Wannetta Trotter

**Repeat Violation** The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Caregiver #3, employed for more than 1 year, did not have documentation of requesting a central registry check from one state.”

Rule 22.1-289.035-B-4.

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

“An updated TB screening for Caregiver #2 was overdue by over 2 months.”

Rule 8VAC20-800-180-A.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #2 was not completed and was overdue by 2 months.”

Rule 8VAC20-800-180-A.

The provider is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The provider did not request a search of the child abuse and neglect registry, or sex offender registry checks from one state for caregiver #2, who has been employed for more than 7 months and was working with children at the time of the inspection. The provider did not request a search of the child abuse and neglect registry or sex offender registry checks from one state for caregiver #3, who has been employed for 1 month and was working with children at the time of inspection.”

Rule 22.1-289.035-B-4.

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

“Child #1, 21 months old, last documented immunization was over 7 months ago. Child #2, 21 months old, last documented immunization was over 7 months ago.”

Rule 8VAC20-800-90-C.

The provider is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The provider did not request a search of the child abuse and neglect registry, fingerprints or sex offender registry checks from one state for caregiver #2, who has been employed for more than two months and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

Children’s records are required to contain the name, address and phone numbers of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for Child #3 was missing the name, address and phone number for one designated person to contact in case of an emergency.”

Rule 8VAC20-770-60-B.

Based on a review of children’s records, 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. The record for child #1 (enrolled 11/17/2022) did not contain record of a physical examination received prior to their enrollment or within 30 days thereafter. 2. Provider acknowledged not obtaining a physical examination from the child’s parent.”

Rule 8VAC20-800-100-A.

Based on review of two caregiver records and interview, the provider did not ensure to obtain a current report of tuberculosis (TB) screening every two years from the date of the first screening for two caregivers as required.

“Evidence: 1. The record for caregiver #1 contained a tuberculosis test dated 8/2/2022. The record for caregiver #2 contained a tuberculosis screening dated 4/21/2022. 2. The provider acknowledged that the repeat TB test and screening had not been completed.”

Rule 8VAC20-800-180-A.

Based on review of children’s records, the provider did not ensure each child record contained the telephone number of each custodial parent’s place of employment.

“Evidence: 1. The record for child #3 and child #7 did not contain any documentation of a work telephone number for each custodial parent.”

Rule 8VAC20-800-60-B.

Based on a review of three caregiver records and interview, the vendor did not ensure that one caregiver who worked directly with children annually completed the department’s health and safety update course as required.

“Evidence: 1. The record of caregiver #1 did not contain documentation to show that the 2022 or 2023 health and safety update training had been completed. 2. The vendor acknowledged that the training had not been completed annually as required.”

Rule 8VAC20-790-250-F.

Based on a review of three caregiver records and interview, the provider did not ensure to maintain a record for one caregiver that contained the required information.

“Evidence: 1. The record of caregiver #3 (date of employment: 1/17/2023) contained a reference dated 1/20/2023. The provider is required to obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The provider acknowledged that one of the two references were obtained after the start of employment.”

Rule 8VAC20-800-120-A.

Based on a review of three caregiver records and interview, the provider did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one caregiver at the time of hire that was completed within the last 30 days as required.

“Evidence: 1. The record of caregiver #3 (date of employment: 1/17/2023) contained a negative tuberculosis screening dated 8/19/2022. 2. The provider acknowledged that the TB screening was not completed within the required time frame.”

Rule 8VAC20-800-170-B.

Based on a review of five child records and interview, the provider did not ensure to annually review with the parents, the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“Evidence: 1. The record of child #1 (date of enrollment: 6/26/21) contained a signed and dated review in June of 2022. The record did not contain a signed review in June of 2023. The record of child #3 (date of enrollment: 6/18/2018) contained a signed review in June of 2022. The record did not contain a signed review in June of 2023. 2. The provider acknowledged that the annual signed acknowledgements of the reviews had not been obtained.”

Rule 8VAC20-800-780-B.

Based on a review of three (3) caregiver records and interview, the provider did not ensure to obtain a fingerprint background check for one (1) caregiver prior to the first date of employment as required.

“Evidence: 1. The record of caregiver #2 (date of employment: 6/13/2022) did not contain a fingerprint background check. 2. The provider acknowledged that the background check had not been completed.”

Rule 22.1-289.035-B-2.

Based on observation and interview, the provider did not ensure that the outdoor play equipment met the requirement that “S” hooks be tightly closed.

“Evidence: 1. Two swings were observed that contained open “S” hooks. There were 1/2 an inch openings in the 4 hooks. 2. The provider acknowledged that the “S” hooks were not tightly closed.”

Rule 8VAC20-800-500-D.

Based on review of documentation and interview, the provider did not ensure that the emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children were in care.

“Evidence: 1. An evacuation drill was not documented in December of 2022. The last documented evacuation drill was documented as 11/18/2022. 2. The provider acknowledged that an evacuation drill was not completed in December of 2022.”

Rule 8VAC20-800-830-A.

Based on observation and interview, the provider did not ensure that temperatures were maintained at or below 0?F in the freezer compartments.

“Evidence: 1. The freezer temperature reading was observed at 9 degrees Fahrenheit. 2. The provider acknowledged that the freezer was not maintained at or below 0 degrees Fahrenheit.”

Rule 8VAC20-800-940-A.

Based on observation and interview, the provider did not ensure that potentially poisonous materials and supplies were stored in areas inaccessible to children.

“Evidence: 1. A can of Hot Shot insect killer was observed on the floor in a room where a child was napping. 2. The provider acknowledged that the insecticide was accessible to the children.”

Rule 8VAC20-800-280.

Based on a review of 5 children’s records and interview, the provider did not ensure that 1 record contained the parent’s signed acknowledgement of an annual review of the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information was correct.

“Evidence: 1. The record of child #2 (DOE:06/26/2021) did not contain documentation of the parent’s annual review. 2. The provider acknowledged that it was missing.”

Rule 8VAC20-800-780-B.