Uzma Shahid

Providers must maintain a record for each caregiver that shall contain the following: Verification of age, job title, date of employment or volunteering, name address and telephone number of a person to be notified in an emergency, documentation of the education and training required.

“The provider did not ensure that all individuals working with children are qualified caregivers. On May 15, 2026 Household Member #1 was utilized as an assistant caregiver in in the family day home. Household Member #1 is not an identified assistant and does not have a record that contains all of the requirements of a family day home assistant caregiver. The provider was out of compliance on for approximately 3 hours.”

Rule 8VAC20-800-120-A. From a complaint.

The provider shall orient the substitute assistant by the end of their first week of assuming job responsibilities.

“The provider must orient assistants by the end of their first week of assuming job responsibilities. Household Member #1 provided care for children on May 15 2026 without receiving orientation. The provider is 2 weeks out of compliance.”

Rule 8VAC20-800-200-A. From a complaint.

The provider shall ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed.

“On May 15 2026, the provider exceeded the allowable 16 points per caregiver. The provider stated that, on May 15 2026, 2 regular assistants were out for varying reasons, and a substitute assistant, Staff #1, was present. The provider stated that Staff #1, without notice, left the family day home at approximately 2:00pm, leaving the provider with 28 points of children. The provider contacted Household Member #1 for assistance, and they arrived at approximately 2:55pm. On May 15 2026, the provider was out of compliance for approximately 55 minutes.”

Rule 8VAC20-800-570-A. From a complaint.

The provider shall obtain from each caregiver at the time of hire and each prior to coming into contact with children a current Report Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. The form shall have been completed within the last 30 days and be signed by a physician, physicians’ designee, or an official of the local health department

“The provider did not ensure that the Tuberculosis Results were completed within the last 30 days prior to hire for Staff #1 and Staff #2. Staff #1 Tuberculosis Results were completed approximately 3 months too early and Staff #2 Tuberculosis Results were completed approximately 1 year too early.”

Rule 8VAC20-800-170-B.

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

“The provider did not ensure that each caregiver and adult household member has a current report of Tuberculosis Screening every two years from the date of the first screening. Staff #2 last documented screening was dated September 18 2023 and Household Member #1 last documented screening was dated September 20 2023.”

Rule 8VAC20-800-180-A.

The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.

“The provider is 5 months out of compliance.”

Rule 22.1-289.057-A.

Assistants’ records shall contain name address and telephone number of a person to be notified in an emergency and documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Staff # 3 record does not contain documentation that references were checked and who to notify in case of emergency; including telephone number and address.”

Rule 8VAC20-800-120-B.

Based on a review of staff records, a new staff member did not have a central registry search completed within 30 days of employment.

“Evidence: Staff 3 did not have a completed central registry search on file. The home has documentation that it was mailed November 2023, but follow ups were not documented and the background search remains incomplete.”

Rule 8VAC20-770-60-C-2.

Based on a review of caregiver and household member records, the provider failed to obtain a current Criminal History Record.

“Evidence: -Caregiver #1’s record does not contain documentation of a current Criminal History Record. The last Criminal History Record expired 02/16.2023. -Household Member #1’s record does not contain documentation of a current Criminal History Record. The last Criminal History Record expired 02/26/2023.”

Rule 22.1-289.036-B-2.

Based on a review of caregiver records, the provider failed to obtain all required documentation for each caregiver.

“Evidence Caregiver #2’s record does not contain documentation that two or more references as to character and reputation as well as competency were check before employment.”

Rule 8VAC20-800-120-B.

Based on a review of caregiver and household member records, the provider failed to 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.

“Evidence: -Caregiver #1’s record does not contain a current tuberculosis screening or test. The last test on file expired 11/17/2022. -Household Member #1’s record does not contain a current tuberculosis screening or test. The last test on file expired 11/17/2022.”

Rule 8VAC20-800-180-A.

Based on a review of caregiver records, the provider failed to ensure that caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: Caregiver #1 and #2’s records do not contain documentation of 16 hours of annual training for 2022-2023.”

Rule 8VAC20-800-210-A.

Based on observation, the provider failed to ensure that the first aid kit contains all required supplies.

“Evidence: The first aid kit did not contain a First aid instruction manuel.”

Rule 8VAC20-800-760-A-1.

Based observation and attendance log, the provider did not ensure that caregivers only care for children totaling up to 16 points by using the point system based on the children’s age.

“Evidence: There were 12 children present, totaling 33 points with 2 caregiver’s present.”

Rule 8VAC20-800-570-A.

Based on review of children’s records, the provider did not annually review with the parent the emergency contact information (as required in 8VAC20-800-60-B).

“Evidence: Child #1’s record did not contain documentation of an annual review. The last review date for emergency information was 06/14/2022.”

Rule 8VAC20-800-780-B.

Based on a review of caregiver records, the Family Day Home failed to obtain a copy of the required Central Registry background check.

“Evidence: Caregiver #2’s records do not have documentation of Central Registry background check.”

Rule 22.1-289.036-B-4.

Based on a review of children’s records, the Family Day Home failed to ensure that all required documents are obtained for each child enrolled at the Family Day Home.

“Evidence: Child #2 and #3 records do not have documentation of the names of person other than the custodial parents who are authorized to pick up the child.”

Rule 8VAC20-800-60-A.