Rosario Alfaro

Every applicant for licensure as a home-based child care and adult living in such home-based child care shall undergo a search of the central registry every five years.

“Caregiver #1, Household Member #1 and Household Member #2’s most recent results of a search of the central registry expired over five months ago.”

Rule 22.1-289.036-A.

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.

“Child #1, #2, #4 and #5’s records did not contain documentation of a physical examination. Child #1 has been attending for four years. Child #2 has been attending for over one year. Child #4 has been attending for over two years. Child #5 has been attending for over ten years.”

Rule 8VAC20-800-100-A.

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

“Household Member #1’s subsequent TB screening is overdue by eight days. Household Member #2’s subsequent TB screening is overdue by three months.”

Rule 8VAC20-800-180-A.

A child’s record shall contain the following information: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached and parent’s signed acknowledgement of the receipt of the information required by 8VAC20-800-70.

“Child #1 and Child #2’s records were missing one out of two emergency contacts. Child #1 has been enrolled for four years. Child #2 has been enrolled for over one year. Child #4’s record did not contain parent’s signed acknowledgement of the receipt of the information required by 8VAC20-800-70.”

Rule 8VAC20-800-60-B.

Before a child may attend the home-based child care, the provider shall obtain documentation that the child has been adequately immunized.

“Child #2’s record did not contain documentation of immunizations. Child #2 has been attending the home-based child care for over one year.”

Rule 8VAC20-800-90-A.

8VAC20-790-250-F

“Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department’s health and safety update course. The department’s annual health and safety update course was overdue by 4 months.”

Rule 8VAC20-790-250-F.

8VAC20-800-650-H

“Parents shall be informed of any changes in the home’s emergency preparedness and response plan. Documentation was not available to demonstrate parents had been informed of changes to the home’s emergency preparedness and response plan.”

Rule 8VAC20-800-650-H.

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

“The provider relocated but the current emergency plan was not updated to reflect the move.”

Rule 8VAC20-800-800-B.

8VAC20-800-180-A

“Based on record review, and interview with the provider, a current Report of Tuberculosis Screening form, was not obtained every two years from the date of the first screening for each caregiver and adult household member. Evidence: The subsequent tuberculosis screenings for Household member A and Household member B were expired.”

Rule 8VAC20-800-180-A.

8VAC20-790-250-F

“Based on record review and interview with the Provider, the Caregiver did not complete the department’s health and safety update course. Evidence: The Provider did not know the course needed to be completed annually.”

Rule 8VAC20-790-250-F.

8VAC20-800-830-A

“Based on record review and interview with the Provider, emergency evacuation procedure drills were not practiced monthly. Evidence: The records documented drills every other month and the Provider confirmed they were being practiced every other month.”

Rule 8VAC20-800-830-A.