Vida Obeng

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis 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.

“The record for Household member #1 contained a Tuberculosis screening that was due to be updated 4 months ago.”

Rule 8VAC20-800-180-A.

The Provider is required to ensure that caregivers who work directly with children have training to include the department’s health and safety update course.

“At the time of inspection, Caregiver #1 and Caregiver #2 had not completed the department health and safety 2025 update training. The training for Caregiver #1 was due 3.5 months ago and the training for Caregiver #2 was due 3 months ago.”

Rule 8VAC20-790-250-F.

The Provider is required to obtain a central registry background check report every five years from the date of the last check.

“The record for Household member #1 did not contain documentation that a central registry background check report had been completed every five years from the date of the last check.”

Rule 22.1-289.036-A.

Based on review of 6 Household member records, the Provider did not obtain documentation of a completed sworn disclosure statement for each household member prior to residing in the home or when a person in the home becomes 18 years old.

“Evidence: The record for Household members #1 and# 2 did not contain documentation that a sworn disclosure had been completed.”

Rule 8VAC20-770-40-D-4.

Based on review of 2 caregiver records and Provider interview, the Provider did not ensure that all caregivers obtain a minimum of sixteen clock hours of training annually.

“Evidence: The record for Caregiver #1 did not contain documentation of the completion of 16 training hours in the last year. The Provider confirmed during inspection that Caregiver #1 only had 8 hours of training to report for the last year.”

Rule 8VAC20-800-210-A.

Based on review of 6 children’s records, the Provider did not obtain all of the required documentation for child records.

“Evidence: The record for Child #1 did not contain written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

Based on review of 6 child records, the provider did not ensure they obtained documentation of additional immunizations for a child who is not exempt from the immunization requirements once every 6 months for children under the age of two years and once between the fourth and sixth birthday.

Rule 8VAC20-800-90-C.

Based on review of 5 child records, the provider did not ensure they obtained documentation that children were adequately immunized prior to attending.

“Evidence: The record for Child #4 (start date 7/18/23) did not contain immunizations prior to attending.”

Rule 8VAC20-800-90-A.

Based on review of 2 Caregiver records, the provider did not obtain a central registry background check report every five years from the date of the last check.

“Evidence: The record for Caregiver #2 did not contain documentation that a central registry background check report had been completed every five years from the date of the last check. The last central registry check was completed 2/27/18 and the new central registry check on file was completed on 3/3/23.”

Rule 22.1-289.035-A.

Based on review of 4 Household member records, the provider did not obtain a criminal history background check report every five years from the date of the last check.

“Evidence: The record for Household member #1 did not contain documentation that a criminal history background check report had been completed every five years from the date of the last check. The last criminal history check was completed 2/12/18 and the new criminal history check was completed on 2/21/23.”

Rule 22.1-289.036-A.

Based on review of the written attendance record and interview with staff, the provider did not ensure they maintained a written record of children in attendance each day.

“Evidence: 1)During the inspection in was determined there were 11 children present, but the written record reflected there were no children present.”

Rule 8VAC20-800-50-A.

Based on observation, the provider did not ensure use of positive methods of discipline that were constructive in nature and included techniques such as redirecting children to acceptable behavior.

“Evidence: During the inspection, Child #4 (DOB 6/24/20) was being corrected for disrupting the learning of others in care. Caregiver #2 repeated ?stop it? to the child on a number of occasions. The caregiver then picked the child up by their arm and carried the child across the room by the child’s arm to redirect them to a new activity.”

Rule 8VAC20-800-630-A.

Based on review of 11 child records, the provider did not conduct an annual review of children’s emergency contact information and the parent’s acknowledgment of the review.

“Evidence: The records for Child #1, Child #2, Child #3, Child #4, Child #5 and Child #6 did not contain documentation of an annual review of the children’s emergency contacts, nor did the records contain parent acknowledgment of the review.”

Rule 8VAC20-800-780-B.

Based on observation and provider interview, the provider did not ensure that the home is equipped with at least one carbon monoxide detector.

“Evidence: The provider stated she does not have a carbon monoxide detector in the home.”

Rule 22.1-289.058.

Based on record review and provider interview, the provider did not ensure that all caregivers obtain a minimum of 16 clock hours of annual training.

“Evidence: Staff #1 had 4 hours of annual training and Staff #2 has no hours of annual training on file for 2021.”

Rule 8VAC20-800-210-A.

Based on record review, the provider did not ensure that all children have all required information on file.

“Evidence: Child #1 did not have written authorization for emergency medical care should an emergency occur and the parent cannot be located on file. Child #2 did not have documentation of the annual review of the child’s emergency contact information. The most recent annual review of the child’s emergency contact information by parents was completed 8/1/2020.”

Rule 8VAC20-800-60-B.