Elisa Zewide

The provider is required to obtain for each caregiver a current Report of Tuberculosis Screening form every two years from the date of the first screening.

“Caregiver #1 had a TB screening on file that expired 4 months ago.”

Rule 8VAC20-800-180-A.

The diapering surface is required to be cleaned and sanitized after each use.

“The diapering surface was cleaned after being used for two diaper changes, but it was not sanitized after each use during the inspection.”

Rule 8VAC20-800-690-D.

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

“3 bottles for 2 different infants were not labeled with the children’s full names and the date for the day.”

Rule 8VAC20-800-960-E.

A child’s record is required to contain all required information.

“Child #1, Child #2, and Child #3 were all missing documentation of proof of identity verification in their child files.”

Rule 8VAC20-800-60-B.

The provider is required to 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.

“Child #1 did not have documentation of a physical examination on file at the time of the inspection and has been enrolled for over two years.”

Rule 8VAC20-800-100-A.

**REPEAT VIOLATION** Based on a review of Caregiver records, all employees did not undergo a background check in accordance with subsection B prior to employment and every five years thereafter.

“Evidence: 1. Caregiver #1 had Central Registry background check results dated 10/16/2015, which were expired.”

Rule 22.1-289.035-A.

**REPEAT VIOLATION** Based on a review of children’s records, 1 out of 4 children did not have 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 #4 (doe: 6/18/2020) did not have a physical examination on file at the time of the inspection.”

Rule 8VAC20-800-100-A.

Based on a review of Caregiver records, all employees did not undergo a background check in accordance with subsection B prior to employment and every five years thereafter.

“Evidence: 1. Caregiver #1 had Fingerprints background check results dated 5/23/2018, which were expired. 2. Caregiver #1 had Central Registry background check results dated 10/16/2015, which were expired.”

Rule 22.1-289.035-A.

Based on a review of household member records, 2 out of 2 household members did not undergo a background check in accordance with subsection B prior to issuance of a license as a family day home and every five years thereafter.

“Evidence: 1. Household member #1 had Fingerprints background check results dated 5/23/2018, which were expired. 2. Household member #1 had Central Registry background check results dated 10/6/2015, which were expired. 3. Household member #2 had Fingerprints background check results dated 5/23/2018, which were expired. 2. Household member #2 had Central Registry background check results dated 10/6/2015, which were expired.”

Rule 22.1-289.036-A.

Based on a review of children’s records, 1 out of 3 children did not have 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 (doe: 11/14/2022) did not have a physical examination on file at the time of the inspection.”

Rule 8VAC20-800-100-A.

Based on a review of caregiver and household member records, all caregivers and household members do not have a current tuberculosis screening every two years from the date of the first screening.

“Evidence: 1. Caregiver #1 has a TB screening dated 5/5/2017. 2. Household member #1 has a TB screening dated 3/6/2020. 3. Household member #2 has a TB screening dated 5/10/2018.”

Rule 8VAC20-800-180-A.

Based on observation, the diapering surface was not nonabsorbent.

“Evidence: 1. The diapering surface (changing pad) was ripped and is not longer nonabsorbent.”

Rule 8VAC20-800-690-D.

Base on a review of children’s records, the provider failed to 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: Child # 3, #4 and #5’s records do not contain documentation of a physical examination by the 30th day of attendance.”

Rule 8VAC20-800-100-A.

Based on a review of household member records, the provider failed to obtain for each adult household member a current Report of Tuberculosis Screening form every two years for the date of the first screening.

“Evidence: Household member #2’s record does not contain documentation of a current Report of Tuberculosis Screening form.”

Rule 8VAC20-800-180-A.

Based on a review of children’s records, the provider failed to obtain all required documents for each child enrolled.

“Evidence: -Child #1, #2, #3, #4 and #5’s records do not contain documentation of the name and phone number of each custodial parent’s place of employment. -Child #5’s record does not contain documentation of the addresses of two designated persons to contact in case of an emergency, if the parent cannot be reached. -Child #1, #2, #3, and #4’s records do not contain documentation of names of persons, other than the custodial parents, authorized to pick up the child.”

Rule 8VAC20-800-60-B.

Based on a review of children’s records, the provider failed to obtain documentation that the child has been adequately immunized before the child may attend the family day home.

“Evidence: Child #1, #2, #3 and #5’s records do not contain documentation of immunizations by the first day of attendance.”

Rule 8VAC20-800-90-A.

Based on a review of children’s records, the provider failed to 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: Child #1, #2, #3 and #4’s records do not contain documentation of a physical.”

Rule 8VAC20-800-100-A.

Based on a review of children’s records, the provider failed to obtain all required documentation for each child enrolled.

“Evidence: - Child #1, #2, #3 and #4’s records did not contain documentation of the phone number for each custodial parent’s place of employment. - Child #3’s record did not have documentation of one emergency contact or the names of persons other than parents allowed to pick up the child. - Child #1’s record did not contain documentation of the review of the child’s emergency contact information as required by 8VAC20-800-780-B.”

Rule 8VAC20-800-60-A.

Based on a review of children’s records, the provider failed to obtain documentation of a physical examination prior to the child’s attendance ow within 30 days after the first day of attendance.

“Evidence: Child #2’s record does not have documentation of a physical. First Day of Attendance - 08/10/2021.”

Rule 8VAC20-800-100-A.

Based on a review of caregiver records and household member’s records, the provider failed to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years form the date of the first screening.

“Evidence: Caregiver #1’s record does not have documentation of a current tuberculosis test or screen. TB test results expired 4/20.2021. Household Member’s #1, #2 and #3’s records do not have documentation of a current tuberculosis test or screen.”

Rule 8VAC20-800-180-A.