Ms. Adrienne Camper

8VAC20-790-250-D-1 · All caregivers shall have a current certification in cardiopulmonary resuscitation (CPR).

Staff #2, did not have a current certification in cardiopulmonary resuscitation (CPR), which is overdue by five months.

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8VAC20-800-280 · Potentially poisonous substances, materials and supplies such as, but not limited

to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children. In the main room used for care, a bottle of Awesome, an All purpose cleaner, with the warning label "Keep out of reach of children" , was sitting on top of the table within reach of the children.

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8VAC20-790-250-F · Caregivers shall annually complete the department?s health and safety update course.

Caregivers #1 and #2 did not complete the health and safety update training for 2024.

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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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8VAC20-800-60-B · Based on review of five children?s records, three records did not contain the required information.

Evidence: 1. The record for Child #1 (first day of attendance: 04/01/2024) did not contain the addresses for two emergency contacts. 2. The record for Child #2 (first day of attendance: 09/06/2022) did not contain documentation of the review of the child?s emergency contact information. 3. The record for Child #3 (first day of attendance: 02/20/2024) did not contain parent?s signed acknowledgement of the receipt of required information.

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8VAC20-800-900-B · Based on observation, the provider allowed children to drink while lying down.

Evidence: A cup containing a liquid substance was observed in the crib where one child was sleeping.

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8VAC20-800-100-A · Based on records review, the provider failed to obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: The record for child #2, date of enrollment 10/9/22, did not contain documentation of a physical.

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8VAC20-800-800-B · Based on a review of documentation, the provider failed to review the emergency plan at least annually and update the emergency preparedness and response plan as needed. Evidence: The emergency preparedness and response plan was last reviewed and updated in 2018.

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22.1-289.058 · Based on observation and interview, the caregiver did not ensure the home was equipped with at least one carbon monoxide detector.

Evidence: Caregiver #1 stated a carbon monoxide detector has not been purchased as of May 4, 2022 when the licensing inspectors asked to see the carbon monoxide detector. The family day home was built before 2015.

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22VAC40-111-180-A · Based on documentation review and interview, the provider did not obtain a tuberculosis (TB) screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Evidence: The record for Provider #1 contained a TB screening dated 07/25/2018. Provider #1 stated she has been having difficulty getting an updated TB screening.

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