Ms. Sharon Gregory

8VAC20-800-210-A

“In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually. Staff #1and Staff # had only obtained 10 hours of training.”

Rule 8VAC20-800-210-A.

8VAC20-800-240-A

Rule 8VAC20-800-240-A.

8VAC20-800-330-A

“A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. There was not an operable landline available for review.”

Rule 8VAC20-800-330-A.

8VAC20-800-560-A

Rule 8VAC20-800-560-A.

8VAC20-800-800-B

“The provide shall review the emergency plan at least annually and update the plan as needed. The most recent plan available for review was dated 2014.”

Rule 8VAC20-800-800-B.

8VAC20-800-180-A

“The provider is required to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. The TB screening for caregiver #1 was overdue by 11 days.”

Rule 8VAC20-800-180-A.

8VAC20-800-780-B

“The provider is required to annually review with enrolled children’s parents the information is correct and obtain the parent’s signed acknowledgement of the review. The records for child #1, child #3 and child #4 did not contain the parent’s signed acknowledgement of a review of the emergency information in the past 12 months. This annual documentation is overdue by more than 3 years for child #1, more than 2 years for child #3 and more than 3 years for child #4.”

Rule 8VAC20-800-780-B.

Based on review, facility did not ensure 1 of 2 caregivers has an updated negative TB test screening ever 2 years.

“Evidence: The record for caregiver #2 has a most recent TB test dated 3/7/2022 which is more than 2 years old.”

Rule 8VAC20-800-180-A.

Based on review and interview, provider did not ensure shelter-in-place procedures are practiced a minimum of twice per year.

“Evidence: There was documentation of one shelter-in-place drill in 2023. Provider confirmed a second drill was not conducted.”

Rule 8VAC20-800-830-B.

Based on review, provider did not ensure 3 of 5 children’s records have documentation of required information.

“Evidence: The following was found during record review: 1. The record for child #1 (start date 9/20/2022) did not have a complete address for one of the emergency contacts. 2. The record for child #2 (start date date 6/17/2019) had a most recent review of information in 2021. 3. The record for child #5 (start date 9/8/2020) did not have father’s employment address, father’s employment phone number, insurance plan number and a most recent review of information in 2021.”

Rule 8VAC20-800-60-B.

Based on review, provider did not ensure 1 of 3 children’s records has a physical examination prior to the child’s attendance or within 30 days after the first date of attendance.

“Evidence: The record for child #2 (start date 9-20-2022) did not have a physical exam.”

Rule 8VAC20-800-100-A.

Based on observation, provider did not ensure bathroom has required supplies.

“Evidence: There was not paper towels in the hall bathroom used by children.”

Rule 8VAC20-800-340-C.

Based on review, provider did not ensure 1 of 2 children’s records has documentation of required information.

“Evidence: The record for child #1 (start date November 1, 2021) did not have parents’ employment addresses and the address for the second emergency contact.”

Rule 22VAC40-111-60-B.

Based on review, provider did not ensure required background checks are updated every five years.

“Evidence: Caregiver #1 and Household Member #1 had a most recent Central Registry Check completed October 28, 20216. The Central Registry Checks were not updated every five years.”

Rule 63.2-1721.1-A.