Holly King

8VAC20-800-320-B

Child resistant protective covers shall be installed on all unused electrical outlets and surge protectors. There were 2 uncovered electrical outlets in the area used by children.

8VAC20-800-90-C

The family day home shall obtain documentation of additional immunizations once every six months for children under the age of 2 years. Child 3 (age 12 months) last documented immunization was over 10 months ago. Child 4 (age 13 months) last documented immunization was over 9 months ago.

8VAC20-800-100-A

The provider shall obtain documentation of a physical examination prior to the child?s attendance or within 30 days after the first day of attendance. The record for Child 2, who has been enrolled for over 6 weeks, did not contain documentation of a physical examination.

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. The record for Child 2, who has been enrolled for over 6 weeks, did not contain documentation of immunizations.

8VAC20-800-540-A

High chairs, when occupied by a child, a safety strap shall be used and securely fastened. Child 1 (age 11 months) was in a high chair without the safety strap fastened.

8VAC20-800-680-B

Caregivers shall ensure that children?s hands are washed with liquid soap and warm running water after toileting or diapering. Caregiver 2 used a baby wipe on a child?s hands after diapering; the child did not wash their hands with liquid soap and warm running water after diapering.

8VAC20-800-570-A

The provider shall ensure that a caregiver does not exceed 16 points by using the required point system to determine if an additional caregiver is needed. There was one caregiver and 8 children totaling 20 points present during the 12/18/2024 on-site inspection; a second caregiver was required. Complaint related: No

8VAC20-800-540-A

The provider shall ensure that when highchairs are occupied by a child, a safety strap shall be used and securely fastened. Child 3 (9 months) was observed in a highchair without the safety strap securely fastened. Complaint related: No

8VAC20-800-60-A

The provider shall maintain an up-to-date record at the family day home for each enrolled child. There were no records on-site for Child 1 or Child 2, who were in care during the inspection. Complaint related: No

8VAC20-800-920

When meals are provided by the family day home, the menu for the current one-week period shall be posted. The posted menu was dated 11/18-11/22. Complaint related: No

8VAC20-800-900-A

Food that is hard, round, small, thick and sticky, or smooth and slippery, shall not be served to children under four years of age. The children, all of which were under the age of 3 years, were served sliced peaches with their lunch. Complaint related: No