Subhadra Parajuli

Caregivers who work directly with children shall annually attend at least 16 hours of training, to include the department’s health and safety update course.

“The annual training in the record for Caregiver #1, #2, and #3 did not contain documentation of the completion of the department’s health and safety update course for 2026. This training is past due seven months for each caregiver.”

Rule 8VAC20-790-250-F.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #1 and Caregiver #3 were not completed and were both overdue by three weeks.”

Rule 8VAC20-800-180-A.

Children’s records are required to contain results of a health examination.

“The record for Child #4 was missing the results of a health examination. The provider confirmed that the Child #4 had completed a physical examination but the results were not saved in their record.”

Rule 8VAC20-800-60-B.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“Records for children #2 and #4 did not have a parent’s signature for an annual review of the emergency contact information. The annual review for Child #2 was overdue by three months. The annual review for Child #4 was overdue by two months.”

Rule 8VAC20-800-780-B.

Repeat violation

Rule 22.1-289.036-B-1.

Repeat violation

“Providers must obtain a completed national criminal background fingerprint check within the 30-days of a new house hold members arrival. Household Member #3’s fingerprint check was completed 39 days after the household member began residing in the home”

Rule 22.1-289.036-B-2.

Repeat violation

“Household members 14 years of age and older must obtain the results of a central registry search by the end of the 30th day of residence. Household Member #3 did not have central registry results during the inspection and has been residing in the home for over 30 days.”

Rule 22.1-289.036-B-3.

Lockdown procedures shall be practiced at least annually.

“Caregiver #2 confirmed that a lockdown drill was not completed for 2025.”

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

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“The provider did not obtain documentation of a physical examination for Child #6. Child #6 has been enrolled for over nine months.”

Rule 8VAC20-800-100-A.

Providers and substitute providers shall have a current certification in cardiopulmonary resuscitation (CPR) and first aid, as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“Caregiver #1 and #3 did not have a current CPR certification obtained through an approved organization at the time of the inspection.”

Rule 8VAC20-800-140-B-3.

Providers and substitute providers shall have a current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

“Caregiver #1 and #3 do not have a current first aid certification obtained through an approved organization.”

Rule 8VAC20-800-140-B-4.

An assistant who is left alone with children in care shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“Caregiver #2 does not have current certification in CPR from an approved organization.”

Rule 8VAC20-800-150-D-1.

An assistant who is left alone with children in care shall have current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

“Caregiver #2 does not have current certification in first aid from an approved organization.”

Rule 8VAC20-800-150-D-2.

The provider shall must obtain from each adult household member prior to coming into contact with the children, a current Report of Tuberculosis Screening (TB) documenting the absence of TB in a communicable form.

“There was no TB screening documenting the absence of TB for Household Members #1, #2, and #3, who have been residing in the family day home for over 30 days.”

Rule 8VAC20-800-170-A.

Hanging items, including appliance cords, shall be out of reach of children under five years of age.

“At the time of the inspection, there were cords for a telephone and mounted camera within reach of Child #1, 2, 3, 4, and 5, who are all under five years of age.”

Rule 8VAC20-800-250-A.

Potentially poisonous materials shall be stored in an area inaccessible to children.

“Poisonous cleaning chemicals were observed in an unsecured cabinet under the kitchen sink, accessible to children. Four cosmetic products, lotion, cologne, hand sanitizer (label states to keep out of reach of children), and a shower cleaner were observed in two bathrooms, accessible to children. Caregiver #2 confirmed that both bathrooms are used by the children.”

Rule 8VAC20-800-280.

Sharp kitchen utensils and other sharp objects shall be inaccessible to children.

“Sharp knives were observed in an unsecured kitchen drawer, accessible to children.”

Rule 8VAC20-800-290.

22.1-289.036-B-1

“Providers must obtain a completed sworn statement by the end of the 30th day for new household members. Household member #4 and #5 who had been living in the residence for six months, did not have a sworn statement completed.”

Rule 22.1-289.036-B-1.

22.1-289.036-B-2

“Providers must obtain a completed national criminal background check by the end of the 30th day for new household members. Household members #4 and #5, who had been living in the residence for six months, did not have a completed national criminal background check.”

Rule 22.1-289.036-B-2.

22.1-289.036-B-3

“Providers must submit a central registry request by the end of the 30th day for new household members. Household members #4 and #5, who had been living in the residence for six months, did not have a central registry search requested.”

Rule 22.1-289.036-B-3.

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. ‘Child #4, 20 months old, last documented immunization was over seven months ago.”

Rule 8VAC20-800-90-C.

8VAC20-800-790

“Based on observation and interview, the responsible person for emergency backup was not posted in a visible area close to the telephone. Evidence: 1. The telephone number for the responsible person for emergency backup was not posted. 2. The provider acknowledged the telephone number of the responsible person was not posted as required.”

Rule 8VAC20-800-790.

22.1-289.035-A

“Based on record review, the provider did not obtain documentation for a 5-year repeat background check. Evidence: The record for caregiver #2 did not have documentation of an updated central registry check (expired on 1/5/2023). This is a repeat violation.”

Rule 22.1-289.035-A.

8VAC20-800-770

“Based on observation, it was determined the battery-operated weather band radio was not working properly. Evidence: 1. The battery-operated weather band radio would not operate even when new batteries were installed.”

Rule 8VAC20-800-770.

8VAC20-800-790

“Based on observation, the provider failed to post 911 or local dial number for the police, fire and emergency medical responders in a visible area close to the telephone. Evidence: The 911 or local dial number for the police, fire, and emergency medical responders was not posted near the telephone.”

Rule 8VAC20-800-790.

22.1-289.035-A

“Based on record review, the provider did not obtain documentation for a 5 year repeat check. Evidence: 1. Caregiver #1’s record does not have documentation of an updated central registry search (expired 1/5/18) 2. Caregiver #2’s record does not have documentation of an updated central registry search (expired 1/5/18).”

Rule 22.1-289.035-A.

8VAC20-800-80-A

“Based on record review and interview, the provider failed to obtain from the parent verification of the identity and age of the child within seven business days of the child’s first day of attendance. Evidence: 1.Child #2 (start date 8/24/22) does not have proof of ID on file. 2.Child #5 (Start date 10/4/22) does not have proof of ID on file. 3. Provider confirmed verification of the identity and age was not obtained.”

Rule 8VAC20-800-80-A.

8VAC20-800-240-A

“Based on observation, the area of the family day home was not maintained in a safe condition. Evidence: Visible cracked drywall in area where children play.”

Rule 8VAC20-800-240-A.

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on unused electrical outlets accessible to children under 5 years of age. Evidence: 2 outlets in the bathroom that children use were missing protective covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-800-A

“Based on record review and interview with the provider, the family day home did not have a written emergency preparedness and response plan. Evidence: 1. No written emergency preparedness plan was available. 2.The Provider acknowledged she did not have a written plan for emergency preparedness and response plan.. .”

Rule 8VAC20-800-800-A.