Mashaunda Collins

8VAC20-800-180-A

“The provider shall obtain for each caregiver a current Report of Tuberculosis Screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. The current tuberculosis test for Caregiver 1 expired 3/2026.”

Rule 8VAC20-800-180-A.

8VAC20-770-60-C-2

“Based on review of four caregiver records, the provider failed to have documentation of a completed search of the central registry ( CPS check) on file for each caregiver within the first 30 days of employment. Evidence: Caregiver 2 (date of employment 10/16/2023) did not have documentation of a search of the central registry on file.”

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

8VAC20-800-120-B

“Based on review of four caregiver records, the provider failed to obtain documentation of two or more references as to character and reputation as well as competency were checked before employment. Evidence: Caregiver 2 had documentation of one reference. Caregiver 3 didn’t have documentation of two references as required.”

Rule 8VAC20-800-120-B.

8VAC20-800-180-A

“Based on review of four caregiver records, the provider failed to ensure caregivers obtained and submitted documentation of a TB test or screening at least every two years from the date of the previous screening. Evidence: Caregiver 1 had a TB test that expired 10/21/2023.”

Rule 8VAC20-800-180-A.

8VAC20-800-80-A

“Based on review of six children’s files, the provider failed to obtain the proof of age and identity for two children. Evidence: Child 3 and Child 7 did not have documentation that the provider that viewed the proof of age and identity.”

Rule 8VAC20-800-80-A.

8VAC20-800-230-A

“Based on review of two caregivers? records and interview, the provider did not maintain written documentation of each caregiver’s orientation. Evidence: 1. The record for Caregiver #2 did not contain documentation of orientation. 2. The provider stated orientation was completed but it was not documented.”

Rule 8VAC20-800-230-A.

Based on review of five children’s records, one child’s record did not contain immunization records and results of the health examination.

“Evidence: 1. The record for Child #5 (first day of attendance 12/5/2022) did not contain immunization record and results of the health examination. 2. The provider stated she had a copy of the records on the computer but was unable to locate the records during the inspection.”

Rule 8VAC20-800-60-B.

Based on documentation review, the provider did not document in writing review the emergency plan at least annually and update the plan as needed.

“Evidence: The emergency preparedness plan was dated as being reviewed on 04/01/2022.”

Rule 8VAC20-800-800-B.

8VAC20-800-100-A

“Based on review of five children’s records and interview, the caregiver did not 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 for two children. 1. The records for Child #4 (first day of attending 01/06/2023) and Child #5 (first day of attending 12/05/2022) did not contain documentation a physical examination. 2. Caregiver #1 confirmed this information during the inspection.”

Rule 8VAC20-800-100-A.

8VAC20-800-350-E

“Based on a temperature reading of a hot water tap available to children the water temperature exceeded the maximum 120 degrees. Evidence: A temperature reading was taken from the handwashing sink located in the bathroom. The temperature reading was measured at 130.7 degrees. Children were observed washing their hands during the inspection.”

Rule 8VAC20-800-350-E.

8VAC20-800-830-D

“Based on documentation review and interview, the caregiver did not maintain a record of the dates of the practiced emergency response drills for one year. Evidence: 1. On 02/09/2023, emergency drill log documented the last emergency evacuation drill occurred on 10/11/2022. 2. Caregiver #1 stated the emergency evacuation drills have been completed monthly, but she did not write the information down.”

Rule 8VAC20-800-830-D.

8VAC20-800-90-A

“Based on review of five children’s records and interview, the caregiver did not obtain documentation that a child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations for two children before attending the family day home. 1. The records for Child #4 (first day of attending 01/06/2023) and Child #5 (first day of attending 12/05/2022) did not contain documentation of immunizations. 2. Caregiver #1 confirmed this information during the inspection.”

Rule 8VAC20-800-90-A.

Based on observation and interview, the provider did not ensure the home was equipped with at least one carbon monoxide detector.

“Evidence: The caregiver stated a carbon monoxide detector has been purchased but had not been installed as of May 3, 2022 when the licensing inspector asked the provider to show where the carbon monoxide detector was located. The family day home was built before 2015.”

Rule 22.1-289.058.

Based on documentation review and interview, the provider did not ensure emergency evacuation and shelter-in-place drills were documented.

“Evidence: On May 3, 2022 the drill log with emergency evacuation and shelter-in-place drills was reviewed. An emergency evacuation drill for April 2022 was not documented. The provider stated an emergency evacuation drill was completed in April 2022 but she forgot to document it on the drill log.”

Rule 8VAC20-800-830-C.

Based on review of one child’s record and interview, the provider did not obtain documentation of a physical examination by or under the directions of a physicion prior to or within the first 30 day s of attending the Family Day Home.

“Evidence: The record for Child #1 (first day of attending FDH: 01/18/2021) did not contain documentation of a physical exam. The provider stated she could not find the physical exam.”

Rule 8VAC20-800-100-A.

Based on review of one child’s record, the provider did not ensure the record contained the required information.

“Evidence: The record for Child #1 (first day of attending FDH: 01/18/2021) did not contain the address for one of the two designated persons listed to contact in case of an emergency if the parent cannot be reached. The record for Child #1 did not contain parent’s signed acknowledgement of receipt regarding provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-60-B.

Based on documentation review and interview, the provider did not ensure all practiced emergency evacuation drills were documented and maintained for at least one year.

“Evidence: The provider stated the fire drills that had been completed in 2022 had not been documented but has been completed.”

Rule 8VAC20-800-830-D.