Mercedes Guerrero

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

“Child #4, 12 months old, last documented immunization was over 8 months ago.”

Rule 8VAC20-800-90-C.

Children’s records are required to contain the 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 #5 was missing the information for a second emergency contact. While the child was not present during the inspection, Child #5 had been in care for a month.”

Rule 8VAC20-800-60-B.

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

“The last documented review of the emergency plan was conducted over 17 months ago.”

Rule 8VAC20-800-800-B.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“Within the past year, an evacuation drill (fire drill) was not conducted for each month. Some months had listed only either a lockdown drill or a shelter-in-place drill.”

Rule 8VAC20-800-830-A.

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. The last review for Child #1 had been over a year. The last review for Child #2 had been over a year and a half.”

Rule 8VAC20-800-780-B.

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

“Child #3, 22 months old, last documented immunization was over 12 months ago.”

Rule 8VAC20-800-90-C.

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 #2, and #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #2 had been in care for over a year. Child #4 had been in care for over 17 months without any annual review.”

Rule 8VAC20-800-780-B.

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

“Child #4, 18 months old, last documented immunization was over 14 months ago.”

Rule 8VAC20-800-90-C.

Based on review, 2 of 5 children files indicated that annually, the Provider did not review with the parent the emergency contact information (required in 8VAC20-800-60 B 2) to ensure that the information is correct, and obtained the parent’s signed acknowledgment of the review.

“Evidence - 1. On the date of inspection (04/05/2024), two observed reviews were outside of a year in age. 2. The review for Child #2 was dated - 10/22/2022; the review for Child #3 was dated - 09/24/2021.”

Rule 8VAC20-800-780-B.

Based on review, lockdown procedures were not practiced at least annually.

“Evidence - 1. On the date of inspection (04/07/2023), there was not a lockdown drill documented for 2022. 2. The Provider confirmed that a lockdown drill was not conducted in 2022.”

Rule 8VAC20-790-430-A-3.

Based on review, shelter-in-place procedures were not practiced a minimum of twice per year.

“Evidence - 1. On the date of inspection (04/07/2023), there was not a shelter-in-place drill practiced in 2022. 2. On the drill log for 2022, shelter-in-place was not recorded as practiced. The Provider confirmed that these drill were not conducted.”

Rule 8VAC20-800-830-B.

Based on review and interview, documentation was not maintained of emergency evacuation (fire) drills for 2023 (Jan., Feb, Mar.).

“Evidence - 1. On the date of inspection (04/07/2023), the drill log for 2023, was left blank for the past months of January, February, and March of 2023. 2. The Provider stated (during an interview conducted on the date of inspection - 04/07/2023) that while these drill were conducted, they were not recorded in the posted drill log.”

Rule 8VAC20-800-830-C.

Based on review, 2 of 4 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (11/04/2022), the following children files was missing their policy number for the listed policy name: Child #2, and Child #4. 2. The start date for Child #2 was listed as 10/22/2022, and the start date for Child #4 was listed as 07/01/2022.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 4 children files indicated that the Family Day Home (FDH) did not obtain documentation that each child has been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations) prior to their start in the child care program.

“Evidence - 1. On the date of inspection (11/04/2022), documentation of the immunization page for Child #3 was not available for review. 2. The start date for Child #3 was listed as 10/17/2022. Child #3 was in attendance of the date of inspection.”

Rule 8VAC20-800-90-A.

Based on review, it could not be established that the Provider completed the Virginia Pre-service Training for Child Care Staff.

“Evidence - 1. On the date of inspection (04/06/2022), documentation of the completed Virginia Pre-service Training for Staff #1 could not be located. 2. Staff #1 states that this training was obtained and the documentation will be located.”

Rule 22VAC40-665-230-A.

Based on review, the department’s health and safety update course was not taken on an annual basis.

“Evidence - 1. On the date of inspection (04/06/2022), it was determined that the updated health and safety course was not completed in 2021 for Staff #1. 2. Copies of the certificate for the updated course were reviewed for the years of 2018, 2019, and 2020 completed by Staff #1.”

Rule 22VAC40-665-230-H.

Based on review, 1 of 6 children files indicated that 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.

“Evidence - 1. On the date of inspection (04/06/2022), documentation of a physical examination was not available for review for Child #1. 2. The start date for Child #1 was listed as 05/27/2019. Child #1 was in attendance on the date of inspection.”

Rule 8VAC20-800-100-A.

Based on review, 1 of 1 staff file, and 1 of 1 household file indicated that the Provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening (TB) form (in accordance with the requirements in 22 VAC 40-111-170), every two years from the date of the most recent TB documentation on file.

“Evidence - 1. On the date of inspection (04/06/2022), the TB documentation on file for Staff #1 was dated - 06/22/2016. 2. The TB documentation on file for Household member #1 was dated - 02/12/2018.”

Rule 8VAC20-800-180-A.

Based on review, 1 of 6 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (04/06/2022), the most recent immunization page on file for Child #6 was dated - 07/21/2021. 2. Based on information contain on file, on the date of inspection, Child #6 was under two years of age.”

Rule 8VAC20-800-90-C.

Based on Review of documentation; background checks were not maintained

“Evidence: During inspection adult 1 and adult 2 CPS Check was expired.”

Rule 8VAC20-770-40-D-1-c.