Janaki Wanniachchige

Annually, the provider shall: Review with the parent the emergency contact information to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“The annual review for Child #1, Child #3, Child #4, Child #5, Child #8, and Child #9 were 16 months past due. The annual review for Child #6, and Child #7 were 14 months past due.”

Rule 8VAC20-800-780-B.

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents and disinfectants shall be stored away and inaccessible to children.

“A container of disinfectant wipes with warning labels, ?Keep out of reach of children,? were on the shelf in the bathroom, within reach of children. The basement storage closet was unlocked, with cleaning supplies and laundry detergent stored on the floor. The provider acknowledged children use the basement area for indoor play.”

Rule 8VAC20-800-280.

Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs.

“The stairs leading to the second floor, did not have an operable gate to prevent children from accessing the stairs.”

Rule 8VAC20-800-430-A.

The provider is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The provider did not request a search of the child abuse and neglect registry from one state for caregiver B, who has resided out of state for over two years during employment and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

Providers must obtain a completed national criminal background check for all adults living in the family day home by the end of the 30th day.

“Household member B, residing at the home for one year and six months, did not have a completed national criminal background check.”

Rule 22.1-289.036-B-2.

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

“An updated TB screening for household members A, B, and C were not completed and are overdue by seven months for household member A, by thirteen months for household member B, and by ten months for household member C.”

Rule 8VAC20-800-180-A.

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

“The provider exceeded the allowable 16-point limit by six points. There were 38 points assigned to 12 children with only two caregivers present.”

Rule 8VAC20-800-570-A.

Children’s records are required to contain written authorization for emergency medical care should an emergency occur and parent’s signed acknowledgement of the receipt of the written information for parents.

“The record for Child #1, who had been in care for seven months, was missing authorization for emergency care and parent’s signed acknowledgement. Child #3, who had been in care for five months, was missing the parent’s signed acknowledgement. Both children were present during the inspection.”

Rule 8VAC20-800-60-B.

Repeat violation

“In addition to satisfactory completion of first aid training and CPR training caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. The records for caregiver #1 and caregiver #2 were missing a minimum of sixteen clock hours of additional annual training. Caregiver #1 obtained 10 hours and caregiver #2 obtained 9.5 hours of additional training.”

Rule 8VAC20-800-210-A.

Children’s records are required to contain parental employment addresses and phone numbers.

“Child #5 was missing the employment information for both parents. The child was present during the inspection and had been in care for a month.”

Rule 8VAC20-800-60-B.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The emergency plan was not reviewed and was overdue by one year.”

Rule 8VAC20-800-800-B.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“The immunization record was obtained after Child #5?s first date of attendance. The child was present during the inspection and had been in care for one day.”

Rule 8VAC20-800-90-A.

Based on review of staff records, the provider did not obtain a current report of Tuberculosis screening from every two years for each caregiver.

“Evidence: The most recent TB screening in the record for Staff #1 was dated 03/21/22, for staff #2 was dated 4/25/22, and for staff #3 was dated 4/23/22.”

Rule 8VAC20-790-180-A.

Based on review of child records, the provider did not obtain documentation of a physical examination within 30 days of the child’s first day of attendance.

“Evidence: Child #4 had a start date of 3/11/24, and a record of their most recent physical was not present in their file upon inspection.”

Rule 8VAC20-800-100-A.

8VAC20-800-210-A

“Based on review of staff records, the provider did not obtain a minimum of 16 hours of training annually in areas relevant to their job responsibilities. Evidence: Out of the 16 required training hours for 2023, Staff #1 obtained 5 hours of training, Staff #2 obtained 9 hours of training, Staff #3 obtained 5 hours of training.”

Rule 8VAC20-800-210-A.

Based on observation, the provider did not ensure that equipment used by children was free from hazards.

“Evidence: There was a broken bin on the porch area, with sharp edges that could result in an injury.”

Rule 8VAC20-800-480-E.

Based on observation, the provider did not ensure that no soft bedding of any kind be used or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys.

“Evidence: An infant was observed sleeping in their crib while clutching a soft plush toy.”

Rule 8VAC20-800-530-F.

Based on child record review, the provider did not obtain documentation that the child was adequately immunized prior to the child starting.

“Evidence: 1. The immunization record in the file for Child #1 (start date 3/2/2022) was dated 3/16/2024). 2. The record for Child #4 (start date 3/11/2024) did not contain an immunization record.”

Rule 8VAC20-800-90-A.

8VAC20-800-140-D

“Based on interview with the provider and record review, the provider did not ensure that the substitute provider record and sign the time of arrivals and departures on each day that the substitute provider works. Evidence: 1) On the date of inspection, the provider stated that a substitute provider has covered for her when needed. When the LI requested to see the substitute provider’s attendance record, the provider stated that they have not kept an attendance record for the substitute provider.”

Rule 8VAC20-800-140-D. From a complaint.

8VAC20-800-50-A

“Based on document review, the family day home did not keep a written record of children in attendance each day. Evidence: 1) On the date of inspection, an attendance record for the current week was not available for review.”

Rule 8VAC20-800-50-A. From a complaint.

8VAC20-800-60-A

“Based on record review, the provider did not maintain an up-to-date record at the family day home for each child. Evidence: 1) On the date of inspection, no record was available for review for two of the children in attendance that day.”

Rule 8VAC20-800-60-A. From a complaint.

8VAC20-800-100-A

“Based on record review, the Provider did not ensure that each child have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1) The record for Child #1 (start date 09/30/2019) did not contain the results of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-50-A

Rule 8VAC20-800-50-A.

8VAC20-800-540-A

“Based on observation, the safety strap of a high chair was not used and securely fastened, when occupied by a child. Evidence: 1) The inspector observed a child sitting on a high chair after having finished eating breakfast. Upon inspection, the licensing inspector noted that the safety strap of the high chair was not fastened to secure the child.”

Rule 8VAC20-800-540-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1) The record for Child #1 did not contain the telephone number of each custodial parent’s place of employment.”

Rule 8VAC20-800-60-B.

8VAC20-800-770

“Based on review of emergency supplies, a working portable battery-operated weather band radio, and extra batteries were not kept available to caregivers at all times. Evidence: 1) On the date of inspection, a battery-operated weather band radio was available in the family day home, however, the batteries did not work and there were not enough additional batteries available to make it work.”

Rule 8VAC20-800-770.

8VAC20-800-780-B

“Based on record review, the provider did not review with the parent, annually, the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review in 4 out of 12 records reviewed. Evidence: 1) The most recent review of the emergency information in the record for Child #3 was dated 07/09/2021, for Child #4 was dated 08/04/2021, for Child #5 was dated 07/07/2021, for Child #6 was dated 10/08/2021.”

Rule 8VAC20-800-780-B.

8VAC20-800-800-B

“Based upon review of the emergency preparedness plan, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1) The most recent review of the Emergency Preparedness Plan documented by the provider was dated 10/08/2021.”

Rule 8VAC20-800-800-B.

8VAC20-800-210-A

“Based on record and documentation review, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1) The record for Staff #1 did not have documentation of having completed any training hours in the year 2021. 2) The record for Staff #2 had 13.5 training hours documented for the year 2021. 3) The record for Staff #3 had 9.5 training hours documented for the year 2021.”

Rule 8VAC20-800-210-A.

8VAC20-800-50-A

“Based on documentation review, the family day home did not keep and accurate written record of children in attendance each day. Evidence: 1) On the date of inspection, the inspector observed twelve children in attendance, however, the attendance record only had eleven children documented in attendance for the day.”

Rule 8VAC20-800-50-A.

8VAC20-800-570-A

“Based on observation, the provider did not ensure ensure that each caregiver does not exceed 16 points to provide direct care and supervision of each child. Evidence; 1) On the date of inspection, 12 children were in attendance for a total of 37 points. Only two caregivers were present on this date, putting them over by one point of the child/caregiver points for supervision.”

Rule 8VAC20-800-570-A.

8VAC20-800-60-A

“Based on record review, children’s records did not contain all required information. Evidence: 1) On the date of inspection, the record for Child #1 did not contain the address of one designated person to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-A.

8VAC20-800-70-A

“Based on record review, parents were not provided in writing all required information before the child’s first day of attendance. Evidence: 1) The record for child #2 did not contain signed acknowledgement of the parents having received the fdh’s policies for the administration of medications.”

Rule 8VAC20-800-70-A.

8VAC20-800-920

“Based on documentation review and interview with the provider, the menu for the current one-week period did not list any substituted foods. Evidence: 1) On the date of inspection, the provider stated that the lunch that would be served to the children was peanut butter and jelly sandwich, green beans, apples and milk. However, the menu for the day listed lunch as egg, macaroni noodles, corn, peaches and milk. No substitutions were listed on the menu.”

Rule 8VAC20-800-920.