Valeria Delgadillo Olmos

The provider shall 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.

“The subsequent TB screening for Household Member A was not completed. The previous TB Screening expired approximately 2 months ago.”

Rule 8VAC20-800-180-A.

The provider shall 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.

“The TB test for caregiver #1 expired over 5 months ago and the TB test for household member #1 expired over 1 year ago.”

Rule 8VAC20-800-180-A.

The provider shall document in the child’s record: 1. The method of verification of the child’s age and identity for their proof of age and identity.

“The Provider stated the birth certificates were reviewed but in 3 out of 3 records, the signature was not recorded.”

Rule 8VAC20-800-80-C.

8VAC20-800-460-D

“Based on record review, the provider did not maintain documentation of the current rabies vaccination. Evidence: The documentation for the rabies vaccination had expired.”

Rule 8VAC20-800-460-D.

8VAC20-800-80-C

“Based on record review the Provider did not document the method of verification of the child’s age and identity in 2 out of 3 children’s records. Evidence: The records for Child A and Child B did not have the date or name of person viewing the document, to verify the original document had been seen.”

Rule 8VAC20-800-80-C.

8VAC20-800-830-C

“Based on record review, and interview with the Provider, documentation for emergency evacuation and shelter-in-place drills did not include the identity of the person conducting the drill, the method used for notification of the drill, the number of caregivers participating, the number of children participating, and special conditions simulated, the time it took to complete the drill, problems encountered, if any, and weather conditions. Evidence: The emergency evacuation documentation only contained the dates of the drills.”

Rule 8VAC20-800-830-C.

Based on record review, a caregiver and household members did not complete repeat fingerprints after 5 years.

“Evidence: 1) The fingerprinting results of Caregiver A expired 3/27/2023. 2) The fingerprinting results of Household Member A expired 02/26/2023. 3) The fingerprinting results of Household Member B expired 02/26/2023. 4) The fingerprinting results of Household Member C expired 02/26/2023.”

Rule 22.1-289.036-A.

Based on record review, a caregiver did not complete a repeat central registry search and sworn statement after 5 years.

“Evidence: 1) The sworn statement of Caregiver A expired 03/20/2023. 2) The central registry search of Caregiver A expired 04/19/2023.”

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

Based on record review, adult household members did not complete an additional sworn statement and central registry search after 5 years.

“Evidence: 1) The sworn statement of Household Member A expired 03/20/2023 2) The central registry search of Household Member A expired 04/19/2023 3) The sworn statement of Household Member B expired 03/20/2023 4) The central registry search of Household Member B expired 04/24/2023 5) The sworn statement of Household Member C expired 03/20/2023 6) The central registry search of Household Member C expired 04/19/2023”

Rule 8VAC20-770-40-D-4.

Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening.

“Evidence: 1) The tuberculosis screening of Caregiver A expired 12/3/2021. 2) The tuberculosis screening of Household Member B expired 11/30/2019. 3) The tuberculosis screening of Household Member C expired 08/04/2019.”

Rule 8VAC20-800-180-A.

Based on record review, a child’s record was missing required information.

“Evidence: 1) Child A was missing verification of identification within 7 days of enrollment. 2) Child B was missing verification of identification within 7 days of enrollment. 3) Child C was missing date of enrollment. 4) Child D was missing verification of identification within 7 days of enrollment and 1 of 2 required emergency contacts.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not obtain documentation of a physical examination.

“Evidence: The record of Child B was missing documentation of a physical examination.”

Rule 8VAC20-800-100-A.

Based on interview, the provider did not maintain a record for each caregiver.

“Evidence: Caregiver A stated that she could not find a record for herself in the facility.”

Rule 8VAC20-800-120-A.

Based on observation, all unused outlets were not covered with protective covers.

“Evidence: One unused outlet located near the entrance was not covered with a protective cover.”

Rule 8VAC20-800-320-B.

Based on record review, a child’s record did not contain the required information.

“Evidence: 1) The record of Child A was missing the following required information: The parents name address and phone number, 2 emergency contacts, medical insurance and policy number, proof of identification, liability insurance waiver, emergency plan. 2) The record of Child B was missing the following required information: The emergency plan, and field trip permission.”

Rule 8VAC20-800-60-B.

Based on observation, the first aid was missing required contents.

“Evidence: The first aid kit was missing a thermometer.”

Rule 8VAC20-800-760-A-1.

Based on observation, a working battery operated flashlight was not available at all times.

“Evidence: There were no batteries available for the flashlight at the time of inspection.”

Rule 8VAC20-800-770.

Based on record review and interview, documentation of emergency procedures were not maintained.

“Evidence: Caregiver A stated she could not find documentation of the emergency drills on site.”

Rule 8VAC20-800-830-C.

Based on record review, the family day home did not obtain documentation of immunization.

“Evidence: The record of Child B was missing documentation of immunization.”

Rule 8VAC20-800-90-A.

Based on record review, the provider did not obtain documentation of a physical examination for each child.

“Evidence: Child A was missing documentation of a physical examination.”

Rule 8VAC20-800-100-A.

Based on interview, the provider did not obtain a current tuberculosis screening every two years.

“Evidence: 1) Caregiver A stated the current tuberculosis screening for Caregiver A and Caregiver B were unable to be located. 2) The current tuberculosis screenings for Caregiver A and B expired 12/2021”

Rule 8VAC20-800-180-A.

Based on interview, caregivers did not complete at least 16 hours of annual training.

“Evidence: Caregiver A stated the 2021 training certificates for Caregiver A and Caregiver B were unable to be located.”

Rule 8VAC20-800-210-A.

Based on record review, children’s records were missing required information.

“Evidence: 1) The record of Child A was missing 1 emergency contact. 2) The record of Child B was missing a liability insurance declaration.”

Rule 8VAC20-800-60-B.

Based on record review, the emergency plan was not reviewed annually.

“Evidence: The emergency plan was last viewed 03/2020.”

Rule 8VAC20-800-800-B.

Based on record review, a caregiver did not have a current tuberculosis screening.

“Evidence: The tuberculosis screening of Caregiver A expired 12/03/2021.”

Rule 8VAC20-800-180-A.

Based on observation, a working battery-operated flashlight was not available.

“Evidence: The flashlight was inoperable at the time of inspection.”

Rule 8VAC20-800-770.

Based on observation the emergency plan was not reviewed at least annually.

“Evidence: The emergency plan was last reviewed 03/2020”

Rule 8VAC20-800-800-B.