Ms. Kanikka Blakely

8VAC20-800-350-E · Hot water at taps available to children shall be maintained within a range of 105 degrees and 120 degrees Fahrenheit.

The hot water tap temperature was 127.6 in the bathroom that children use.

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22.1-289.035-A · The provider is required to have employees undergo a background check every five years.

The most recent central registry check for caregiver #1 was completed 94 days late.

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8VAC20-800-290 · Based on observation, the provider did not ensure that sharp kitchen utensils and other sharp objects were inaccessible to children.

Evidence: There was a knife block on the counter with five sharp knives in it accessible to children.

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8VAC20-800-60-A · Based on a review of five children?s records, the provider did not maintain an up-to-date record at the family day home for each enrolled child.

Evidence: 1. The record for child #1 (enrollment date 2/2/2022) and child #2 (enrollment date 6/2/2021), did not contain current annual acknowledgement signed by their parent. 2. The record for child #4 (enrollment date 7/23/2023), did not have documentation of the date when the provider reviewed the child?s proof of identity.

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8VAC20-790-250-F · Based on record review, the provider did not ensure that all staff completed the department's health and safety update course annually.

Evidence: 1. Staff #1?s record contained documentation of the department's health and safety update course dated 11/21/2021. 2. Staff #1's did not have documentation of an annual updated health & safety training within 12 months of the original training.

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8VAC20-800-120-B · Based on review of records, the provider did not maintain complete assistants' records.

Evidence: 1. Assistant #1's record was missing the name, address, and phone number for emergency contact. 2. Assistant #2?s record was missing the name, address and phone number for an emergency contact.

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8VAC20-770-40-D-1-b · Based on review of records, 1 of 3 staff was missing a Central Registry Background record result. Evidence: Staff # 2?s (DOH 3/4/2022) file did not contain documentation of a Central Registry Background Check.

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22VAC40-665-190-A · Based on a review of caregiver records, the vendor did not ensure to obtain a current report of tuberculosis screening at the time of employment and before coming in contact with children.

Evidence: The record of Caregiver #2 contains documentation of a tuberculosis screening dated 10/1/21. Caregiver #2 completed orientation training on 9/22/21.

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22VAC40-111-120-B · Based on a review of two caregiver records and interview, the family day home provider did not obtain all required documentation for one caregiver's record.

Evidence: 1. The record for Caregiver #2 contained documentation of two verbal references dated 9/27/21. The references did not contain the names of persons contacted or results.

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8VAC20-800-730-D · Based on observation on September 9, 2021, the provider did not ensure medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: There were two purses observed on top of laundry machines in the room between the kitchen and bathroom used and accessible by children. The provider stated she needed to use the restroom and when she returned it was observed the purses were no longer on top of the laundry machines. When asked about the purses the provider retrieved them from inside the dryer. Inside a purse was unlocked prescription medication.

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