Zulma Meneses

The provider shall 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 .

“The subsequent screening for TB for one member of the household could not be located during the inspection.”

Rule 8VAC20-800-180-A.

Annually the provider shall have parents review the files and update and sign the child’s record.

“three children’s files are missing the annual update signature.”

Rule 8VAC20-800-780-B.

A subsequent background check search must be obtained every 5 years.

“One household member has a Central Registry check that is over 5 years old.”

Rule 22.1-289.035-B-4.

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.

“Two household members are missing subsequent TB screenings.”

Rule 8VAC20-800-180-A.

The provider shall keep a record of attendance and make thid record accessible to the inspector.

“The provider has a attendance record for the date of the inspection, but not attendance records for the last two months.”

Rule 8VAC20-800-50-B.

22.1-289.035-B-2

“Based on the review of staff records, the provider failed to get finger print checks done for one staff. Evidence: Based on the review of staff records, the assistant, staff 2 is missing the finger print check. DOH 5/30/24.”

Rule 22.1-289.035-B-2.

8VAC20-800-120-B

“Based on the review of staff records, the provider failed to get some required information for an assistant: Evidence: The assistant is missing a second reference.”

Rule 8VAC20-800-120-B.

8VAC20-800-70-A

“Based on the review of children’s record, the provider failed to give some information to parents on the first day of attendance: Evidence: Reviewed 5 children’s records, child 2 and 3 are missing the information about the providers emergency plan and child 2 is missing the liability insurance form.”

Rule 8VAC20-800-70-A.

8VAC20-800-730-D

“Repeat Violation.Based on the review of medication, the provider failed to keep medication in a locked space. Evidence: The provider has an EpiPen in the first aid kit it kept on a shelf inaccessible to the children. The first aid kit is not locked, a padlock is holding two eye screws together but is not hooked through the eye screw.”

Rule 8VAC20-800-730-D.

8VAC20-800-800-B

“Based on the review of the emergency preparedness plan the provider failed to do the annual update. Evidence: Based on the review of the emergency preparedness plan the plan is missing a updated signature for the last two years.”

Rule 8VAC20-800-800-B.

22.1-289.036-B-2

“Based on review of household members background checks, the provider failed to get the criminal records check for 1 household member. Evidence: A member of the household turned 18 in December and the provider failed to get a criminal records check conducted.”

Rule 22.1-289.036-B-2.

8VAC20-770-40-D-4

“Based on the review of the household member records, the provider failed to get a sworn disclosure statement for one household member. Evidence: Household member 2 is missing a sworn disclosure statement, the household member turned 18 in December.”

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

8VAC20-800-700-C

“Based on review of the medication on site, the provider failed to return the expired medication after 14 days or dispose of the medication. Evidence: The provider has an expired EpiPen for a child in care. The EpiPen has not been picked up by the parents.”

Rule 8VAC20-800-700-C.

8VAC20-800-830-C

“Based on the review of emergency drill records, the provider failed to keep a written record of drills conducted. Evidence: Based on interview with the provider and review of the emergency drill records, the provider failed to record drills done from September 2023 to February 2024.”

Rule 8VAC20-800-830-C.

8VAC20-800-180-A

“Based on the review of staff records, the provider did not get subsequent TB screenings done after two years. Evidence: The provider and assistant have TB tests that reached the two years on 7/19/2023. Subsequent TB screenings have not been done at the time of the inspection.”

Rule 8VAC20-800-180-A.

8VAC20-800-730-D

“Based on observation during the inspection and discussion with the provider, medication is not stored in a locked location. Evidence: During the inspection the provider git an EpiPen out of the first aid kit. The medication was not stored in a locked space.”

Rule 8VAC20-800-730-D.

8VAC20-790-250-D-2

“Based on the review of staff records, the provider failed to have an updated first aid certification for one assistant. Evidence: The assistants first aid expired on 10/12/2021.”

Rule 8VAC20-790-250-D-2.

8VAC20-790-180-A

“Based on review of staff records, the provider failed to get the subsequent TB screening done for one assistant. Evidence: Review of 3 staff files were conducted during the inspection. Staff 2 is missing a subsequent TB screening, last screening is from 10/12/21.”

Rule 8VAC20-790-180-A.

8VAC20-800-570-A

“Based on observation during the inspection, the provider failed to ensure that a caregiver did not exceed 16 points, Evidence: At the time of the inspection the provider was observed with 9 children totaling 21 points. The provider stated that the assistant had gone to the library to drop off library books. The provider later stated that the assistant had errands to run and would not return.”

Rule 8VAC20-800-570-A.

8VAC20-800-690-D

“Based on the inspection of the physical plant, the provider failed to have a nonabsorbent diaper changing pad. Evidence: The diaper changing pad on the diaper changing table is torn and is no longer nonabsorbent,”

Rule 8VAC20-800-690-D.

8VAC20-800-60-A

“Based on a review of children’s records, it was determined the provider has not maintained an up-to-date record for each enrolled child. Evidence: The file for Child A does not include documentation showing that the provider has viewed the child’s original proof of identification.”

Rule 8VAC20-800-60-A.

8VAC20-800-530-F

“Based on observations, it was determined that soft bedding was place in a crib used by a 6 month old infant. Evidence: One 6 month old infant was observed in a crib with a loose blanket hanging over the side rail. In addition, the infant was lying on top of a small loose blanket.”

Rule 8VAC20-800-530-F.