Melissa Smith

Repeat violation The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Caregiver #1 last TB test was more than two years old.”

Rule 8VAC20-800-180-A.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Staff #1 tuberculosis screening was more than 2 years old. The T.B. test was 23 days over the date it was due for update assessment/screening.”

Rule 8VAC20-800-180-A.

The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Children arrived approximately hour before the inspection.The vendor did not have daily attendance that documents the 3 children arrival as it occurs.”

Rule 8VAC20-790-180-B.

The vendor should practice lockdown drills annually.

“The vendor did not have documentation of lockdown drill being conducted for 2024.”

Rule 8VAC20-790-430-A-3.

8VAC20-800-690-D

“The diapering surface shall be non-absorbent. The provider had a fabric diaper surface that is absorbent.”

Rule 8VAC20-800-690-D.

Repeat Violation

“The telephone number for a responsible person for emergency backup care. The provider confirmed that she does not have a designated back up care person.”

Rule 8VAC20-800-790.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated.

“The menu was posted but not dated.”

Rule 8VAC20-800-920.

Based on record review, the licensee did not ensure the most recent violation notice was posted in a conspicous place on the licensed premises.

“Evidence: The inspection posted was for 08/08/2023. The most recent inspection was January 25, 2024 and inspection was not posted.”

Rule 22.1-289.011-F.

Based on record review, the licensee did not ensure childrens records contain all required information.

“Evidence: Child #1 and Child #2 did not have address for one emergency contact.”

Rule 8VAC20-800-60-A.

Based on observation and staff interview, the licensee did not ensure all required telephone numbers were posted in a visable area.

“Evidence: The provider did not have phone number posted for a person to be emergency back up as required. Provider stated she does not have emergency back up presently.”

Rule 8VAC20-800-790.

Based on documentation and interview, the provider did not ensure to practice emergency evacuation procedures monthly.

“Evidence: The documentation reviewed partial completion of the monthly drills. Interview with caregiver confirmed the practiced drills were not completed each month.”

Rule 8VAC20-800-830-A.

Based on interview, the provider did not ensure when meals or snacks are provided by the family day home, the menu for the current one-week period is available.

“Evidence: Interview with provider confirmed a menu at the family day home was not available for review during the inspection.”

Rule 8VAC20-800-920.

Based on observation, the licensee did not ensure children’s hands are washed with liquid soap and warm running water before eating.

“Evidence: During the inspection on February 8, 2023, there was observations of the children returning into the family day home and preparing for lunch at the table and their hands were not washed prior to eating.”

Rule 8VAC20-800-680-B.

Based on observation, the licensee did not ensure to follow the most recent, age-appropriate nutritional requirements of USDA when providing meals at family day home.

“Evidence: During the inspection on February 8, 2023, there was observation of 2 of 3 children in care being served french fries and a drink as a meal for lunch at the family day home.”

Rule 8VAC20-800-880.

Based on observation and interview with provider, the licensee did not ensure to obtain a landline telephone during the family day home’s hours of operation.

“Evidence: There was no landline telephone available for review during the inspection. Interview with licensee confirmed the telephone was not available during the inspection.”

Rule 8VAC20-800-330-A.

Based on review of emergency drills and interview, the licensee did not ensure to practice all monthly emergency evacuation procedures.

“Evidence: A review of the emergency drills log revealed that last emergency drill was completed in April 2022. Interview with licensee confirmed the emergency drills documentation available for review during the inspection.”

Rule 8VAC20-800-830-A.

Based on review and interview, the licensee did not ensure to provide a menu for the current one week period.

“Evidence: There was no menu available for review at the family day home. The interview with licensee confirmed a menu as not available during the inspection.”

Rule 8VAC20-800-920.

Based on review of children’s record and interview, the provider did not ensure to obtain documentation of a physical examination within 30 days after the first day of attendance.

“Evidence: During the inspection on May 26, 2022, in Child#1’s and Child#2’s record (start date 8/30/2021, there was no documentation of physical examination found. Interview with provider confirmed the documentation was not available during this inspection.”

Rule 8VAC20-800-100-A.

Based on review of children’s record and interview, the provider did not ensure to obtain in 2 of 4 records all information for children’s record.

“Evidence: During the inspection on May 26, 2022, in Child#3’s record (start 4/13/22), the emergency contact address was missing. Interview with provider confirmed the information available for review in the record.”

Rule 8VAC20-800-60-B.