Ms. Lena Yap

The provider shall obtain an updated Tuberculosis (TB) test or screening for each caregiver and adult household member every two years.

“Staff #2’s TB test or screening update was due eight months ago.”

Rule 8VAC20-800-180-A.

The provider shall ensure all staff submit a completed Sworn Disclosure Statement prior to hire.

“Staff #2 has been employed for three days and was caring for children at the time of inspection and did not have a Sworn Disclosure Statement on file.”

Rule 22.1-289.035-B-1.

The provider shall ensure all staff submit to a fingerprint-based criminal history background check prior to hire.

“Staff #2 has been employed for three days and was caring for children at the time of inspection and did not have fingerprinting results on file.”

Rule 22.1-289.035-B-2.

The provider shall request a search of the Virginia Child Abuse and Neglect Central Registry for all staff by the date of hire.

“Staff #2 has been employed for three days and was caring for children at the time of inspection and a central registry search request has not yet been submitted.”

Rule 22.1-289.035-B-3.

The provider shall maintain a complete record for each caregiver.

“Staff #2 has been employed for three days, was caring for children at the time of inspection, and did not have a record on site.”

Rule 8VAC20-800-120-A.

The provider shall obtain from each caregiver at the time of hire and prior to coming into contact with children documentation of a negative tuberculosis (TB) screening.

“Staff #2 has been employed for three days and was caring for children at the time of inspection and did not have a TB test on file.”

Rule 8VAC20-800-170-A.

The provider must ensure prescription medication is maintained in the original container with the pharmacy issued label attached.

“Child #1 had a medication on site that did not have the pharmacy label attached.”

Rule 8VAC20-800-710.

When the family day home has agreed to administer prescription or nonprescription medications, there must be a caregiver present who has satisfactorily completed the Medication Administration Training (MAT) program.

“One child was present who had an emergency prescription medication on site and none of the three caregivers present held current MAT certification.”

Rule 8VAC20-800-220-A.

Medications shall be kept in a locked place using a safe locking method that prevents access by children.

“One emergency prescription medication was stored in an unlocked lower cabinet drawer in the same room where children were napping.”

Rule 8VAC20-800-730-D.

8VAC20-800-210-A

“Based on review of documentation, and an interview with the provider, it was determined that not all caregivers completed a minimum of sixteen clock hours of training annually. Evidence: The record for caregiver #1 had 5.5 hours of annual training documented. The records for caregiver #2 and caregiver #3 did not contain documentation of any annual training.”

Rule 8VAC20-800-210-A.

8VAC20-800-320-A

“Based on observation, it was determined that not all small appliances were unplugged when not in use. Evidence: a toaster oven and an air fryer were sitting on the kitchen counter plugged in. The provider stated that they were not in use at the time of the inspection.”

Rule 8VAC20-800-320-A.

8VAC20-800-540-A

“Based on observation, it was determined that the feeding table was not used according to the manufacturer’s instructions when occupied by a child, with the safety strap used and securely fastened. Evidence: two children were observed sitting in the feeding table and the safety strap was not used or securely fastened.”

Rule 8VAC20-800-540-A.

8VAC20-800-830-B

“Based on review of documentation, it was determined that shelter-in-place drills were not practiced a minimum of twice a year, as required. Evidence: the last documented shelter-in-place drill was conducted 7/22/2022.”

Rule 8VAC20-800-830-B.