Kristine Kim

The provider shall review the emergency plan at least annually and document in writing each review.

“The provider did not review the emergency plan annually and document the review in writing. The emergency plan was overdue for a review by six months.”

Rule 8VAC20-800-800-B.

Repeat Violation

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Child #4, three years old and enrolled for two days, did not have documentation that the child has been adequately immunized in their record. Caregiver #1 confirmed that the immunization records were not obtained on the first day of enrollment.”

Rule 8VAC20-800-90-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.

“The record for Child #5, enrolled for three months, did not contain documentation of a physical examination prior to the child’s attendance or within 30 days after the first day of attendance.”

Rule 8VAC20-800-100-A.

A child’s record shall contain required information.

“The record for Child #4, enrolled for three months, did not contain the policy number of the child’s medical insurance. The record for Child #5, enrolled for three months, did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

Rule 8VAC20-800-60-B.

Repeat Violation

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. The record for Child #5, enrolled for three months, did not contain documentation that the child has been adequately immunized.”

Rule 8VAC20-800-90-A.

The family day home must request a search of the central registry prior to the employee’s first day of employment.

“Staff #3, who has been employed for seven months, did not have a central registry search requested. Staff #3 has never worked alone with the children in care.”

Rule 22.1-289.035-B-3.

A tuberculosis(TB) screening is required every two years from the last screening.

“An updated screening for Household Member #2 was not completed and was overdue by five months.”

Rule 8VAC20-800-180-A.

Documentation of additional immunization is required once every six months for children under the age of two years.

“Child #3, now 29 months, last documented immunization was 08/21/2024 when Child #3 was 18 months old. There were no current immunizations after this date.”

Rule 8VAC20-800-90-C.

22.1-289.035-B-2

“Based on record review, and interview the provider did not obtain a national fingerprint check prior to employment. Evidence: 1. Caregiver #3’s record (Date of hire-01/29/2024) contained results of a national fingerprint check after the date of hire. The fingerprint results were dated 02/12/2024. 2. Caregiver #1 confirmed that the results of the national fingerprint check were obtained after the date of hire.”

Rule 22.1-289.035-B-2.

Repeat Violation

“Based on record review and interview, the family day home did not obtain a copy of the results of a search of central registry. Evidence: 1. Caregiver #3’s record (Start date-01/29/2024) did not contain results of a central registry search. 2. Caregiver #1 confirmed that a central registry search was not obtained for caregiver #3 to date.”

Rule 22.1-289.035-B-3.

22.1-289.036-A

“Based on record review and interview, the family day home did not obtain a repeat central registry search for a household member every five years. Evidence: 1. Household Member #2’s record did not contain a repeat central registry search. Results of the last central registry finding was dated 02/05/2019. 2. Caregiver #1 confirmed that a repeat central registry search was not conducted for household member #2.”

Rule 22.1-289.036-A.

Repeat Violation

“Based on record review and interview, the provider did not 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: 1.Child #1’s record (Start date-05/01/2023) did not contain documentation of a physical examination. 2.Caregiver #1 confirmed that Child #1 did not have a physical examination in the record.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

“Based on record review, assistants’ and substitute providers’ records did not contain required information. Evidence: 1. Caregiver #3’s record (Date of hire-01/29/2024) did not contain documentation of two references as to character and reputation as well as competency checked before employment. The two reference checks were checked on 03/22/2024.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Based on record review and interview, the provider did not obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis(TB) Screening form. Evidence: 1. Caregiver #3’s record (Date of hire-01/29/2024) contained documentation of a negative TB screening dated after the date of hire. The negative TB screening was dated 05/16/2024. 2. Caregiver #1 confirmed that Caregiver #3’s TB screening was obtained after the date of hire.”

Rule 8VAC20-800-170-A.

8VAC20-800-200-A

“Based on record review and interview, the provider did not orient the assistant by the end of their first week of assuming job responsibilities. Evidence: 1. Caregiver #3’s record (Start date-01/29/2024) contain documentation of orientation dated 03/27/2024. 2. Caregiver #1 confirmed that Caregiver #3 did not receive orientation training by the end of their first week of assuming job responsibilities.”

Rule 8VAC20-800-200-A.

8VAC20-800-60-A

“Based on record review and interview, the provider did not maintain an up to date record at the family day home for each enrolled child. Evidence: 1. Child #2 (Start date-07/15/2024) did not have a record. 2. Caregiver #1 confirmed that Child #2 did not have a record and that the parents will be given the record to complete today.”

Rule 8VAC20-800-60-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #1’s record (Start date-05/01/2023) did not contain written authorization for emergency medical care should an emergency occur and documentation of the review of the child’s emergency contact information. 2. Child #3’s record (Start date-03/09/2023) did not contain documentation of the review of the child’s emergency contact information. 3. Child #5’s record (Start date-09/01/2022) did not contain documentation of the review of the child’s emergency contact information.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review and interview, parents were not provided in writing required information before the child’s first day of attendance. Evidence: 1. Child #2’s record (Start date-07/15/2024) did not contain provisions of the family day home’s emergency preparedness and response plan, policy for administration of medications, Liability Insurance Declaration, and Information for Parents form. 2. Caregiver #1 confirmed that the parents were not provided with the required information before the child’s first day of attendance.”

Rule 8VAC20-800-70-A.

Repeat Violation

Rule 22.1-289.035-B-4.

Repeat Violation

“Based on record review, the family day home does not have a central registry finding within 30 days of employment. Evidence: 1. Caregiver #2’s record (Date of hire-06/14/2023) did not contain a central registry finding within 30 days of employment.”

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

8VAC20-800-180-A

“Based on record review, the provider did not obtain a subsequent Tuberculosis Screening for a household member. Evidence: 1. Household Member #3’s record did not contain results for a subsequent tuberculosis screening. The last tuberculosis screening was conducted on 08/19/2021.”

Rule 8VAC20-800-180-A.

Based on observation, caregivers did not wash their hands with liquid soap and warm running water after diapering.

“Evidence: 1. Caregiver #2 did not wash their hands with liquid soap and warm running water after diapering three children.”

Rule 8VAC20-800-680-A.

Caregivers did not ensure that children’s hands were washed with liquid soap and warm running water after toileting and diapering.

“Evidence: 1. Caregiver #2 diapered three children. The children’s hands were not washed with liquid soap and warm running water after diapering. 2. Child #1 used the restroom and did not wash their hands after using the toilet.”

Rule 8VAC20-800-680-B.

Based on observation, the diapering surface was not cleaned and sanitized after use.

“Evidence: 1. Caregiver #2 changed three children’s diapers consecutively. Caregiver #2 did not clean and sanitize the diapering surface after use.”

Rule 8VAC20-800-690-D.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-770-60-C-2

“Based on record review and interview, the family day home did not have a central registry finding within 30 days of employment. Evidence: 1. Staff #3’s record (Date of Hire-05/30/2023) did not contain a Virginia Central Registry finding. 2. Staff #1 confirmed that Staff #3 did not have a central registry finding within 30 days of employment.”

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

8VAC20-800-100-A

“Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #2’s record (Start date-02/01/2023) did not contain documentation of a physical examination. 2. Staff #1 confirmed that documentation of a physical examination was not obtained for Child #2.”

Rule 8VAC20-800-100-A.

8VAC20-800-830-A

“Based on documentation review and interview, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: 1. Emergency evacuation drills were not conducted for the months of February, March, April, May, and June 2023. Staff #1 confirmed that the emergency evacuation drills were not conducted for the months of February, March, April, May. and June. 2. The Emergency Evacuation Drill log was not completed for the months of February, March, April, May, and June 2023.”

Rule 8VAC20-800-830-A.

8VAC20-800-90-A

“Based on record review and interview, the provider did not obtain documentation that the child had been adequately immunized. Evidence: 1. Child #2’s record (Start date-02/01/2023) did not contain documentation of immunizations. 2. Staff #1 confirmed that immunizations were not obtained for Child #2.”

Rule 8VAC20-800-90-A.

22.1-289.036-B-2

“Based on record review and interview, the provider did not obtain fingerprints for an adult Household Member. Evidence: 1. Household Member #2 did not have documentation of results of a fingerprint based criminal history background check. 2. Caregiver #1 confirmed that Household Member #2 did not get a fingerprint based criminal history background check at the time of the inspection.”

Rule 22.1-289.036-B-2.

8VAC20-800-170-A

“Based on record review, the provider did not obtain from each adult household member a current report of tuberculosis screening. Evidence: 1. Household Member #2 did not have documentation of a current report of tuberculosis screening.”

Rule 8VAC20-800-170-A.

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child has been adequately immunized. Evidence: 1. Child #4’s (Start date- 7/11/22) record did not contain documentation of the immunization records. 2. Staff #1 confirmed that the immunization records were not in the record. The immunization records were obtained after the inspection took place.”

Rule 8VAC20-800-90-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were accessible to children. Evidence: 1. A bottle of window cleaner labelled Keep Out of Reach of Children was located in an unlocked low cabinet in the bathroom accessible to children.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #1’s (Start date-09/09/21) and Child #3’s (Start date-09/01/21) records did not contain written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

8VAC20-800-770

“Based on observation, the provider did not have a working portable battery-operated weather band radio and extra batteries. Evidence: 1. The Battery Operated radio was not working due to no battery power.”

Rule 8VAC20-800-770.

8VAC20-800-800-B

“Based on observation and interview, the provider did not review and annually update in writing the Emergency Preparedness and Response Plan. Evidence: 1. The Emergency Preparedness and Response Plan was not updated. The last update and review in writing was dated 01/02/2019. 2. Staff #1 confirmed that the Emergency Preparedness and Response had not been reviewed and documented in writing since 2019.”

Rule 8VAC20-800-800-B.

8VAC20-820-120-E-2

“Based on observation and interview, the findings of the most recent inspection of the facility was not posted. Evidence: 1. Findings of the most recent inspection of the facility was not posted. The last inspection took place on 08/18/2021. The inspection summary that was posted was dated 01/31/2020. 2. Staff #1 confirmed that the current Inspection Notice was not posted.”

Rule 8VAC20-820-120-E-2.