Lisa Brooks

8VAC20-800-850-A · Based upon investigation, the provider failed to report to the department within 24 hours of the circumstances surrounding the serious injury to a child while under the family day home's supervision.

Evidence: 1. The provider acknowledged that child 1 suffered a broken arm while under the care of the family day home provider. The provider did not notify the department of the child's serious injury requiring a physician's care. 2. The injury was discovered by the department when reported by the complainant.

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22VAC40-111-60-B · Based upon review of two children's records and provider interview, the provider has not ensured that each child's record includes all required information.

Evidence: 1. The records provided for child 1 and child 2 do not include the name, address and telephone number of a second person to be contacted in an emergency when a parent cannot be reached. 2. The records provided for child 1 and child 2 do not include the name, address and telephone number of the father's place of employment. 3. The records provided for child 1 and child 2 do not include the parent's signed acknowledgement of the receipt of whether or not the provider has liability insurance. 4. The provider verified that the above information was not in the records for child 1 and child 2.

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8VAC20-800-940-A · Repeat Violation

Temperatures shall be maintained at or below 40?F in refrigerator compartments and at or below 0?F in the freezer compartments. At the time of the inspection, the temperature reading for the refrigerator was 42?F and 6?F in the freezer. Both temperatures were not at or below the requirement.

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8VAC20-800-940-A · Temperatures shall be maintained at or below 40?F in refrigerator compartments.

At the time of the inspection, the temperature reading for the refrigerator was 46?F, which is not maintained at the required temperature.

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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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8VAC20-790-180-B · Repeat Violation

The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. On the day of the inspection, one child was not signed in on the daily attendance. All children are required to be signed in as they arrive.

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22.1-289.058 · Repeat Violation

Each building that was built before 2015 and that houses a child day program that serves preschool-age children shall be equipped with at least one carbon monoxide detector. During the time of the inspection, there was not a carbon monoxide detector equipped in the home.

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8VAC20-790-180-B · The vendor shall maintain a written hard copy record of daily attendance that

documents the arrival and departure of each child in care as it occurs. There were four children in care at the time of the inspection; however zero of four children were signed in for the day.

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22.1-289.058 · Based upon observation and provider interview, the provider has not ensured that there is at least one working carbon monoxide detector.

Evidence: The provider had a carbon monoxide detector but it was not taken it from the packaging and installed it.

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8VAC20-800-280 · Based upon observation, the provider has not ensured that potentially poisonous substances are stored away from food in areas inaccessible to the children.

Evidence: 1. There was a spray container of insecticide and a can of disinfecting spray on the window sill above the sink in the kitchen, Both containers had warning labels. 2. There was a large jug of laundry detergent on the dryer in the open laundry closet. The detergent had a warning label. 3. The kitchen and laundry area was accessible to the child in care.

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8VAC20-790-220-B · Based upon provider interview, the provider failed to inform the department's representative of any injury to a child under the vendor's supervision when a referral is made for treatment from a medical professional.

Evidence: According to the provider (vendor), child 1 was injured while in care on 10/02/2023 and was taken to the emergency room. The child has a fractured arm. The provider did not notify the department's representative or complete an online serious injury report.

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8VAC20-800-100-A · Based upon review of children's records, the provider has not ensured that they obtain documentation of a physical examination by or under the direction of a physician prior to a child's attending or within 30 days after the first day of attendance.

Evidence: The record provided for child 1 documented the first date of attendance as 8/15/2022. The child's record did not include the results of a physical examination.

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8VAC20-800-100-A · Based upon review of children's records and provider interview, the provider has not ensured that documentation of a physical examination is obtained within 30 days after the first day of attendance.

Evidence: 1. According to the record, child 3 began attending on 11/13/2022. The record did not include the results of a physical examination. 2. The provider acknowledged that the results of a physical examination had not been obtained for the record .

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