Mabel Quist

The provider shall maintain written documentation of each caregiver’s annual training.

“The provider did not have documentation of Caregiver #1’s annual training.”

Rule 8VAC20-800-230-A.

The provider shall obtain for each caregiver a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

“Caregiver #1’s subsequent TB screening was overdue by four months.”

Rule 8VAC20-800-180-A.

A child’s record shall contain the policy number of the child’s medical insurance, parent’s signed acknowledgement of the receipt of documentation of whether or not there is liability insurance and provisions of the family day home’s emergency preparedness and response plan, and proof of the child’s age and identity.

“The record for Child #1, who has been enrolled for one month, did not contain the policy number of the child’s medical insurance, parent’s signed acknowledgement of the receipt of documentation of whether or not there is liability insurance and provisions of the family day home’s emergency preparedness and response plan, and proof of the child’s age and identity.”

Rule 8VAC20-800-60-B.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The last documented review of the emergency plan was dated 02/03/2023.”

Rule 8VAC20-800-800-B.

Documentation shall be maintained of emergency evacuation drills.

“There was no documentation of emergency evacuation drills for November 2024 and December 2024.”

Rule 8VAC20-800-830-C.

Based on observation, children under two years of age were allowed to use a pillow.

“Evidence: Child #2 was observed sleeping on an orange pillow during naptime.”

Rule 8VAC20-800-530-G.

Based on observation, the provider did not maintain an up-to-date record at the family day home for each enrolled child.

“Evidence: During the inspection, the provider was not able to locate the record for Child #1.”

Rule 8VAC20-800-60-A.

Based on record review, the family day home’s written emergency preparedness and response plan did not include all required components.

“Evidence: 1. The emergency preparedness and response plan did not include emergency relocation and shelter-in-place procedures. 2. The emergency preparedness and response plan did not address the most likely to occur scenarios, including severe storms, flooding, tornadoes and loss utilities. 3. The emergency preparedness and response plan did not include provisions for a responsible person to arrive at the family day home within 10 minutes for emergency backup care.”

Rule 8VAC20-800-800-A.

Based on observation, potentially poisonous substances were not stored away in areas inaccessible to children.

“Evidence: Laundry detergent was located on the floor of a closet accessible to children. The closet had child locks on the door knobs that did not work.”

Rule 8VAC20-800-280.

22.1-289.036-B-2

“Based on interview, the provider has not obtained fingerprint results for each adult household member. Evidence: Household member #2 turned 18 years old in October 2021. The provider stated that the Household member has not yet made an appointment to complete the fingerprint background check.”

Rule 22.1-289.036-B-2.

8VAC20-800-170-A

“Based on interview, the provider has not obtained a current report of tuberculosis (TB) screening for each adult household member. Evidence: Household member #2 turned 18 years old in October of 2021. The provider stated that they do not have documentation of a TB screening for Household member #2.”

Rule 8VAC20-800-170-A.

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: Three unused electrical outlets were observed without protective covers. There was an 18 month old child observed in care during today’s inspection.”

Rule 8VAC20-800-320-B.

8VAC20-800-60-B

“Based on record review, children’s records do not contain all required information. Evidence: 1. Child #1 record does not contain the families medical insurance policy number, the provider info form, documentation of the providers emergency plan or an insurance declaration. 2. Child #2 record does not contain documentation of the providers medication policy, the provider info form or documentation of the providers emergency plan 3 Child #3 record does not contain documentation of the providers emergency plan.”

Rule 8VAC20-800-60-B.

8VAC20-800-800-A

“Based on interview, the family day home does not have a written emergency preparedness and response plan. Evidence: The provider relocated homes in October of 2021. The provider stated that they do not yet have an emergency preparedness and response plan for the new location of the family day home.”

Rule 8VAC20-800-800-A.

8VAC20-800-980-A

“Based on record review and interview, a special written permission was not obtained from the parent of each child for the provider to take the child off the premises of the family day home. Evidence: The provider stated that the children go to the local community playground for their outdoor play time. The children’s records do not contain a special permission form to leave the premises of the family day home and the provider stated that the parents have not provided a special permission to visit the community playground.”

Rule 8VAC20-800-980-A.

8VAC20-820-120-E-2

“Based on record review and interview, the findings of the most recent inspection were not posted. Evidence: The findings of the most recent inspection were not posted anywhere in the family day home. The provider stated that they did not print the last inspection notice.”

Rule 8VAC20-820-120-E-2.