Maria Camacho

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

“Caregiver #3’s record did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-800-120-B.

A child’s record shall contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.

“Child #2’s record did not contain written authorization for emergency medical care. Child #2 has been enrolled for six months.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided in writing requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home and requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life- threatening diseases, which must be reported immediately.

Rule 8VAC20-800-70-A.

Based on record review and provider interview, caregivers did not obtain a minimum of sixteen clock hours of training annually.

“Evidence: 1. Caregiver #1?s record did not have documentation of training for the 2022 calendar year. 2. Caregiver #1 stated that they did not complete trainings in 2022. 3. Caregiver #2?s record did not have documentation of training for the 2022 calendar year. 4. Caregiver #1 stated the Caregiver #1 did not complete trainings in 2022.”

Rule 8VAC20-800-210-A.

Based on record review, the provider did not obtain all information for children’s records.

“Evidence: Child #3?s record did not contain a name, address and telephone number for a second emergency contact.”

Rule 8VAC20-800-60-A.

Based on observation, small electrical appliances were not unplugged while not in use by the caregiver or with children under close supervision.

“Evidence: In the kitchen, an electric kettle was plugged in while not in use.”

Rule 8VAC20-800-320-A.

Based on record review, the provider did not obtain the parent’s written acknowledgement of the receipt of required written information.

“Evidence: 1. Child #1?s (start date: 01/10/2022) record did not contain written acknowledgement of the receipt of required written information for parents. 2. Child #2?s (start date: 09/02/2020) record did not contain written acknowledgement of the receipt of required written information for parents. 3. Child #3?s (start date: 08/16/2021) record did not contain written acknowledgement of the receipt of required written information for parents. 4. Child #4?s (start date: 06/22/2020) record did not contain written acknowledgement of the receipt of required written information for parents.”

Rule 8VAC20-800-70-B.

Based on record review and caregiver interview, the provider did not review the emergency plan at least annually and document in writing each review.

“Evidence: 1. There was no documentation of annual review of the emergency preparedness plan. 2. Caregiver #1 stated that they did not know the plan needed to be reviewed and documented annually.”

Rule 8VAC20-800-800-B.

Based on observation, children were allowed to eat while walking.

“Evidence: Child #3 and Child #5 were observed walking while eating bread.”

Rule 8VAC20-800-900-B.

22.1-289.036-A

“Based on record review and interview, the applicant did not ensure that a central registry background check was completed for each caregiver and/or household member every five years. Evidence: The central registry background check for Caregiver #1, Caregiver #2, Household Member #1 and Household Member #2 expired on 04/11/2022. The provided stated that she submitted the background checks for review and February, but the results have not been received. There was no documentation that a follow-up was made.”

Rule 22.1-289.036-A.

8VAC20-800-240-A

“Based on observation, areas of the family day home outside were not maintained in a clean, safe and operable condition. Evidence: A pink toddler swing was observed to be cracked and broken.”

Rule 8VAC20-800-240-A.

8VAC20-800-340-C

“Based on observation, the bathroom did not contain paper towels. Evidence: The bathroom was observed to have a hand towel and no paper towels.”

Rule 8VAC20-800-340-C.

8VAC20-800-700-C

“Based on review of medication authorizations and interview, medication was not returned to a parent within 14 days of the authorization expiring. Evidence: Child #1 has emergency medication kept on site. The parent’s authorization for the medication to be administered expired on 10/01/2021. The provider stated that the medication was present.”

Rule 8VAC20-800-700-C.

8VAC20-800-900-B

“Based on observation, children were allowed to eat or drink while walking, running and playing. Evidence: Several children were observed walking, playing and jumping with ice pops, croissants and squeeze pouches.”

Rule 8VAC20-800-900-B.

8VAC20-820-120-E-1

“Based on observation and interview, the most recently issued license was not prominently displayed. Evidence: The license that was posted in the family day home expired in October 2021. The provider stated that she printed her new license, but filed it away.”

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

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: The family day home’s most recent inspection was 09/24/2021. The inspection that was posted was dated 07/30/2020.”

Rule 8VAC20-820-120-E-2.