Eliana Veira

The provider shall obtain for each adult household member a current Report of Tuberculosis Screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“An updated TB screening for Household Member #1 was not completed and was overdue by seven months.”

Rule 8VAC20-800-180-A.

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

“A container of Lysol disinfectant spray with the warning label, ?Keep out of reach of children,? was on the bench in the hallway, within reach of children.”

Rule 8VAC20-800-280.

Caregivers shall wash their hands with liquid soap and warm running water after diapering a child.

“Caregiver #2 did not wash their hands after diapering Child #2, #6, and #7.”

Rule 8VAC20-800-680-A.

Caregivers shall ensure children’s hands are washed with liquid soap and warm running water after toileting or diapering.

“Caregiver #2 did not wash the hands of Child #2, #6, #7, #8, and #9 after diapering.”

Rule 8VAC20-800-680-B.

Caregivers shall ensure that the diapering surface shall be cleaned and sanitized after each use.

“Caregiver #2 did not clean and sanitize the diapering surface after diapering Child #2, #6, #7, #8, and #9.”

Rule 8VAC20-800-690-D.

The provider shall review the emergency plan at least annually and update the plan as needed. The plan should be documented in writing for each review and update to the emergency plan.

“The last date of review for the emergency plan was over 15 months ago and overdue by 3 months.”

Rule 8VAC20-800-800-B.

8VAC20-800-50-A

“Based on record review and interview, the provider did not ensure the family day home kept a written record of children in attendance each day. Evidence: The provider confirmed during the interview, the attendance was not taken for the day.”

Rule 8VAC20-800-50-A.

Based on record review and interview, 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: 1. There was no 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 for Child #1 and Child #2. 2. In the children’s records, Child #1’s start date is listed as 1/4/2024 and Child #2’s start date is listed as 12/28/2023.”

Rule 8VAC20-800-100-A.

Based on observation, small electrical appliances were not unplugged when not being used.

“Evidence: A toaster oven was observed plugged in when not in use.”

Rule 8VAC20-800-320-A.

Based on observation and interview, the provider did not ensure accordion expansion gates and pressure-mounted gates were not used as protective barriers at stair openings.

“Evidence: A pressure-mounted gate was observed at the bottom of the stairway opening leading to the second floor.”

Rule 8VAC20-800-430-B.

Repeat violation

“Based on record review and interview, the provider did not obtain updated tuberculosis (TB) tests or screenings for each household member every two years. Evidence: Caregiver #3 tuberculosis test expired on 10/06/2023.”

Rule 8VAC20-800-180-A.

Based on observation and interview, prior to a volunteer’s first day, the provider did not obtain a criminal history check.

“Evidence: 1. There was no documentation of a criminal history check for volunteers #1 and #2, who were observed in a caregiver role during the inspection. 2. The provider stated that volunteers #1 and #2 were her friends helping her.”

Rule 22.1-289.035-B-2.

Based on observation and interview, prior to a volunteer’s first day, the provider did not obtain a sworn statement.

“Evidence: 1. There was no documentation of a sworn statement for volunteers #1 and #2, who were observed in a caregiver role during the inspection. 2. The provider stated that volunteer #1 and #2 were her friends helping her.”

Rule 8VAC20-770-60-B.

Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: There was no documentation of a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities for caregiver #3.”

Rule 8VAC20-800-210-A.

Based on record review and interview, the family day home did not obtain all the required information for each child’s record.

“Evidence: Child #1 is missing the home addresses for two emergency contacts.”

Rule 8VAC20-800-60-B.

Based on record review and interview, documentation was not maintained of emergency evacuation and shelter-in-place drills.

“Evidence: There was no documentation of two shelter-in-place drills for the year of 2021-2022.”

Rule 8VAC20-800-830-C.

Based on household record review, one background search request was not obtained every 5 years.

“Evidence: Household #1’s last Central Registry search result was dated October 13, 2017.”

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

Based on review of staff records, two background checks were not completed every 5 years.

“Evidence: Staff #1’s last Central Registry search result was dated September 7, 2017. Staff #2’s last Central Registry search result was dated August 19, 2017.”

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

Based on record review and Interview, one caregiver’s record did not contain all required information.

“Evidence: Staff #3’s record did not contain the results of two reference checks.”

Rule 8VAC20-800-120-A.

Based on record review and interview, the Provider did not document emergency evacuation and shelter in place drills.

“Evidence: There has been no documented practice of evacuation procedures since April 7, 2022. No documented practice of shelter-in-place procedures was found for 2021-2022.”

Rule 8VAC20-800-830-C.

8VAC20-800-120-B

“Based on record review, one caregiver’s record did not contain all required information. Evidence: Staff 2’s record did not contain the results of two reference checks.”

Rule 8VAC20-800-120-B.

8VAC20-800-40-A

“Based on observation, provider statement, and record review, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: On the date of inspection a head count, attendance sheet, and provider statement confirmed a total of 14 children in care. The maximum number of children licensed for care is 12 at any given time.”

Rule 8VAC20-800-40-A.

8VAC20-800-540-A

“Based on observation, high chairs, when used did not have a safety strap securely fastened. Evidence: An infant was observed seated in a high chair without a strap fastened.”

Rule 8VAC20-800-540-A.