Rosemary Kates

The provider shall 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.

“Child #4, enrolled for three months, did not have documentation of a physical at the time of the inspection.”

Rule 8VAC20-800-100-A.

An up to date record for each child enrolled shall be maintained by the provider.

“There was no record for child #2, enrolled for one day and who was in care during the inspection. Records were provided after the date of the inspection.”

Rule 8VAC20-800-60-A.

Caregivers who work directly with children shall annually attend at least 16 hours of training, to include the department’s health and safety update course.

“The department’s annual health and safety course was due three months ago for staff #1.”

Rule 8VAC20-790-250-F.

Repeat Violation: Providers must obtain from each adult household member a current Report of Tuberculosis Screening.

“Household member #1 did not have a Tuberculosis Screening in their record at the time of inspection.”

Rule 8VAC20-800-170-A.

The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child #1, 16 months old, last documented immunization was over 11 months ago.”

Rule 8VAC20-800-90-C.

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, who was present around children the day of the inspection.”

Rule 8VAC20-800-170-A.

Children’s records are required to contain name and policy number of the child’s medical insurance.

“The record for Child #2 was missing the name and policy number of the child’s medical insurance. The child has been in care for five months.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There was no parent acknowledgement available for child #2, that has been in care for five months.”

Rule 8VAC20-800-70-B.

Based on caregiver record review, the provider did not ensure to maintain a current report of Tuberculosis Screening for each caregiver and adult household members.

“Evidence: 1. Caregiver #1 did not have documentation of a current Tuberculosis screening report. The last updated TB screening was dated 5/3/2022. 2. Caregiver #1 mentioned that the TB screening was completed, but could not provide documentation of the results.”

Rule 8VAC20-800-180-A.

8VAC20-800-140-B-3

“Based on review of records the provider failed to maintain current certification in CPR. Evidence: The record for the provider contained CPR certification that expired on 09/12/2022.”

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

8VAC20-800-140-B-4

“Based on review of records the provider failed to maintain current certification in First Aid. Evidence: The record for the provider contained First Aid certification that expired on 09/12/2022.”

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

8VAC20-800-150-D-1

“Based on review of records, the provider failed to ensure that an assistant has current certification in CPR. Evidence: The record for staff #2, an assistant who is left alone with children contained CPR certification that expired on 09/12/22.”

Rule 8VAC20-800-150-D-1.

8VAC20-800-150-D-2

“Based on review of records, the provider failed to ensure that an assistant has current certification in First Aid. Evidence: The record for staff #2, an assistant who is left alone with children, contained First Aid certification that expired on 09/12/2022.”

Rule 8VAC20-800-150-D-2.

8VAC20-800-180-A

“Based on a review of caregiver records and interview the provider did not obtain results of a follow-up tuberculosis screening at least every two years from the first screening. Evidence: The record for caregiver #1 contained documentation of a tuberculosis screening dated 04/24/2018.”

Rule 8VAC20-800-180-A.

8VAC20-800-320-B

“Based on observation, the provider failed to ensure that child-resistant protective covers were installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: There was a surge protector on the floor in the room where the children are cared for and there was an outlet without a cover in the room where the children are cared for.”

Rule 8VAC20-800-320-B.

8VAC20-800-330-A

“Based on interview, the provider failed to have an operable and accessible landline telephone during the hours of operation. Evidence: The provider stated that she did not currently have an operable landline telephone.”

Rule 8VAC20-800-330-A.

8VAC20-820-120-E-1

“Based on observation and interview, the provider failed to ensure that the most recently issued license and inspection finding were posted on the premises. Evidence: The license or most recent inspection were not visible. When asked, the provider stated that the license and most recent inspection were not posted.”

Rule 8VAC20-820-120-E-1.

8VAC20-800-180-A

“Based on a review of caregiver records and interview on April 7, 2022, the provider did not obtain results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening. Evidence: The record of caregiver #1 contained documentation of a tuberculosis screening dated 5/18/18.”

Rule 8VAC20-800-180-A.