Sharon Blake

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening.

“One caregiver needs a subsequent TB screening,”

Rule 8VAC20-800-180-A.

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

“Child #5, 22 months old, last documented immunization was over 7 months ago.”

Rule 8VAC20-800-90-C.

Dogs or cats, where allowed, shall be vaccinated for rabies and shall be treated for fleas, ticks, or worms as needed.

“The rabies vaccination for Pet #1 expired over 1 month ago.”

Rule 8VAC20-800-460-C.

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

“Child #4, 18 months old, last documented immunization was just over 6 months ago.”

Rule 8VAC20-800-90-C.

An authorize family day home (FDH), obtain a copy of the results for fingerprinting (FPC) and provided personal descriptive information for all caregivers and adult household members every five years.

“Caregiver #2 had documentation of a FPC on-site that had expired 4 months ago.”

Rule 22.1-289.036-B-2.

Authorize family day home (FDH) obtain a copy of the results of a search of the central registry ( CPS check) for any founded complaint of child abuse or neglect against any adult household member or caregiver every 5 years.

“Caregiver #2 had documentation of a CPS check on-site that had expired 3 months ago.”

Rule 22.1-289.036-B-3.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 obtained 8.5 training hours in 2023.”

Rule 8VAC20-800-210-A.

Based on review, 1 of 3 household member files indicated that the Provider did not obtain for each adult household member a current Report of Tuberculosis Screening form(in accordance with the requirements in 8VAC20-800-170), every two years.

“Evidence - 1. On the date of inspection (09/15/2023), TB documentation for Household Member #2 was dated - 08/19/2021. 2. This was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-180-A.

Based on review and interview, 1 of 4 household pets did not have a current rabies vaccination.

“Evidence - 1. On the date of inspection (09/15/2023), Pet #1 had documentation that indicated that its rabies vaccination expired on 08/18/2023. 2. The Provider stated (during an interview conducted on the date of inspection) that the animal was ill during the time set for the renewal of the vaccination, so the Provider had to wait.”

Rule 8VAC20-800-460-C.

Based on review, 1 of 8 children files indicated that not all records contained documentation of a physical examination.

“Evidence - 1. On the date of inspection (02/15/2023), documentation of a physical examination was not available for review for Child #3. 2. The start date for Child #3 was listed as 09/13/2022.”

Rule 8VAC20-800-100-A.

Based on review, 1 of 8 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (02/15/2023), the medical insurance policy name and number was not available for review for: Child #4 2. This was confirmed by the Provider.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 6 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (03/08/2022), the listed medical insurance for Child #5 was not available for review. 2. This review was confirmed by the Provider on the date of inspection.”

Rule 8VAC20-800-60-B.