Carolini Tweddle

8VAC20-800-60-B

“Children’s records are required to contain medical insurance policy number and two emergency contacts. The record for Child #3 did not contain a second emergency contact’s information, and the policy number for the medical insurance. The child was present during the inspection and had been in care for 15 months.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-B

“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 #3 and #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #3 had been in care for 15 months Child #4 had been in care for over two years without any annual review.”

Rule 8VAC20-800-780-B.

A child’s record shall contain the following information; medical insurance policy number.

“Child #1 record did not contain a medical insurance policy number.”

Rule 8VAC20-800-60-B.

When topical skin products such as sunscreen and insect repellent are used, written parent authorization noting any known adverse reactions shall be obtained, and the product shall be labeled with the child’s name.

“1. There was no written authorization for Child #2’s sunscreen. 2. Insect repellent was not labeled with Child #2’s name.”

Rule 8VAC20-800-750-A.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be posted or given to parents.

“No menu was posted.”

Rule 8VAC20-800-920.

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. There was no documentation of an emergency evacuation drill having been conducted in February 2025.”

Rule 8VAC20-800-830-A.

8VAC20-800-710

“Based on a review of medications, one medication was not in the original, labeled container. Evidence: Child #2’s Auvi-Q was not in a box with prescription label attached.”

Rule 8VAC20-800-710.

8VAC20-800-750-A

“Based on a review of topical skin products, authorizations were not updated annually. Evidence: Child #2’s authorization for application of sunscreen was dated 2022.(expired)”

Rule 8VAC20-800-750-A.

22.1-289.035-B-2

“Repeat Violation Systemic Deficiency Based on a review of records, one caregiver record did not contain documentation of a completed nationwide fingerprint search, prior to employment.. Evidence: There are no fingerprint results available for review. (Caregiver B: date of employment was 2/12/24)”

Rule 22.1-289.035-B-2.

22.1-289.035-B-4

“Based on a review of record, one caregiver record did not have a Sex Offender check for residences outside of Virginia in the past 5 years, prior to employment. Evidence: 1 caregiver record had no documentation of a sex offender check for residences outside of Virginia in the past 5 years.”

Rule 22.1-289.035-B-4.

8VAC20-800-120-A

“Based on a review of records, one caregiver record did not contain documentation of 2 references available for review. Evidence: There was one of two required references available on file for Caregiver B.”

Rule 8VAC20-800-120-A.

8VAC20-800-200-A

“Based on a review of records, one caregiver record was incomplete. Evidence: There was no documentation of orientation available for review, dated within 1 week of assuming job responsibilities. (Caregiver B)”

Rule 8VAC20-800-200-A.

8VAC20-800-460-D

“Based on a review of records, the provider did not maintain a record of current rabies vaccination. Evidence: The dog present at the home had an expired rabies vaccination. (Expired 11/30/23)”

Rule 8VAC20-800-460-D.

8VAC20-800-60-B

“Repeat Violation Based on a review of records, one child record did not contain all required information. Evidence: 1 of 2 records reviewed was missing complete emergency contact information. (Child 1”

Rule 8VAC20-800-60-B.

22.1-289.035-B-2

“Repeat Violation Based on a review of records, one staff member did not have documentation of a completed nationwide fingerprint search, prior to employment. Evidence: Staff A did not have any fingerprint results on file (Date of Hire: (DOH) 10/23/23).”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on a review of records, one staff record did not have a completed Sworn Disclosure Statement (SDS) on file, prior to employment. Evidence: Staff A’s record did not contain documentation of a completed SDS. (DOH: 10/23/23).”

Rule 8VAC20-770-60-B.

8VAC20-800-120-B

“Based on a review of records, one staff record did not contain all required information. Evidence: Staff A’s record was incomplete. Missing information includes: *Documentation of two references prior to employment. *Emergency contact information.”

Rule 8VAC20-800-120-B.

8VAC20-800-200-A

“Based on a review of records, one staff record did not contain documentation of orientation training by the end of the first week of assuming job responsibilities. Evidence: Staff A’s record did not contain documentation of orientation training. (DOH:10/23/23)”

Rule 8VAC20-800-200-A.

8VAC20-800-60-B

“Repeat Violation Based on a review of records, one child record was incomplete. Evidence: 3 child records were reviewed. *1 of 3 did not contain information for a second emergency contact. (Child 3) *1 of 3 did not contain updated allergy information. (Child 4)”

Rule 8VAC20-800-60-B.

8VAC20-800-70-B

“Based on a review of records, child records did not contain updated policy information. Evidence: 3 of 3 child records reviewed contained a decision to administer medication policy stating medications would not be administered. There are medications present that the provider would administer if needed. The provider obtained Medication Administration Training (MAT)certification and must update the policy with parents.”

Rule 8VAC20-800-70-B.

8VAC20-800-700-A

“Based on a review of medication authorizations, authorizations available are incomplete. Evidence: *3 of 3 medications did not have an effective date for the authorization completed. (Auvi-Q, Benadryl, Epi-pen). (Children #3, 4) *1 of 3 authorizations did not list the provider as having authority to administer the medication. (Epi-pen) (Child 3) *1 of 3 did not have a doctor’s signature for a long term, as needed medication. (Benadryl) (Child 4)”

Rule 8VAC20-800-700-A.

8VAC20-800-710

“Based on a review of children’s medications, all required information was not provided for the medication. Evidence: *One medication was not in the original box with the prescription label attached (Auvi-Q). (Child #4)”

Rule 8VAC20-800-710.

8VAC20-800-730-D

“Based on observation, medications were not kept in a locked place using a safe locking method to prevent access by children. Evidence: At LI arrival, (approximately 1:20PM), medications were observed in plastic bags, tacked on the wall above the washing machine.”

Rule 8VAC20-800-730-D.

8VAC20-800-800-B

“Repeat Violation Based on a review of the emergency preparedness plan, the plan was not updated as needed. Evidence: The emergency plan needed to be updated to reflect a current relocation destination, once the old destination was no longer available.”

Rule 8VAC20-800-800-B.

8VAC20-800-800-C

“Based on a review of documentation, a staff member was not trained in the emergency preparedness plan within the first week of assuming job responsibilities. Evidence: Staff A’s record doe not contain documentation of training in the emergency preparedness plan. (DOH: 10/23/23).”

Rule 8VAC20-800-800-C.

8VAC20-770-60-C-2

“Based on a review of records, one adult record does not include documentation of a completed Central Registry Search ( CPS ) with in 30 days of employment. Evidence: Adult A does not have results of a CPS search on file.”

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

8VAC20-800-800-B

“Based on a review of records, the emergency preparedness plan available for review was not updated annually. Evidence: The plan reviewed was dated 8/2021.”

Rule 8VAC20-800-800-B.

22.1-289.035-B-2

“Based on a review of records, one staff record does not contain documentation of a completed nationwide fingerprint search prior to employment. Evidence: The fingerprint results on file are dated 10/21/22 for Staff A. (Date of Hire: 10/18/22)”

Rule 22.1-289.035-B-2.

8VAC20-800-60-B

“Based on a review of records, 1 child record does not contain all required components. Evidence: 1 of 3 child records reviewed did not contain documentation of: *Parent work information and phone number *Complete addresses for 2 emergency contacts. (Child 1)”

Rule 8VAC20-800-60-B.

8VAC20-800-250-E

“Based on direct observation, latex balloons were accessible to children under 5 years of age. Evidence: At LI arrival (9:50 AM) there were two (2) latex balloons in the daycare area, accessible to children.”

Rule 8VAC20-800-250-E.

8VAC20-800-320-A

“Based on direct observation, small appliances were not unplugged when not in use. Evidence: Small appliances were plugged in, in the kitchen of the home, including a toaster oven, water heater and coffee maker.”

Rule 8VAC20-800-320-A.

8VAC20-800-540-B

“Based on direct observation, an infant walker was in use. Evidence: At LI arrival (9:50 AM) an infant was observed seated in a wheeled walker.”

Rule 8VAC20-800-540-B.

8VAC20-800-60-B

“Based on a review of records, child records do not include documentation of all required components. Evidence: 2 of 2 records did not have all required documentation on file. *No documentation of the signature and date of viewing the child’s Proof of Birth. (Child 1) *No documentation of the child’s first day of attendance. (Child 2)”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on a review of records, one child record did not contain written documentation of the parent having received all policies and procedures before the first day of attendance. Evidence: 1 of 2 records reviewed did not have a signature and date on the Information for Parents document. (Child 2)”

Rule 8VAC20-800-70-A.

8VAC20-800-830-A

“Based on a review of documentation, emergency evacuation drills have not been practiced monthly. Evidence: No emergency evacuation drill was practiced in January 2022.”

Rule 8VAC20-800-830-A.

8VAC20-800-940-A

“Based on direct observation, the refrigerator and freezer were not maintained at 40 degrees and 0 degrees respectively. Evidence: During today’s inspection, the refrigerator temperature registered 42 degree Fahrenheit . The freezer temperature was 2 degrees Fahrenheit.”

Rule 8VAC20-800-940-A.

8VAC20-820-120-E-2

“Based on observation, the results of the most recent inspection were not posted. Evidence: The Initial Inspection paperwork was not posted for parents to see.”

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