Ms. Denise Green

8VAC20-800-530-G

Children under two years of age shall not use pillows or filled comforters Child A was sleeping in a crib with a pillow, child A is under 2 years of age.

8VAC20-800-900-B

Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles. Child A was in a crib which had a bottle of milk next to them.

8VAC20-800-570-A

The provider shall ensure that a caregiver does not exceed 16 points. There were 8 children present for a total of 17 points. The provider was the sole caregiver.

8VAC20-800-700-A

Repeat Violation Systemic Deficiency Prescription and non prescription medications shall be given to a child only with authorization from the parent. There was no parental authorization for emergency medications for child B and C. The authorization for child B was overdue by 3 weeks and by 5 months for child C.

8VAC20-800-100-A

The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. There was no physical on file for child A, the physical was over due by 7 weeks.

8VAC20-800-90-A

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. There were no immunization record on file for child A who has been enrolled for 11 weeks.

8VAC20-800-170-A

The provider shall obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. There was no Tuberculosis test./screening on file for Caregiver A, this tuberculosis test was overdue by 15 days.

8VAC20-800-180-A

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Caregiver B's tuberculosis test was overdue by one month.

8VAC20-800-200-A

The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. Caregiver A was not provided orientation training, the training was overdue by 1 week.

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 There was no allergy care plan on file for child A, who has diagnosed food allergies.

8VAC20-800-210-A

Repeat violation: In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver #! provided documentation of 6 of the 16 hours of annual training for 2024.

8VAC20-800-80-A

Within seven business days of the child's first day of attendance at the family day home, the provider shall obtain from the parent proof of identify for the child. There was no proof of identity obtained for child A and B, which was overdue by 3 months.

8VAC20-800-60-A

The provider shall maintain an up-to-date record at the family day home for each enrolled child. There was no insurance policy number on file for child A and child B, this information was overdue by 3 months for both children. There was no insurance information on file for child D, this information was overdue by 5 months.

8VAC20-800-710

Repeat violation: The family day home may administer prescription medication that would normally be administered by a parent or guardian to a child provided that the caregiver administer medication dispensed from a pharmacy and maintained in the original labeled container. An emergency medication for child C was not in the original pharmacy container nor did it have a prescription label attached.

8VAC20-800-700-A

Repeat violation: Prescription and nonprescription medications shall be given to a child only with authorization from the parent. There was no parental authorization for an emergency medication for child C.

8VAC20-790-430-A-3

Repeat violation: Lockdown procedures shall be practiced at least annually. There was no documentation to show that lockdown procedures have been practiced at least annually.

8VAC20-800-210-A

Repeat violation: Caregivers shall obtain a minimum of sixteen clock hours of training annually. Caregiver #1 had 14 of the 16 training hours for 2023.

8VAC20-800-710

The family day home may administered prescription medication to a child provided that the caregiver adminster only medication dispensed from a pharmacy and maintained in the original, labeled container. 1. A prescribed medication for child #1 was not in the original pharmacy container nor did it have a prescription label attached.

8VAC20-790-430-A-3

Lockdown procedures shall be practiced at least annually. There were no lockdown drills for 2023.

8VAC20-790-170-G

The vendor shall maintain in a way that is accessible to all caregivers, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. 1. Child #1 has an allergy to medication that was not listed on a written list. 2. Child #2 has 4 allergies to food, these allergies were not listed on a written list. 3. Child # 3 has an allergy to food, this allergy was not listed on a written list.

8VAC20-800-700-A

Prescription medications shall be given to a child only with written authorization from the parent. There was no parental authorization for an emergency medication for child #1.