Ms. Qiana Davis

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 over one month.”

Rule 8VAC20-800-180-A.

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 Household member 2.”

Rule 8VAC20-800-170-A.

8VAC20-800-280

“Based on observation and provider interviews, the provider did not ensure that potentially poisonous substances, materials, and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children. Evidence: 1. Potentially poisonous materials were observed in an unlocked cabinet under the sink in the bathroom used by the children. The item was labeled “keep out of reach of children” and labeled with at least one other statement “warning”, “flammable” and “hazardous”.”

Rule 8VAC20-800-280.

8VAC20-800-700-B

“Based on record review and interview, the provider failed to ensure that the parent’s authorization for medication; shall expire or be renewed after 10 work days. Evidence: 1. The medication authorization signed by the parent and physician expired 7/31/2022.”

Rule 8VAC20-800-700-B.

Based on a review of records and interview, the provider did not obtain the required repeat background checks for one adult household member every five years.

“Evidence: 1) The most recent central registry search in the record for Household Member #2 was dated 03/28/16. A follow up central registry search was due no later than 03/28/21. 2) During interview, Caregiver #1 reported the request was sent, but the results have not been received to date.”

Rule 22.1-289.036-A.

Based on a review of two caregivers’ records and interview, the provider did not obtain from one caregiver at the time of hire 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 within the required time frames.

“Evidence: 1) The TB screening in the record for Caregiver #2, hired on 12/19/21, was completed on 11/10/21. 2) During interview, Caregiver #1 acknowledged the TB screening was dated more than 30 days prior to hire. The form shall have been completed within the last 30 days and be signed by a physician, physicians’ designee, or an official of the local health department.”

Rule 8VAC20-800-170-A.

Based on a review of household member records, the provider did not obtain for each adult household member a current report of tuberculosis (TB) screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Evidence: 1) The TB screening in the record for Household Member #2 was dated 04/27/22. The previous TB screening on file expired on 03/25/22.”

Rule 8VAC20-800-180-A.

Based on observations and interview, the provider did not ensure all areas of the family day home, inside and outside, were maintained in a clean, safe, and operable condition.

“Evidence: 1) The playhouse in the backyard had deteriorating wood with visible cracks and protruding nails. 2) During interview, the provider reported this is where the children play.”

Rule 8VAC20-800-240-A.

Based on a review of records and interview, the provider did not keep a written record of children in attendance each day.

“Evidence: 1) During the inspection, the inspector requested to view documentation of children in attendance on 05/05/22, but the written record of children in attendance did not include all children in care. 2) During interview, the provider reported not all children were signed in as they arrived on 05/05/22.”

Rule 8VAC20-800-50-A.

Based on a review of records and interview, the provider did not notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days and did not dispose of the medication that was not picked up within the required time frame.

Rule 8VAC20-800-700-C.