Ms. Donna German

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Caregiver #2, who had been employed for three weeks, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There was no physical exam record available for Child #5, who had been in care for over 45 days.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-A

“Providers must maintain a record for each caregiver that contains documentation of two or more references were checked before employment. There was no references for Caregiver 2 who has been caring for children for three weeks.”

Rule 8VAC20-800-120-A.

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening for Caregiver 2, who has been caring for children for three weeks.”

Rule 8VAC20-800-170-A.

A child’s record shall contain all of the required information.

“The record for child #4 did not contain the first page of the child record form. Child #4 was in care during this inspection.”

Rule 8VAC20-800-60-B.

The family day home shall obtain documentation of additional immunizations every six months for a child under two years of age.

“There was no updated immunization documentation in the record for child #4.”

Rule 8VAC20-800-90-C.

The center is required to have employees undergo a background check every five years.

“The most recent central registry check for staff #1 was overdue by a year and six months.”

Rule 22.1-289.035-A.

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 child #4 did not have a parent’s signature for an annual review of the emergency contact information.”

Rule 8VAC20-800-780-B.

Documentation of additional immunizations is required once every six months for children under the age of two years. ’

“The records for child #3 and #5 did not contain updated immunization documentation.”

Rule 8VAC20-800-90-C.

22.1-289.035-B-2

“Based on record review and interview it was determined the provider did not ensure that their assistant had fingerprint results prior to hire. Evidence: 1. The results of the Assistant’s finger print checks were dated 07/08/2024, they were hired and worked with children on 06/27/2024. 2. Provider confirmed this information.”

Rule 22.1-289.035-B-2.

8VAC20-800-320-G

“Based on record review an interview it was determined the provider did not ensure that the wood burning fireplace and associated chimney were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1. The last fireplace and chimney inspection was completed on 08/08/2024. 2. Provider confirmed there had not been a more recent one completed.”

Rule 8VAC20-800-320-G.

8VAC20-800-60-B

“Based on record review it was determined the provider did not ensure each child’s record contained all of the required information. Evidence: 1. The records for child #1 and #2 did not contain all of the required information for their two emergency contacts. 2. Provider confirmed this information was not available during this inspection.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-C

“Based on record review and interview it was determined the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The records for child #2 and child #5, under two years of age, did not contain updated immunization documentation. The documents available were dated 1/31/23 and 3/24/23, respectively. 2. The provider confirmed updated immunization documentation was not available during this inspection,”

Rule 8VAC20-800-90-C.

8VAC20-800-280

“Based on observation and interview it was determined the provider did not ensure that all cleaning agents were stored in areas inaccessible to children. Evidence: 1. There were Clorox cleaning wipes in the unlocked cabinet under the sink in the bathroom used by children in care. 2. The provider confirmed the Clorox wipes were under the sink.”

Rule 8VAC20-800-280.

8VAC20-800-320-G

“Based on record review and interview it was determined the provider did not have the chimney inspected annually. Evidence: 1. The last chimney inspection documentation was dated 4/21/22. 2. Provider confirmed that the chimney has not been inspected since 4/21/22.”

Rule 8VAC20-800-320-G.

22.1-289.058

“Based on observation and interview it was determined that the provider did not ensure that there was a carbon monoxide detector in the home. Evidence: 1. There was no carbon monoxide detector in the home. 2. The provider confirmed that there was not a carbon monoxide detector present during the inspection.”

Rule 22.1-289.058.

8VAC20-800-100-A

“Based on record review and interview it was determined the provider did not 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: 1. The record for child #4 did not contain documentation of a physical exam. 2. Provider confirmed this documentation was not available during this inspection.”

Rule 8VAC20-800-100-A.

8VAC20-800-90-C

“Based on record review and interview it was determined the provider did not obtain documentation of additional immunizations as needed. Evidence: 1. The record for child #3 did not contain documentation of immunization updates every six months until 2 years of age. 2. The provider confirmed these updates were not available during this inspection.”

Rule 8VAC20-800-90-C.