Meenakshi Verma

Systemic Deficiency 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 were no physical exam records available for Child #2, who had been in care for over 6 months.”

Rule 8VAC20-800-100-A.

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 6 months. An updated TB screening for Household Member #2 was not completed and was overdue by over 3 months.”

Rule 8VAC20-800-180-A.

Repeat Violation, Systemic Deficiency The provider shall ensure an up-to-date record is maintained for each enrolled child with the required information.

Rule 8VAC20-800-60-B.

Repeat Violation, Systemic Deficiency Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There were no parent acknowledgements available for Child #5 who was provided care for 2 days.”

Rule 8VAC20-800-70-B.

Repeat Violation, Systemic Deficiency 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.

“The record for Child #4 (in care for over 1 year) did not have a parent’s signature for an annual review of the emergency contact information.”

Rule 8VAC20-800-780-B.

Systemic Deficiency Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for Child #5, who was in care during the inspection and had been in care for two days. The immunizations for Child #2 were not received until 4 months after they began attending.”

Rule 8VAC20-800-90-A.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There were no parent acknowledgements available for two children who were provided care over one month.”

Rule 8VAC20-800-70-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.

“The record for Child #1 (in care for over 1 year) did not have a parent’s signature for an annual review of the emergency contact information.”

Rule 8VAC20-800-780-B.

When meals or snacks are provided by the family day home, the menu shall be current and dated.

“The posted menu was dated over 3 months ago.”

Rule 8VAC20-800-920.

The vendor shall ensure lockdown procedures are practiced at least annually.

“The vendor did not have record of lockdown drills conducted.”

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

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

“An updated TB screening for Household Member #2 was not completed and was overdue by over one month.”

Rule 8VAC20-800-180-A.

The provider shall ensure an up-to-date record is maintained for each enrolled child with the required information.

“The record for Child #3, enrolled for over 4 months, was missing the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached, and the first date of attendance.”

Rule 8VAC20-800-60-B.

The provider shall ensure parents are provided in writing the required information prior to a child’s first day of attendance.

“The record for Child #3, enrolled over 4 months was missing the requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up, and the requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.”

Rule 8VAC20-800-70-A.

The provider shall ensure emergency evacuation procedures shall be practiced monthly.

“The last documented emergency evacuation drill was over 3 months ago and the provider confirmed one was not completed since.”

Rule 8VAC20-800-830-A.

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.

“Caregiver #1 did not have record of the department’s health and safety update course and stated they had not taken it.”

Rule 8VAC20-790-250-F.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There were no parent acknowledgements available for Child #1, who had been in care over 4 months, and for Child #3, who had been in care for over 2 months.”

Rule 8VAC20-800-70-B.

The provider shall document the method of verification of the child’s age and identity in the child’s record.

“The records for Child #1, #2, and #3 were missing the required documentation of the method of verification of the child’s age and identity.”

Rule 8VAC20-800-80-C.

Documentation of additional immunizations is required once every six months for children under the age of two years.

“The immunization record for Child #2, 3 years and 5 months old, was overdue by 1 year and 6 months.”

Rule 8VAC20-800-90-C.

Repeat violation

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

Based on record review, the provider did not obtain a tuberculosis screening every two years for 1 caregiver.

“Evidence: 1. The most recent documentation of a tuberculosis screening in the record for Caregiver #2 was dated 09/21/2021.”

Rule 8VAC20-800-180-A.

Based on record review and provider interview, the results of a search of the central registry were not obtained for one household member. (HHM)

“Evidence: 1. Provider reported HHM 1 began residing in the home in November 2023. 2. The record for HHM 1 did not contain documentation of search results of the central registry.”

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

Based on record review and provider interview, the provider did not obtain a tuberculosis screening every two years.

“Evidence: 1. The most recent documentation of a tuberculosis screening in the record for Caregiver #1 was dated 12/14/2021.”

Rule 8VAC20-800-180-A.

Based on record review, the provider did not obtain the parent’s written acknowledgement of the receipt of required information.

Rule 8VAC20-800-70-B.

Based on record review, the provider did not document all required information.

“Evidence: 1. The record for Child #3 did not contain the the signature of person verifying proof of identity and the date in which the document was reviewed.”

Rule 8VAC20-800-80-C.

22.1-289.011-F

“Based on observation, the license required by the Superintendent was not posted in a conspicuous place on the licensed premises. Evidence: 1. The provider had the license posted that expired on 11/16/2022.”

Rule 22.1-289.011-F.

22.1-289.035-A

“Based on record review, the provider did not obtain an updated background check every five years. Evidence: 1. Caregiver #1 had a fingerprint background check dated 1/23/2018.”

Rule 22.1-289.035-A.

22.1-289.036-A

“Based on record review, the provider did not obtain an updated background check every five years for a household member. Evidence: 1. Household Member #1 had a fingerprint background check dated 1/23/2018.”

Rule 22.1-289.036-A.

8VAC20-770-60-C-2

“Based on review, the provider did not have the central registry findings within 30 days of employment for a caregiver. Evidence: 1. Caregiver #2’s file (Start date approximately January or February 2022) did not have the central registry findings.”

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

8VAC20-800-120-B

“Based on review, the provider’s records did not contain all required information for a caregiver. Evidence: 1. Caregiver #2’s file (approximate start date January or February 2022) did not have the emergency contact name, address and phone number or the employment date.”

Rule 8VAC20-800-120-B.

8VAC20-800-200-C

“Based on interview, the provider did not have documentation that the assistant had completed orientation by the end of their first week of assuming job responsibilities. Evidence: 1. The provider stated she completed the orientation training with the assistant (start date January or February 2022), but did not have the documentation.”

Rule 8VAC20-800-200-C.

8VAC20-800-60-B

“Based on review of children’s records and interview, the provider did not obtain written authorization if the child is taken off the premises of the family day home as required. Evidence: 1. Child #1 and Child #2 did not have written authorization from the parent to take the child off premises. 2. The provider stated she takes the children to the playground in the neighborhood.”

Rule 8VAC20-800-60-B.

8VAC20-800-770

“Based on observation, the provider did not have a working battery operated weather band radio. Evidence: 1. The provider had a weather band radio, but could not get the radio to work during the inspection.”

Rule 8VAC20-800-770.

8VAC20-800-800-B

“Based on review, the provider did not review the emergency plan at least annually and update the plan as needed and document each review. Evidence: 1. The emergency plan review was documented on 12/23/2021.”

Rule 8VAC20-800-800-B.

8VAC20-800-800-C

“Based on review of staff records, the provider had a caregiver that had not received training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of his first week of assuming job responsibilities, on an annual basis, and at the time of each plan update. Evidence: 1. Caregiver #2 (approximate start date January 2022) did not have documentation that the emergency training had been received.”

Rule 8VAC20-800-800-C.

8VAC20-800-830-A

“Based on review, the provider did not practice emergency evacuation procedures monthly. Evidence: 1. The provider documented practicing evacuation procedures the month of January 2022 through October 2022, but did not practice them in November 2022, December 2022, January 2023, February 2023, March 2023 or April 2023.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Based on review, the provider did not practice shelter in place procedures twice per year. Evidence: 1. The provider documented practicing shelter in place procedures April 2022 only.”

Rule 8VAC20-800-830-B.

8VAC20-800-920

“Based on observation and interview, the provider provided meals and snacks and did not have a menu for the current one week period. Evidence: 1. The provider stated the menu was not up to date for this week. The menu that was posted was dated November 2022.”

Rule 8VAC20-800-920.

Based on record review, 1 of 2 household member records reviewed did not contain documentation of a current report of tuberculosis screening form every two years.

“Evidence: The tuberculosis screening documentation for household member #1 was dated 10/06/2020.”

Rule 8VAC20-800-180-A.

22.1-289.058

“Based on interview and observation, the family day home provider did not have a carbon monoxide detectors and the home was built before 2015 and the provider serves preschool-age children. Evidence: 1. The provider stated she did not have a carbon monoxide detector and was caring for preschool age children.”

Rule 22.1-289.058.

8VAC20-800-210-A

“Based on record review, the caregiver did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The provider had documentation of taking 3 1/2 hours during the period November 2020 through November 2021.”

Rule 8VAC20-800-210-A.

8VAC20-800-240-A

“Based on observation, furnishings of the family day home inside were not maintained in a safe and operable condition. Evidence: 1. A leather sofa ottoman’s fabric was peeling (approximately 3 inches by 2 inches in size) in the room children are cared for.”

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances such as cleaning agents were stored in an area not inaccessible to children. Evidence: 1. A container of cleaning wipes was sitting on the kitchen counter and within reach of children.”

Rule 8VAC20-800-280.

8VAC20-800-70-B

“Based on record review, the provider did not obtain the parent’s written acknowledgement of the receipt of the family day home’s emergency preparedness and response plan. Evidence: 1. Child #2 (start date 6/09/2021) did not have the parent’s written acknowledgement of the receipt of the family day home’s emergency preparedness and response plan in their file.”

Rule 8VAC20-800-70-B.

8VAC20-800-90-C

“Based on review of children’s records, the family day home did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #2 (5/20/2019) did not have updated immunization records in the file. The last immunization record on file was dated 2/21/2020.”

Rule 8VAC20-800-90-C.

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: 1. The inspection summary for the 3/12/2021 inspection was not posted.”

Rule 8VAC20-820-120-E-2.