Ms. Cheman Waise

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

“An updated TB screening for Staff #2 was overdue by four months.”

Rule 8VAC20-800-180-A.

Based on record review, the provider did not obtain an updated Tuberculosis (TB) screening for each caregiver and adult household member that was completed within the last two years.

“Evidence: Staff #1’s most recent TB screening was completed 2/22/22. Adult Household Member #1’s most recent TB screening was completed 3/2/22. Adult Household Member #2’s most recent TB screening was completed 2/23/22.”

Rule 8VAC20-800-180-A.

Based on observation and interview, the family day home was not equipped with at least one carbon monoxide detector.

“Evidence: There was no carbon monoxide detector in site at the time of inspection.”

Rule 22.1-289.058.

Repeat violation

“Based on record review, the provider did not ensure children’s records contained all required information. Evidence: Child #1’s record was missing parent’s signed acknowledgement of the receipt of the Information for Parents form. Child #3’s record was missing a second emergency contact name, address, and phone number. Child #5’s record was missing the medical insurance policy number.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #3 (First Day of Attendance: 10/26/2021) and Child #4 (First Day of Attendance: 2/26/2023) did not have physical examinations on file.”

Rule 8VAC20-800-100-A.

Based on record review, the provider did not ensure that all children’s records contain all required information.

“Evidence: Child #3’s record was missing the medical insurance policy number. Child #3’s record was also missing documentation of the annual review of the child’s emergency contact information. Child #3’s most recent annual review of emergency contact information was completed 10/25/2021.”

Rule 8VAC20-800-60-B.

22.1-289.035-B-2

“Based on review of two staff records it was determined that not all records contained documentation of a determination letter based on a fingerprint criminal history check on file before the first day of employment. Evidence: The record for Staff B (start date: 05/08/23) did not have documentation of a determination letter based on a fingerprint criminal history check on file.”

Rule 22.1-289.035-B-2.

8VAC20-800-120-B

“Based on review of two staff records it was determined that not all records were complete. Evidence: The record for staff A did not contain the following information: name, address, verification of age, job title, date of employment, name, address, phone number of an emergency contact.”

Rule 8VAC20-800-120-B.

8VAC20-800-200-A

“Based on review of two staff records it was determined that not all records contained documentation of orientation training within the first week of employment. Evidence: The record for Staff A (start date: 02/22/22) did not have documentation of orientation training on file.”

Rule 8VAC20-800-200-A.

8VAC20-800-540-A

“Based on observation it was determined that that safety straps in high chairs were not always used when occupied by children. Evidence: Child A (age 3) was observed climbing out of a high chair. The safety straps were not fastened around the child.”

Rule 8VAC20-800-540-A.

8VAC20-800-120-B

“Based on review of one assistant caregiver records it was determined that not all records were complete. Evidence: The record for caregiver A did not contain the following: Name, address, verification of age, job title, date of employment, emergency contact, and two references.”

Rule 8VAC20-800-120-B.

8VAC20-800-220-A

“Based on interviews it was determined that not all staff obtained the required medication administration training (MAT) when the provider has agreed to administer medication. Evidence: The provider accepted an emergency medication from the parents of Child A. The provider is not currently MAT certified.”

Rule 8VAC20-800-220-A.

8VAC20-800-700-A

“Based on observation and interviews it was determined that not all requirements for medication administration were followed. Evidence: 1. There was no authorization form on file for the emergency medication for child A. 2. The family day home’s written medication policy states that medication will not be administered to children in the family day home.”

Rule 8VAC20-800-700-A.