in enrolled for 1 day did not have any emergency contact info. on file.

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8VAC20-800-120-B · Assistant and substitute provider records shall contain two or more references and the name and address of the telephone of a person to be notified in an emergency.

Assistant #2 did not have two or more references documented and the information to contact in case of an emergency and had been employed for about 6 weeks.

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8VAC20-800-570-A · The provider shall ensure that a caregiver not exceed 16 points by using the point system.

An assistant was left to care to care for children for a total of 26 points for approximately 15 minutes until the provider returned.

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22.1-289.035-B-3 · Family day homes are required to request a copy of the results of a central registry check before the caretaker begins work.

Caretaker #2 had been working several months and there was not a record of a completed central registry check.

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8VAC20-800-960-E · Based on observation, bottle were not labeled with the child's name and date.

Evidence: 1. Two infants (child #1 and #2) were in care on bottles and bottles were not labeled with names and dates.

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8VAC20-800-260-B · Based on observation, the provider failed to have a non climbable barrier at least four feet high such as, but not limited to, a fence or impenetrable hedge shall surround outdoor play areas located within 30 feet of drowning hazards such as, but not limited to, inground swimming or wading pools, ponds, or fountains not enclosed by safety fences.

There is a hole where a fish pond used to be and it had approximately 3-5 inches in it.

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8VAC20-800-260-B · Based on observation, the provider failed to have a nonclimbable barrier at least four feet high such as, but not limited to, a fence or impenetrable hedge shall surround outdoor play areas located within 30 feet of drowning hazards such as, but not limited to, inground swimming or wading pools, ponds, or fountains not enclosed by safety fences.

Evidence: 1. There is a fish pond approximately 5 by 5 feet that had approximately 4-5 inches of water in it. The pond is located in the backyard.

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22.1-289.035-A · Based on record review, the provider failed to get a central registry history check on an employee every five years.

Evidence: 1. Staff person #4 has a central registry history check dated 1/11/2017; therefore a repeat central registry check was due 1/11/2022.

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8VAC20-800-140-D · Based on interview, the substitute provider failed to maintain a record of arrivals and departures on each day that the substitute provider works.

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22.1-289.035-B-2 · Based on interview with the provider, the provider failed to ensure that prior to employment, all persons who work with children have completed fingerprint background checks.

Evidence: 1. There are no fingerprint background checks on file for caregivers #2 and # 5. 2. Caregiver #2 stated she had been working since 10/2021. 3. The provider confirmed that caregiver #2 had been working regularly as a caregiver since October 2021. 4. The provider stated caregiver #5 was "just helping out and is a sub."

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