Tiera Saunders

The vendor shall ensure compliance with the standards in this part, the terms of the vendor agreement, and all relevant federal, state, or local laws and regulations.

“The terms of the vendor agreement are location specific and the provider stated they had moved, and a subsidy child is still enrolled/attending.”

Rule 8VAC20-790-170-A.

Providers’ records shall contain the following: documentation of training.

“Caregiver #1’s record did not contain documentation of annual training for 2025.”

Rule 8VAC20-800-120-D.

The provider shall obtain for each caregiver a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

“Caregiver #1’s subsequent TB screening is overdue by 8 months.”

Rule 8VAC20-800-180-A.

A child’s record shall contain parent’s signed acknowledgement of the receipt of the information required by 8VAC20- 800-70 and emergency contact information including: the name, office address and telephone number of the child’s physician and the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“Child #1’s record did not contain parent’s signed acknowledgement of the receipt of the information required by 8VAC20- 800-70 and emergency contact information including: the name, office address and telephone number of the child’s physician and the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Child #1 was enrolled for one day.”

Rule 8VAC20-800-60-B.

Staffing shall be appropriate and adequate to meet the specific developmental needs of a child with special needs in care.

“On October 8, 2024, a child with special needs attended the family day home. Staffing was not appropriate and adequate to meet the specific developmental needs of the child.”

Rule 8VAC20-800-620-E.

Caregivers shall use positive methods of discipline. Discipline shall be constructive in nature and include techniques such as using limits that are appropriate and understandable for the child’s level of development.

“Caregiver #1 did not use discipline that included techniques such as using limits that are appropriate and understandable for the child’s level of development. On October 4, 2024, Caregiver #1 strapped Child #1 (age: 7 years) into a car seat and gave the child a book for less than 5 minutes.”

Rule 8VAC20-800-630-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“The provider did not obtain documentation that Child #1 has been adequately immunized before the child attended the family day home. The child attended the family day home on October 8, 2024.”

Rule 8VAC20-800-90-A.

Based on observation, potentially poisonous substances were accessible to children.

“Evidence: 1. One nasal spray, one disinfectant spray, and one over-the-counter medication was found in an unlocked medicine cabinet in the bathroom used by the children. 2. One air freshener was found on the 3-cube storage in the living room. 3. Two air fresheners were found on the kitchen island, on the side that is accessible to children.”

Rule 8VAC20-800-280.

Based on record review, the provider did not obtain all information for children’s records.

“Evidence: 1. Child #1?s record did not contain a name, address, and telephone number for a second emergency contact. 2. Child #2?s record did not contain an address for parent #2. 3. Child #2?s record did not contain an address for emergency contact #2.”

Rule 8VAC20-800-60-A.

Based on observation, not all topical skin products were labeled with the child’s name.

“Evidence: The ointment belonging to Child #3 was not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

Based on observation, not all food brought from home was clearly labeled in a way that identified the owner.

“Evidence: Child #1 had two containers of food that were not labeled with the child’s name.”

Rule 8VAC20-800-890.