Lateisha Harvey

**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 were no physical exam records available for Child #3 and Child #4, who had been in care for over 6 weeks.”

Rule 8VAC20-800-100-A.

**Repeat Violation** Children’s records shall contain all required components.

“The record for child #1, who has been in care for over one year, was missing the following required components: the name, address and phone number of 1 designated person to contact in case of emergency. The record for child #3 and child #4, who have been in care for over weeks, were missing the following required components: address of two designated persons to contact in case of emergency.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided required information in writing.’

“The parents of child #2, in care for over two years, were not provided in writing the following required information: policies for administration of medications. The parents of child #3 and child #4, in care for over six weeks, were not provided in writing the following required information: policies for administration of medications.”

Rule 8VAC20-800-70-A.

**Repeat Violation** The provider is required to undergo a background check every five years.

“The most recent central registry check for Caregiver #1 was overdue by 12 months.”

Rule 22.1-289.035-A.

**Repeat Violation** Children’s records shall contain all required components.

“The record for child #1, who has been in care for 8 months, was missing the following required components: the name, address and phone number of 1 designated person to contact in case of emergency.”

Rule 8VAC20-770-60-B.

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 1 month.”

Rule 8VAC20-790-180-A.

**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 were no physical exam records available for Child #1, who had been in care for over 8 months.”

Rule 8VAC20-800-100-A.

Household members 14 years of age and older must obtain the results of a central registry search by the end of the 30th day of residence.

“The central registry search results for Household Member #3 were not requested or received at the time of inspection.”

Rule 8VAC20-821-170-B.

The Provider is required to undergo a background check every five years.

“The most recent central registry check for Provider #1 was overdue by eight months.”

Rule 22.1-289.035-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 #3, who had been in care for over 150 days.”

Rule 8VAC20-800-100-A.

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, and #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #1, #2 and #4 had been in care for over a year without any annual review.”

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.

“Identification verification information was not available for Child #4, who has been in care for over 30 days.”

Rule 8VAC20-800-80-A.

Caregivers shall complete the department’s health and safety update course annually.

“Caregiver #1 did not have documentation of completing the annual health and safety update course for 2024.”

Rule 8VAC20-790-250-F.

Household Members 18 years of age or older must compete a sworn statement.

“The record for Household Member #1 did not contain a completed sworn statement.”

Rule 22.1-289.036-B-1.

Children’s records shall contain all required components.

“The record for child #1, who has been in care for over a year and a half, was missing the following required components: employment information and work phone numbers for each parent. The record for child #3 and #4, who have been in care for 2 weeks, was missing the following required components: the phone number of 1 designated person to contact in case of emergency and the name, address and phone number of 1 designated person to contact in case of emergency.”

Rule 8VAC20-800-60-B.

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The sworn statement for caregiver #2, who is currently working, was dated 9 days after their first day of employment.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver #2, who had been employed for 10 days, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

Assistants? and substitute providers? records shall contain all required information.

“The record for caregiver #2, employed for 10 days, was missing the following required components: Verification of age, name address and telephone number of person to be notified in an emergency, two or more references as to character and reputation, and documentation of education and training.”

Rule 8VAC20-800-120-B.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“Caregiver #2 completed a TB screening 5 days after her date of employment.”

Rule 8VAC20-800-170-A.

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

“Caregiver #2, who had been employed for 10 days, had no documentation of orientation.”

Rule 8VAC20-800-200-A.

**Repeat Violation** 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 (enrolled for over 16 months) and child #4 (enrolled for over 20 months) did not have a parent’s signature for annual review of the emergency contact information.”

Rule 8VAC20-800-780-B.

Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain verification of the identity and age of the child.

“The record for child #2 did not contain any documentation of the provider obtaining verification of the identity and age of the child.”

Rule 8VAC20-800-80-A.

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

“The record for child #3 contained immunizations dated for 2 days after the child’s enrollment.”

Rule 8VAC20-800-90-A.

Based on review of six children’s records, the provider did not annually obtain the parent’s signed acknowledgment of the review of the parent emergency contact information required to ensure the information is correct for two children’s records.

“Evidence: 1. The record of child #1, enrolled 09/26/2022, did not contain the parent’s signed acknowledgement of review exceeding the annual requirement. 2. The record of child #5, enrolled 01/17/2023, did not contain the parent’s signed acknowledgement of review exceeding the annual requirement.”

Rule 8VAC20-800-780-B.

Based on observation and interview, the provider failed to ensure children’s hands are washed with liquid soap and warm running water.

“Evidence: 1.The four children in care were observed being directed to wash their hands after having lunch. 2.The bathroom designated for the children in care was observed as not having any liquid soap. 3. During an interview, the provider acknowledged their was no liquid soap available for the children.”

Rule 8VAC20-800-680-B.

Based on record review and interview, the provider did not ensure emergency evacuation drills were documented.

“Evidence: 1.The most recent evacuation drill documented during the inspection was for 2/1/2023. 2. During an interview, the provider acknowledged monthly drills were completed but not documented.”

Rule 8VAC20-800-830-C.

Based on record review, the provider did not ensure that a child was adequately immunized before the child attended the family day home.

“Evidence: The first day of attendance for Child #1 was 5/2/2023. The immunization record was dated 5/4/2022.”

Rule 8VAC20-800-90-A.

Based on review of children’s records, the provider did not obtain documentation of a child’s physical prior to the child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. The record of Child #1, enrolled 09/26/2022, did not have documentation of a physical exceeding 30 days from the first day of attendance. 2. The record of Child #3, enrolled 03/30/2022, did not have documentation of a physical exceeding 30 days from the first day of attendance.”

Rule 8VAC20-800-100-A.

Based on observation and interview, the provider did not maintain a working battery-operated flashlight that shall be kept in a designated area and be available to caregivers at all times.

“Evidence: The provider stated she could not locate the battery- operated flashlight.”

Rule 8VAC20-800-770.

Based on review of children’s records, the provided did not obtain documentation that a child was adequately immunized, before the child attended the family day home.

“Evidence: 1. The record of child #1, enrolled 09/26/2022, did not contain documentation of immunizations exceeding the first day of attendance. 2. The record of child #3, enrolled 03/30/2022, did not contain documentation of immunizations exceeding the first day of attendance.”

Rule 8VAC20-800-90-A.

Based on review of caregiver records, the provider did not obtain for each caregiver a current report of tuberculosis screening every two years from the date of the first screening.

“Evidence: The most recent tuberculosis screening for caregiver #1 was dated 02/01/2020, exceeding the two year allowance to renew.”

Rule 8VAC20-800-180-A.