Burlene Tharpe

8VAC20-800-60-B

“Each child’s record shall contain all the required information. 1. The record for C2 did not contain documentation of the annual review the child’s emergency contact information and parental acknowledgment of the review. 2. The records for C3 and C5 did not contain medical insurance information. 3. The record for C5 did not contain signed acknowledgement of the receipt of the information required by 8VAC20-800-70.”

Rule 8VAC20-800-60-B.

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and document in writing each review. No documentation was located to show compliance for the annual review.”

Rule 8VAC20-800-800-B.

8VAC20-790-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for S1 was completed more than 7 months late.”

Rule 8VAC20-790-180-A.

8VAC20-800-780-B

“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. The record for C1 did not have a parent’s signature for an annual review of the emergency contact information. The review was due 09/18/2025.”

Rule 8VAC20-800-780-B.

Based on caregiver record review, the provider failed to ensure that caregivers who work directly with children shall annually attend at least 16 hours of training, to include the department’s health and safety update course.

“Evidence: The record for S1 documented did not document the department’s annual health and safety update course due by 05/01/2024.”

Rule 8VAC20-790-250-F.

8VAC20-800-100-A

“Based on child record review, the provider failed to 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: The record for C2, enrolled 09/18/2023 did not contain a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“(Repeat violation) Based on child record review, the provider failed to ensure that one of five records contained the required information for each child enrolled. Evidence: The record for C3, enrolled 05/20/2022 did not contain the annual parent confirmation of up-to-date information in the record as required by 8VAC20-800-780.B.”

Rule 8VAC20-800-60-B.

8VAC20-790-180-B

“Based on observation, the vendor failed to maintain a written hard copy of daily attendance that documented the arrival and departure of each child in care as it occurs. Evidence: Licensing Inspector reviewed the notebook used for the daily attendance records. The attendance log documented the children present each day; however, it did not document the arrival and departure time for the children in care.”

Rule 8VAC20-790-180-B.

8VAC20-800-350-E

“Based on observation, the provider failed to ensure the hot water at taps available to children were maintained within a range of 105 - 120 degrees Fahrenheit. Evidence: On 03/28/2023, the inspector tested the hall bathroom sink used by the children in care with a digital thermometer. The hot water temperature registered at 122 degrees.”

Rule 8VAC20-800-350-E.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-770

“Based on observations, the provider failed to always have a working portable battery-operated weather band radio available to caregivers. Evidence: The weather band radio in the family day home was not operable.”

Rule 8VAC20-800-770.

8VAC20-800-830-A

“Based on observation, the provider failed to practice emergency evacuation procedures during the month of February 2023. Evidence: Drill record did not document that an evacuation drill was conducted during the month of February 2023. The element on the form was blank.”

Rule 8VAC20-800-830-A.

Based on a review of five children’s records and interview, the vendor did not have a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: 1) The record for Child #5, enrolled on 02/03/22, indicated the child has a diagnosed food allergy. The record did not contain a written care plan. 2) During interview, Caregiver #1 acknowledged a written care plan was not obtained for Child #5.”

Rule 8VAC20-790-190-B-12.

Based on a review of documentation and interview, the vendor did not ensure that the written emergency preparedness plan addresses lockdown procedures.

Rule 8VAC20-790-420-B-5.

Based on a review of documentation and interview, the vendor did not ensure the emergency preparedness plan addresses the continuity of operations procedures to ensure that essential functions are maintained during an emergency.

“Evidence: 1) The emergency preparedness plan did not contain continuity of operations procedures to ensure that essential functions are maintained during an emergency. 2) During interview, Caregiver #1 reported the procedures have not been added to the emergency preparedness plan to date.”

Rule 8VAC20-790-420-B-7.

Based on a review of two caregivers’ records and interview, the provider did not ensure one caregiver completed a national fingerprint check before the first day of employment.

“Evidence: 1) The national fingerprint check in the record for Caregiver #2, hired on 04/21/22, was dated 12/11/18. 2) During interview, Caregiver #1 reported Caregiver #2 was previously employed, but was terminated from employment in 2020. New fingerprints were not obtained prior to the first day of employment on 04/21/22.”

Rule 22.1-289.035-B-2.

Based on a review of two caregivers’ records and interview, the provider did not ensure one caregiver’s record contained all the required information.

“Evidence: 1) The record for Caregiver #2, hired on 04/21/22, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or written documentation of Caregiver #2’s orientation training. 2) During interview, Caregiver #1 reported the documentation was not on file for Caregiver #2.”

Rule 8VAC20-800-120-B.