Mrs. Bristel White

2025

1. Medium-High riskStandard 810/29/2025

   8VAC20-790-190-B-12

   A written care plan 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 is required. Child #3, enrolled for over seven months, has a diagnosed food allergy and did not have a written care plan in their record.

   Not corrected
2. Medium-High riskStandard 810/29/2025

   8VAC20-800-90-C

   Documentation of additional immunizations is required once every six months for children under the age of two years. ' Child #2, 14 months old, last documented immunization was over six months ago.

   Not corrected
3. Medium riskStandard 810/29/2025

   8VAC20-800-240-A

   Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. There was an electrical outlet in the living room that was not secure. The outlet felt loose and the plate cover did not fit securely, leaving a gap between the plate cover and the wall.

   Not corrected
4. High riskStandard 84/21/2025

   8VAC20-790-250-D-1

   Caregivers shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff #2 did not have current CPR certification, their certification expired three months ago.

   Not corrected
5. Medium-High riskStandard 84/21/2025

   8VAC20-790-250-D-2

   Caregivers shall have current certification in first aid appropriate to the ages of children in care. Staff #2 did not have current first aid certification, their certification expired three months ago.

   Not corrected
6. Medium-Low riskStandard 84/21/2025

   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. There was no physical exam records available for child #5, who had been in care for 30 days.

   Not corrected
7. Medium-High riskStandard 84/21/2025

   8VAC20-800-60-B

   Children's records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached . The record for child #5 did not contain information for the two required emergency contacts. The child was present during the inspection and had been in care for a month.

   Not corrected
8. Medium-High riskStandard 84/21/2025

   8VAC20-800-90-A

   Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for child #5, who was in care during the inspection and had been in care for a month.

   Not corrected