Champa Kumar

For an assistant who is not the spouse, parent, sibling, or child of the provider (and were hired after June 30, 2010), documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Only 1 of 2 references were on file for Staff #2. Staff #2 was recently rehired in the past month.”

Rule 8VAC20-800-120-B.

The provider shall obtain the parent’s written acknowledgement of the receipt of the information in regard to the Family Day Home decision to administer medication.

“There was not a Medication Policy - Decision to Administer form available for review and signed by the parents of Child #4. Child #4 has been enrolled in over 1 week.”

Rule 8VAC20-800-70-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 children #1 did not have a parent’s signature for an annual review of the emergency contact information. The last signed review was over one year old.”

Rule 8VAC20-800-780-B.

Documentation of additional immunizations is required once every six months for children under the age of two years. ’

“Child #1, 20 months old, last documented immunization was over 8 months ago.”

Rule 8VAC20-800-90-C.

Based on review, 1 of 5 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (09/12/2024), the policy number for the listed medical insurance policy name for Child #3 was not available for review. 2. The start date for Child #3 was listed as 08/05/2024.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 5 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (09/12/2024), an updated immunization page for Child #2 was not available for review (immunization page on file was dated - 10/25/2023). 2. On the date of inspection, based on information on file, Child #2 was under 2 years of age.”

Rule 8VAC20-800-90-C.

Based on review, 1 of 2 staff files indicated that not all of the required information was contained within each record.

“Evidence - 1. On the date of inspection (09/08/2023), 1 of 2 references for Staff #2 was on file. 2. The emergency contact information for Staff #2 was not available for review.”

Rule 8VAC20-800-120-B.

Based on review, 1 of 3 staff files indicated that the Virginia Preservice Training for Child Care staff (sponsored by the Department of Education) had not been taken and a certificate of completion had been obtained.

“Evidence - 1. On the date of inspection (03/03/2023) a certificate of completion for the Virginia Preservice training for Child Care staff was not available for review for Staff #2. 2. The start date for Staff #2 was listed as 04/20/2018. Staff #2 was employed on 10/13/2021 and since that date. Staff #2 recently (within the past week) went on a leave of absence. 3. This same standard for this same staff was cited during a previous inspection conducted on 09/07/2022.”

Rule 8VAC20-790-250-A.

Based on review, 1 of 3 staff files indicated that a fingerprint check was unavailable prior to reporting to work on-site at the Family Day Home (FDH).

“Evidence - 1. On the date of inspection (03/03/2023) a fingerprint check for Staff #3 was unavailable for review. 2. The start date for Staff #3 was listed as 03/03/2023.”

Rule 22.1-289.035-B-2.

Based on review, 1 of 3 staff files indicated that not all of the required information was contained within each file.

“Evidence - 1. On the date of inspection (03/03/2023), the following information was unavailable for review within the file for Staff #3: proof of age, 2 references, and emergency contact. 2. The start date for Staff #3 was listed as 03/03/2023.”

Rule 8VAC20-800-120-B.

Based on review, 1 of 3 staff files indicated that a caregiver did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence - 1. On the date of inspection (03/03/2023), there were no clock hours of annual training recorded in 2022 for Staff #2. 2. Certifications of training in 2022 were also unavailable for Staff #2.”

Rule 8VAC20-800-210-A.

Based on review, 1 of 9 children’s files indicated that the FDH did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) for children under 2 years of age, every 6 months.

“Evidence - 1. On the date of inspection (03/03/2023), the immunization page on file for Child #4 was dated - 08/05/2022. 2. On the date of inspection, based on the information on file, Child #4 was under 2 years of age.”

Rule 8VAC20-800-90-C.

Based on review, 1 of 2 staff files indicated that documentation on file verifying that the Virginia Preservice Training for Child Care Staff was competed was not available.

“Evidence - 1. On the date of inspection (09/07/2021), documentation that the Virginia Preservice Training for Child Care Staff had been completed was not on file for Staff #2. 2. Staff #2 start date was listed as April of 2018. Staff #2 was observed on site providing supervision for the children in care.”

Rule 8VAC20-790-250-A.

Based on review, 1 of 2 staff files indicated that the department’s health and safety update course did not have a certificate of completion on file.

“Evidence - 1. On the date of inspection (09/07/2022), a certificate of completion for the annual health and safety update course was not on file for 2022. 2. It was the Provider’s belief the Staff #2 has yet to complete this training for 2022.”

Rule 8VAC20-790-250-F.

Based on observation and interview, an area of the home (downstairs in a room devoted to child care), shows signs of an unsafe condition.

“Evidence - 1. On the date of inspection (09/07/2022), in a back corner of the child care area, a crack running from the ceiling to the floor is lined with cracking, and chipping paint. 2. While no paint flakes were visible on the floor, the wall does show signs with the paint has fallen off and is missing. 3. The Provider stated (during an interview conducted on the date of inspection - 09/07/2022) that this area is a result of water damage.”

Rule 8VAC20-800-240-A.

Based on observation the diapering surface was not in compliance.

“Evidence - 1. On the date of inspection (09/07/2022), the diapering surface observed in the Family Day Home (FDH) was observed with a small rip through its surface thus making it no longer non-absorbent. 2. The Provider was observed closing the torn area with tape.”

Rule 8VAC20-800-690-D.

Based on review, the Provider did not obtain the written verification of the annual review by the parent of their child’s emergency information that was on file.

“Evidence - 1. On the date of inspection (09/07/2022) the following children had reviews that were older than one year: Child #3 (dated - 07/28/2021), Child #7 (dated - 08/28/2021), Child #8 (dated - 07/16/2021), and Child #11 (dated - 08/26/2021). 2. This documentation was observed within each child’s file as noted at the bottom of each Child’s Record form.”

Rule 8VAC20-800-780-B.

Based on observation, not all bottles stored in the Family Day Home (FDH) refrigerator were labeled with the date.

“Evidence - 1. On the date of inspection (03/11/2022) there were a total of (4) four infants in care. 2. Upon observation of the bottles being stored on site, while each child’s name was clearly labeled on each bottle, today’s date was missing.”

Rule 8VAC20-800-960-E.