Audrey Bender

No 5 year Repeat Checks in Record

“The provider failed to submit for repeat background checks 5 years from the date of the last background searches for Staff #1. The provider is approximately 6 weeks out of compliance.”

Rule 22.1-289.035-A.

A child’s record shall contain the following information: Information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation.

“Child # 1 record contained a food intolerance. Actions to take in an emergency situation were not obtained by the provider.”

Rule 8VAC20-800-60-B.

To assist in preventing choking, food that is hard, round, small, thick and sticky, or smooth and slippery such as uncut grapes shall not be served to children under four years of age, unless the food is prepared before being served in a manner that will reduce the risk of choking, i.e., grapes cut in small pieces.

“The provider had uncut grapes available for the children to eat prior to lunch. After being notified that the grapes are a choking hazard, the provider removed the plate of grapes and put them onto the counter to cut before serving them.”

Rule 8VAC20-800-900-A.

Before the child’s first day of attendance, parents shall be provided in writing the following information: Policies for the administration of medications.

“Child A, Child B, and Child C records did not have documentation that parents were provided, in writing, policies for the administration of medications at the family day home. Documentation for Child A is overdue by 3 years and 3 months, documentation for Child B is overdue by 2 years and 10 months, and documentation for Child C is overdue by 2 years and 4 months.”

Rule 8VAC20-800-70-A.

The provider shall ensure that the home’s activities, services, and facilities are conducive to the welfare of children in care.

Rule 8VAC20-800-30-E. From a complaint.

The provider shall record in the child’s record an injury or accident sustained by a child while at the family day home that requires first aid or emergency medical treatment.

“Child #1 (2-years of age) and Child #3 (2-years of age) required medical treatment following an incident on November 27, 2024, when the children ingested a poisonous substance while in care. No injury or accident report was created for either child.”

Rule 8VAC20-800-840-A. From a complaint.

The provider shall report to the department within 24 hours the circumstances surrounding a serious injury to a child while under the family day home’s supervision.

“Child #1 (2-years of age), Child #2 (3-years of age), Child #3 (2-years of age), and Child #4 (2-years of age) ingested a poisonous substance while in care on November 27, 2024, but the provider never reported the serious injuries to the department.”

Rule 8VAC20-800-850-A. From a complaint.

The provider shall complete and submit a written report to the department within five working days of the date of an incident of a serious injury to a child while under the family day home’s supervision.

“Child #1 (2-years of age), Child #2 (3-years of age), Child #3 (2-years of age), and Child #4 (2-years of age) ingested a poisonous substance while in care on November 27, 2024, but the provider never submitted a written report of the serious injuries to the department.”

Rule 8VAC20-800-850-B. From a complaint.

Every adult living in a family day home shall undergo a background check every five years from the initial background check.

“Household member 1 does not have a repeat criminal record check.”

Rule 22.1-289.036-A.

8VAC20-800-100-A

“Based on record review, and interview, the provider did not obtain documentation of a physical examination prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child # 2 (DOE 8/23/22) record did not contain documentation of a physical examination. 2. The provider confirmed the record for Child #2 did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-680-A

“Based on observation, the caregiver did not wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Evidence: The caregiver did not wash their hands after changing the diaper on child #5 and Child #4.”

Rule 8VAC20-800-680-A.

8VAC20-800-90-C

“Based on record review and interview, 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: 1. The record for Child #4 (DOB 12/2021) did not have documentation of an additional immunizations once every six months. The last documentation was on 10/3/22. 2. The provider confirmed the last documentation was on 10/3/22.”

Rule 8VAC20-800-90-C.

8VAC20-770-40-D-4-a

“Based on record review, the provider failed to obtain background check results when a minor living in the family day home turned 18 years of age. Evidence: 1. Household Member #2 is 18 years of age at the time of inspection. 2. The provider acknowledged household member #2 did not have a completed background check on file.”

Rule 8VAC20-770-40-D-4-a.

8VAC20-770-60-C-2

“Based on review of 3 household records, 1 does not contain the required central registry finding. Evidence The record for household member #1 has an expired central registry finding, the current finding expired 4/21.”

Rule 8VAC20-770-60-C-2.