Ms. Abena Sakyi

The vendor must maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Two children were present at the time of inspection and attendance had not yet been completed.”

Rule 8VAC20-790-180-B.

All caregivers shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Caregiver #2’s CPR certification expired over five months ago.”

Rule 8VAC20-790-250-D-1.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #1 was not completed and was overdue by five months.”

Rule 8VAC20-800-180-A.

Documentation of additional immunizations is required once every six months for children under the age of two years.

“Child #2, 11 months old, last documented immunization on file was over 11 months ago.”

Rule 8VAC20-800-90-C.

Based on record review, the provider did not obtain the results of a central registry search for all household members over the age of 14 within 30 days of the person beginning to reside in the home.

“Evidence: Household Member #2 has resided in the home longer than 30 days and did not have central registry results on file at the time of inspection.”

Rule 8VAC20-770-40-D-4.

Based on record review and staff interview, the provider did not ensure that orientation is completed for assistants by the end of their first week of assuming job responsibilities.

“Evidence: Staff #2 (Date of Hire: 5/31/2022) did not have orientation on file at the time of inspection.”

Rule 8VAC20-800-200-A.

8VAC20-800-100-A

“Based on a review of documentation, the provide did not obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: Child A and child C’s records were missing documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-70-B

“Based on review of documentation, the provider did not obtain the parent’s written acknowledgement of the receipt of the information. Evidence: Child A, child B, child C, child D, and child E’s records were missing signed written acknowledgements.”

Rule 8VAC20-800-70-B.

8VAC20-770-60-C-2

“Based on a review of documentation, the provider did not ensure that all caregiver’s records contained documentation of a central registry finding within 30 days of employment. Evidence: Caregiver 1’s (start date 5/2022) was missing documentation of a central registry finding.”

Rule 8VAC20-770-60-C-2.

8VAC20-800-100-A

“Based on a review of children’s records, the provider did not obtain documentation of a physical examination by or under direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: Child A (start date 10/11/2022) and child B’s (start date 2/7/2022) records were missing documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

“Based on a review of caregiver records, the provider did not ensure that all of the caregiver’s records contained the required information. Evidence: Caregiver 1’s record was missing one emergency contact, documentation of qualifications, and documentation of orientation.”

Rule 8VAC20-800-120-B.

8VAC20-800-60-B

“Based on a review of children’s records, the provider did not ensure that all of the children’s records contained the required information. Child A, child B, and child C’s records were missing parent’s signed acknowledgement of information and policy of administration of medication. Child B’s record was also missing one parent’s work information.”

Rule 8VAC20-800-60-B.

8VAC20-800-210-A

“Based on a review of documentation and provider interview, the provider and assistant did not have documentation of a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider and assistant did not have documentation of 16 hours of training in their records.”

Rule 8VAC20-800-210-A.

8VAC20-800-530-F

“Based on observation, the provider did not ensure that no soft bedding of kind is used under or around infants including but not limited to, pillows or stuffed toys. Evidence: Child # 1 was observed in his crib with a stuffed animal.”

Rule 8VAC20-800-530-F.

8VAC20-800-690-D

“Based on observation, the provider did not ensure that the diapering surface was nonabsorbent and washable. Evidence: The changing pad had several small tears making it absorbent.”

Rule 8VAC20-800-690-D.

8VAC20-800-90-A

“Based on a review of documentation, the provider did not obtain documentation of immunization for all children prior to their first day of attendance. Evidence: Child #1 and child #2 did not have immunization prior to attending the family day home.”

Rule 8VAC20-800-90-A.

8VAC20-800-960-E

“Based on observation, not all of the refrigerated bottles were labeled with the child’s full name and the date. Evidence: The was a bottle in the refrigerator that was not dated.”

Rule 8VAC20-800-960-E.