Poonam Anand

The provider shall obtain for each caregiver the documentation of two or more references prior to employment.

“The references for Caregiver 2 were dated 17 days after the first day of employment.”

Rule 8VAC20-800-120-B.

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

“The tuberculosis screening for Caregiver 2, was dated 20 days after the date of hire. The caregiver had been caring for children during that time.”

Rule 8VAC20-800-170-A.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver 3 had been employed and working with children for 23 days before the completed national criminal background check results were returned. Caregiver4 had been employed and working with children for 4 days before the completed national criminal background check results were returned.”

Rule 22.1-289.035-B-2.

The provider shall obtain from each caregiver at the time of hire and prior to coming into contact with children a current TB Screening/test. The form shall have been completed within the last 30 days and be signed by a physician.

“Caregiver 3 had a TB screening dated greater than 30 days prior to the date of hire.”

Rule 8VAC20-800-170-B.

The provider shall maintain written documentation of each caregiver’s applicable education and programmatic experience.

“Four assistant caregiver files did not contain proof of education (at a minimum a high school diploma).”

Rule 8VAC20-800-230-A.

In addition to completion of first aid training and CPR training, caregivers will obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Two caregivers did not have evidence of training received in the past year.”

Rule 8VAC20-800-210-A.

Hanging items including appliance cords will be out of reach of children under five years of age.

“The cord from a wall heater was hanging within reach of children.”

Rule 8VAC20-800-250-A.

Annually, the provider will review with the parent the emergency contact information for accuracy and obtain the parent’s signed acknowledgment of the review.

“Child A and D had no documentation of an annual review in over one year.”

Rule 8VAC20-800-780-B.

Bottles will be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“There were unlabeled bottles in a lunch-bag with an icepack.”

Rule 8VAC20-800-960-E.

8VAC20-800-110-B

“Based on review, the provider did not ensure that each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: reviewed 3 children’s records and found that Child 1 did not have documentation of a signed physical examination, and Child 1 and 3 did not have documentation of a signed immunization record.”

Rule 8VAC20-800-110-B.

8VAC20-800-760-A-1

“Based on observation, the provider did not ensure that the first aid kit contained the required minimum items. Evidence: observed that the first aid kit only had one triangular bandage.”

Rule 8VAC20-800-760-A-1.

8VAC20-800-180-A

“Based on records reviewed, there was no documentation that an adult household member has completed a TB screening every 2 years. Evidence: The TB test on-file for household member #3 was dated 5/28/21.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“Based on records reviewed and interview conducted, a caregiver did not obtain a minimum of 16 hours of annual training. Evidence: Documentation showed that Caregiver #1 obtained 4 of 16 hours of annual training and this was confirmed by the caregiver.”

Rule 8VAC20-800-210-A.

8VAC20-800-70-A

“Based on records reviewed, 4 of 5 children’s records did not include documentation of the medication policy provided to parents. Evidence: There was no documentation of the medication policy for Child #2, #3, #4, and #5.”

Rule 8VAC20-800-70-A.

8VAC20-800-80-C

“Based on records reviewed, the provider did not ensure that documentation of verifying a child’s proof of identity was completed in 1 of 3 children’s records. Evidence: There was no documentation that the proof of identity had been verified for Child #8.”

Rule 8VAC20-800-80-C.

Based on records reviewed, it was determined that 2 of 2 staff records did not include required information.

“Evidence: 1. Staff #2 ? There was no documentation of at least 2 reference checks having been completed. Date of hire was 11/4/22. 2. Staff #3 - There was no documentation of at least 2 reference checks having been completed. Date of hire was 11/3/22.”

Rule 8VAC20-800-120-B.

8VAC20-800-240-A

“Based on observations made, it was determined that a piece of furniture in the infant/toddler room presented as unsafe and a potential hazard. Evidence: The metal springs of a bed foundation were not covered by a mattress (or other cover item), were within reach of the children in care, and posed as a potential skin snag to the children.”

Rule 8VAC20-800-240-A.

8VAC20-800-320-B

“Based on observations made, it was determined that an electrical outlet in the infant/toddler room did not have a protective safety cover. Evidence: A low-level outlet beside the ball pit play area did not have a cover and was accessible to the children.”

Rule 8VAC20-800-320-B.

Based on records reviewed, it was determined that 2 of 5 children’s records did not include required information.

“Evidence: 1. Child #13 ? There was no written allergy care plan on-file for a known allergy. 2. Child #14 ? There was no documentation of medical insurance information. The space on the form was left blank. 3. Child #17 - There was no documentation of medical insurance information. The space on the form was left blank.”

Rule 8VAC20-800-60-B.

8VAC20-820-120-E-2

“Based on observations made, it was determined that the most recent inspection findings were not posted on the premises. Evidence: The violation notice from the 4/27/22 inspection was not posted.”

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

8VAC20-800-500-C

“Based on observations made, it was determined that a piece of outdoor play equipment was installed over a hard surface. Evidence: A sliding board was placed on brick pavers covered with artificial turf. Areas of the turf were torn which exposed the brick pavers. There was no resilient surfacing present.”

Rule 8VAC20-800-500-C.

8VAC20-800-200-A

“Based on records requested and interview conducted, it was determined that the assistant caregiver has not received training, as required by the end of the first week of employment. Evidence: There was no documentation of orientation training available for review and the provider reported that it has not been completed to-date.”

Rule 8VAC20-800-200-A.