Ms. Sonnia Jones

8VAC20-790-190-B-12 · A written care plan is required for each 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.

Child 1, who has been enrolled for over one year, has a diagnosed food allergy and did not have a written care plan in their file. Child 4, who has been enrolled for 7 months, has a diagnosed food allergy and did not have a written care plan in their file.

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8VAC20-790-180-B · Vendors shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child as it occurs.

At approximately 12:25 pm on 09/30/2024 there were 10 children present, but the attendance record only documented 9 children in care.

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8VAC20-800-640-1 · Based on interviews, the provider failed to ensure that actions towards children that are forbidden by the standards (physical punishment including but not limited to striking a child, roughly handling or shaking a child, etc.) are not used.

Evidence: Caregiver 1 stated that at approximately 12:15 pm on 12/21/2023 she heard Child 1 (age 2 years) begin to cry while in the bathroom with Caregiver 2. Caregiver 1 stated that she went into the bathroom to check on Child 1 and noticed that the child?s face was a little red. Caregiver 1 asked Child 1 if something was hurting, and Child 1 proceeded to point to their face. When asked what happened to Child 1?s face, Caregiver 2 stated that she put her hands on Child 1?s face (one on each side) to turn the child?s face to look at her. The rough handling of Child 1 by Staff 2 resulted in red marks on the child?s face.

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