Mrs. Regina Christmas

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There was no physical exam record available for child #1, who had been in care for over seven months.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“Repeat Violation A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Household Member #1 was not completed and was overdue by five months.”

Rule 8VAC20-800-180-A.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for household member #2 was not completed and was overdue by two and a half months.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“Based on a review of children’s records and interview, the provider failed to obtain all the required information for each child in attendance. Evidence: The record of child #1, enrolled 8/9/23, did not contain documentation of the written authorization for emergency medical care to include child name, provider’s name, and parent signature.”

Rule 8VAC20-800-60-B.

8VAC20-790-250-F

“Repeat Violation Based on a review of records and interview, the vendor failed to ensure that each caregiver complete the Virginia Annual Health and Safety update training. Evidence: 1. The record of caregiver #1 contains documentation of the 2022 annual update dated 03/31/2022. There was no documentation of the 2023 annual update that was required by 03/31/2023. 2. The record of caregiver #2, hired 07/17/2017, did not contain documentation of the 2023 annual update required by July 17, 2023. 3. The provider confirmed the annual update was not completed.”

Rule 8VAC20-790-250-F.

8VAC20-800-210-A

Rule 8VAC20-800-210-A.

8VAC20-800-60-A

“Based on a review of children’s records and interview, the provider failed to maintain an up-to-date record for each child enrolled. Evidence: The records of child #1 and child #4 did not contain documentation of the first date of attendance. The provider confirmed the dates of attendance were not in the record.”

Rule 8VAC20-800-60-A.

8VAC20-800-90-C

“Based on a review of children’s records, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Documentation of immunizations for child #5 were last updated on 12/08/22 when the child was 17 months old. Child #5 is currently over two years of age.”

Rule 8VAC20-800-90-C.

8VAC20-790-250-F

“Based on a review of records and interview on January 18, 2023, the vendor did not ensure that each staff complete annually the Virginia Annual Health and Safety Update Course as required. Evidence: The record of caregiver #2 did not contain documentation of the 3-hour annual health and safety update training for 2022. Caregiver #1 confirmed the training was not completed.”

Rule 8VAC20-790-250-F.

8VAC20-800-180-A

“Based on a review of caregiver records and interview on January 18, 2023, the provider did not obtain a current Report of Tuberculosis Screening (TB) form for each caregiver, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: The record of caregiver #2 contained documentation of a TB screening dated 7/22/20. Caregiver #1 confirmed the repeat TB screening was not completed.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“Based on a review of annual training and interview on January 18, 2023, the provider failed to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #1 contained documentation of 3 training hours from July 2021-July 2022. 2. The record of caregiver #2, hired 7/17/17, did not contain documentation of 16 training hours from July 2021-July 2022. 3. Caregiver #1 confirmed the 16 hours of training was not completed.”

Rule 8VAC20-800-210-A.

8VAC20-800-240-A

Rule 8VAC20-800-240-A.

8VAC20-800-780-B

“Based on record review and interview on January 18, 2023, the provider failed to obtain the parent’s signed acknowledgement that an annual review of the emergency contact information for each child occurred. Evidence: The record of child #2 did not contain documentation of a signed acknowledgement that an annual review of the emergency contact information occurred. The most recent review is dated 11/19/21. Caregiver #1 acknowledged it was not complete.”

Rule 8VAC20-800-780-B.

22.1-289.036-B-2

“Based on a review of records and interview on August 24, 2022, the provider failed to ensure every person required to undergo a background check shall submit to fingerprinting and provide personal descriptive information. Evidence: The record of household member #1 did not contain documentation of fingerprints. The provider confirmed the fingerprints have not been completed.”

Rule 22.1-289.036-B-2.

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

“Based on a review of records and interview on August 24, 2022, the provider failed to obtain a sworn statement or affirmation for each household member. Evidence: The record of household member #1 did not contain documentation of a sworn statement or affirmation. The provider confirmed the sworn statement was not completed.”

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

8VAC20-800-170-A

“Based on a review of household member records and interview on August 24, 2022, the provider failed to obtain from one adult household member prior to coming into contact with children a current Report of Tuberculosis (TB) 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: A report of TB screening for household member #1 was not in the record. The provider confirmed the TB screening was not completed.”

Rule 8VAC20-800-170-A.

Based on a review of caregiver’s records, the provider failed to ensure that all caregivers had a current certification in CPR and First Aid.

“Evidence: 1. Caregiver #2’s CPR/FA certification expired on 11/3/2020. 2. The provider verified that Caregiver #2 did not have a current CPR/FA certification.”

Rule 22VAC40-665-230-E.

Based on review of caregiver records, the provider failed to complete the required annual health and safety update course.

“Evidence: 1. Caregiver’s #1, #2, and #3 did not complete the 3 hour annual health and safety training update for 2021. 2. The provider verified that the 3 hour training had not been completed for 2021.”

Rule 22VAC40-665-230-H.