Ariella Hargrave

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 #3, who had been in care for over five months.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Children’s records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. The record for Child #2 did not contain this information. Child #2 has been attending the family day home for more than four months.”

Rule 8VAC20-800-60-B.

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. The emergency preparedness plan had not been updated in over a year.”

Rule 8VAC20-800-800-B.

Repeat violation

“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. A prescription medication was located in an unlocked cabinet in the child care play area.”

Rule 8VAC20-800-730-D.

8VAC20-800-180-A

“Based on review of two household files, the provider failed to have each adult household member obtain a current tuberculosis screening or test every two years from the date of the last screening. Evidence: Household member 1 had a tuberculosis test 6/07/2021; the provider could not locate documentation of a current test or screening.”

Rule 8VAC20-800-180-A.

8VAC20-800-730-D

“Based on observation, the provider did not ensure medications were be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were two children’s medications located in an upper cabinet that was not locked.”

Rule 8VAC20-800-730-D.

Based on review of three staff records, the provider did not obtain results of a central registry check request within 30 days of employment for one employee.

“Evidence: 1.The record of caregiver/staff #3 (date of employment: 6/1/22) did not document the results of a central registry check. 2. Caregiver/Staff #3 was observed supervising children during the inspection.”

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

Based on observation, the family day home provider did not maintain documentation of the emergency evacuation drills completed for February 2023 through July of 2023.

“Evidence: During an interview, the provider stated that drills had been conducted, but the documentation of the drills was unavailable at the time of inspection.”

Rule 8VAC20-800-830-C.

Repeat Based on record review, the provider did not ensure two of five children’s records documented that the children have been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before attendance.

“Evidence: 1. The record of child #1 (enrollment date: 5/1/2023) had documentation showing that the child has been adequately immunized, dated 7/18/2023. 2. The record of child #3 (enrollment date: 2/28/2022) had documentation showing that the child has been adequately immunized, dated 3/10/2022.”

Rule 8VAC20-800-90-A.

8VAC20-800-170-A

“Based on record review, the provider did not ensure to obtain from each caregiver at the time hire a current 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. Evidence: The record of caregiver #3 (employment date: 9/6/2022) had documentation of a tuberculosis screening dated 2/7/2023.”

Rule 8VAC20-800-170-A.

8VAC20-800-730-D

“Based on observation, the provider did not ensure medications were be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were three children’s medications located in an unlocked backpack. The backpack was observed in the family day home’s backyard within the reach of children in care.”

Rule 8VAC20-800-730-D.

8VAC20-800-90-A

“Based on record review, the provider did not ensure two of five children’s records contained documentation that the children have been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before attendance. Evidence: 1. The record of child #1 (enrollment date: 10/24/2022) had documentation showing that the child has been adequately immunized, dated 1/12/2023. 2. The record of child #4 (enrollment date: 9/07/2021) had documentation showing that the child has been adequately immunized, dated 2/24/2023.”

Rule 8VAC20-800-90-A.

Based on a review of five children’s records and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to one child’s attendance or within 30 days after their first day of attendance.

“Evidence: 1) The physical examination in the record for Child #2, enrolled on 12/28/21, was dated 02/02/22. 2) During interview, the provider reported the physical examination for Child #2 was not obtained within the required time frame.”

Rule 8VAC20-800-100-A.

Based on a review of five children’s records and interview, the provider did not obtain documentation that one child had been adequately immunized before the child attended the family day home.

“Evidence: 1) The immunization documentation in the record for Child #2, enrolled on 12/28/21, was dated 02/02/22. 2) During interview, the provider reported the immunizations for Child #2 were not obtained prior to their first day of attendance.”

Rule 8VAC20-800-90-A.

8VAC20-800-100-A

“Based on record review, the provider did not ensure one of three children’s records contained 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. Evidence: The record child #2 (start date: 9/7/21) did not have documentation of a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-690-D

“Based on observation, the center did not ensure that the diapering surface was cleaned after each use. Evidence: The inspector observed staff #2 sanitize the diapering surface after diapering each child. The diapering surface should be cleaned and sanitized after each use.”

Rule 8VAC20-800-690-D.

8VAC20-800-770

“Based on observation, the provider did not ensure to have a working portable battery-operated weather band radio. Evidence: The provider did not have a working battery operated weather band radio.”

Rule 8VAC20-800-770.

8VAC20-800-90-A

“Based on observation, the provider did not ensure one of three children’s records contained documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: The record of child #2 (start date: 9/7/21) had documentation of immunizations that did not show that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.”

Rule 8VAC20-800-90-A.