Rosa Castro Thomason

Providers must maintain a record for each caregiver with the required information.

“There record for Caregiver #2 (employed 5 months) was missing the name, address, and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-800-120-B.

The emergency evacuation procedures shall be practiced monthly.

“The last documented date of a fire drill was 5 months ago and there was no record of a fire drill being conducted each month since then.”

Rule 8VAC20-800-830-A.

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

“Child #5 (3 years old) last documented immunization was over 2 years ago.”

Rule 8VAC20-800-90-C.

Assistants’ and substitute providers’ records shall contain the required information.

“The record for Caregiver #2 (employed over 2 months) was missing verification of age, date of employment, an emergency contact, and two references. The record for Caregiver #3 (employed over 6 years) was missing verification of age, date of employment, an emergency contact, one reference, and documentation of education and training. The record for Caregiver #4 (employed over 1 week) was missing verification of age, date of employment, an emergency contact, and two references.”

Rule 8VAC20-800-120-B.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #3 (employed over 6 years) had 2.5 hours of annual training and was missing 13.5 additional.”

Rule 8VAC20-800-210-A.

A child’s record shall contain a parent’s signed acknowledgement of the receipt of the information required and proof of the child’s age and identity.

“The record for Child #2 (enrolled for over 2 weeks), did not have a signed acknowledgment of the receipt of information required and did not have proof of the child’s age and identity.”

Rule 8VAC20-800-60-B.

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

“There was no documentation of immunizations for child #2, who was in care during the inspection and had been in care for over 2 weeks.”

Rule 8VAC20-800-90-A.

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

“Child #5 (2 years old) last documented immunization was over 16 months ago and overdue by 11 months.”

Rule 8VAC20-800-90-C.

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 exam records available for Child #3, who had been in care for over four years.”

Rule 8VAC20-800-100-A.

Repeat Violation The provider is required to maintain staff records with the required information.

“The record for Caregiver #2 was missing their address, verification of age, job title, emergency contact, 2 references, and documentation of education.”

Rule 8VAC20-800-120-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 #1, #2, #3, #4, and #5 did not have a parent’s signature for an annual review of the emergency contact information. Children #1, #2, #3, and #4 had an annual review overdue by over six months and the annual review Child #5 was overdue by over four months.”

Rule 8VAC20-800-780-B.

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

“Child #1, 2 years and 8 months old, last documented immunization was over 14 months ago, due before the child turned two years old. Child #4, 2 years and 11 months old, last documented immunization was over 1 year and 8 months ago. Child #5, 3 years and 5 months old, last documented immunization was over 2 years and 5 months ago.”

Rule 8VAC20-800-90-C.

Based on file review and interview, the provider did not obtain a sworn statement required for a household member.

“Evidence: Household member #1 did not have documentation of the sworn statement and provider confirmed it was not completed.”

Rule 22.1-289.036-B-1.

Based on file review and interview, the provider did not maintain caregiver records with the required information.

“Evidence: The record for Caregiver #1 (date of hire 8/5/24) was missing their address, verification of age, job title, emergency contact, 2 references, and documentation of education.”

Rule 8VAC20-800-120-B.

Based on file review and interview, the provider did not obtain a tuberculosis screening for each caregiver that was completed within 30 days prior to hire.

“Evidence: Caregiver #2 (date of hire 8/5/24) had a tuberculosis screening on file from 10/10/2023 and stated that was their last screening.”

Rule 8VAC20-800-170-B.

Based on file review and interview, the provider did not obtain documentation of a tuberculosis screening for a caregiver every 2 years.

“Evidence: The tuberculosis screening for Caregiver #3 (date of hire 2020) expired on 7/22/24 and the caregiver confirmed they have not had another.”

Rule 8VAC20-800-180-A.

Based on interview, the provider did not orient the assistant by the end of their first week of assuming job responsibilities.

“Evidence: Documentation of orientation for Staff #2 (date of hire 8/5/24) was not available and the provider confirmed it was not completed.”

Rule 8VAC20-800-200-A.

8VAC20-800-830-D

“Based on review of the drill records and interview, the provider did not maintain a record of the emergency evacuation drills for one year. 1. September 2023 through January 2024 was missing the record of the emergency evacuation drills. The provider stated the drills were completed, but she did not write them down.”

Rule 8VAC20-800-830-D.

8VAC20-800-920

“Based on observation and interview, the family day home provides meals and snacks and did not have a menu for the current one week period. Evidence: 1. The caregiver stated she did not have the current one week period menu posted or given to the parents..”

Rule 8VAC20-800-920.

8VAC20-800-320-G

“Based on interview, the provider did not have the wood burning fireplaces and associated chimneys inspected annually by a knowledgeable inspector. Evidence: 1. The provider stated she had not had the fireplace or chimney inspected.”

Rule 8VAC20-800-320-G.

8VAC20-800-320-G

“Based on interview, the provider did not have the wood burning fireplaces and associated chimneys inspected annually by a knowledgeable inspector. Evidence: 1. The provider stated she had not had the fireplace or chimney inspected.”

Rule 8VAC20-800-320-G.

8VAC20-800-50-C

“Based on observation, the provider did not keep information contained in a child’s record privileged and confidential. Evidence: 1. The provider had the supplemental page from the 3/09/2022 inspection posted on the parent bulletin board. This document is considered confidential.”

Rule 8VAC20-800-50-C.

8VAC20-800-60-B

“Based on review of two children’s records, the provider did not have all required information in the child’s record. Evidence: 1. Child #1 (start date 1/03/2022) did not have the child’s insurance policy number, proof of identity and name and address of previous childcares and the signed acknowledgement of the receipt of the liability insurance declaration.”

Rule 8VAC20-800-60-B.

8VAC20-800-80-A

“Based on record review, the provider did not obtain from the parent within seven business days of the child’s first day of attendance, verification of the identity and age of the child and name and location of previous day care programs and schools the child has attended. Evidence: 1. Child #1’s file (start date 1/03/2022) did not have record of verifying the identity and age of the child or name and location of previous day care programs and schools the child has attended.”

Rule 8VAC20-800-80-A.

8VAC20-800-920

“Based on observation and interview, the provider did not have a menu posted for the current one week period. Evidence: 1. The provider stated they provide meals and snacks, but did not have the current menu posted for the current one week period.”

Rule 8VAC20-800-920.

8VAC20-770-40-D-5-a

“Based on review of one household members records, the provider did not obtain the Child protective services central registry check within 30 days of a household member becoming 14 years old. Evidence: 1. The provider sent for the child protective services central registry check on 3/04/2022 for household member #1, but did not have the results. It has been more than 30 days since the household member became 14 years old.”

Rule 8VAC20-770-40-D-5-a.

8VAC20-800-100-A

“Based on review of two children’s records, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1 (start date 10/11/2021) did not have a physical on file with the provider.”

Rule 8VAC20-800-100-A.

8VAC20-800-330-A

“Based on interview and observation, the provider did not have a landline telephone that did not require electricity to operate. Evidence: 1. The provider had a cordless landline phone only.”

Rule 8VAC20-800-330-A.