Marites Delos Angeles

The provider shall 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.

“The provider has not obtained a physical examination for child #1 who has been enrolled for over four months.”

Rule 8VAC20-800-100-A.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“Medications were stored in an unlocked box.”

Rule 8VAC20-800-730-D.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“The national criminal background check for Caregiver #2 was completed 10 days after the employee’s first day of employment.”

Rule 22.1-289.035-B-2.

Assistants’ records shall contain documentation that two or more references were checked before employment.

“The second reference for caregiver #4 was obtained 2 days after employment.”

Rule 8VAC20-800-120-B.

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

“The most recent central registry check for staff #1 was sent 15 days late and has not been completed. It is overdue by a two months.”

Rule 22.1-289.035-A.

Meals provided by family day homes shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).

“The family day home menu did not have a second vegetable or a fruit listed on menu posted for week 2, days 2 and 5.”

Rule 8VAC20-800-880.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations, once every six months for children under the age of two years for a child who is not exempt from the immunization. Evidence: Child #1 DOB 4/2022, date of last immunizations documented in file 10/2023.”

Rule 8VAC20-800-90-C.

22.1-289.011-F

“Based on observation and interview, the current inspection notice was not posted on the licensed premises. Evidence: The current inspection (9/19/2023) was not posted in the home.”

Rule 22.1-289.011-F.

8VAC20-800-240-A

“Based on observation and interview, playground equipment was in an unsafe condition. Evidence: A portion of the playground slide/climber had two pieces with splintered wood.”

Rule 8VAC20-800-240-A.

8VAC20-800-320-B

“Based on observation and interview, the home did not have child-resistant protective covers installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: ON the lowere level of the home, with children under the age of 5 present, a surge protector had 5 uncovered electrical outlets.”

Rule 8VAC20-800-320-B.

8VAC20-800-60-B

“REPEAT Based on record review and interview, child’s record did not contain all required information. Evidence: Child#1?s record did not have the name, address and telephone number of a second designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-730-D

“Based on observation and interview, medication for caregivers was not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bin of 12 prescription and non-prescription medications, belonging to caregiver #2 and caregiver #3, was not locked. 2. The bin of medication was found in a white dresser drawer in the basement play area, which was unlocked and accessible to children.”

Rule 8VAC20-800-730-D.

Based on interview, the provider did not obtain a fingerprint based background check for a staff member.

“Evidence: Staff #4’s record did not contain fingerprint results.”

Rule 22.1-289.035-B-2.

Based on interview, the provider did not obtain a completed sworn statement of affirmation from a staff member prior to their first day of employment.

“Evidence: Staff #4’s record did not include a completed sworn statement or affirmation form.”

Rule 8VAC20-770-60-B.

Based on interview, the provider did not obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis (TB) Screening form documenting the absence of tuberculosis in a communicable form.

“Evidence: Staff #4’s record did not include a TB screening form.”

Rule 8VAC20-800-170-A.

Based on observation, the provider failed to ensure that the number of children receiving care did not exceed the maximum licensed capacity of the home.

“Evidence: There were 13 children in care on 9/19/2023. The home is licensed for 12 children.”

Rule 8VAC20-800-40-A.

Based on record review, staff records were not made accessible to the department’s representative.

“Evidence: Staff #2, Staff #3 and Staff #4 were present during the inspection; however, their records were not available for review. Staff present during the inspection did not know where staff records are stored.”

Rule 8VAC20-800-50-B.

Based on record review, not all children’s records contained required information.

“Evidence: Child #1’s record was missing the child’s medical policy number and the name, address and telephone number of one of two required emergency contacts.”

Rule 8VAC20-800-60-B.

Based on record review and interview, there was no documentation that a child abuse and neglect check was initiated for an employee that has resided outside the state of Virginia within the last 5 years.

“Evidence: Staff#2 (DOH: 01/04/2023) has resided outside the state of Virginia within the last 5 years, their records did not have documentation that out-of-state child abuse and neglect results were obtained.”

Rule 22.1-289.035-B-4.

Based on observation, the diapering surface was not nonabsorbent.

“Evidence: The diaper changing mat had a tear across the length of the mat and therefore is no longer nonabsorbent.”

Rule 8VAC20-800-690-D.

Based on observation, diaper ointments were not labeled with the child’s name.

“Evidence: Seven containers of diaper ointment were not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

Based on review of emergency supplies, the first aid kit was incomplete.

“Evidence: The first aid kit was missing adhesive tape.”

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

Based on review of emergency drills, evacuation drills were incomplete.

“Evidence: An evacuation drill was not documented for the month of February 2023.”

Rule 8VAC20-800-830-A.

Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: Child #5’s record contains immunization records that were last updated on 11/11/2021.”

Rule 8VAC20-800-90-C.

Based on record review, emergency evacuation procedures were not practiced monthly.

“Evidence: An evacuation drill was not documented for the month of August 2022.”

Rule 8VAC20-800-830-A.

Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening.

“Evidence: The records of HH#1 do not include an updated tuberculosis (TB) test/screening. HH#1 has a TB test/screening that expired on 2/11/2021.”

Rule 22VAC40-111-180-A.