8VAC20-800-240-A · 'Areas and furnishings of the family day home, inside and outside, shall be

maintained in a clean, safe, and operable condition. The children's bathroom was not in a clean condition, there is black mold covering the ceiling and walls above the shower and mold in the corner ceiling above the bathroom door.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-800-100-A · Based on a review of children records, the provider has not obtained documentation of the child's physical examination within 30 days of first day of attendance.

Evidence: There is no documentation of child # 1 and child #3 physical examination, both first day of attendance 9/11/2023.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-180-B · Based on a review of attendance records and provider interview, the vendor has not maintained daily attendance that documents the arrival and departure of each child in care.

Evidence: The vendor is not maintaining attendance when the child arrives and departs. There were 3 children that according to the vendor, had come in the morning but had left by the time we arrived at 9:45 am. The 3 children were still marked present on the attendance log. The attendance log was also prepopulated for the 21st and 22nd with the 5 children names already written on the attendance log.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-920 · Based on observation and provider interview, the menu for the current week is not posted or given to parents.

Evidence: The provider stated she does not have a menu, it is not posted nor given to the parents.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-800-830-C · Based on a review of emergency evacuation drills, the provider has not maintained emergency evacuation and shelter in place drills.

Evidence: There was no documentation that emergency drills or shelter in place drills have been conducted. The provider showed me the fire drill form where 1 fire drill was documented for 1/10/2023. The provider could not provide the inspector the drills from the past 6 months.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-820-120-E-2 · Based on observation and provider interview, the provider has not posted the most recent inspection of the home.

Evidence: The most recent inspection, dated 6/15/2022 was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-800-830-A · Based on provider interview, he emergency evacuation procedures have not been practiced monthly with all caregivers and children in care during all shifts that children are in care.

Evidence: There was no documentation of fire emergency drills. According to the attendance, children were in care the following dates; 4/18, 4/22, 5/13, 5/26, 5/27, 6/03. The provider stated that she did not conduct drills with the childcare children.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-760-A · Based on observation and applicant interview, the first aid kit did not contain triangular bandages.

Evidence: The first aid kit did not contain triangular bandages.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.