Rhonda Holland

8VAC20-790-180-B · (Repeat violation) The provider is required to maintain a written hard copy of daily attendance that documents the arrival and departure of each child in care as it occurs. One child was present during inspection. There was not documentation of attendance for this day. Attendance was documented for previous days including the day prior.

22.1-289.035-B-3 · For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Caregiver #1 did not have central registry search results during the inspection and has been employed for over 4 years.

8VAC20-790-180-B · Based on a review of records and interview, the vendor was unable to demonstrate that a written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred is maintained.

Evidence: When asked to view the attendance sheets for the current week, the vendor was unable to produce them.

8VAC20-790-400-H · Based on observation and interview, the vendor did not ensure that medications are kept in a locked place, using a safe locking method that prevents access by children.

Evidence: There were several medications, a nighttime liquid cold medication, an antacid and a bottle of antiseptic liquid, located on a cabinet shelf at a height of about 5 feet in the kitchen where 2 children, ages 4 and 5 years old, were eating an afternoon snack. The vendor acknowledged that even though the height of the shelf was a deterrent, the medications were not locked.

22VAC40-665-250-A · Based on observation and interview, the Vendor did not ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates are stored in areas inaccessible to children.

Evidence: During the inspection on 4/1/2022, the licensing inspector observed a bottle of all purpose cleaner, 3 aerosol cans of air freshener, and a 2.5 quart container of liquid drain cleaner under the bathroom sink in the restroom that children use while in care. Each pf these items containing warnings to "keep out of reach of children" as well as additional warnings regarding potential poisoning or health risks. The Vendor confirmed that these items were stored in areas that were accessible to children, but stated that she does not let children go to the restroom unattended or unsupervised therefore they do not touch these items.