Ms. Shawn Wells

8VAC20-790-250-F

“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. Staff #1, and Staff #3 did not complete the department’s health and safety update course for the 2025 to 2026 annual training year.”

Rule 8VAC20-790-250-F.

22.1-289.035-A

“All applicants for employment, employees, applicants to serve as volunteers, and volunteers shall undergo a background check every five years. The record of caregiver #2 did not have a subsequent sworn statement five years from the date of the previous check. The sworn statement was overdue by 159 days.”

Rule 22.1-289.035-A.

22.1-289.036-A

“The provider is required to obtain background checks every five years. The record of caregiver #1 did not have a subsequent sworn statement five years from the date of the previous check. The sworn statement was overdue by 159 days.”

Rule 22.1-289.036-A.

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. 1. Child #5 had been in care for over five hours and child #6 had been in care for approximately four hours at the time of inspection and had not been signed in on the attendance record.”

Rule 8VAC20-790-180-B.

8VAC20-800-280

“Poisonous materials shall be stored in an area inaccessible to children. Several poisonous cleaning chemicals were in unlocked cabinets under the kitchen sink, accessible to children.”

Rule 8VAC20-800-280.

8VAC20-800-730-D

“Medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. 1. Two medications for a household member were on the kitchen counter and there were several household medications in an unlocked cabinet in the kitchen.”

Rule 8VAC20-800-730-D.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for caregiver #2 was not completed and was overdue by six weeks.”

Rule 8VAC20-800-180-A.

8VAC20-790-250-F

“Repeat Violation Caregivers who work directly with children shall annually complete the department’s health and safety update course. There is no documentation caregiver #2 has completed the 2024 update training, which was cited 09/04/2024.”

Rule 8VAC20-790-250-F.

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There were no physical exam records available for child #1 and child #2, who had been in care for four months.”

Rule 8VAC20-800-100-A.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for child #1, who was in care during the inspection and had been in care for four months.”

Rule 8VAC20-800-90-A.

8VAC20-790-250-F

Rule 8VAC20-790-250-F.

8VAC20-800-180-A

“Based on a review of records and interview, the provider failed to ensure to obtain a tuberculosis screening for each caregiver every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: The record of staff #3, hired 4/20/22, contained documentation of a tuberculosis screening dated 4/13/22. The provider confirmed the repeat screening was not completed.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“Based on a review of annual training and interview, the provider failed to ensure caregivers obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #2, hired August 16, 2021, contained documentation of 8 hours of annual training from August 16, 2023 to August 15, 2024. 2. The provider confirmed the annual training hours were not complete.”

Rule 8VAC20-800-210-A.

8VAC20-800-210-A

Rule 8VAC20-800-210-A.

8VAC20-790-250-B

“Based on a review of caregiver records and interview on March 7, 2023, the vendor failed to ensure within the first 90 of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Evidence: 1. The record of caregiver #3, hired 4/20/22, did not contain documentation of the Virginia Preservice Training. 2. Caregiver #1 confirmed the training was not complete.”

Rule 8VAC20-790-250-B.

8VAC20-790-250-F

“Based on a review of caregiver records and interview on March 7, 2023, the vendor did not ensure that each caregiver complete the Virginia health and safety update course annually. Evidence: The records of caregiver #1, #2, and #3 did not contain documentation of the 2022 Virginia health and safety update course. Caregiver #1 confirmed the training was not completed for each caregiver.”

Rule 8VAC20-790-250-F.

8VAC20-800-180-A

“Based on a review of caregiver records and interview on March 7, 2023, the provider did not obtain a current Report of Tuberculosis Screening form for each caregiver, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. The record of caregiver #2 contained documentation of a tuberculosis screening dated 12/30/2020. 2. Caregiver #1 acknowledged the repeat tuberculosis screening was not complete.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“Based on a review of annual training and interview on March 7, 2023, the provider failed to ensure caregivers obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #2 contained documentation of 14 hours of annual training from 08/16/2021 to 08/15/2022. 2. Caregiver #1 confirmed the 16 hours of training was not completed.”

Rule 8VAC20-800-210-A.

8VAC20-770-40-D-5-a

“Based on a review of records on September 22, 2022, the provider failed to ensure that each household member obtained a central registry check within 30 days of turning 14 years of age. Evidence: 1. The record of household member #1 (DOB 07/27/07) contained documentation of a central registry dated 6/18/22, which exceeds 30 days after turning 14 years of age.”

Rule 8VAC20-770-40-D-5-a.

8VAC20-770-60-C-2

“Based on a review of caregiver records and interview on September 22, 2022, the provider failed to ensure that each caregiver record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of caregiver #2, hired 4/20/22, contained documentation of a central registry result dated 9/12/22.”

Rule 8VAC20-770-60-C-2.

8VAC20-800-240-A

“Based on observation on September 22, 2022, the provider failed to ensure areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. There were several nail pops on the top step of the deck. 2. The surface area of the deck contained chipped paint. 3. The S hooks on the baby swing had an approximate inch opening.”

Rule 8VAC20-800-240-A.

8VAC20-800-60-B

“Based on a review of children’s records on September 22, 2022, the provider failed to obtain all required information for children records. Evidence: 1. The record of child #1 did not contain documentation of the name and policy number of the child’s medical insurance. 2. The record of child #2 did not contain documentation of the name, address, and telephone number of two designated persons to contact in an emergency.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

Rule 8VAC20-800-70-A.

8VAC20-800-90-A

“Based on a review of children’s records on September 22, 2022, the provider failed to obtain documentation that a child had been adequately immunized before the child attended the family day home. Evidence: The record of child #2, enrolled 6/22/22, contained documentation of immunizations dated 6/29/22, which exceeds the child’s first date of attendance.”

Rule 8VAC20-800-90-A.

Based on record review, the provider did not obtain physicals for 3 children within 30 days of the first day of attendance.

“Evidence: 1. Three children records were reviewed. 2. Child #1, #2 and #3 did not have documentation of obtaining a physical within 30 days of the start of attendance. 3. Child #1 documented first date of attendance was 10/11/2021. Child #2 and Child #3’s documented first date of attendance was 08/30/2021. 4. The provider confirmed physicals had not been received for within 30 days of the first day of attendance for Child #1, #2 and #3.”

Rule 8VAC20-800-100-A.