Shaun Bissett

Repeat violtion

“The provider shall 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. A the time of the inspection, there was no physical examination available for review for Child #4, who has been in care for 14 months.”

Rule 8VAC20-800-100-A.

Each immunization report shall include the dates of the immunizations and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“The immunization record for Child #3 was not signed.”

Rule 8VAC20-800-110-B.

A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation.

“There was no working landline telephone in the household.”

Rule 8VAC20-800-330-A.

Information contained in a child’s record shall be privileged and confidential.

“The Supplemental page from the 8/19/2026 inspection was posted on the parent board. The Supplemental page is considered confidential and is not to be posted.”

Rule 8VAC20-800-50-C.

The provider shall review annually the emergency plan and document in writing each review and any update.

“The emergency plan posted on site had its last documented review over four years ago.”

Rule 8VAC20-800-800-B.

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

“Child #3, 20 months old, last documented immunizations was over eight months ago. Child #5, over 11 months old, last documented immunizations was over seven months ago.”

Rule 8VAC20-800-90-C.

Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“At the time of the inspection, more than one infant was in care and were four bottles were observed that did not include the date.”

Rule 8VAC20-800-960-E.

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The findings from the most recent inspection, dated 6/16/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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. At the time of the inspection, there was no physical examination record available for Child #2, who has been in care for over one year, or Child #4, who has been in care for over seven months.”

Rule 8VAC20-800-100-A.

Repeat violation

“Assistants’ records shall contain the required information. Caregiver #2 and Caregiver #3, who provided care at the time of the inspection, were missing an emergency contact, including name, address, and telephone number, two verified references prior to employment and date of employment in their record.”

Rule 8VAC20-800-120-B.

Repeat violation

“The provider shall orient assistants by the end of their first week of assuming job responsibilities. Caregiver #3 provided care for children for at least eight months without receiving orientation.”

Rule 8VAC20-800-200-B.

Repeat violation

“Potentially poisonous substances shall be inaccessible to children. An item labeled “keep out of reach of children” was found placed next to the bathroom sink accessible to children.”

Rule 8VAC20-800-280.

Repeat violation

“Cribs when being used by infants shall have a tight-fitting bottom cover. Three cribs were observed that had a loose fitting bottom cover.”

Rule 8VAC20-800-530-B.

Infant carrier seats, swings, strollers, feeding or activity tables, and high chairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened.

“Three infants were observed sitting in a hair chair without the safety strap securely fastened.”

Rule 8VAC20-800-540-A.

An up to date record for each child enrolled shall be maintained by the provider.

“There was no record for Child #6, who was in care during the inspection and had been in care for a two weeks.”

Rule 8VAC20-800-60-A.

A child’s record shall contain name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for Child #2 was missing the address for both emergency contacts and the record for Child #5 was missing the name of the second emergency contact. Both children have been in care for over one year.”

Rule 8VAC20-800-60-B.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating.

“Assistant Caregiver #3 used a wet wipe for two infants hands before eating and did not wash the child’s hands with liquid soap and warm water.”

Rule 8VAC20-800-680-B.

Repeat violation

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record and obtain the parent’s signed acknowledgement of the review. The record for Child #5 did not include a parent’s signature of the annual review, which was overdue by more than six months”

Rule 8VAC20-800-780-B.

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.

“At the time of the inspection, there was no physical examination record available for Child #1, who has been in care for over one year, or for Child #3, who has been in care for over five months.”

Rule 8VAC20-800-100-A.

Assistants’ records shall contain the required information.

“Caregiver #2 and Caregiver #3, who provided care at the time of the inspection, were missing an emergency contact, including name, address, and telephone number, two verified references prior to employment and date of employment in their record.”

Rule 8VAC20-800-120-B.

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

“Caregiver #2 provided care for children for at least eight months without receiving orientation.”

Rule 8VAC20-800-200-A.

Potentially poisonous substances shall be inaccessible to children.

“Toothpaste labeled ?keep out of reach of children? was found placed next to the bathroom sink accessible to children.”

Rule 8VAC20-800-280.

Cribs when being used by infants shall have a tight-fitting bottom cover.

“Three cribs were observed that had a loose-fitting bottom cover.”

Rule 8VAC20-800-530-B.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record and obtain the parent’s signed acknowledgement of the review.

“The records for Child #2 and Child #4 did not include a parent’s signature of the annual review. Both reviews were overdue, by more than one month for Child #2 and more than four months for Child #4.”

Rule 8VAC20-800-780-B.

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

“There was no documentation of immunizations for Child #3, who has been in care for over five months.”

Rule 8VAC20-800-90-A.

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The findings from the most recent inspection, dated 11/25/2025, and the current license were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

The provider is required to have employees undergo a background check every five years.

“The most recent central registry check for Caregiver #1 was overdue by more than three months.”

Rule 22.1-289.035-A.

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

“Caregiver #2 and caregiver #3, who provided care at the time of the inspection, were missing an emergency contact, including name, address, and telephone number, two references verified prior to employment. and date of employment in their record.”

Rule 8VAC20-800-120-B.

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

“An updated TB screening was not completed and was over five months overdue for both Caregiver #1 and Household Member #1. Additionally, Caregiver #4?s updated TB screening was not completed and was more than ten months overdue.”

Rule 8VAC20-800-180-A.

The provider must orient assistants by the end of their first week of assuming job responsibilities.

“Caregiver #2 provided care for children for at least six months without receiving orientation.”

Rule 8VAC20-800-200-A.

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

“None of the caregivers (#1, #2, #3, and #4) obtained training hours in 2025.”

Rule 8VAC20-800-210-A.

An up to date record for each child enrolled shall be maintained by the provider.

“There was no record for Child #3 and Child #6, who were in care during the inspection and had been in care for at least nine months.”

Rule 8VAC20-800-60-A.

A child’s record shall contain the name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“Child #5, who has been in care for over one year, did not have the name of the second emergency contact documented.”

Rule 8VAC20-800-60-B.

The diapering surface shall be nonabsorbent.

“The changing pad used for diapering had one rip in it and was no longer nonabsorbent.”

Rule 8VAC20-800-690-D.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record and obtain the parent’s signed acknowledgement of the review.

“The record for Child #4 did not have a parent’s signature of an annual review and was overdue by over one month.”

Rule 8VAC20-800-780-B.

Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs.

“This information was not available for Child #4 who has been in care for over two months.”

Rule 8VAC20-800-80-A.

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

“No shelter-in place procedures were practiced in 2025.”

Rule 8VAC20-800-830-B.

Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“Two bottles were observed that did not include the date.”

Rule 8VAC20-800-960-E.

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 documentation of a physical exam for child # 1, who has been in care for over one year.”

Rule 8VAC20-800-100-A.

Assistants’ and substitute providers’ records shall contain an emergency contact, including name, address, and telephone number, two references verified prior to employment. and date of employment.

“Caregiver #2, who provided care at the time of the inspection, did not have an emergency contact, two verified references, and date of employment documented in their file.”

Rule 8VAC20-800-120-B.

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

“An updated TB screening for caregiver #1,caregiver #3 and caregiver #4 was not completed and was overdue by 2 months.”

Rule 8VAC20-800-180-A.

Repeat violation

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. There was no record for child #3, who was in care during the inspection and has been in care for at least seven months. The only documentation on file were the child’s physical and immunizations.”

Rule 8VAC20-800-60-A.

Repeat violation

“A child’s record shall contain the name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Child #3, who has been in care for over nine months, did not have the name of the second emergency contact documented.”

Rule 8VAC20-800-60-B.

The diapering surface shall be nonabsorbent.

“The changing pad used for diapering had two rips in it and was no longer nonabsorbent.”

Rule 8VAC20-800-690-D.

Repeat violation

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record and obtain the parent’s signed acknowledgment of the review. Records for child # 1 and #2 did not have parent’s signature of an annual review. The last documented review for both children had been over a year.”

Rule 8VAC20-800-780-B.

The provider shall verify the age and identity of a child within seven business days of the child’s first day of attendance.

“Child #4, who has been in care for at least seven months, did not have documentation verifying their age and identity on file”

Rule 8VAC20-800-80-A.

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

“There was no documentation of immunizations for child #3, who was in care during the inspection and had been in care for over nine months.”

Rule 8VAC20-800-90-A.

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

“None of the caregivers (#1,#2 and #3) obtained any training hours in 2024.”

Rule 8VAC20-800-210-A.

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 #4 who had been in care for over 30 days.”

Rule 8VAC20-800-100-A.

An up to date record for each child enrolled shall be maintained by the provider.

“There was no record for Child #2, who was in care during the inspection. The only documentation on file were the child’s health forms (physical and immunization page).”

Rule 8VAC20-800-60-A.

Children’s records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

“The record for Child #5 was missing the information for two emergency contacts. Child #5 was present during the inspection and had been in care for over a year. The record for Child #3 did not have a written authorization for emergency medical care on file. Child #3 was present during the inspection and had been in care for over a year.”

Rule 8VAC20-800-60-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 #3 and #4 did not have a current parent’s signature for an annual review of the emergency contact information. The last documented review for both children had been over a year.”

Rule 8VAC20-800-780-B.

Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs.

“The record for Child #3, #4, and #5 were all missing the documentation of each child’s Proof of Identification. Child #3 had been in care for over a year; Child #4 had been in care for two months; and Child #5 had been in care for over a year.”

Rule 8VAC20-800-80-A.

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

“Child #1, 22 months old, last documented immunization was over 20 months ago. Child #3, 21 months old, last documented immunization was over 12 months ago.”

Rule 8VAC20-800-90-C.

The family day home must request a search of the central registry every five years since the date of the most recent check on file at the family day home.

“Staff #2 had a central registry search on file that expired 4 months ago.”

Rule 22.1-289.036-B-3.

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

“A staff person who has been employed for more than a year did not have an orientation training on file. This standard was cited previously during an inspection conducted in the past seven months.”

Rule 8VAC20-800-200-B.

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 was no parent acknowledgement (Notice of Liability Form) available for one child who was provided care since the past month.”

Rule 8VAC20-800-70-B.

The provider shall review annually the emergency plan and document in writing each review and any update.

“The Emergency Plan posted on site had its last documented review over 19 months ago.”

Rule 8VAC20-800-800-B.

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

“Child #2, 18 months old, last documented immunization was over 12 months ago.”

Rule 8VAC20-800-90-C.

Based on review, 1 of 2 household files indicated a Fingerprint check (FPC) on file at the Family Day Home (FDH) was older than 5 years in age.

“Evidence - 1. It was later discovered, after a review of notes taken on site, that a FPC for Household Member #1 was dated - 10/09/2018. 2. This finding expired on 10/09/2023 and will need to be updated.”

Rule 22.1-289.036-B-2.

Based on review and interview, 1 of 4 staff files indicated that the submitted fingerprinting check on file had expired.

“Evidence - 1. On the date of inspection (03/22/2024), the fingerprint check (FPC) on file for Staff #2 was dated - 03/22/2019. 2. The Provider stated (on the date of inspection) that a new check has not yet been scheduled.”

Rule 22.1-289.036-B-2.

Based on review, 1 of 2 household files indicated a CPS check on file at the Family Day Home (FDH) was older than 5 years in age.

“Evidence - 1. It was later discovered, after a review of notes taken on site, that a search of the central registry ( CPS check) for Household Member #1 was dated - 10/29/2018. 2. This finding expired on 10/29/2023 and will need to be updated.”

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

Based on review, 1 of 4 staff, did not have a complete sworn statement or affirmation on file at the Family Day Home.

“Evidence - 1. On the date of inspection (03/22/2024), Staff #4 did not have a completed sworn statement or affirmation on file. 2. The start date for Staff #4 was listed as 03/21/2024.”

Rule 8VAC20-770-60-B.

Based on review, 1 of 4 staff files did not contain all of the required information.

“Evidence - 1. On the date of inspection (03/22/2024), emergency contact information was not listed for Staff #4. 2. At least (2) two references for Staff #2 were not on file (start date - 03/21/2024).”

Rule 8VAC20-800-120-B.

Based on review, 1 of 4 staff files indicated that documentation of an orientation for each assistant was not on file by the end of their first week of assuming their job responsibilities.

“Evidence - 1. On the date of inspection (03/22/2024), documentation of orientation training for Staff #3 was not on file. 2. The listed start date for Staff #3 was 09/15/2023.”

Rule 8VAC20-800-200-A.

Based on review, 2 of 7 enrolled children did not have an up-to-date record maintained at the Family Day Home.

“Evidence - 1. On the date of inspection (03/22/2024), a file for both Child #6, and Child #7 were not available for review. 2. Both Child #6, and Child #7 were in attendance on the date of inspection.”

Rule 8VAC20-800-60-A.

Based on review, 5 of 7 children files did not contain all of the required information to be found within each record.

“Evidence - 1. On the date of inspection (03/22/2024), emergency medical authorization was not available for Child #1. 2. For Child #3, 0 of 2 emergency contacts (to include their names, addresses, and phone numbers) were not available. 3. A completed Immunization record (as required by 8VAC20-800-90); and the results a health examination (physical) (as required by 8VAC20-800-100) were not available for; Child #2, Child #3, Child #6, and Child #7.”

Rule 8VAC20-800-60-B.

Based on review, 5 of 7 children files indicated that not all of the required documentation was contained within.

“Evidence - 1. On the date of inspection (03/22/2024), Medication Administration - Decision to Administer form was not available for: Child #1, and Child #2. 2. The Provisions of the Emergency Preparedness form was not available for: Child #2, Child #3, Child #4, and Child #5. 3. The Liability Insurance Declaration form was not available for: Child #5. AND RESPONSE PLAN”

Rule 8VAC20-800-70-A.

Based on review, 2 of 7 children files reviewed indicated that the Provider did not document within each child’s record the proof of identification.

“Evidence - 1. On the date of inspection (03/22/2024), documentation of each child’s proof of identification was not available for: Child #1, and Child #3. 2. Both Child #1, and Child #3 were in attendance of the date of inspection.”

Rule 8VAC20-800-80-C.

Based on review, 1 of 7 children files indicated that before a child may attend the Family Day Home (FDH), the Provider did not obtain documentation that each child had been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations).

“Evidence - 1. On the date of inspection (03/22/2024), immunization documentation for Child #4 was not available for review. 2. On the date of inspection, Child #4 was in attendance.”

Rule 8VAC20-800-90-A.

Based on review, 1 of 7 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (03/22/2024), the immunization on file for Child #5 was dated - 08/18/2023. 2. On the date of inspection, based on information on file, Child #5 was under the age of two years.”

Rule 8VAC20-800-90-C.

Based on observation, the posted menu did not fulfill all of the standard requirements.

“Evidence - 1. On the date of inspection (03/22/2024), the posted menu was not dated. 2. This “rolling menu” only reflected the days of the week.”

Rule 8VAC20-800-920.

Based on review, 2 of 5 children files indicated that the child’s parent did not annually provide a review of the parent’s emergency contact information to ensure that the information is correct.

“Evidence - 1. On the date of inspection (10/05/2023), the last documented review of the emergency contact information for Child #1 was dated - 05/05/2022. 2. The last documented review of the emergency contact information for Child #4 was dated - 04/28/2021.”

Rule 8VAC20-800-780-B.

Based on review, 2 of 5 children files indicated that the Provider did not obtain documentation that the child has been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations).

“Evidence - 1. On the date of inspection (10/05/2023), the following children did not have documentation that each had been adequately immunized within their files: Child #2 (start date - 09/05/2023), and Child #3 (start date - 09/25/2023). 2. While an immunization page was missing entirely for Child #2, on the health forms for Child #3 their immunization page had a note from their doctor’s office saying, “see attached.” However, no other immunization documentation was attached to this form.”

Rule 8VAC20-800-90-A.

Based on review, 2 of 5 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations (for children who were not exempt from the immunization requirements according to subsection B of this section) once every six months for any child in care who is under the age of two years.

“Evidence - 1. On the date of inspection (10/05/2023) the following children did not have an updated immunization page available for review: Child #1 (last on file - 05/05/2022), and Child #5 (last on file - 03/07/2023). 2. On the date of inspection, both Child #1, and Child #5 were under the age of two years.”

Rule 8VAC20-800-90-C.

Based on review, 1 of 4 staff files indicated that an employee of a licensed Family Day Home (FDH) employed a staff person without a completed sworn statement or affirmation (SDS) on file.

“Evidence - 1. On the date of inspection (03/22/23), a SDS was not available for review for Staff #5. The start date for Staff #5 was listed as 03/13/2023. 2. Staff #5 was observed providing care to children on the date of inspection.”

Rule 8VAC20-770-60-B.

Based on review and interview, 1 of 4 staff files indicated that the Family Day Home (FDH) does not have a central registry finding ( CPS check) within 30 days of employment.

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

Based on review, 1 of 10 children files indicated that the Provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection (03/22/2023), documentation of a physical examination for Child #9 was not available for review. 2. The start date for Child #9 was listed as 10/17/2022.”

Rule 8VAC20-800-100-A.

Based on review, 2 of 4 staff files indicated that not all of the required information was contained within each record.

“Evidence - 1. On the date of inspection (03/22/23) the following information was not available for review for Staff #5: address; verification of age; and the name, address, and telephone number of a person to be notified in an emergency. Start date for Staff #5 was listed as 03/13/23. 2. The emergency contact information was not available for review for: Staff #3. This same standard was cited for Staff #3 during a previous inspection.”

Rule 8VAC20-800-120-B.

Based on review, 1 of 4 staff files indicated that the Provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening (TB) form, (in accordance with the requirements in 8VAC20-800-170) every two years from the date of the current TB documentation on file.

“Evidence - 1. On the date of inspection (03/22/23), the TB documentation on file for Staff #1 was dated 12/21/2018. 2. This same standard for Staff #1 was cited during a previous inspection.”

Rule 8VAC20-800-180-A.

Based on review, 1 of 4 staff files indicated that documentation of the Provider conducting an orientation for a new staff member by the end of their first week of assuming their job responsibilities was not available.

“Evidence - 1. On the date of inspection (03/22/23), orientation documentation was not available for review for Staff #5. 2. The start date for Staff #5 was listed as 03/13/2023.”

Rule 8VAC20-800-200-A.

Based on review, 1 of 4 staff files indicated that a minimum of (16) sixteen clock hours of training annually (in areas relevant to their job responsibilities) was not obtained.

“Evidence - 1. On the date of inspection (03/22/23), documentation of certificates of completion for training obtain in 2022 for Staff #2 were not available for review. Therefore, a total of zero of the needed 16 hours was documented. 2. This was confirmed by the Provider on the date of inspection.”

Rule 8VAC20-800-210-A.

Based on observation, the provider did not ensure that a caregiver does not exceed 16 points by using the required point system (to determine if an additional caregiver is needed).

“Evidence - 1. On the date of inspection (03/22/2023) starting at 10 am and until 10:05 am (when the Provider arrived), there were 2 caregivers with 10 children, a total of 34 points. 2. As many as 4 caregivers were on site, once all staff had arrived at the Family Day Home (FDH).”

Rule 8VAC20-800-570-A.

Based on review, 4 of 10 children files indicated that annually, the Provider did not review with the parent the emergency contact information (required in 8VAC20-800-60 B 2) to ensure the information is correct, and obtain the parent’s signed acknowledgment of this review.

“Evidence - 1. On the date of inspection (03/22/2023), the following children were without an annual acknowledgement of their parent’s review of the emergency contact information on file: Child #2 (last review dated - 09/24/2021), Child #4 (last review dated - 09/28/2021), Child #5 (last review dated - 04/28/2021), and Child #7 (last review dated - 08/01/2021). 2. This information was obtained off of the signature line at the bottom of each child’s record.”

Rule 8VAC20-800-780-B.

Based on review, 1 of 10 children files indicated that documentation that the child had been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations) was not available.

“Evidence - 1. On the date of inspection (03/22/2023), an immunization page for Child #9 was not available for review. 2. The start date for Child #9 was listed at 10/17/2022.”

Rule 8VAC20-800-90-A.

Based on review, 4 of 10 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children who were not exempt from the immunization requirements (according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (03/22/2023) the following children were without an updated immunization page: Child #1 (immunization page dated - 04/25/22), Child #2 (immunization page dated - 07/22/22), Child #3 (immunization page dated - 06/22/22), and Child #4 (immunization page dated - 06/08/22). 2. On the date of inspection, all of the above listed children were under 2 years of age.”

Rule 8VAC20-800-90-C.

Based on review, 2 of 4 staff files indicated that not all of the required information was contained within each staff record.

“Evidence - 1. On the date of inspection (10/04/2022), the emergency contact information for Staff #3 and Staff #4 were not available for review. 2. This was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-120-B.

Based on review, 1 of 4 staff files indicated that the Provider did not obtain for each caregiver a current Report of Tuberculosis Screening (TB) form, (in accordance with the requirements in 8VAC20-800-170), every two years.

“Evidence - 1. On the date of inspection (10/04/2022), the most current TB documentation on file for Staff #1 was dated - 12/21/2018. 2. This same standard was cited during the previous inspection conducted on 03/29/2022.”

Rule 8VAC20-800-180-A.

Based on review, 1 of 11 children files indicated that not all of the required documentation was contained within each child’s record.

“Evidence - 1. On the date of inspection (10/04/2022), the health forms (immunization page and documentation of a physical examination) were not available for review for Child #11. 2. The start date for Child #11 was listed as 08/17/2022.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 11 children files indicated that the proof of identification was available within each child’s record.

“Evidence - 1. On the date of inspection (10/04/2022), the Proof of Identification was not available for Child #2. 2. Child #2 was in care on the date of inspection.”

Rule 8VAC20-800-80-A.

Based on review, 3 of 11 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who is not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (10/04/2022), the following children had immunization documentation that was older than 6 months: Child #7 (immunization page dated - 10/01/2021), Child #8 (immunization page dated - 02/05/2022), and Child #10 (immunization page dated - 08/02/2021). 2. On the date of inspection, based on the information contained in their file, all three children listed above were under two years of age.”

Rule 8VAC20-800-90-C.

Based on review, 2 of 5 staff files indicated that the Family Day Home (FDH) did not obtain a copy of the results of a criminal history record information check ( CRC ), a sex offender registry check (SOR), and a search of the child abuse and neglect registry ( CPS ), (or equivalent registry) from any state in which the individual has resided in the preceding five years before reporting to the FDH.

“Evidence - 1. On the date of inspection (03/29/2022), the following staff did not have the proceeding Out-of-State background checks available for review: Staff #4 (from the State of Georgia - SOR check, and a CPS check); and Staff #5 (from the District of Columbia - CRC check, SOR check, and a CPS check). 2. Both Staff #4 (start date - 03/03/2022), and Staff #5 (start date - 03/28/2022) were observed on site on the date of inspection providing care for the children in attendance.”

Rule 22.1-289.035-B-4.

Based on review, 1 of 5 staff files indicated that the sworn statement had not been completed.

“Evidence - 1. On the date of inspection (03/29/2022), the sworn disclosure statement (SDS) was not available for review for Staff #5. 2. The start date listed for Staff #5 was 03/28/2022. 3. Staff #5 was observed providing care to the children in attendance on the date of inspection.”

Rule 8VAC20-770-60-B.

Based on review, 1 of 5 staff files did not have an original central registry finding on file.

“Evidence - 1. On the date of inspection (03/29/2022), a finding of a search of the central registry ( CPS check) was not available for review for Staff #2. 2. The start date for Staff #2 was listed as 05/11/2021. 3. Staff #2 was observed on site on the date of inspection providing care to the children in attendance.”

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

Based on review, 4 of 5 staff files indicated that not all of the required information was contained within each record.

“Evidence - 1. The name address and telephone number of a person to be notified in an emergency was not available for review. 2. Emergency contact information was not available for: Staff #2, Staff #3, Staff #4, and Staff #5.”

Rule 8VAC20-800-120-B.

Based on review, 1 of 5 staff files indicated that the Provider did not obtain for each caregiver a current Report of Tuberculosis Screening (TB) form (in accordance with the requirements in 22 VAC 40-111-170), every two years.

“Evidence - 1. On the date of inspection (03/29/2022), the TB documentation on file for Staff #1 was dated - 12/21/2018. 2. This documentation expired after 12/21/2020.”

Rule 8VAC20-800-180-A.

Based on review, 2 of 5 staff files indicated that in addition to satisfactory completion of first aid training and CPR training, 2 caregivers did not obtain a minimum of sixteen (16) clock hours of training annually in areas relevant to their job responsibilities.

“Evidence - 1. On the date of inspection (03/29/2022), Staff #1 had a total of 12 hours of annual training. 2. Staff #2 had zero (0) hours of annual training.”

Rule 8VAC20-800-210-A.

Based on observation and interview, the Provider did not ensure that the total number of children receiving care at any one time did not exceed the maximum licensed capacity of the home.

Rule 8VAC20-800-40-A.

Based on observation, the weather band radio kept on site at the Family Day Home (FDH) was not battery-operated.

“Evidence - 1. The weather band radio on site was crank operated. 2. This radio did not contain a battery.”

Rule 8VAC20-800-770.

Based on review, 3 of 5 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children (who were not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (03/29/2022) the following children did not have a current immunization page on file signed by a physician: Child #2 (immunization page dated - 08/23/2021); Child #4 (immunization page not signed at all); and Child #5 (immunization page dated - 05/10/2021). 2. Based on information on file, all three children were under the age of 2 years on the date of inspection.”

Rule 8VAC20-800-90-C.

Based on review, menus (that included meals and snacks that are provided by the family day home), only reflected what was to be served on the current date.

“Evidence - 1. On the date of inspection (03/29/2022), the menu that is available to each child’s parent is posted through an on-line program. 2. The information available only included the meal and snack to be served on that day. 3. A paper menu lists in general those items typically served during any given week. This menu is not dated to the specific day of the week or month of the year.”

Rule 8VAC20-800-920.

Based on review, infant bottles observed on site were not labeled with the child’s full name and date.

“Evidence - 1. On the date of inspection (03/30/2022), bottles were observed missing today’s date. 2. These bottles were observed in the kitchen; on the counter, and stored in the Family Day Home refrigerator.”

Rule 8VAC20-800-960-E.