Ms. Michelle Borst

Repeat violation

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

Caregivers shall obtain a minimum of 16 hours of training annually.

“Caregiver 1 obtained a total of 7 training hours in 2024.”

Rule 8VAC20-800-210-A.

Dogs shall be vaccinated for rabies.

“The rabies vaccination for Pet 2 was overdue by 4 weeks.”

Rule 8VAC20-800-460-C.

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

“The records for Child 1, 2 and 3 did not have a parent’s signature for an annual review of the emergency contact information; the annual review was 1 month overdue.”

Rule 8VAC20-800-780-B.

The provider shall review the emergency plan at least annually and update the plan as needed; the provider shall document in writing each review and update to the emergency plan.

“The most recent review of the emergency plan was completed in 06/2022.”

Rule 8VAC20-800-800-B.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“The emergency evacuation procedures were not practiced in August 2024.”

Rule 8VAC20-800-830-A.

Based on record review, the provider failed to ensure that providers maintain a current certification in CPR.

“Evidence: Caregiver 1 does not have a current certification in CPR.”

Rule 8VAC20-800-140-B-3.

Based on record review, the provider failed to ensure that providers maintain a current certification in first aid.

“Evidence: Caregiver 1 does not have a current certification in first aid.”

Rule 8VAC20-800-140-B-4.

Based on observation, the family day home failed to have posted the most recent results of an inspection (violation notice).

“EVIDENCE: The most recent violation notice was not posted.”

Rule 22.1-289.011-F.

Repeat violation

“Based on record review and interview, the family day home failed to have a subsequent background check in a staff record. Subsequent background checks are due every five years. EVIDENCE: The most recent Central Registry check in the record for staff 1 was dated 3/9/2018.”

Rule 22.1-289.036-A.

Based on document review, the provider failed to ensure that subsequent background checks were done every five years for the provider and a household member over the age of 18.

“EVIDENCE: 1. The most recent criminal history eligibility letter for Staff 1 was dated 3/9/2018. The most recent Central Registry ?No Match? letter was dated 1/10/2018. 2. The most recent criminal history eligibility letter for Household Member 1 was dated 2/16/2018.”

Rule 22.1-289.036-A.

Based on record review, the provider failed to ensure that a household member had a current, subsequent TB screening. These are due every two years.

“EVIDENCE: The most recent TB screening for Household Member 1 was dated 6/15/2018.”

Rule 8VAC20-800-180-A.

Based on observation and interviews, the provider failed to ensure that caregivers shall obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: Caregiver 1 verified that there were no training hours obtained in 2021.”

Rule 8VAC20-800-210-A.

Based on observation, the provider failed to ensure that medication, including medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: The door to the providers bedroom was unlocked. The bedroom is located directly off the kitchen in an area where the children are. There were numerous medications on the chest of drawers, bedside table and in the floor. The medications were not locked to prevent access by children.”

Rule 8VAC20-800-730-D.

Based on record review, the provider failed to ensure that every adult living in a family day home shall undergo all background checks in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter.

“Evidence: The most recent findings from a search of the central registry in the record for Household Member 1 was dated 02/10/2016. There was not an updated search of the central registry completed in 2021.”

Rule 22.1-289.036-A.

Based on record review and discussion, the provider failed to ensure that the required physical examinations are conducted within the timeframes specified by the standards.

“Evidence: The physical in the record for Child 2 was dated 06/02/2017; the record for Child 2 has a documented start date of 10/04/2021. Based on the child’s age and timeframe requirement, the physical was required to have been conducted within 24 months prior to attendance.”

Rule 8VAC20-800-100-B.

Based on discussion, the provider failed to ensure that the family day home shall keep a written record of children in attendance each day.

“Evidence: The provider stated she did not take a written record of children’s attendance.”

Rule 8VAC20-800-50-A.

Based on document review and discussion, the provider failed to review the emergency plan at least annually.

“Evidence: The most recent review of the emergency plan was completed on 03/10/2021. There was not a 2022 review completed.”

Rule 8VAC20-800-800-B.

Based on record review and discussion, the provider failed to maintain a current certification in cardiopulmonary resuscitation (CPR).

“Evidence: The most recent CPR certification obtained my Caregiver #1 expired on 01/01/2020.”

Rule 22VAC40-111-140-B-3.

Based on record review and discussion, the provider failed to maintain a current certification in first aid.

“Evidence: The most recent first aid certification obtained my Caregiver #1 expired on 01/01/2020.”

Rule 22VAC40-111-140-B-4.

Based on record review and discussion, the provider failed to ensure that all family day home providers shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter.

“Evidence: The record for Household Member #1 contained findings from a search of the central registry dated 02/10/2016; there were not follow up search of the central registry findings for 2021.”

Rule 63.2-1721.1-A.