Sandra Scruggs

Children’s records are required to contain the policy number of the child’s medical insurance and written authorization for emergency medical care.

“The record for Child #1 was missing the child’s medical insurance policy number. The record for Child #3 was missing written authorization for emergency medical care. The children were present during the inspection.”

Rule 8VAC20-800-60-B.

Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child.

“Child #3, enrolled for 21 days, did not have documentation of parent verification of the identity and age of child.”

Rule 8VAC20-800-80-A.

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

“An updated TB screening for Caregiver #2 was not completed and was overdue by two months. An updated TB screening for Household Member #1 was not completed and was overdue by two weeks.”

Rule 8VAC20-800-180-A.

Before the child’s first day of attendance, parents shall be provided required information in writing.’

“The parents of Child C were not provided in writing the following required information until two months after the date of enrollment: schedule of fees and payment plans, whether or not there is liability insurance in force on the family day home operation, and provisions of the family day home’s emergency preparedness and response plan. Children had been in care for seven months.”

Rule 8VAC20-800-70-A.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“The parent acknowledgement for Child C was not signed until two months after the date of enrollment.”

Rule 8VAC20-800-70-B.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“Records for children A and B did not have a parent’s signature for an annual review of the emergency contact information, both had been in care for over one year.”

Rule 8VAC20-800-780-B.

The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance.

“Three of five child files reviewed did not have documentation of physical exams. Child B and C have been in care for two months. Child E has been in care for 22 months.”

Rule 8VAC20-800-100-A.

Areas of the family day home shall be maintained in a clean, safe, and operable condition. Unsafe conditions shall include chipped or peeling paint.

“Paint in the smaller room is noted to be peeling and chipped in several places along the baseboards and on the wall, in the reach of children.”

Rule 8VAC20-800-240-A.

Hanging items including window blind or curtain cords, appliance cords, and ropes shall be out of reach of children under five years of age.

“Electrical cords are noted to be hanging within reach of the children.”

Rule 8VAC20-800-250-A.

Based on observation and interview, 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 will have access to stairs.

“Evidence: The barrier to stairs to upper level was not installed but leaning against the stairs.”

Rule 8VAC20-800-430-A.

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: Child 2 and Child 3’s records did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-90-C

“Based on record review, the provider failed to obtain updated immunizations as needed. Evidence: Child 2 and Child 3’s records do not contain updated immunization records.”

Rule 8VAC20-800-90-C.

8VAC20-800-980-A

“Based on record review and provider statement, the provider did not obtain general written permission from the parent of each child for the provider to take the child off the premises of the family day home. Evidence: The provider stated that children regularly take walking trips to the neighborhood playground. The records for Child 1, 2, 3, 4, and 5 did not contain general written permission from the parents for regularly scheduled walking trips.”

Rule 8VAC20-800-980-A.

8VAC20-790-250-B

“Based on record review, one staff did not complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education within the first 90 days of employment. Evidence: Staff 2’s record did not contain documentation of completion for the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. A certificate dated 3/14/2023 was emailed to the inspector after the inspection.”

Rule 8VAC20-790-250-B.

8VAC20-800-210-A

“Based on record review, one staff member did not complete a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Staff 2 did not have documentation of completion of 16 hours of annual training.”

Rule 8VAC20-800-210-A.

8VAC20-800-60-B

“Based on record review, one child’s record did not contain all required information. Evidence: Child 3’s record does not contain the child’s health insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-170-A

“Based on record review, one caregiver did not have a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: The record for Adult 1 did not contain documentation of a the absence of tuberculosis in a communicable form.”

Rule 8VAC20-800-170-A.

8VAC20-800-240-A

“Based on observation, areas of the family day home were not maintained in a clean condition. Evidence: Dirt and debris was observed on the floor by the sink in the bathroom used by children.”

Rule 8VAC20-800-240-A.

8VAC20-800-320-B

“Based on observation, child resistant protective covers were not installed on all outlets accessible to children under the age of five. Evidence: Three outlets in the child care are aware observed without protective covers installed.”

Rule 8VAC20-800-320-B.

8VAC20-800-430-A

“Based on observation, children under the age of two years had access to stairs. Evidence: The stairs leading up from the child care area was observed without a gate or protective barrier.”

Rule 8VAC20-800-430-A.

8VAC20-800-60-B

“Based on record review, one of three reviewed children’s records did not contain all required information. Evidence: Child 2’s record did not contain written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-A

“Based on record review, emergency evacuation procedures were not practiced monthly. Evidence: there was no documentation that an evacuation drill was conducted in September of 2022.”

Rule 8VAC20-800-830-A.

22.1-289.035-B-2

“Based on record review, 2 of 4 staff or adult house hold members did not have the results of a criminal history record check prior to the first date of service and by the end of 30 days of residing in the home. Evidence: No criminal record checks were available for Adult 3 and 4.”

Rule 22.1-289.035-B-2.

22.1-289.036-A

“Based on record review, a repeat central registry check was not conducted after five years for 1 adult. Evidence: Adult 1’s current central registry check is dated 12/2/2016.”

Rule 22.1-289.036-A.

8VAC20-770-60-C-2

“Based on record review, 3 adult records did not contain the findings from a central registry check by the end of 30 days of employment or residence in the home. Evidence: Adult 3, 4, and 5’s record do not contain the results of a central registry check.”

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

8VAC20-800-100-A

“Based on record review, provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child 4 did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Based on record review, 2 of 4 children’s records reviewed did not contain all required information. Evidence: 1. Child 3’s record did not contain the child’s health insurance carrier name or policy number. 2. Child 4’s record did not contain the child’s mother’s name, address, phone number, place and address of employer, or verification of proof of identity.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review, 1 of 4 children’s records did not contain documentation that the parents were informed of all required policies and procedures. Evidence: Multiple forms were observed in the record and signed by the parent, the information pertaining to the required policies was left blank.”

Rule 8VAC20-800-70-A.