When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated, given to parent or posted, list any substitute food and be kept on file one week at the family day home.

The menu did not have documentation of substitute foods served for morning snack.

8VAC20-800-920 · Correction status not published

A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times.

1. A battery - operated weather band radio was not available during the inspection. 2. The provider stated that she was unable to locate the battery-operated radio.

8VAC20-800-770 · Correction status not published

Bottles shall be refrigerated and labeled with the child's full name and the

date, if more than one infant is in care. The provider did not have the bottles for child #2 (8 months old) and child #3 (8 months old) labeled and dated.

8VAC20-800-960-E · Correction status not published

REPEAT VIOLATION

Based on record review and interview, the provider did not ensure that all caregivers obtain a minimum of sixteen clock hours of training annually. Evidence: 1. The record for caregiver #1 had 14.5 of the 16 clock hours of training annually. 2. The record for caregiver #2 had 12 of the 16 clock hours of training annually. 3. The provider acknowledged that the required hours had not been completed for caregiver #1 and caregiver #2.

8VAC20-800-210-A · Correction status not published

Based on the review of the assistant record and interview, the provider failed to obtain repeat background checks every five years for one staff as required.

Evidence: 1. The record for assistant #1 contained fingerprint based criminal history record information check dated 01/30/19. The fingerprint based criminal history record information check was required to be completed prior to 01/30/24. 2. The provider stated she did not have the updated fingerprint based criminal history record information check.

22.1-289.035-A · Correction status not published

Based on observation and interview, the first aid kit did contain the minimum required supplies.

Evidence: 1. The first aid kit did not include band-aids. 2. The provider stated that the band-aids were not in the first aid kit.

8VAC20-800-760-A-1 · Correction status not published

Based on a review of children's records, the provider did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance.

Evidence: The records for child #1 (start date: 06/09/22), child #2 (start date 06/09/22), and child #4 (start date: 12/18/21) did not have a physical examination.

8VAC20-800-100-A · Correction status not published

Based on observation, medications were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bottle of Allergy medicine was unlocked on the kitchen counter accessible to children.

8VAC20-800-730-D · Correction status not published

Based on observation, the provider did not ensure that all areas and furnishings of the family day home. inside and outside, shall be maintained in a clean, safe, and operable condition.

Evidence: Child #7 (12 months of age) was observed in a portable infant swing. The infant swing had a broken right center frame with duct tape wrapped around the frame and the arm of the right side of swing. The right center frame was not completely attached to the arm of the right side of swing. The infant swing had blankets under the swing seat to prop the seat up.

22VAC40-111-240-A · Correction status not published