Andrea Cotman

Providers are required to have a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“Caregiver 1’s CPR certification is overdue by five months.”

Rule 8VAC20-800-140-B-3.

Providers are required to have a current certification in first aid.

“Caregiver 1’s first aid certification is overdue by five months.”

Rule 8VAC20-800-140-B-4.

The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements every six months until the age of two years.

“Child 3’s documentation of additional immunizations is overdue by nine months. Child 4’s documentation of additional immunizations is overdue by ten months.”

Rule 8VAC20-800-90-C.

REPEAT VIOLATION 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 nine months.”

Rule 22.1-289.035-A.

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

“The most recent background check for staff 3 was overdue by a four months.”

Rule 22.1-289.035-B-2.

The center is required to have employees undergo a central registry check every five years.

“The most recent central registry check for staff 3 was overdue by a five months.”

Rule 22.1-289.035-B-3.

The provider will ensure that children’s records are reviewed annually and signed by parents.

“Child B, in care for over one year had no acknowledgement of file review by parents.”

Rule 8VAC20-800-780-B.

Children’s records are required to contain parental home and employment addresses and phone numbers.

“The record for Child #1 was missing the address for the second emergency contact. The child 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 #1, and #4 did not have a parent’s signature for an annual review of the emergency contact information.”

Rule 8VAC20-800-780-B.

Based on record review, the provider did not obtain subsequent TB screenings at least every two years from the date of the initial screening, or more frequently if recommended by a physician.

“Evidence: Staff #3’s record contained documentation of a tuberculosis screening dated 02/24/22. Documentation of a subsequent tuberculosis screening was not available for review.”

Rule 8VAC20-800-180-A.

8VAC20-800-80-B

“Based on record reviews and staff interview, the provider did not verify the proof of identification (ID) for a child in care within seven business days of the child’s first day of attendance. Evidence: 1. Child # 1’s first day of attendance was 6-17-24. 2. There was no documentation of verification of proof of ID for Child # 1. 3. The provider stated that she did not obtain a proof of ID for Child # 1.”

Rule 8VAC20-800-80-B.

22.1-289.036-A

“Based on review of household member records, a background check was not updated every five years. Evidence: Household Member #1 did not obtain a central registry background check every five years. Current central registry background check expired 09/07/2023.”

Rule 22.1-289.036-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances were accessible to children. Evidence: Cleaning products were observed on a counter top, bug spray and medication were accessible in a cabinet.”

Rule 8VAC20-800-280.

8VAC20-800-830-C

“Based on review, documentation was not maintained of emergency evacuation drills. Evidence: There was no documentation of emergency evacuation drills being conducted in September, October, and November 2023.”

Rule 8VAC20-800-830-C.

8VAC20-800-180-A

“Based on review of caregiver records, the provider did not obtain for each caregiver a current report of Tuberculosis Screening form every two years from the date of the first screening. Evidence The provider did not obtain a report of Tuberculosis Screening every two years from the date of the first screening for caregiver #1. Current Tuberculosis Screening for caregiver#1 expired 6/12/2022.”

Rule 8VAC20-800-180-A.

8VAC20-800-830-A

“Based on review of emergency evacuation procedures, a drill was not practiced every month. Evidence An emergency fire drill was not practiced in July and August.”

Rule 8VAC20-800-830-A.

8VAC20-800-750-A

“Based on review of topical skin products, written parent authorization noting any known adverse reactions was not obtained at least annually. Evidence Parental authorization for the use of topical skin products was not obtained before the use of the product.”

Rule 8VAC20-800-750-A.