Leibin Oliva

The family day home shall obtain documentation of additional immunizations (for a child who is not exempt from the immunization requirements) once every six months for children under the age of two years.

“Child #1, 15 months old, last documented immunization was over 11 months ago.”

Rule 8VAC20-800-90-C.

Based on review, 3 of 6 children files indicated that not all of the required authorizations was contained within each child’s record.

“Evidence - 1. On the date of inspection (06/11/2024), the following children did not have an emergency medical authorization on file: Child #1, Child #5, and Child #6. 2. For Child #1, while an emergency medical authorization was on file, it did not specifically authorize the provider. 3. For Child #5 and Child #6, the back page (page 2) of the Child’s Record was blank. This page is where this authorization is generally located.”

Rule 8VAC20-770-60-B.

Based on review, 1 of 6 children files indicated that not all of the required documentation was contained within each child’s file.

“Evidence - 1. On the date of inspection (06/11/2024), the following documents were missing for Child #1: Information for Parent form, Program Decision to Administer Medications form, Liability Insurance Declaration, and an Authorization to Apply a Non-Prescription Topical Skin Product form. 2. The start date for Child #1 was listed as 07/28/2023.”

Rule 8VAC20-800-70-B.

Based on review, 3 of 6 children files indicated that annually, the Provider did not review with each child’s parent the emergency contact information (required in 8VAC20-800-60 B 2) to ensure the information was correct, and obtained the parent’s signed acknowledgment of this review.

“Evidence - 1. On the date of inspection (06/11/2024), the following children’s last review of their emergency contact information was documented more than one year ago: Child #2, #3, and #4. 2. All three were dated - 05/03/2023.”

Rule 8VAC20-800-780-B.

Based on review, emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care.

“Evidence - 1. On the date of inspection (06/11/2024), the “fire drill” log indicated that practice drills were not conducted during the months of April and May of 2024. 2. This was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-830-A.

Based on review, 1 of 6 children files indicated that the Provider did not obtain documentation that the 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) before a child may attend the Family Day Home (FDH).

“Evidence - 1. On the date of inspection (06/11/2024), an immunization page was not available for Child #6. 2. The start date of Child #6 was listed as 08/14/2023.”

Rule 8VAC20-800-90-A.

Based on review, 1 of 6 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for a child under the age of two years.

“Evidence - 1. On the date of inspection (06/11/2024), the current Immunization page on file for Child #1 was dated - 07/21/2023. 2. On the date of inspection, based on the information on file, Child #1 was listed as being under two years of age.”

Rule 8VAC20-800-90-C.

8VAC20-770-40-D-4

“Based on review, the provider did not ensure that all household members 18 years of age and older had documentation of a completed sworn statement or affirmation. Evidence: reviewed 2 caregiver records and 3 household member’s records and found that caregiver 2 did not have documentation of a sworn statement.”

Rule 8VAC20-770-40-D-4.

8VAC20-800-170-A

“Based on review and the provider’s statements, the provider did not ensure that they obtained documentation of a current report of tuberculosis screening for each adult household member. Evidence: reviewed 2 caregiver records and 3 household member records and found that caregiver 2 did not have documentation of a tuberculosis screening.”

Rule 8VAC20-800-170-A.

8VAC20-800-240-A

“Based on observation, the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1) observed a large hole in the wall next to the pink chair, but the front door. 2) observed a nail sticking out of the wall approximately 3/4 of an inch.”

Rule 8VAC20-800-240-A.

8VAC20-800-320-B

“Based on observation, the facility did not ensure that child resistant protective covers are installed on all unused electrical outlets. Evidence: observed 1 uncovered electrical outlet under the main room window.”

Rule 8VAC20-800-320-B.

8VAC20-800-460-D

“Based on review, the provider did not have documentation of current rabies vaccinations. Evidence: reviewed the provider’s files and found that they did not have documentation of rabies vaccinations for the 2 cats and 1 dog that lives in the home.”

Rule 8VAC20-800-460-D.

8VAC20-800-60-A

“Based on review, the provider did not maintain an up-to-date record at the family day home for each child enrolled. Evidence: reviewed 2 children’s records and found that both children had records provided by Campagna, but that the provider did not obtain her own records with her own permissions and authorizations.”

Rule 8VAC20-800-60-A.

8VAC20-800-80-A

“Based on review, the provider did not ensure that they obtained and verified documentation of proof of day within 7 business days of the child’s first day of attendance at the family day home. Evidence: reviewed 2 children’s records and found that both children were missing documentation that the provider verified their identity within 7 business days.”

Rule 8VAC20-800-80-A.

8VAC20-800-830-C

“Based on review, the provider did not ensure that emergency evacuation and shelter-in-place drills were documented properly. Evidence: reviewed the emergency evacuation drill log and found that it was missing: 1) method used for notification, 2) number of caregivers participating, 3) number of children participating, 4) any special conditions simulated, 5) the time it took to complete the drill, 6) problems encountered if any, 7) weather conditions.”

Rule 8VAC20-800-830-C.

8VAC20-800-90-C

“Based on review, the provider did not ensure that they obtained documentation of additional immunizations every 6 months for children under 2 years of age. Evidence: reviewed 2 children’s records and found that Child 2 is under 2 years of age, and their last documented immunization was dated 12/7/22.”

Rule 8VAC20-800-90-C.

8VAC20-800-940-B

“Based on observation, and the provider’s statements, the provider did not ensure that they had an operable thermometer available to monitor the refrigerator and freezer compartment temperatures. Evidence: observed that the provider could not locate the thermometer in the refrigerator or the freezer.”

Rule 8VAC20-800-940-B.

Based on record review, the provider did not obtain documentation of a physical examination for each child in attendance:

“Evidence: Child A did not have a documentation of a physical examination on file.”

Rule 8VAC20-800-100-A.

Based on record review, a child’s record was missing required information.

“Evidence: The record of Child A was missing the following required information: Physicians address and the addresses of two emergency contacts.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not obtain a record of immunization for all children in care.

“Evidence: Child A did not have a record of immunization on file.”

Rule 8VAC20-800-90-A.

Based on record review, a child’s record was missing required information.

“Evidence: Child A and Child B were missing liability insurance declaration, permission to go off premises, and proof of identity.”

Rule 8VAC20-800-60-B.