Shemik Sellars

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“The screening for Caregiver #3 was completed 52 days after hire.”

Rule 8VAC20-800-170-A.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“Records for children #1, #3, #4, #6, #7, #9 and #10 did not have a parent’s signature for an annual review of the emergency contact information. All children had been in care for over a year.”

Rule 8VAC20-800-780-B.

22.1-289.035-A

“The provider is required to have employees undergo a background check every five years. The most recent central registry check for caregiver #1 was overdue by one month.”

Rule 22.1-289.035-A.

The provider shall have household members of the family day home undergo a background check every five years.

“The most recent central registry check for household member #1 was overdue by one month.”

Rule 22.1-289.036-A.

**Repeat Violation**

“The provider shall maintain a separate record for each child enrolled that contains all of the required information. The record for Child #3, enrolled for nine months, was missing the following required components: the name, address and telephone number of one designated person to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

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

“Child #2, 2 years old, last documented immunization was over 8 months ago.”

Rule 8VAC20-800-90-C.

Staff shall complete the department’s health and safety update course annually.

“Staff #1 did not have documentation of completing the annual health and safety update course for 2024.”

Rule 8VAC20-790-250-F.

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

“An updated TB screening for Caregiver #1 was completed over two months after the due date. An updated TB screening for caregiver #2 was not completed and was overdue by two months. An updated TB screening for caregiver #3 was not completed and was overdue by five months. An updated TB screening for household member #1 was completed over two months after the due date.”

Rule 8VAC20-800-180-A.

8VAC20-800-90-A Before attendance, documentation of immunizations is to be obtained for each child.

“Documentation of immunizations for child #2 was obtained one month after the child’s first date of attendance. Documentation of immunizations for child #3 was obtained seven days after the child’s first date of attendance.”

Rule 8VAC20-800-90-A.

Based on review of caregiver records, the provider did not ensure all caregivers have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: 1. The record for caregiver #3 contained a CPR certification that expired on 2/12/2024. 2. The provider acknowledged not having a current CPR certification for caregiver #3.”

Rule 8VAC20-790-250-D-1.

Based on a review of caregiver records, the provider did not ensure all caregivers have current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. The record for caregiver #3 contained a First Aid certification that expired on 2/12/2024. 2. The provider acknowledged not having a current First Aid certification for caregiver #3.”

Rule 8VAC20-790-250-D-2.

Based on review of caregiver records, the provider did not ensure the caregiver record contained documentation of 2 or more references as to character and reputation as well as competency were check before employment.

“Evidence: 1. The record for caregiver #2 (DOH: 4/15/2024) and caregiver #3 (DOH: 5/9/2022) contained documentation of only 1 reference. 2. The provider acknowledged only documenting one reference in each record.”

Rule 8VAC20-800-120-B.

Based on review of caregiver records, the provider did not obtain a Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form at the time of hire and prior to the caregiver coming into contact with children.

“Evidence: 1. The record for caregiver #2 (DOH: 4/15/2024) contained a TB test conducted on 4/18/2024. 2. The provider acknowledged they received the TB test after the date of hire.”

Rule 8VAC20-800-170-A.

Based on observation, the provider did not ensure equipment and materials used by children shall be clean, nontoxic, and free from hazards, such as lead paint, sharp edges or points, loose parts and rust.

“Evidence: 1. During the inspection, a broken, sharp piece of plastic was observed protruding on the side of the children’s playhouse in the providers backyard.”

Rule 8VAC20-800-480-E.

Based on record review and interview, the vendor did not ensure caregivers who work with children complete the department’s annual health and safety update course.

“Evidence: 1. The record for caregiver #3 documented a certificate of training for the department’s annual health and safety update course dated, 4/17/2022. 2. During an interview with the vendor, it was acknowledged that caregiver #3 had not completed an updated training course.”

Rule 8VAC20-790-250-F.

Based on review of 5 caregiver records, the provider did not ensure a minimum of 16 clock hours of annual training was completed.

“Evidence: 1.The record for Caregiver #4 (date of employment: 5/9/2022) did not document 16 hours of annual training. 2. During an interview with the provider, it was acknowledged that the record for caregiver #4 did not document the required 16 hours of annual training.”

Rule 8VAC20-800-210-A.

Based on review of 5 children records, the provider failed to ensure each child’s record contained the required information.

“Evidence: 1.The record for Child #3, did not document the address of the two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-800-60-B.

Based on review of documentation, the provider did not ensure all caregivers completed the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education, within the first 90 days of employment.

“Evidence: The record of caregiver #2, employed 05/09/2022, contained documentation of completion of the Virginia Preservice Training dated 10/14/2022 exceeding 90 days after employment.”

Rule 8VAC20-790-250-B.

Based on interview, the provider did not ensure a substitute provider recorded and signed the time of arrival and departure on each day that the substitute provider worked.

“Evidence: On 01/12/2023, caregiver #2 was the assigned substitute provider upon the inspector’s arrival. After the provider returned to the family day home, she stated she had been away for more than two hours and did not have the substitute provider record and sign the time of arrival and departure as she was unaware of the requirement.”

Rule 8VAC20-800-140-D.

Based on observation, the provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants and deodorizers were stored away from food in areas inaccessible to children.

“Evidence: The door of the utility room, where cleaning supplies are kept on shelves and on the floor, was open creating the possibility of access to the supplies by children in care. The utility room is located next to the bathroom used by children in care.”

Rule 8VAC20-800-280.

Based on review of three caregiver records, the provider did not obtain documentation of a negative tuberculosis screening for one caregiver at the time of hire.

“Evidence: The record of caregiver #2, hired 09/12/2022, contained documentation of a tuberculosis screening dated 09/14/2022, exceeding the date of hire.”

Rule 8VAC20-800-170-A.

Based on review of caregiver and household member records, the provider did not obtain a current report of tuberculosis screening every two years from the date of the first screening.

“Evidence: 1. The record of caregiver #3 contained documentation of a tuberculosis screening dated 7/21/2020, exceeding two years. 2. The record of household member #1 contained documentation of a tuberculosis screening dated 07/20/2020, exceeding two years”

Rule 8VAC20-800-180-A.

Based on observation the provider did not ensure children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision did not have access to stairs.

“Evidence: On October 28, 2022, the gate at the bottom of the staircase in the childcare room was open creating access to the stairs. Child #4, 14 months in age was in attendance.”

Rule 8VAC20-800-430-A.

Based on review of caregiver records and observation, the provider did not obtain a national finger print background check for one caregiver prior to employment.

“Evidence: The record of caregiver #3, hired 05/09/2022, did not contain a national fingerprint background check. Caregiver #3 was observed working during today’s inspection on 05/25/2022.”

Rule 22.1-289.035-B-2.

Based on a review of three caregiver records, the provider did not ensure that a required central registry finding for one caregiver was not dated more than 90 days prior to the date of employment.

“Evidence: The record for caregiver #3, hired on 05/09/2022, had documentation of a central registry finding that was dated 08/17/2021. The central registry check exceeded 90 days prior to hire.”

Rule 8VAC20-770-40-D-6.

Based on review of four children’s records, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance for one child’s record.

“Evidence: The record for child #3, enrolled 01/24/2022, did not contain documentation of the child’s physical examination.”

Rule 8VAC20-800-100-A.

Based on review of caregiver records, the provider did not obtain all required documentation for one caregiver’s record.

“Evidence: 1. The record for caregiver #3, hired 05/09/2022, did not contain the following required documentation; address, name, address and telephone number of a person to be notified in an emergency; documentation of two references prior to employment; documentation of tuberculosis screening; and orientation. 2. The provider stated she had not completed the record for caregiver #3.”

Rule 8VAC20-800-120-A.

Based on review of video footage and interview, the provider did not ensure that ?time-out? when used as a discipline technique does not exceed one minute for each year of the child’s age.

“Evidence: Video viewed on May 25, 2022, showed child #1 (4 years in age) being placed into the infant room for approximately 45 minutes away from his peers. During interview on June 6, 2022, the provider stated that the child was in ?time-out? because he was having a rough morning and that she was totally incapacitated to the point where she couldn’t care for him.”

Rule 8VAC20-800-630-B.

Based on observation and interview the provider did not ensure that physical punishment, a forbidden action, was not used.

Rule 8VAC20-800-640-1.

Based on observation, the provider did not ensure caregivers washed their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting.

“Evidence: Staff #2 was observed changing the diapers of three children. Staff #2 did not wash her hands between children’s diaper changes. Staff #2 was wearing a pair of gloves and did not change the gloves during the diapering of the three children.”

Rule 8VAC20-800-680-A.

Based on review of four children’s records, the provider did not obtain the parent’s written acknowledgement of the receipt of the information regarding ?Information for Parents? and ?Policies for Administering Medications?.

“Evidence: 1. The record of child #1, enrolled 02/07/2022, did not have documentation of the parent’s written acknowledgement for receiving ?Information for Parents?. 2. The record of child #3, enrolled 01/24/2022, did not have documentation of the parent’s written acknowledgement for receiving ?information for parents? and the ?Policies for administering medications?.”

Rule 8VAC20-800-70-B.

Based on observation, the provider did not maintain a working portable battery-operated weather band radio, and extra batteries to be available to caregivers at all times.

“Evidence: The portable battery operated radio did not work. The provider did not have enough additional batteries for the radio to work.”

Rule 8VAC20-800-770.

Based on review of the shelter in place drill log, the provider did not ensure shelter in place procedures were practiced a minimum of twice per year.

“Evidence: The shelter in place drill log had one shelter in place drill documented for the 2021 year. The drill was conducted on 09/14/2021.”

Rule 8VAC20-800-830-B.

Based on review of four children’s records, the provider did not obtain documentation that one child had been adequately immunized before the child’s first day of attendance.

“Evidence: 1. The record of child #3, enrolled 01/24/2022, did not have documentation of immunizations on record. 2. The provider stated she had not received documentation of the immunizations for the child’s record.”

Rule 8VAC20-800-90-A.

Based on observation, the provider did not ensure crib sides were always up and the fastenings secured when a child is in the crib, except when the caregiver is giving the child immediate attention.

“Evidence: 1. Two cribs were observed with the side folded down while each was occupied with a sleeping infant. 2. The caregiver #2 stated she had a hard time getting the infants in and out of the crib with the side up and the latch was difficult to secure.”

Rule 22VAC40-111-520-F.

Based on interview, the provider did not ensure Medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. The provider stated household medications were being stored on top of the refrigerator, unlocked in a bag. 2. The refrigerator is on the second floor of the home where children do not have access to.”

Rule 22VAC40-111-730-D.