Ms. Amy Resseman

(Repeat Violation) The Provider is required to sworn disclosure statement by the end of the 30th day of residence.

“The record for Household Member #1 did not contain documentation of a sworn disclosure statement completed by the end of the 30th day of beginning residence in the home.”

Rule 22.1-289.036-B-1.

The Provider is required to obtain for each Household member or caregiver a current report of Tuberculosis screening every 2 years from the date of the first screening.

“The record for Household member #2 contained a Tuberculosis screening that was overdue by 2 months.”

Rule 8VAC20-800-180-A.

The Provider is required to ensure that medication was kept in a locked place using a safe locking method that prevents access by children.

“An antibiotic ointment was stored in an unlocked cabinet in the first aid kit that was unlocked.”

Rule 8VAC20-800-730-D.

The Provider is required to sworn disclosure statement by the end of the 30th day of residence.

“The record for Household Member #1 did not contain documentation of a sworn disclosure statement completed by the end of the 30th day of beginning residence in the home.”

Rule 22.1-289.036-B-1.

The Provider is required to submit documentation of the results of a central registry check by the end of the 30th day of residence.

“The record for Household Member #1 did not contain documentation of a Central Registry check submission completed by the end of the 30th day of beginning residence in the home.”

Rule 22.1-289.036-B-3.

(Repeat Violation) The Provider is required to obtain a report from each adult household member and prior to coming into contact with children a current tuberculosis screening documenting the absence of tuberculosis.

“The record for Caregiver #1 and #2 and Household member #1 did not contain a report documenting the absence of Tuberculosis.”

Rule 8VAC20-800-170-A.

The Provider is required to ensure that no soft bedding of any kind should be used around infants.

“During inspection, a blanket was observed in the crib underneath Infant #1 and inside the crib with Infant #2.”

Rule 8VAC20-800-530-F.

The Provider is required to ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed.

“Upon arrival for the inspection, the Provider was alone with 8 children (20 points) and there was no additional caregiver present.”

Rule 8VAC20-800-570-A.

The Provider is required to ensure that the diapering surface is not used for children’s activities.

“During inspection, the children’s craft lesson was stored on the changing pad.”

Rule 8VAC20-800-690-D.

The Provider is required to ensure that tables were cleaned after each use.

“The kitchen table where the children eat had a sticky surface and crumbs and was not cleaned after the children had eaten.”

Rule 8VAC20-800-870-G.

The Provider is required to ensure that bottles be labeled with the child’s full name and the date, if more than one infant is in care.

“Evidence: A bottle for Child #1 was not labeled with their name and a date and a bottle for Child #2 was not dated as required.”

Rule 8VAC20-800-960-E.

The Provider is required within the first 90 days of employment to ensure all caregivers shall complete the Virginia Preservice Training for Child Care Staff.

“Evidence: There was no documentation of completion of the Pre-service training for Caregiver #2 and Caregiver #3.”

Rule 8VAC20-790-250-B.

The Provider is required to obtain documentation of the results of a national fingerprint background check prior to the first day of employment.

“Evidence: The record for Caregiver #2 and Caregiver #3 did not contain documentation of a fingerprint background check completed prior to the first day of employment.”

Rule 22.1-289.035-B-2.

The Provider is required to obtain a report from each caregiver at the time of hire and prior to coming into contact with children a current tuberculosis screening documenting the absence of tuberculosis.

“Evidence: The records for Caregiver #2 and Caregiver #3 did not contain a report documenting the absence of Tuberculosis.”

Rule 8VAC20-800-170-A.

The Provider is required to orient assistant on the required topics by the end of their first week of assuming job responsibilities.

“Evidence: There was no documentation on file that the Provider had oriented Caregiver #2 or Caregiver #3 on the required topics by the end of their first week of assuming job responsibilities.”

Rule 8VAC20-800-200-A.

The Provider is required to ensure that all caregivers obtain a minimum of sixteen clock hours of training annually.

“Evidence: The record for Caregiver #1 did not contain documentation of the completion of 16 training hours for the previous year.”

Rule 8VAC20-800-210-A.

Based on observation and staff interview, the center did not ensure they post the license or the findings of the most recent licensing inspection of the facility.

“Evidence: 1)The Provider’s license was not posted in a conspicuous place as required. 2)The most recent licensing inspection of the facility was not posted. The last inspection posted was dated 2/9/22.”

Rule 22.1-289.011-F.

(Repeat violation)Based on review of 4 household records, the Provider did not obtain for each Household member or caregiver a current report of Tuberculosis screening every 2 years from the date of the first screening.

“Evidence: The record for Household member #1 contained a Tuberculosis screening that was last completed on 2/12/22.”

Rule 8VAC20-800-180-A.

Based on review of documentation and Provider interview, the Provider did not ensure that fireplaces and associated chimneys were inspected annually and cleaned as needed.

“Evidence: The Provider did not have documentation that a fireplace inspection was completed within the last year.”

Rule 8VAC20-800-320-G.

Based on observation the provider did not ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed.

“Evidence: Upon arrival for the inspection, the Provider was alone with 9 children (18 points) and there was not another caregiver present during the inspection.”

Rule 8VAC20-800-570-A.

Based on observation and staff interview, the provider did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Pain relief medication and antibiotic ointment were stored in the first aid kit that was unlocked and sitting on the counter in the kitchen area where children were eating lunch.”

Rule 8VAC20-800-730-D.

Based on observation and Provider interview, the Provider did not ensure that they had posted in a visible area close to the phone A 911 or local number for police, fire, and emergency medical responders; the responsible person for emergency backup care; and the regional poison control center.

“Evidence: There were no emergency numbers posted for 911, local police, fire, and emergency medical services, the emergency backup care person, or the number for poison control.”

Rule 8VAC20-800-790.

22.1-289.036-A

“Based on review, the provider did not have documentation of verification of updated central registry checks every 5 years. Evidence: reviewed the household members records and found that HM1 did not have documentation of a completed central registry check within the last 5 years.”

Rule 22.1-289.036-A.

8VAC20-800-180-A

“Based on review, the provider did not ensure that they obtained TB screenings for household members every two years from the date of the first screening or more frequently as recommended by a physician of the local health department. Evidence: reviewed the provider’s records and found that Household Member 1’s most recent TB screening was not within the past 2 years.”

Rule 8VAC20-800-180-A.

8VAC20-800-180-A

“Based on record review and interview, the provider did not obtain a current Tuberculosis (TB) screening for each caregiver every two years from the date of the first screening. Evidence: The most recent TB screening on record for Caregiver #1 was dated 1/6/2020.”

Rule 8VAC20-800-180-A.

8VAC20-800-730-D

“Based on observation and interview, refrigerated medication for household members was not kept in a locked place using a safe locking method that prevents access by children. Evidence: On 2/9/22 a refrigerated prescription medication for Household Member A was observed in the refrigerator on a shelf on the door. There was no locking method to prevent access by children.”

Rule 8VAC20-800-730-D.