Ms. Diana Mayfield

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 were no physical exam records available for Child #5, who had been in care for more than one year.”

Rule 8VAC20-800-100-A.

Before attendance, documentation of immunizations is to be obtained for each child.

“The immunizations for Child #1, who has attended for approximately three months, were obtained four days after the child was enrolled.”

Rule 8VAC20-800-90-A.

The provider is required to have employees undergo a background check every five years.

“There was no up to date Central Registry check for Staff #2 who has been employed sporadically since 2017. No previous copies of a Central Registry check were present in staff file.”

Rule 22.1-289.035-A.

Based on interview and home review, the vendor failed to 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.

Rule 8VAC20-790-170-G.

Based on record review and interview, the vendor failed to obtain 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.

“Evidence: 1. There was no written allergy care plan on file for child 1 who has diagnosed food allergies. a. The vendor confirmed that a written allergy care plan was not on file for child 1.”

Rule 8VAC20-790-190-B-12.

Based on record review and interview, the provider failed to ensure that all applicants for employment, employees, and household members shall undergo a background check every five years.

Rule 22.1-289.035-A.

Based on record review and interview, the provider failed to ensure that an assistant who is left alone with children in care shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“Evidence: 1. Caregiver 2, who was caring for two children during the provider’s absence, lacked current certification in CPR. a. The CPR certification on file expired 05/2021. 2. Caregiver 2 verified that she had not obtained current CPR certification.”

Rule 8VAC20-800-150-D-1.

Based on record review and interview, the provider failed to ensure that an assistant who is left alone with children in care shall have current certification in first aid.

“Evidence: 1. Caregiver 2, who was caring for two children during the provider’s absence, lacked current certification in first aid. a. The first aid certification on file expired 05/2021. 2. Caregiver 2 verified that she had not obtained current first aid certification.”

Rule 8VAC20-800-150-D-2.

Based on record review and interview, the provider failed to obtain for each caregiver a current TB screening every two years from the date of the first screening.

“Evidence: 1. The most recent TB screening on file for caregiver 2 was completed on 03/04/2019. a. Caregiver 2 confirmed that an updated TB screening had not been obtained.”

Rule 8VAC20-800-180-A.

Based on review, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.

“Evidence: 1. A spray bottle of a cleaning agent was observed on the table located on the backyard deck. a. This deck is accessible to children as this is the path used for entry to the backyard play area.”

Rule 8VAC20-800-280.

Based on interview, the provider failed to ensure that the home’s activities and services are conductive to the welfare of children in care.

Rule 8VAC20-800-30-E.