8VAC20-790-180-B · Based on a review of documentation and interview with the provider, the provider did not maintain a written daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: The provider did not document the departure of a child that was picked up by the public-school bus.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-790-250-B · Based on observation and interview, it was determined that the provider did not ensure that children be protected from materials that could be swallowed or present a choking hazard. Toys or objects less that 1-1/4 inches in diameter and less that two inches in length shall be kept out of reach of children under the age of three years old.

Evidence: A small toy was observed near a 12-month-old child, the toy was approximately 1 inch in diameter and 1-1/2 inch in length, posing a choke hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-800-100-A · Based on review, the provider did not ensure that they obtained documentation of a physical examination under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Evidence: reviewed 3 children's records and found that Child 1 has been in care for over 30 days and did not have documentation of a physical exam.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-280 · Based on observation, the provider did not ensure that potentially poisonous substances are stored in areas inaccessible to children.

Evidence: observed air freshener accessible to children in the medicine cabinet in the child care bathroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-800-760-A-1 · Based on observation, the provider did not ensure that they had a first aid kit with the required minimum items.

Evidence: observed that the provider was missing adhesive tape and one triangular bandage in their first aid kit.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.