Myriam Isaza

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for child #1 was not signed.”

Rule 8VAC20-800-110-B.

Assistant’s records shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Assistant Caregiver #2, who has been actively working for the past month, has only 1 completed reference verification on file.”

Rule 8VAC20-800-120-B.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Assistant Caregiver #2’s TB was dated over seven months prior to date of employment and has been employed for over one month.”

Rule 8VAC20-800-170-B.

A child’s record shall contain the address of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for Child #2, in care for over one month, was missing the complete address for emergency contact #2.”

Rule 8VAC20-800-60-B.

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

“Assistant Caregiver #2 used hand sanitizer after diapering and did not wash their hands with liquid soap and warm running water.”

Rule 8VAC20-800-680-A.

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

“Assistant Caregiver #2 used a wet wipe on a child’s hands after diapering and did not wash the child’s hands with liquid soap and warm running water.”

Rule 8VAC20-800-680-B.

Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“Four bottles were observed that did not include the date.”

Rule 8VAC20-800-960-E.

The provider is required to obtain a completed sworn statement prior to a caregiver’s first day of employment.

“Caregiver #2, who is currently working and employed for 10 days, did not have a sworn statement in their file.”

Rule 22.1-289.035-B-1.

Repeat Violation

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Caregiver #2, who has been employed for 10 days, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

Repeat violation

“The provider must request a search of the central registry prior to a caregiver’s first day of employment. The central registry request was completed one week after caregiver #2’s first day of employment.”

Rule 22.1-289.035-B-3.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“There was no tuberculosis screening for Caregiver #2, who has been caring for children for 10 days.”

Rule 8VAC20-800-170-A.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. The criminal background check for Caregiver #2 was obtained more than one month after the employee’s first date of employment.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. The central registry search request for Caregiver #2 was requested more than three weeks after Caregiver #2’s first day of employment.”

Rule 22.1-289.035-B-3.

8VAC20-800-170-B

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. The form shall have been completed within the last 30 days prior to hire. The tuberculosis screening for Caregiver #2 was completed three months prior to date of hire. Caregiver #2 was present and providing care to children.”

Rule 8VAC20-800-170-B.

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 four months.”

Rule 8VAC20-800-180-A.

8VAC20-800-780-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. The record for child #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #4 had been in care for over a year.”

Rule 8VAC20-800-780-B.

Based on record review, the provider did not obtain repeat background checks every 5 years for one household member.

“Evidence: 1. The most recent central registry check results in the record for Household Member #1 was dated 11/20/2018, The most recent fingerprint check results in the record for Household Member #1 were dated 10/20/2018. The most recent sworn statement or affirmation in the record for Household Member #1 was dated 11/01/2018.”

Rule 22.1-289.036-A.

Based on record review, the provider did not review annually with the parent, the emergency contact information to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“Evidence: 1. The most recent signed acknowledgment of review of the child’s emergency contact information in the record for Child #1 was dated 1/10/2023. 2. The most recent signed acknowledgment of review of the child’s emergency contact information in the record for Child #2 was dated 1/16/2023. 3. The most recent signed acknowledgment of review of the child’s emergency contact information in the record for Child #3 was dated 12/20/2022.”

Rule 8VAC20-800-780-B.

Based on record review, the provider did not obtain the results of a fingerprint-based criminal history record check on or before the first day of employment for 1 of 3 caregivers reviewed.

“Evidence: 1. The provider stated Caregiver #2’s first date of employment was 07/03/2023. The fingerprint check results in the record for Caregiver #2 were dated 08/07/2023.”

Rule 22.1-289.035-B-2.

Based on record review, the provider did not obtain repeat background checks every 5 years for one caregiver and one household member.

“Evidence: 1. The most recent central registry check results in the record for Caregiver #1 was dated 11/20/2018. 2. The most recent central registry check results in the record for Household Member #1 was dated 11/20/2018, The most recent fingerprint check results in the record for Household Member #1 were dated 10/20/2018. The most recent sworn statement or affirmation in the record for Household Member #1 was dated 11/01/2018.”

Rule 22.1-289.036-A.

Based on record review, 1 of 3 caregiver records did not contain all required information.

“Evidence: 1. The record for Caregiver #2 did not contain the date of employment. 2. The record for Caregiver #2 did not contain the name address and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-800-120-B.

Based on record review, the provider did not obtain a current report of tuberculosis screening at the time of hire for 1 of 3 caregivers.

“Evidence: 1. The provider stated Caregiver #2 began employment on 07/03/2023. The tuberculosis screening results in the record for Caregiver #2 were dated 07/16/2023.”

Rule 8VAC20-800-170-A.

Based on record review, the provider did not obtain the results of a Central Registry check every 5 years for 1 caregiver.

“Evidence: 1. The most recent Central Registry Check results in the record for Caregiver #1 were dated 11/20/2016. 2. Documentation in the record indicated a new request was sent on 8/31/2022 and was returned on 9/21/2022 due to incorrect information. No other results were in the record.”

Rule 22.1-289.035-A.

Based on record review, the provider did not obtain a current tuberculosis screening for one household member every two years.

“Evidence: 1. The most recent tuberculosis screening results in the record for Household Member #1 were dated 11/11/2019.”

Rule 8VAC20-800-180-A.

Based on record review, 1 of 2 childrn’s records reviewed did not contain documentation that a child has been adequately immunized before the child began attending the family day home.

“Evidence: 1.Child #1 began attending the family day home on 8/1/2022. The immunizations in the record for Child #1 were dated 8/11/2022.”

Rule 8VAC20-800-90-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1) The record for Child #3 did not contain the telephone number for the place of employment of a second custodial parent.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review, parents were not provided in writing of all required information before the child’s first day of attendance. Evidence: 1) The records for Child #1, Child #2 and Child #3 did not contain signed acknowledgement of having received the family day home’s policy for medication administration.”

Rule 8VAC20-800-70-A.

8VAC20-800-750-A

“Based on documentation review, some requirements for the use of topical skin products were not met. Evidence: 1) The authorization form for the use of non-prescription topical skin products for Child #1 showed an expiration date of 05/06/2022. Diaper cream for Child #1 is being used in the family day home. A new authorization form must be completed.”

Rule 8VAC20-800-750-A.

8VAC20-800-920

“Based on documentation review and interview with the provider, the menu for the current one-week period did not meet all required criteria. Evidence: 1) The menu available for review was not dated for the current one-week period. 2) The provider stated that she had not listed on the menu the menu substitutions for the day.”

Rule 8VAC20-800-920.