Deatrice Rabb-Green

8VAC20-800-240-A · Areas and furnishings of the family day home, outside, shall be maintained in a clean, safe, and operable condition.

1. There was a toy wheelbarrow in the outdoor play area with jagged edges where a handle had broken off or been removed. 2. There was a broken window on the shed located directly next to the outdoor play area. The window pane contained broken glass shards. 3. There was a protruding nail at the top of the wooden handrail leading to the outdoor play area.

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8VAC20-800-30-B · The provider is required to comply with the family day home's policies that have been disclosed to the parents and are required by the Standards for Licensed Family Day Homes.

The written discipline polices provided to parents of children enrolled in the family day home state "Corporal punishment such as spanking is prohibited". On 8/27/2025, provider #2 struck child #3 (1 year old) when she entered the day care area and discovered that child #1 had been removed from his infant seat and was lying face down on the floor.

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8VAC20-800-920 · When meals or snacks are provided by the family day home, the menu for the current one-week period must be dated, given to parents or posted or placed in an area accessible to parents, List any substituted food, and be kept on file one week at the family day home.

There was not a current, dated menu posted or provided to parents at the time of inspection.

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8VAC20-790-250-F · Caregivers who work directly with children are required to attend the department's health and safety update course.

Staff #1 was over due to attend the department's health and safety update course by 9 months.

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8VAC20-800-700-C · When an authorization for medication expires, the licensee must notify the parent that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days must be taken to a pharmacy for proper disposal. There were 2 medications present in the family day home for child #2 which had an authorization form that was signed and dated by the parent on 7/9/2024 and was good for a maximum of 10 days without a physician's signature. The medication had not been returned to the parent or disposed of after 10 days.

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8VAC20-790-250-F · Caregivers who work directly with children shall, annually attend the department's health and safety update course.

1 of three staff (staff #2) had not completed the department's health and safety update course within the past 12 months.

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

The hot water tap at the sink in the restroom that children use while in care measured 125 degrees Fahrenheit with a digital thermometer at the time of inspection

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8VAC20-800-70-A · Based on a review of records and interview, the provider did not ensure that each child's parent is provided all required information, in writing, before the child's first day of attendance.

Evidence: Five children's records were reviewed. The record for child #1, child #2 and child #3 did not contain documentation tt demonstrate that the parents were provided the requirement for parents to inform the family day hone within 24 hours if the child or any household member has developed any communicable disease. The records for child #2 and child #3 did not contain documentation to demonstrate that the parents were informed of the family day home's discipline polies to include acceptable and unacceptable discipline measures. The records for child #2 and child #3 did not contain documentation to demonstrate that the parents were informed of the custodial parents' right to be admitted to the family day home any time their child is in care. The provider reviewed the documentation and confirmed that this documentation was not present.

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8VAC20-790-250-F · Based on a review of records and interview, the licensee did not ensure that each caregiver who works directly with children completes that department's annual health and safety training.

Evidence: Two caregiver records were reviewed for updates and changes. The records for caregiver #1 contained the most recent health and safety update training which was completed 9/20/2021. Caregiver #1 confirmed that she had not taken the training more recently.

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8VAC20-800-60-B · Based on a review of records and interview, the provider did not ensure that each enrolled child's record contains all of the required information and documentation.

Evidence: Four children's records were reviewed. The record for child #1 did not contain an address for the two individuals listed as emergency contacts in case a parent cannot be reached. The record for child #2 did not contain a second emergency contact to be called in the event of an emergency if the parent(s) of the child cannot be reached.

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