Rashida Barnes

8VAC20-800-100-A · The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

Child #3 had documentation of a physical dated more than 4 months after their start date.

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8VAC20-800-790 · The following telephone numbers shall be posted in a visible area close to the

telephone: 911 or local dial number for police, fire, and emergency medical responders; responsible person for emergency backup care, and the regional poison control center. Provider did not have any emergency numbers posted within the home in case of emergencies.

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8VAC20-800-210-A · Caregivers shall obtain a minimum of 16 clock hours of training annually.

Caregiver #2 did not obtained any training hours in 2024.

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8VAC20-800-560-A · Based on observations and record review, providers failed to maintain appropriate supervision with all children at all times.

Evidence: During staff interviews, provider stated they did not see the incident occur but did create an incident report stating the child had a mark/bruise on their head that occurred during the time the child was in the provider's care. Provider was unable to intervene when incident occurred.

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8VAC20-800-760-A-1 · Based on review and interview, the provider failed to ensure all required items were in the first aid kit.

Evidence: 1. Thermometer was missing from first aid kit. 2. Provider stated they could not find a thermometer in the home.

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8VAC20-800-890 · Based on observations and interviews, the provider did not ensure that when food is brought from home, the food container shall be clearly labeled in a way that identifies the owner.

Evidence: On 05/28/24, the inspector observed three lunch boxes that belonged to children in care. The lunch boxes were not labeled in a way that identified the owner. During interviews, Caregiver #1 acknowledged the lunch boxes were not labeled.

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8VAC20-800-830-B · Based on a review of documentation and interviews, the provider did not ensure shelter-in-place procedures were practiced a minimum of twice per year.

Evidence: The emergency response drills for 2023 were reviewed. The most recent shelter-in-place drill was documented on 01/17/23. During interview, Caregiver #1 stated the shelter-in-place procedures were not practiced a second time in 2023.

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8VAC20-790-190-B-12 · Based on a review of six children's records and interview, the vendor did not obtain a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: The record of Child #2, enrolled on 06/01/23, indicated the child has a diagnosed food allergy, but the record did not contain a written care plan. During interview, Caregiver #1 reported a written allergy care plan was not on file for Child #2.

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8VAC20-790-250-D-1 · Based on a review of three caregivers' records and interview, the vendor did not ensure one caregiver had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Evidence: 1) The CPR certification in the record of Caregiver #1 expired on 05/01/23. 2) During interview, Caregiver #1 acknowledged the CPR certification was expired.

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8VAC20-770-60-C-2 · Based on a review of three caregivers' records and interview, the provider did not ensure one staff had a central registry finding within 30 days of employment.

Evidence: 1) The record of Caregiver #3, employed on 03/02/23, did not contain a central registry finding. 2) During interview, Caregiver #1 confirmed the central registry finding for Caregiver #3 could not be located.

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8VAC20-800-760-A-1 · Based on a review of emergency supplies and interview, the provider did not ensure the first aid kit contained the required supplies.

Evidence: 1) The family day home's first aid kit did not contain at a minimum two triangular bandages. 2) During interview, Caregiver #1 reported there were no triangular bandages in the first aid kit or anywhere in the home.

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