Aliesha Miffin

A child shall be provided with an individual crib, cot, rest mat, or bed for resting or napping.

“Child # 4 did not have a rest mat available at nap time. Provider confirmed they did not have an extra rest mat for the child.”

Rule 8VAC20-800-510-A.

The provider shall ensure that a caregiver does not exceed 16 points.

“There was a total of 11 children in care totaling 31 points with only one caregiver upon the inspector’s arrival. Caregiver #2 arrived approximately two minutes later.”

Rule 8VAC20-800-570-A.

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

“An updated TB screening for Caregiver #1 was not completed and was overdue by 10 months.”

Rule 8VAC20-800-180-A.

Repeat Violation: In addition to preservice and orientation training, caregivers who work directly with children shall annually attend at least 16 hours of training to include the department’s health and safety update course.

“Caregiver #1 and #2 did not complete the most recent department’s health and safety update course. The health and safety update course was due seven months ago. Caregiver #3 did not complete the department’s most recent health and safety update course. The health and safety update course was due over one year ago.”

Rule 8VAC20-790-250-F.

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

“An updated TB screening for Caregiver #3 was not completed and was overdue by four months.”

Rule 8VAC20-800-180-A.

Documentation of the orientation shall be signed and dated by the provider and substitute provider or by the provider and assistant.

“Caregiver #4, who has been employed for five months, did not have documentation of a signed orientation on file.”

Rule 8VAC20-800-200-C.

Family day homes shall maintain required emergency supplies in the family day home and wherever children are in care.

“The family day home was missing one triangular bandage.”

Rule 8VAC20-800-760-A.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“The provider could not locate the emergency evacuation and shelter in place drills at the time of inspection.”

Rule 8VAC20-800-830-C.

In addition to preservice and orientation training, caregivers who work directly with children shall annually attend at least 16 hours of training to include the department’s health and safety update course.

“Evidence: 1. Caregiver #1 and #2 did not complete the department’s health and safety update course for 2024.The health and safety update course was due 30 days ago.”

Rule 8VAC20-790-250-F.

8VAC20-800-140-B-3

“Providers are required to have current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. Evidence: 1. Provider #1 had a CPR certification dated 08/03/2022. A new certification was required 47 days ago.”

Rule 8VAC20-800-140-B-3.

8VAC20-800-140-B-4

“Providers are required to have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Evidence: 1. Provider #1 had a First Aid certification dated 08/03/2022. A new certification was required 47 days ago.”

Rule 8VAC20-800-140-B-4.

Based on a review of four caregiver records and interview, the vendor did not ensure that two caregivers annually completed the department’s health and safety update course.

“Evidence: 1. The records of caregiver #1 and caregiver #4 did not contain documentation of the 2022 and 2023 annual health and safety update course. 2. The vendor acknowledged that the courses had not been completed.”

Rule 8VAC20-790-250-F.

Based on a review of four caregiver records and interview, the provider did not ensure that two records contained the required information.

“Evidence: 1. The record of caregiver #2 (date of employment: 9/18/2023) contained one of the two references required prior to employment. The record of caregiver #3 (date of employment: 9/18/2023) did not contain two references. 2. The provider acknowledged that the references were missing.”

Rule 8VAC20-800-120-B.

Based on a review of four caregiver records and interview, the provider did not ensure that the documentation of orientation training was signed by the provider and assistants as required for two caregivers.

“Evidence: 1. The records of caregivers #2 and #3 did not contain signed orientation forms. 2. The provider acknowledged that orientation had been completed but the forms had not been signed.”

Rule 8VAC20-800-200-C.

Based on a review of documentation and interview, the provider did not ensure that required monthly evacuation drills were documented.

“Evidence: 1. An evacuation drill from October of 2023 was not documented. 2. The provider acknowledged that the drill had not been documented.”

Rule 8VAC20-800-830-C.

8VAC20-800-210-A

“Based on record review and an interview, the provider did not ensure to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider had 1.5 of the 16 required annual clock hours of training in areas relevant to their job responsibilities. During the inspection, the provider confirmed that she did not complete all of the required annual clock hours of training.”

Rule 8VAC20-800-210-A.

8VAC20-800-980-A

Rule 8VAC20-800-980-A.

8VAC20-800-180-A

Rule 8VAC20-800-180-A.

8VAC20-800-350-E

“Based on observation, the provider did not ensure hot water at taps available to children were maintained within a range of 105?F to 120?F. Evidence: The hot water tap located in the provider’s bathroom had a water temperature of 131?F.”

Rule 8VAC20-800-350-E.

8VAC20-800-920

“Based on observation and an interview, the provider did not ensure that a menu was given to parents or posted or placed in an area accessible to parents. Evidence: 1.The family day home did not have a menu posted. 2. The provider stated that they did not have a menu posted or given to parents during the month of December.”

Rule 8VAC20-800-920.

22VAC40-665-400-A

“Based on record review, the provider did not ensure to have all required procedural components for the emergency plan. Evidence: The provider did not have all required emergency preparedness plan policies and procedures.”

Rule 22VAC40-665-400-A.

8VAC20-800-100-A

“Based on record review, one of two children’s records did not contain 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: The record of child #2 (start date: 3/8/2021) did not have documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-530-G

“Based on observation, the provider did not ensure children under two years of age do not use pillows or filled comforter. Evidence: Child #1 (Age: 1 year) was observed sleeping on a pillow attached to a naptime mat.”

Rule 8VAC20-800-530-G.

8VAC20-800-730-D

“Based on observation, the provider did not ensure medications for caregivers and household members were kept in a locked place using a safe locking method that prevents access by children. Evidence: The provider’s household medication was located on a shelf in an unlocked refrigerator.”

Rule 8VAC20-800-730-D.

22VAC40-665-400-A

“Based on record review, the provider did not ensure that the emergency preparedness plan addressed all required procedures. Evidence: The provider’s emergency preparedness plan did not address caregiver responsibility and home readiness with respect to lockdown procedures.”

Rule 22VAC40-665-400-A.

8VAC20-790-190-B-12

Rule 8VAC20-790-190-B-12.

8VAC20-800-60-B

“Based on record review, the provider did not ensure two of two children’s records contained documentation of the policy number of the child’s medical insurance. Evidence: The record of child # 1 (start date: 11/30/21) and child #2 (start date: 7/5/21) did not contain documentation of each child’s medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-A

Rule 8VAC20-800-90-A.