Hannah Anokye-Gyambrah

22.1-289.035-A

“The licensee is required to have employees undergo a national fingerprint background check every five years. The most recent fingerprint background check for staff 1 is overdue by six months.”

Rule 22.1-289.035-A.

22.1-289.036-A

“The licensee is required to undergo a national fingerprint background check every five years. The most recent fingerprint background check for the licensee was overdue by six months.”

Rule 22.1-289.036-A.

8VAC20-790-250-F

“Caregivers who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the department’s health and safety update course. The provider and assistant did not complete the department’s health and safety update course in 2024 or 2025.”

Rule 8VAC20-790-250-F.

8VAC20-800-140-D

“A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works. At the time of the inspection a substitute provider was in charge. The licensee stated she has not documented the substitutes arrival and departure.”

Rule 8VAC20-800-140-D.

22.1-289.036-B-2

“All adult household members must submit to fingerprint background checks. A household member turned 18 three months prior and has not submitted fingerprint result.”

Rule 22.1-289.036-B-2.

8VAC20-800-100-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 and child #2 have no physical on record and started five months prior.”

Rule 8VAC20-800-100-A.

8VAC20-800-140-B-3

“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. Staff #1’s CPR certification expired four months ago.”

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

8VAC20-800-140-B-4

“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. Staff #1’s first aid certificate expired four months prior.”

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

8VAC20-800-170-A

“The provider shall obtain from each adult household member prior to coming into contact with children a current Report of Tuberculosis (TB) Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. An adult household member turned 18 three months ago and has not obtained a TB screening.”

Rule 8VAC20-800-170-A.

8VAC20-800-680-B

“Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after toileting. Three children did not wash their hands after toileting.”

Rule 8VAC20-800-680-B.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for the adult household member was not completed and was overdue by five months.”

Rule 8VAC20-800-180-A.

8VAC20-800-900-A

Rule 8VAC20-800-900-A.

Based on review of children records, the provider failed to ensure that documentation of a physical examination was obtained within 30 days after the first day of attendance.

“Evidence: Child #1’s first date of attendance was 01/15/2024. There was no documentation of a physical examination in the file. Child #1 was in attendance on 03/19/2024.”

Rule 8VAC20-800-100-A.

Based on a review of the provider’s record, the provider failed to ensure an updated tuberculosis screening was completed every two years from the date of the first screening.

“Evidence: 1. The tuberculosis documentation in the record of the provider was dated 11/19/2021. A new tuberculosis screening was required by 11/19/2023. 2. The provider verified that they had not obtained an updated tuberculosis screening.”

Rule 8VAC20-800-180-A.

Based on a review of children records, the center failed to ensure that all required information was in the children records.

“Evidence: 1. Child #1’s file did not contain the name and policy number of the child’s medical insurance. 2. The provider verified that the record did not contain the name and policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-A.

Based on review of children records, the provider failed to ensure that immunization documentation were in in the children records before the day the first date of attendance.

“Evidence: Child #1’s first date of attendance was 01/15/2024. There was no documentation of immunizations in the record. Child #1 was in attendance on 03/19/2024.”

Rule 8VAC20-800-90-A.

Based on observation, the provider failed to ensure that topical skin products were inaccessible to children.

“Evidence: 1. There were two buckets of various sunscreen and insect repellants sitting on a bench right at the entrance of the door that comes in from the playground. 2. The provider confirmed that that the topical skin products were accessible to children.”

Rule 8VAC20-800-750-B.

Based on review of children records, the provider failed to obtain a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. Child #1’s date of enrollment was 09/22/2022. There was not documentation of a physical in the child’s file. 2. Caregiver #1 verified that there was not documentation of a physical in the child’s file.”

Rule 8VAC20-800-100-A.

Based on a review of caregiver records, the provider failed to obtain an updated Tuberculosis screening at least two years from the date of the first screening.

“Evidence: 1. Caregiver #2’s tuberculosis test on file was dated 01/07/2021. 2. Caregiver #1 verified that an updated tuberculosis screening had not been completed.”

Rule 8VAC20-800-180-A.

Based on observation, the provider failed to ensure that children washed their hand before morning snack.

“Evidence: After the children put on their shoes and socks to get ready to go outside to play they sat down on the floor. The provider handed the children their morning snack and water cups. The children did not wash their hands before morning snack.”

Rule 8VAC20-800-680-B.

Based on a review of children records, the provider failed to annually review with the parent the emergency contact information to ensure the information is correct.

“Evidence: 1. Child #2’s emergency contact information was last reviewed and dated 02/17/2022. 2. Child #4’s emergency contact information was last reviewed and dated 02/17/2022. 3. Child #5’s emergency contact information was last reviewed and dated 11/02/2021.”

Rule 8VAC20-800-780-B.

Based on interview and observation of posted information, the center failed to post the finding of the most recent inspection of the facility.

“Evidence: 1. The inspection report and violation notice from the August 23, 2022 inspection was not posted. 2. Caregiver #1 verified that the acknowledgment form was posted, but not the inspection report and violation notice.”

Rule 8VAC20-820-120-E-2.

Based on a review of caregiver records, the provider failed to ensure that all caregivers completed the Virginia Preservice Training within 90 days of becoming a subsidy provider.

“Evidence: 1. The provider became a subsidy participant in July of 2021. Caregiver #2 has not completed the Virginia Preservice Training. It was required to be completed by the end of October 2021. 2. The provider verified that Caregiver #2 had not completed the Virginia Preservice Training.”

Rule 8VAC20-790-250-B.

Based on a review of caregiver records, the provider failed to ensure that the National Fingerprint background check was completed prior to first day of employment.

“Evidence: 1. Caregiver #1’s record did not contain the National Fingerprint background check. Date of hire for Caregiver #1 was 07/18/2022. 2. The provider verified that the National Fingerprint background check had not been completed.”

Rule 22.1-289.035-B-2.

Based on a review of caregiver records, the provider failed to ensure that a sworn statement or affirmation was completed prior to the first day of employment.

“Evidence: 1. Caregiver #1’s file did not contain a completed sworn statement or affirmation. Date of employment for Caregiver #1 was 07/18/2022. 2. The provider verified that the record did not contain a sworn statement or affirmation.”

Rule 8VAC20-770-60-B.

Based on a review of caregiver records, the provider failed to ensure that all required information was in the record.

“Evidence: 1. One reference for Caregiver #1 was dated 08/21/2022. The reference is required prior to the first date of employment. Date of employment for Caregiver #1 was 07/18/2022. 2. There was not a second reference completed for Caregiver #1. The requirement is that two refence checks be on file prior to the first date of employment.”

Rule 8VAC20-800-120-B.

Based on a review of children records, the provider failed to obtain all required information for a child’s record.

“Evidence: 1. Child #1’s record did not contain the address for the two designated emergency contacts listed in the record. 2. The provider verified that the record was missing the addresses for the emergency contacts.”

Rule 8VAC20-800-60-A.