Phyllis Singh

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Assistant A’s Tuberculosis test had not been renewed every two years. The Tuberculosis test was overdue by 1 year.”

Rule 8VAC20-800-180-A.

A child’s record shall contain insurance information, physician information ,emergency contact information, and authorization for emergency medical care at the time of enrollment.

“Child A’s file was missing the physician name and contact number, two emergency contacts and authorization to seek emergency medical care. This information was overdue by 3 months.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided in writing information outlined under this standard such as operational information and policies and procedures.

“Child A’s parents were not provided the written policies and procedures before attendance. This information was overdue by 3 months”

Rule 8VAC20-800-70-A.

Each report shall include the dates immunizations were received 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 A was not signed by a physician/designee. This information was overdue by 6 months.”

Rule 8VAC20-800-110-B.

The provider shall maintain an up-to-date record at the family day home for each enrolled child to include their physician’s name, phone number and insurance policy number.

“Child B’s file was missing the physician’s name and phone number as well as insurance policy number. This information was overdue by 3 years.”

Rule 8VAC20-800-60-A.

Repeat Violation: 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.

“There was no physical on file for child B, the physical was over due by 8 months.”

Rule 8VAC20-800-100-A.

8VAC20-800-110-B

“Immunizations shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. The immunizations for child B did not have a signature by the physician or their designee. The signature was overdue by 8 months.”

Rule 8VAC20-800-110-B.

8VAC20-800-780-B

“Repeat Violation: Annually, the provider shall review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review. There was no annual update obtained for child A, the update was over 9 months overdue.”

Rule 8VAC20-800-780-B.

22.1-289.036-B-3

“A central registry search is required within 30 days of a household member turning 14 years of age. There was no central registry search on file for Person B. This background check was required more than 8 months ago.”

Rule 22.1-289.036-B-3.

22.1-289.057-A

“Each child day program that is licensed that serves preschool-age children shall develop and implement a plan to test potable water for lead from sources identified by the U.S EPA. This requirement went into effect on 1/1/25. There was no plan or test by the provider for potable water testing, which was required 3 weeks ago.”

Rule 22.1-289.057-A.

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.

“There was no physical on file for child # 1, who has been enrolled for 7 months.”

Rule 8VAC20-800-100-A.

8VAC20-800-170-A

“The provider shall obtain from each adult household member prior to coming in contact with children a current Tuberculosis screening. There was no Tuberculosis screening on file for person A who has been in the home and has had contact with children for over 12 months.”

Rule 8VAC20-800-170-A.

Repeat violation: Before the first day of attendance, parents shall be provided in writing liability insurance statement, and check in and out procedures,

“Parents of children # 1, 2, 3 and 4 were not provided check in and out procedures. Child #1 has been enrolled for 7 months, child #2 enrolled for 11 months, child #3 enrolled for 12 months and child #4 for over 24 months. Parents of children #1 and #3 were not provided a liability declaration.”

Rule 8VAC20-800-70-A.

Annually, the provider shall review with the parent the emergency contact information to ensure the information is correct .

“The last review by the provider for child # 4 was conducted over 2 years ago.”

Rule 8VAC20-800-780-B.

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Child # 1 has been enrolled for 7 months and there was no immunization record on file.”

Rule 8VAC20-800-90-A.

Background checks must be repeated every five years after the original background check.

“There was no information located or provided to show the date of the last National Fingerprint check for Person B.”

Rule 22.1-289.036-A.

22.1-289.036-B-1

“Sworn disclosure statements are required by the end of the 30th day for new household members. Person A has been a household member for 5 months and there was no Sworn Disclosure statement on file.”

Rule 22.1-289.036-B-1.

National fingerprint checks are required by the end of the 30th day for new household members.

“Person A has been a household member for 5 months and there was no Fingerprint check.”

Rule 22.1-289.036-B-2.

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

“Person B has obtained 11 of the 16 training hours for 2023 and Person C has obtained 4 of the 16 training hours for 2023.”

Rule 8VAC20-800-210-A.

Cribs shall be provided for children from birth through 12 months of age.

“Child A, 9 months of age was sleeping on a cot and not in a crib. Two infants were present but there was only one crib set up in the home.”

Rule 8VAC20-800-520-A.

A child’s record shall contain certain information. Child B’s record did not contain emergency contact information, insurance and physician information.

“Child C’s record did not contain insurance policy number nor authorization from the parents to seek emergency care”

Rule 8VAC20-800-60-B.

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

“1. The parents of child A, B and C were not provided in writing check in and out procedures, payment information, a number to leave a message, termination policies, hours and day s of operation. Child A has been enrolled for 7 months and child B has been enrolled for 4 days and child C has been enrolled for 5 months.”

Rule 8VAC20-800-70-A.

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

“There was no documentation of shelter in place drills for 2023.”

Rule 8VAC20-800-830-B.

22.1-289.036-A

“Based on a review of two caregivers files and interviews, it was determined that a repeat child abuse and neglect background check had not been obtained every five years. Evidence: Person A and B’s last child abuse and neglect background checks were dated11/29/18 and had not been repeated every five years.”

Rule 22.1-289.036-A.

8VAC20-800-100-A

“Based on a review of five children’s files and interview with the provider, it was determined that child A ( enrolled 6/13/22) did not have a physical on file within 30 days of their first day of enrollment.”

Rule 8VAC20-800-100-A.

8VAC20-800-210-A

“Based on a review of two caregiver’s files and interview, it was determined that 16 hours of annual training had not been obtained for each caregiver. Evidence: Person A had 6.5 of the 16 hours annual training for 2023 and Person B had none of the 16 hours of annual training for 2023.”

Rule 8VAC20-800-210-A.

22.1-289.036-A

“Based on review of two caregiver records and interview, the provider did not ensure that the results of a national, fingerprint-based criminal history check were obtained every five years from the date of the last check. Evidence: The fingerprints on record for Caregiver A and Caregiver B were dated 7/17/18.”

Rule 22.1-289.036-A.

8VAC20-800-140-B-3

“Based on review of two caregiver records, and interview, the provider did not ensure that they maintained current certification in cardiopulmonary resuscitation (CPR). Evidence: The most recent CPR certification on record for the provider was dated 4/26/21 and expired on 4/26/23.”

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

8VAC20-800-210-A

“Based on review of documentation, the provider did not ensure that in addition to satisfactory completion of first aid training and CPR training, caregivers obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider reported that they were unsure how many hours of training had been completed by the Assistant or themself for the year and they needed to reach out to a trainer for certificates. No certificates were submitted by the close of the inspection.”

Rule 8VAC20-800-210-A.

8VAC20-800-830-A

“Based on review of documentation, the family day home did not ensure that emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: The emergency drill log was reviewed on 12/1/22. There was no documentation of an emergency evacuation drill practiced in March, May, October or November.”

Rule 8VAC20-800-830-A.

8VAC20-790-180-B

“Based on review of documentation and interview, the provider did not maintain a written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: On 7/12/22 at approximately 10:10 am there were six children present in the family day home. The attendance record contained documentation of eight children present. The provider reported that two children had left for Summer School and would return in a couple of hours.”

Rule 8VAC20-790-180-B.

8VAC20-790-190-B-12

“Based on review of five child records, the provider did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child B contained documentation that the child is allergic to nuts. The record did not include an allergy care plan from the physician.”

Rule 8VAC20-790-190-B-12.

8VAC20-800-100-A

“Based on review of five child records, 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 for two children. Evidence: The records for Child A and Child B, with a start date of 6/16/21, did not contain documentation of a physical.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Based on review of five child records, the provider did not obtain all required documentation for child records. Evidence: The record for Child C did not contain the name, address, and telephone number of a second designated person to contact in case of emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

22VAC40-111-100-A

“Based on review of five child records and interview with the provider, the provider did not obtain documentation of a physical examination for a child by a physician within 30 days of attendance. Evidence: 1. The record for Child B, with a start date of 8/23/21, did not contain documentation of a physical. 2. The record for Child C, with a start date of 6/14/21, contained documentation of a religious exemption for the physical that was dated 8/5/21.”

Rule 22VAC40-111-100-A.

22VAC40-111-50-A

“Based on record review and interview with the provider, the provider did not ensure that all children were included on the record of attendance each day. Evidence: 1. At approximately 10:15am on 11/29/21 the daily attendance record had documentation of five children being present. There were six children present at the time. 2. Interview revealed that the child not included on the attendance had arrived at approximately 8:45am.”

Rule 22VAC40-111-50-A.

22VAC40-111-60-B

“Based on review of five child records and interview with the provider, the provider did not ensure that each child’s record contained all of the required documentation. Evidence: The record for Child A did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 22VAC40-111-60-B.

22VAC40-111-90-A

“Based on review of five child records and interview with the provider, the provider did not obtain documentation that a child had been adequately immunized before attending. Evidence: The record for Child A, with a start date of 11/17/21, did not contain immunizations.”

Rule 22VAC40-111-90-A.