Ms. Sovonia Golden

8VAC20-800-730-D · Based on observation and provider interviews, the provider did not ensure medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: In the kitchen, in an unlocked cabinet above the counter there were six nonprescription medications were observed.

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22VAC40-111-990-B · Based on provider interviews, the provider did not ensure that during transportation of children the driver has all required items.

Evidence: The provider confirmed they did not have the following information / supplies when providing transportation to child #2; 1) The name, address, and telephone number of the family day home 2) A copy of the parent's written permission to transport the child 3) A copy of each child's emergency contact information 4) Emergency supplies

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22.1-289.057-A · The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.

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8VAC20-790-250-D-1 · Based on record review and vendor interviews, the vendor did not ensure all caregiver have obtained updated CPR appropriate for the ages of children in care.

Evidence: Caregiver #2 CPR certification expired in April 2024.

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8VAC20-800-110-B · Based on record reviews and provider interviews, the provider did not each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physicians designee, or an official of a local health department.

Evidence: Child #4?s record did not include a physical signed by a physician or their designee.

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8VAC20-800-830-A · Based on observation, record review and provider interviews, the provider did not ensure emergency evacuation procedures shall be practiced monthly with all caregivers and children in care.

Evidence: Provider #1 confirmed there was not documentation of drills conducted August, September, October, November and December of 2023.

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8VAC20-800-30-A · Based on interviews and documentation review, the provider did not ensure compliance with these the terms of the current license issued by the department.

Evidence: The provider operated outside of the terms of the license by exceeding the capacity limit of 12 children on November 14, 2023 and November 15, 2023.

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8VAC20-790-170-G · Based on observation and staff interview the vendor did maintain, in a way that is accessible to all caregivers, shall be dated and kept confidential, a current written list of all children?s allergies, sensitivities, and dietary restrictions.

Evidence: A list of children?s allergies was posted near the front door where parents sign in to the program. This list was not dated or kept confidential.

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8VAC20-800-60-B · Based on record review and provider interviews, the provider did not ensue to maintain an up-to-date record at the family day home for each enrolled child with all the required information.

Evidence: The provider confirmed the following was missing from the children?s records as listed below; 1.The record for Child #2 and Child #4 did not include the insurance policy number of the child's medical insurance and the child?s first date of attendance 2. The record for Child #5 did not include the insurance policy number of the child's medical insurance, child?s first date of attendance, the name, address and telephone number of each custodial parent?s place of employment and the home address and phone number of one of the parents listed.

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8VAC20-800-920 · Based on observation and staff interview the licensee did not ensure when meals and snacks are provided by the family day home, the menu for the current one-week period shall be given to parents or posted or placed in an area accessible to parents.

Evidence: Staff #1 confirmed that the current week menu had not been posted and had not been given to parents.

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8VAC20-790-170-G · Based on observation and staff interview the vendor did maintain, in a way that is accessible to all caregivers, a current written list of all children?s allergies, sensitivities, and dietary restrictions.

Evidence: Staff #1 confirmed they did not have a written list of children?s names listing their allergies, sensitivities, and dietary restrictions. There were two children enrolled, (child #1 and #4) with food sensitives or dietary restrictions.

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8VAC20-800-830-C · Based on documentation review and provider interviews, the provider did not ensue emergency response drills included all required documentation.

Evidence: The evacuation drills from March 2022 to August 2022 does not include the following information; 1.Identity of the person conducting the drill; 2.The method used for notification of the drill; 3.The time it took to complete the drill; 4.Problems encountered, if any 5.Weather conditions.

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8VAC20-790-250-F · Based on record review and vendor interviews, the vendor did not ensure to compete all required annual training.

Evidence: The record for staff #1 and assistant #2 did not have the annual department?s health and safety update course. The most recent health and safety update course for staff #1 was dated 6-10-21 and for staff #2 it was dated 5-21-2019.

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22VAC40-111-730-D · Based on observation and provider interviews, the provider did not provider/ household member's medication was kept in a locked place using a safe locking method that prevents access by children.

Evidence: In an unlocked kitchen cabinet, the following household medication was observed (allergy medication, pain reliever medication and vitamins). The provider confirmed the medication was not stored in a locked place.

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