Silvia Sternberg

The results of each potable water test shall be submitted to the Commissioner and the Department of Health’s Office of Drinking Water.

“The family day home has not submitted water testing results to the Commissioner and the Department of Health’s Office of Drinking Water.”

Rule 22.1-289.057-B.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

“Caregiver #1’s subsequent TB screening is overdue by over three months. Household Member #1’s subsequent TB screening is overdue by over three months.”

Rule 8VAC20-790-180-A.

The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“The family day home did not obtain additional immunizations for Child #4 (age: 23 months). The updated immunizations were overdue by 4 months.”

Rule 8VAC20-800-90-C.

Based on record review, the family day home did not obtain documentation of a physical examination by or within 30 days of the first day of attendance for 1 out of 5 children’s records.

“Evidence: Child #4’s (start date: 01/22/2024) record did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

Based on record review and caregiver interview, 0 out of 4 caregivers obtained a minimum of sixteen clock hours of training annually.

“Evidence: Caregiver #1 confirmed that Caregiver #1, #2, #3, and #4 had not completed training in 2023.”

Rule 8VAC20-800-210-A.

Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for 1 out of 5 children’s records.

“Evidence: Child #3’s (age: 18 months) most recent documentation of immunizations was dated 11/22/2022.”

Rule 8VAC20-800-90-C.

Based on observation, the diapering surface was not nonabsorbent.

“Evidence: The diapering surface used by the family day home was torn in two areas.”

Rule 8VAC20-800-690-D.

Based on record review, the provider failed to review the emergency plan at least annually and document in writing each review.

“Evidence: The most recent documented emergency plan review was dated 08/08/2019.”

Rule 8VAC20-800-800-B.

Based on record review, the provider did not obtain from each caregiver at the time of hire a Report of Tuberculosis (TB) screening form that was completed within the last 30 days.

“Evidence: The TB screening form for Caregiver #4 (hire date: 06/17/2022) was completed on 02/04/2020.”

Rule 8VAC20-800-170-B.

Based on record review, the provider did not obtain from each caregiver a current Report of Tuberculosis (TB) screening form every two years from the date of the first screening.

“Evidence: The last TB screening form for Caregiver #3 was dated on 02/28/2020.”

Rule 8VAC20-800-180-A.

Based on observation, bottles were not labeled with the child’s full name and date.

“Evidence: 1. Child #1 had two bottles in the refrigerator that were not labeled with the child’s full name and date. 2. Child #2 had one bottle in the refrigerator that was not labeled with the date. 3. Child #3 had one bottle in the refrigerator that was not labeled with the date.”

Rule 8VAC20-800-960-E.