Jami Williams

8VAC20-790-170-G

“The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. There was no written list of children’s allergies, sensitivities, and dietary restrictions.”

Rule 8VAC20-790-170-G.

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. 1. Child #5, enrolled and attending twice a week for over a month, has not been listed on the attendance sheet. 2. At the time of the inspection two of the nine children present were not listed on the attendance sheet.”

Rule 8VAC20-790-180-B.

8VAC20-790-190-B-12

“A written care plan for each 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. There was no allergy care plan for child #5, who has a diagnosed food allergy, and has been in care for over a month.”

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

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 was completed 47 days after it was due.”

Rule 8VAC20-800-180-A.

8VAC20-800-350-E

“REPEAT VIOLATION Hot water at taps available to children shall be maintained within a range of 105?F to 120?F. The hot water tap in the bathroom used by children was measured with a digital thermometer and the temperature of the water was 140?F.”

Rule 8VAC20-800-350-E.

8VAC20-800-430-B

“Accordion expansion gates and pressure mounted gates shall not be used as protective barriers at stair openings. There is a pressure mounted gate at as a protective barrier at the stair opening.”

Rule 8VAC20-800-430-B.

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current tuberculosis (TB) screening every two years. Household Member #3?s TB screen was four months late.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“A child’s record shall contain all of the required information. Child #1?s record was missing the address of one parent’s place of employment. Child #2?s record was missing name, address and phone number of each custodial parent’s place of employment, address and phone number of the child’s physician, and policy number of the child’s medical insurance. Child #3?s record was missing name, address and phone number of one parent’s place of employment.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two. Child #3 did not have documentation of immunization from between the ages of ten months and two years.”

Rule 8VAC20-800-90-C.

8VAC20-800-320-I

“The provider shall comply with the requirements made by the fire prevention or building officials to eliminate fire hazards. There smoke detector on the main level of the home was not working.”

Rule 8VAC20-800-320-I.

8VAC20-800-350-E

“Hot water taps available to children shall be maintained within range of 105F to 120F. The water in the main level bathroom sink was 144.9F.”

Rule 8VAC20-800-350-E.

8VAC20-790-250-F

“Based on review of documentation and interview, the provider failed to ensure that each caregiver completed the department’s health a safety and update annually. Evidence: 1. The date of Staff #2?s last health and safety update training was 01/13/2021. Staff #2 confirmed that the training had not been completed annually.”

Rule 8VAC20-790-250-F.

22.1-289.035-A

“Based on interview and review of record, the provider failed to ensure that background checks are repeated every five years for staff supervising children. Evidence: 1. Staff #1?s criminal history background check was dated 02/07/2018. 2. Staff #2?s criminal history background check was dated 07/19/2018. 3. The provider confirmed that the criminal history background checks had not been repeated every five years.”

Rule 22.1-289.035-A.

8VAC20-800-180-A

“Based on interview and review of records, the provider failed to obtain a tuberculosis (TB) screening every two years from each caregiver Evidence: 1. Staff #2?s TB screening was dated 06/21/2021. 2. The provider confirmed that Staff #1 was on updated every two years.”

Rule 8VAC20-800-180-A.

8VAC20-800-350-E

“Based on measurement, the provider failed to ensure that the hot water taps available to children maintain a temperature within a range of 105 degrees and 120 degrees. Evidence: 1. The sink water in the downstairs bathroom that the children use measured 133 degrees.”

Rule 8VAC20-800-350-E.

8VAC20-800-90-A

“Based on review of records and interview, the provider failed to obtain documentation that all children had be adequately vaccinated before the first day of attendance. Evidence: 1. Child #1?s first date of attendance was 8/15/2022. The vaccinated record was dated 8/24/2022. 2. The provider confirmed that the vaccinated record was not received before the first day of attendance.”

Rule 8VAC20-800-90-A.

Based on the staff record review and discussion with the provider, two caregivers had not obtained a two year updated negative tuberculosis (TB) screening.

“Evidence: 1. The most recent negative TB screening for Staff #1 was 02/10/2020. 2. The most recent negative TB screening for Staff #2 was 01/27/2020. 2, The provider confirmed that neither staff member had obtained an updated TB screening.”

Rule 8VAC20-800-180-A.

Based on the review of two children’s records and verification from the provider, one child’s record did not contain the contact information for a second emergency contact.

“Evidence: 1. The record for Child #1 did not contain the name, address or phone number of a second person for the provider to call in case of an emergency and the parent of the child could not be reached. Date of enrollment was 05/24/2020. 2. The provider verified that the information was not in the child’s file.”

Rule 8VAC20-800-60-B.