Ms. Trevor Carter

Repeat Violation

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 was not completed and was overdue by six months.”

Rule 8VAC20-800-180-A.

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.

“Child #1’s record documented the parent’s signature for an annual review of the emergency contact information that was more than three weeks overdue. Child #2’s record documented the parent’s signature for an annual review of the emergency contact information that was more than one year overdue.”

Rule 8VAC20-800-780-B.

Prior to approval as a subsidy vendor, the provider shall complete VA Preservice Training.

“Caregiver A did not have documentation of completed VA Preservice Training.”

Rule 8VAC20-790-250-A.

Caregivers annual training shall include completion of the VA Preservice health and safety update course.

“Caregiver A’s record did not contain documentation of completed VA Preservice Health and Safety course updates. Caregiver B’s most recent VA Preservice Health and Safety Update course was dated 7/6/2022.”

Rule 8VAC20-790-250-F.

Providers and substitute providers shall have current CPR certification.

“Caregiver A’s most recent CPR certification expired May 2025.”

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

Providers and substitute providers shall have current first aid certification.

“Caregiver A’s most recent first aid certification expired May 2025.”

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

Each caregiver shall obtain a current report of TB screening form every two years.

“Caregiver A’s TB screening was dated 6/10/21 (expired: 6/10/23).”

Rule 8VAC20-800-180-A.

The vendor shall inform all caregivers of children’s allergies, sensitivities, and dietary restrictions.

“Evidence: Not all caregivers were aware of a child with a documented food allergy.”

Rule 8VAC20-790-170-F.

The vendor shall maintain in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential.

“Evidence: There was no written allergy list at the time of the inspection.”

Rule 8VAC20-790-170-G.

The emergency response Lockdown Drill shall be practiced at least annually.

“Evidence: The last documented Lock Down Drill was dated 2/2/24, making it overdue by three months.”

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

Providers must keep a written record of children in attendance each day.

“Evidence: There were five children present, the written record reflected there were three.”

Rule 8VAC20-800-50-A.

Emergency telephone numbers shall be posted in a visible area close to the telephone:

“Evidence: There was no list of emergency telephone numbers.”

Rule 8VAC20-800-790.

Shelter-in-place procedures shall be practiced a minimum of twice per year.

“Evidence: The last documented Shelter-in place drill was dated 8/19/24, making it overdue by three months.”

Rule 8VAC20-800-830-B.

8VAC20-800-100-A

“(Repeat Violation) 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. There was no physical examination in the record of child #3, who has been in care for over 60 days”

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Caregiver #2, who has been working for one month, did not have any completed reference verifications on file.”

Rule 8VAC20-800-120-B.

8VAC20-800-530-A

“Cots/rest mats when being used for sleeping or napping shall have linens consisting of a top cover and a bottom cover. Two children were observed napping on cots/rest mats without a top cover.”

Rule 8VAC20-800-530-A.

22.1-289.036-A

“Based on review of two applicant/caregiver/household member records, it was determined that not all repeat central registry search reports were completed every five years as required. Evidence: The record for applicant/caregiver #1 had a central registry search report dated: 8/19/2018.”

Rule 22.1-289.036-A.

22.1-289.036-B-4

Rule 22.1-289.036-B-4.

8VAC20-770-40-D-4

“Based on review of two applicant/caregiver/household member records, it was determined that not household members had an original central registry report within 30 days of residence. Evidence: the record for household member #1 (date of residence: 6/25/2023) did not contain documentation of a central registry search report.”

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

8VAC20-800-100-A

“Based on review of three child records, the provider did not obtain documentation that each child has received a physical examination prior to the child’s first attendance or within 30 days after the first day of attendance. Evidence: the record for child #1 (date of first attendance: 9/11/2023) did not have documentation of a physical.”

Rule 8VAC20-800-100-A.

8VAC20-800-330-A

“Based on observation, and an interview with the provider, the provider did not have a landline telephone available, operable, and accessible during the home’s hours of operation. Evidence: there was no landline telephone in the home.”

Rule 8VAC20-800-330-A.

8VAC20-800-70-A

“Based on review of three child records, and an interview with the provider, not all parents were provided, in writing, all required information for parents before the child’s first day of attendance. Evidence: The record for child #1, child #2, and child #3 did not contain documentation of receipt of policies on the administration of medication.”

Rule 8VAC20-800-70-A.

Based on record review and interview, the provider did not obtain a sworn disclosure statement for each household member living in the residence above the age of 18 years.

“Evidence: The record for household member #1, with a move in date of 6/25/23, did not have documentation of a sworn disclosure statement at the time of the inspection.”

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

8VAC20-800-100-A

“Based on review of documentation, there was no documentation of a physical exam within 30 days of the child’s attendance. Evidence: Child #1, first day of attendance 2/21/2022, did not have a physical in the file.”

Rule 8VAC20-800-100-A.

8VAC20-800-540-A

“Based on observation, an infant high chair did not have the safety straps installed or securely fastened. Evidence: A six month old was observed in an ingenuity brand infant high chair booster seat with the tray closed but no safety straps installed or fastened.”

Rule 8VAC20-800-540-A.