Jo Anne Turner

8VAC20-790-400-H

“Medication, except for those prescriptions designated otherwise by a written physician’s order, shall be kept locked. Prescription medication was stored on a shelf in the bathroom, out of reach of children.”

Rule 8VAC20-790-400-H.

8VAC20-850-90-C

“Children’s records are required to contain parental home information. The record for Child #1 did not have father’s home address.”

Rule 8VAC20-850-90-C.

8VAC20-790-430-A-2

“(Repeat violation) Providers shall practice shelter-in-place procedures twice a year. Provider did not conduct shelter-in-place drills in 2024.”

Rule 8VAC20-790-430-A-2.

8VAC20-790-430-A-3

“(Repeat violation) Providers shall practice lockdown procedures at least annually. A lockdown drill was not conducted in 2024.”

Rule 8VAC20-790-430-A-3.

8VAC20-790-250-F

“**** REPEAT VIOLATION **** Based on a review of records and interview, the vendor did not ensure that caregivers who work directly with children shall, in addition to preservice and required orientation training, annually attend at least 16 hours of training. Evidence: One provider record was reviewed. Provider #1 did not have any documented training for 2023. The provider confirmed that she did not have documentation of training in 2023 but was able to provide documentation of 1 hours of training in the current year.”

Rule 8VAC20-790-250-F.

8VAC20-790-420-A

“Based on a review of documentation and interview, the vendor was unable to demonstrate that she has a written emergency preparedness plan that addresses caregiver responsibility and home readiness with respect to emergency evacuation, relocation, lockdown, and shelter-in-place procedures. Evidence: When asked to produce the written emergency plan for review, the vendor was unable to demonstrate that a written plan had been created.”

Rule 8VAC20-790-420-A.

8VAC20-790-430-A-2

“Based on a review of documentation and interview, the vendor did not practice shelter-in-place drills a minimum of twice a year in 2023. When asked to review the documented shelter-in-place drills for 2023, the vendor stated that she did not have any documentation of emergency drills conducted in 2023.”

Rule 8VAC20-790-430-A-2.

8VAC20-790-430-A-3

“Based on a review of documentation and interview, the vendor did not practice Lockdown procedures a minimum of once per year in 2023. When asked to review the documented Lockdown drills for 2023, the vendor stated that she did not have any documentation of emergency drills conducted in 2023.”

Rule 8VAC20-790-430-A-3.

Based on a review of records and interview, the provider did not ensure that any individual who is or will be alone with, in control of, or supervising one or more of the children; and any adult living in such child day center or family day home shall undergo updated background checks every five years following their initial background checks.

“Evidence: Two Provider / household Member Records were reviewed. The record for provider #1 and the record for household member #2 contained the most recent documented results of a Search of the Central Registry that were dated 4/5/2018. The provider stated that she did not have more recent results of the Search of the Central Registry.”

Rule 22.1-289.035-A.

Based on record review and interview, the provider did not obtain documentation for each enrolled child that the child has been immunized according to the requirements of subsection A of ? 32.1-46 of the Code of Virginia and applicable State Board of Health regulations.

“Evidence: Four Children’s records were reviewed. The record for child #2, who enrolled 9/12/2022, did not contain documentation of immunizations. The provider was unable to produce this documentation during the inspection.”

Rule 8VAC20-790-230-A.

Based on a review of records and interview, the provider was unable to demonstrate that caregivers annually attend at least 16 hours of training, to include the department’s health and safety update course.

“Evidence: Two caregiver / Household Member records were reviewed. The record for caregiver #1did not contain any documentation of annual training. The latest documentation of the department’s required annual health and safety update training was dated 8/21/2020 and was more than a year old.”

Rule 8VAC20-790-250-F.