Ms. Robbin Reid

“Based on a review of records and interview, the licensee did not ensure that all employees undergo the required background checks before beginning to serve as a volunteer and every five years thereafter. Evidence: Four caregiver / Assistant. / Household Member records were reviewed. The record for caregiver #3 contained the most recent results of a Criminal History Record check which were dated 1/25/2019, more than 5 years ago. The record for caregiver #3 contained the most recent results of a Search of the Central Registry check which were dated 2/12/2019, more than 5 years ago. The licensee confirmed that this was an oversight and that a new request for an updated Criminal History Record Check and an updated Central Registry search had not been completed.”

“***REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not obtain for each caregiver 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. Evidence: Four caregiver/ Assistant / Household Member records were reviewed. The record for caregiver #3, who was working with children during the inspection, contained the most recent result of a Tuberculosis screening which was dated 2/5/2019 and was read more than 2 years ago. The licensee confirmed with caregiver #3, who had just returned to work from an extended leave, that she did had not obtained a more recent screening.”

“Based on a review of records and interview, the licensee did not obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: Three caregiver records were reviewed. The record for caregiver #3, who began employment on 3/17/2023, did not contain results of a Tuberculosis Screening. The licensee confirmed that she had not received this documentation from caregiver #3 who was working with the children during the inspection.”

“Based on a review of records and interview, the licensee did not obtain for each caregiver 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. Evidence: Three caregiver records were reviewed. The record for caregiver #2, who was working with children during the inspection, contained the most recent results of a Tuberculosis screening which was dated in 2019 and was more than 2 years ago. The licensee confirmed with caregiver #2 that she did had not obtained a more recent screening.”

“Based on a review of records, the licensee did not maintain documentation in the records for caregivers of high school program completion or the equivalent or evidence of having met the requirements for admission to an accredited college or university. Evidence: The records for caregiver #1 and caregiver #2 did not contain documentation of high school program completion or the equivalent or evidence of having met the requirements for admission to an accredited college or university. The licensee confirmed that his documentation was not located in the records she maintained for herself and the assistant caregiver and that she was unable to locate this documentation.”

“Based on a review of records, the licensee did not 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. Evidence: Two caregiver records were reviewed. The Tuberculosis screening for caregiver #1 was dated 6/14/2018 - more than two years ago. The Tuberculosis screening for caregiver #2 was dated 2/5/2019 - more than two years ago. The provider was unable to demonstrate that a more recent screening had been conducted.”

“Based on a review of records and interview, the licensee did not ensure that caregivers obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Two caregiver records were reviewed. The record for caregiver #1 did not contain any documentation of training in the past year. The record for caregiver #2 contained 3 hours of training last year. The Licensee confirmed that training is tracked from April through March each year and that neither caregivers obtained a minimum of 16 hours of training last year.”

“Based on a review of records, the licensee did not ensure that each enrolled child’s record contained all of the required information. Evidence: Three children’s records were reviewed. The record for child #2 did not contain the name address and phone number for two individuals designated as emergency contacts if the parents can not be reached in an emergency. The records for child #1 and child #3 did not contain complete information for the parents’ work location and phone number. The licensee confirmed that this information had not been completed on the children’s enrollment paperwork and was not available elsewhere.”

“Based on observation, the licensee did not ensure that foods that are considered a choking hazard are not fed to children under four years of age unless the the food is prepared before being served in a manner that will reduce the risk of choking. Evidence: The inspector observed children eating whole grapes during lunch time. Five of the 7 children observed eating the uncut grapes were three years old, while the remaining 2 children were 5 years old. The licensee confirmed the children’s ages and said that she thought the choking hazards pertained to children under 3 years of age.”

“Based on a review of records and interview, the licensee did not ensure that a Search of the Central Registry is obtained within 30 days of a household member becoming 14 years old. Evidence: Three provider / household member records were reviewed. The record for household member #3 did not contain the results of a Search of the Central Registry. Household member #3 turned 14 years old more than 90 days prior to the inspection. The licensee stated that she requested a Search of the Central Registry for household member #3 but confirmed that the results had not been obtained and she had not yet made contact with the office of background checks to follow up.”

“Based on record review and interview, the licensee did not 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. Evidence: Three provider / household member records were reviewed. The record for Provider #1 contained the most recent results of a Tuberculosis (TB) Screening which was conducted more than two years ago and dated 6/14/2018. The licensee confirmed that she did not have more recent documentation of results of a TB screening for provider #1.”

“Based on a review of records and interview, the licensee was not able to demonstrate that each caregiver obtains a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Three provider / household member records were reviewed. The record for caregiver #1 did not contain documentation of any annual training conducted within the last 12 month period. The record for caregiver #2 contained documentation of 13 of the 16 required annual training hours for the 12 month period. The licensee confirmed that the required documentation of 16 hours of annual training had not been obtained for caregiver #1 or caregiver #2.”

“Based on observation and interview, the licensee did not ensure that all areas and furnishings of the family day home, inside and outside, are maintained in a clean, safe, and operable condition. Evidence: The fence surrounding the outdoor play space used by children on care had several sections in which a horizontal support board was missing and the sharp end of the nails along the length of the panel are exposed. The exposed nails would be accessible to children playing outdoors in the yard. There were no children in the yard at the time of inspection. The licensee acknowledged the exposed nails and is making arrangements to have the fence repaired.”