Sunsook Lee

8VAC20-800-90-A · Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

Child #3, was enrolled for over one month before documentation of the child's immunizations were received by the provider.

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8VAC20-800-100-A · The provider shall 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.

The record for Child #1 did not have documentation of a physical examination.

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8VAC20-800-560-A · A caregiver shall be physically present on site and provide direct care and supervision of each child at all times. Direct care and supervision includes awareness of and responsibility for each child in care, including being near enough to intervene if needed.

Staff #1 did not provide direct care and supervision to child #1. Child #1 informed Staff #1 that they needed to use the restroom. Staff #1 instructed the child to go ahead upstairs. Child #1 had an accident and did not make it to the restroom in time, however Staff #1 was not able to provide assistance as they were downstairs cleaning. Child #1 was seen, by their parent who was picking up at the time, standing at the top of the stairs, attempting to change their own clothes.

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8VAC20-800-240-A · Areas and furnishings of the family day home shall be maintained in an operable condition.

The children's play area was not in a safe condition as there was a vent with chipped paint in the upstairs play room.

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8VAC20-800-510-C · Based on observation, the family day home provider did not occupied cots were not at least 12 inches from each other.

Evidence: 1. The Provider had 12 children all laying on cots in the front room area. The children cots were not 12 inches from each other.

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8VAC20-800-50-A · Based on attendance records, the provider did not maintain a written record of children in attendance each day.

Evidence: 1. There was not record for attendance for enrolled children October 30 and October 31, 2023.

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8VAC20-800-70-A · Based on review of children' records, 5 out of 5 records, the provider did not obtain before each child's first day of attendance parents were provided in writing required information for child's record.

Evidence: 1. The provider had forms in record that listed previous provider information. The information in each enrolled child's record had another provider's name listed on all required forms.

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