Maria Nina

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form at least every two years from the date of the first screening.

“The current TB screening for caregivers #1, # and #5 was conducted and obtained after two years. The current TB screening for household member #1 was conducted and obtained after two years.”

Rule 8VAC20-800-180-A.

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

“The record of child #3 (in care when turned two), immunizations was last done over 8 months ago.”

Rule 8VAC20-800-90-C.

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

“The inspection document posted was the acknowledgement form from 2/2/2024 and not from most recent inspection7/2/2025.”

Rule 22.1-289.011-F.

Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Caregiver #1 only obtained 1.5 hours of training in the past year. Caregivers #2, #3 and #4 did not obtain any training hours in the past year.”

Rule 8VAC20-800-210-A.

A child’s record shall contain names of persons other than the custodial parents who are authorized to pick up the child.

“The record for child#2 did not contain names of persons other than the custodial parents who are authorized to pick up the child.”

Rule 8VAC20-800-60-B.

The provider shall document in the child’s record the method of verification of the child’s age and identity.

“The provider did not document in child #3’s record, the method of verification of the child’s age and identity.”

Rule 8VAC20-800-80-C.

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

“The record for child #4 (13 months old) did not have documentation of immunizations once every six months. DOL immunization was over six months ago.”

Rule 8VAC20-800-90-C.

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.

“The provider did not obtain documentation of a physical exam of child #4, who has been in care for 10 months.”

Rule 8VAC20-800-100-A.

Immunization reports report shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“Immunization report for child #4 was not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

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.

“Child #2’s record did not contain address of two designated persons to contact in case of emergency and parent cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-B

Rule 8VAC20-800-70-B.

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.

REPEAT VIOLATION Children’s records are required to 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 name, address and telephone number of 1 designated person to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-B

“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. Records for children #1 and #2 did not have a parent’s signature for an annual review of the emergency contact information. Child #1 has been in care for over a year. Child #2 has been in care for over two years without any annual review.”

Rule 8VAC20-800-780-B.

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

“Child #2, 3 years old, and has been in care for 26 months, last documented immunization was over 21 months ago.”

Rule 8VAC20-800-90-C.

22.1-289.035-A

“Based on record review and interview, the family day home did not obtain a qualifying result on a background check within the past five years for an employee. Evidence: Staff #1’s record date of last FBI clearance dated 2/12/2018.”

Rule 22.1-289.035-A.

22.1-289.036-A

“Based on record review, the family day home did not obtain an updated criminal history record for an adult living in the family day home every five years. Evidence: Household Member #1 date of most recent criminal history report (FBI fingerprints) 2/12/2018”

Rule 22.1-289.036-A.

8VAC20-800-180-A

“REPEAT Based on documentation review, the provider did not obtain updated tuberculosis (TB) tests or screenings for each household member every two years. Evidence: Household member #1’s date of last TB screening or test 3/30/21”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“REPEAT Based on record review the provider did not maintain an up to date record at the family day home for each enrolled child that contained all required information. Evidence: 1. Child #2’s record did not contain the name, address and telephone number of a second designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-770

“Based on observation and interview, the provider did not have a working portable battery-operated weather band radio, Evidence: Provider’s radio was AM/FM only.”

Rule 8VAC20-800-770.

8VAC20-800-780-B

“Based on record review, the provider did not annually review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parents’ signed acknowledgment of the review. Evidence Child #2’s record last signed review 10/2/22. Child #3’s last signed review 4/20/22”

Rule 8VAC20-800-780-B.

8VAC20-800-90-C

“REPEAT Based on review of four children’s records, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every six months for children under the age of two years. Evidence: Child #1’s date of last immunization 8/28/23 will be 2 years old 8/2025, Child #2’s date of last immunization 9/10/22 will be 2 years old 10/2024, Child #3’s date of last immunization 4/9/22 will be 2 years old 8/2024.”

Rule 8VAC20-800-90-C.

8VAC20-800-170-A

“Based on review of household member records, the provider did not obtain from each adult household member a report of tuberculosis screening, prior to coming into contact with children. Evidence: Household member #5 recently turned 18 years old, no TB screening form was found in file.”

Rule 8VAC20-800-170-A.

8VAC20-800-180-A

“REPEAT Based on review of staff and household member records, the provider did not obtain updated tuberculosis (TB) tests or screenings for each caregiver and adult household members, every two years from the date of the first screening. Evidence: Staff #2?s last TB screening was 2019. Household member #2?s last TB screening was 2019.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“Based on record review and provider statement, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: No records of training hours were found in caregiver files (Caregiver #1-#3). Provider stated that no caregiver had obtained annual training hours.”

Rule 8VAC20-800-210-A.

REPEAT Based on record review, the provider did not maintain an up-to-date record for each enrolled child. Evidence: 1. Child#3?s record was last reviewed and signed 9/30/2022

“2. Child#2 record did not have the name, address and telephone number of a second designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on observation of a diaper being changed, the diapering surface was no longer nonabsorbent and washable. Evidence: A child’s diaper was changed on diaper pad, there was a tear in the surface of the diaper pad, rendering it no longer nonabsorbent.”

Rule 8VAC20-800-690-D.

8VAC20-800-800-B

“Based on documentation and provider statement, the provider did not document in writing an annual review and any update to the emergency preparedness and response plan. Evidence: Written emergency plan posted was not dated.”

Rule 8VAC20-800-800-B.

8VAC20-800-90-C

“REPEAT Based on record review, the provider did not obtain documentation of additional immunizations for children who are not exempt from the immunization requirements, once every six months for children under the age of two years. Evidence: 1. Child #2 (21 months old) Last immunization in file dated 4/2023. 2. Child #3 (17 months) Last immunization in file dated 3/2023.”

Rule 8VAC20-800-90-C.

Based on record review, the family day home did not obtain documentation of a physical examination within 30 days after the first day of attendance.

“Evidence: Child #1’s record did not contain documentation of a physical examination, the child’s first day of attendance was documented as 4/3/2023.”

Rule 8VAC20-800-100-A.

Based on record review, the provider did not obtain for each caregiver and household member a current report of Tuberculosis (TB) every two years from the date of the last screening.

“Evidence: 1. The records for Staff #1, #2 and #3, contain TB results that were last updated on 3/30/2021. 2. The records for HH #1 and #2, contain TB results that were last updated on 3/30/2021.”

Rule 8VAC20-800-180-A.

Based on record review, children’s records did not all contain required information.

“Evidence: 1.Child #1’s record was missing work phone numbers for both parents, a second emergency contact, the child’s medical insurance policy number and a written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. 2. Child #2’s record was missing work phone numbers for both parents, and the name and address of one of the custodial parents’ place of employment. 3. Child #3’s record was missing the address and phone number for one of the custodial parent’s place of employment.”

Rule 8VAC20-800-60-B.

Based on record review, emergency evacuation procedures were not practiced monthly.

“Evidence: The last documented evacuation drill was recorded on 2/21/2023.”

Rule 8VAC20-800-830-A.

Based on record review the family day home did not obtain documentation that a child had been adequately immunized prior to their first day of attendance.

“Evidence: Child #1’s record does not contain immunization documentation.”

Rule 8VAC20-800-90-A.

Based on record review, the family day home did not obtain additional immunizations once every six months for a child under the age of two years.

“Evidence: Child #3’s record contains immunization records that were last updated on 9/7/2022.”

Rule 8VAC20-800-90-C.

Based on record review, parents were not given, in writing, the homes policies and procedures as required on the Information For Parents model form.

“Evidence: Child #1’s “Information for Parents” form was not available for review.”

Rule 8VAC20-800-70-A.

Based on review of emergency procedures, evacuation drills were not practiced monthly.

“Evidence: Evacuation drills were not practiced for the month of December 2022.”

Rule 8VAC20-800-830-A.

Based on record review, the provider did not obtain documentation of a physical examination within 30 days of attendance.

“Evidence: Child #1’s record is missing documentation of a physical examination. The child’s first day of attendance was documented as 1/6/2022.”

Rule 8VAC20-800-100-A.

Based on record review, children’s records did not all contain required information.

“Evidence: 1.Child #3’s record did not contain the parents’ work phone numbers and the address for both emergency contacts. 2.Child #4’s record did not contain the father’s work phone number and it’s missing one emergency contact.”

Rule 8VAC20-800-60-B.

Based on review of children’s records, the provider does not have documentation that parents were provided in writing required information before the child’s first day of attendance.

“Evidence: Child#1’s record is missing the family day home’s emergency preparedness and response plan and the Information for Parents form.”

Rule 8VAC20-800-70-A.

Based on review of emergency procedures, evacuation drills were not practiced monthly.

“Evidence: An emergency evacuation drill was not practiced for the month of August 2022.”

Rule 8VAC20-800-830-A.

Based on review of emergency drills, emergency evacuation drills were not practiced monthly.

“Evidence: Emergency evacuation drills were not practiced in April 2021 and November 2021.”

Rule 8VAC20-800-830-A.

Based on record review, immunization records were not updated once every six months for children under the age of two years.

“Evidence: Child #2’s record contains an immunization record that was last updated on 6/23/2021.”

Rule 8VAC20-800-90-C.