Angela Ferebee

8VAC20-800-780-B · Annually, the provider shall review with the parent the emergency contact information required to ensure the information is correct obtain the parent's signed acknowledgment of the review. The record for Child #1, child #2 and child #3 did not have an annual signed acknowledgement of the emergency contact information.

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8VAC20-790-220-B · Based on observation and interview, the vendor did not ensure that the department?s representative was informed as soon as practicable, but no more than two business days of any injury to a child while under the vendor?s

supervision when a referral is made for treatment from a medical professional. Evidence: 1. The vendor did not inform the licensing inspector of an injury, in which child #3 sought medical treatment for an injury that occurred while in care at the family day home. 2. Staff #1 confirmed that they did not inform the licensing inspector of the injury that was sustained by child #3 at the family day home, which resulted in requiring medical treatment.

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8VAC20-800-840-A · Based on record review and interview, the provider did not ensure that injuries or accidents sustained by a child while at the family day home that required first aid or emergency medical or dental treatment was recorded in the child?s record.

Evidence: 1. The record for child #3 did not contain documentation of an injury that occurred at the family day home. a. The inspectors inquired about any injuries during care at the home and the provider reported one injury which resulted in child #3 seeking medical attention but did not record the injury. 2. Staff #1 confirmed that an injury which resulted in medical treatment was not documented in the record for child #3.

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8VAC20-800-60-B · Based on record review and interview it was determined that the provider did not ensure that each child have proof of the child's age and identity in their record.

Evidence: 1. Child #1, Child #2, and Child #2 did not have documentation regarding proof of their age and identity in their record. 2. Staff #1, the provider, confirmed that there was no documentation in the records for Child #1, Child #2, and Child #3, regarding their proof of the child?s age and identity.

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8VAC20-800-240-A · Based on observation and interview, it was determined that the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a safe and operable condition.

Evidence: 1. There is a light pole outside in the children?s play area with an exposed wire and electrical outlet on the ground. This poses as an injury hazard to the children as it is in reach of children in care. 2. Staff #1 confirmed that the light pole did have wires and an exposed outlet in reach of children.

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8VAC20-800-280 · Based on observation and interview, it was determined that the provider did not ensure that potentially poisonous substances, materials and supplies be stored away and inaccessible to children.

Evidence: 1. A bottle of color enamel with a warning label, ?Keep out of reach of children? was on the floor near the children?s toy bin. The bottle was in reach of children in care. 2. Staff #1 confirmed the bottle was in reach of children in care.

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8VAC20-800-830-C · Based on record review and interview, it was determined that the provider did not ensure that documentation be maintained of emergency evacuation and shelter-in- place drills.

Evidence: 1. The family day home did not have documentation of the completed emergency evacuation drills and shelter-in-place drills. 2. Staff #1 confirmed that the emergency evacuation and shelter-in-place drills were not documented.

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