8VAC20-800-90-C · The provider shall obtain immunizations once every six months for children under the age of two years.

The immunization record for Child #1, who turned two years of age in August 2024, was dated 2/1/2024.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-780-B · Based on review of four children?s records, the provider did not obtain the parent?s signed acknowledgement of the annual emergency contact information review.

Evidence: 1. The most recent signed review of the emergency contact information for child #2 (enrolled 09/07/2021) was dated 08/11/2022, exceeding the annual requirement. 2. The most recent signed review of the emergency contact information for child #4 (enrolled 09/07/2021) was dated 08/09/2022, exceeding the annual requirement. 3. The provider stated, parent had reviewed the information but had not signed the acknowledgement.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-240-A · Based on observation, the provider did not ensure areas of the family day home, inside and outside, were maintained in a clean, safe, and operable condition.

Evidence: The wooden fence running along the side of the rear yard has one picket that is warped. The picket is detached at the top and bottom of the fence. The curve of the warped picket creates pinch points and areas that could snag the skin of a child.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-800-240-A · Based on observation, the provider did not ensure al areas of the home, inside and outside, were maintained in a clean, safe and operable condition.

Evidence; The stairwell leading down from the deck to the backyard has one wooden step that is cracked length wise across the top and leans forward when stepped on posing a tripping hazard. The stairs are used by children in care to get to the backyard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-790-250-B · Based on review of caregiver records, the provider did not ensure caregivers completed Virginia preservice training for child care staff within the first 90 days of employment or service

Evidence: The record of caregiver #3, hired 11/05/2021, had documentation of completion of the Virginia preservice training dated 04/05/2022 exceeding 90 days from employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22VAC40-665-230-E · Based on review of caregiver records and interview, the provider did not ensure all caregivers obtain within 90 days of employment or 90 days from subsidy vendor approval current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and current certification in first aid appropriate to the ages of children in care.

Evidence: Caregiver #2, hired 08/10/2021, did not obtain CPR and first aid certification within the first 90 days of hire.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22VAC40-111-240-A · Based on observation, the provider did not maintain arears and furnishings of the family day home, inside and outside, in a clean, safe, and operable condition. Unsafe conditions shall include, but not be limited to, the presence of poisonous plants; tripping hazards; unstable heavy equipment, furniture, or other items that a child could pull down on himself; splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; and protruding nails, bolts, or other components that could entangle or could snag skin.

Evidence: The wooden privacy fence around the rear yard used by children in care, has multiple boards that have detached from the post exposing a nail. Additional board have split creating a jagged edge that could snag the skin of a child.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.