Alferlo Delos Angeles

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. The record for Child #5 did not have a parent’s signature for an annual review of the emergency contact information. Child #5 had been in care for over a year.”

Rule 8VAC20-800-780-B.

22.1-289.035-B-1

“The family day home is required to obtain a completed sworn statement prior to the caregiver’s first day of employment. A completed sworn statement was not on record for Caregiver #2, who has been employed for one month, and Caregiver #3 who has been employed for three weeks.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Caregiver #4, who had been employed for three weeks, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

Providers are required to maintain a record for each caregiver.

“Caregiver #4 was present in the Family Day Home and providing care to children. The provider did not have a record for Caregiver #4. Caregiver #4 has been providing care to the children in the family day home for the past three weeks, but has not been present daily.”

Rule 8VAC20-800-120-A.

8VAC20-800-60-B

“An up to date record for each child enrolled shall be maintained by the provider and contain all required information. The record for Child #1 did not contain the name, address and telephone number of 1 of 2 required designated persons to contact in case of an emergency if the parent cannot be reached;”

Rule 8VAC20-800-60-B.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. The documentation of immunizations for Child #1 were obtained two weeks after enrollment.”

Rule 8VAC20-800-90-A.

For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service.

“Evidence: Caregiver #2 did not have central registry search results during the inspection and has been employed for 7 months. Caregiver #2 provided care as a substitute on the day of inspection.”

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

Providers must maintain a record for each caregiver. Caregiver records shall contain date of employment and documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: Caregiver #2 had been employed for seven months. The record for Caregiver #2 did not contain the date of employment and documentation of two or more references.”

Rule 8VAC20-800-120-B.

Providers are required to have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“Evidence: The CPR certification for Caregiver #1 expired in July 2024.”

Rule 8VAC20-800-140-B-3.

Providers are required to have current certification in first aid.

“Evidence: The first aid certification for Caregiver #1 expired in July 2024.”

Rule 8VAC20-800-140-B-4.

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.

“Evidence: The emergency plan was last reviewed on 8/29/2023.”

Rule 8VAC20-800-800-B.

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

“Evidence: The menu posted in the family day home was not dated.”

Rule 8VAC20-800-920.

Based on record review, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance.

“Evidence: 1. Child #3 has been attending the family day home since 9/13/2023. 2. The record for Child #3 did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

Based on record review, 1 of 3 children’s records reviewed did not contain all required information.

“Evidence: 1. The record for Child #3 did not contain documentation of the policy number of the child’s medical insurance”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not obtain the results of a central registry search for 1 caregiver within 30 days of employment.

“Evidence: 1. Caregiver #1 began employment on 11/6/2023. 2. The record for Caregiver #1 did not contain the results of a central registry search. 3. A document in the record for Caregiver #1 indicated a request was sent on 3/4/2024. An additional document dated 3/6/2024 stated a portability request was denied and the individual’s information was not found.”

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

Based on record review, 1 caregiver record did not contain all required information.

“Evidence: 1. Caregiver #1 began employment on 11/6/2023. 2. The record for Caregiver #1 did not contain the name address and telephone number of a person to be notified in an emergency; and documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-800-120-B.

Based on record review, a tuberculosis screening form was not completed within the last 30 days prior to employment for 1 caregiver.

“Evidence: 1. The tuberculosis screening results in the record for Caregiver #1 were dated 6/30/2023, more than 30 days prior to the caregiver’s date of hire (11/6/2023).”

Rule 8VAC20-800-170-B.

Based on record review, 1 of 5 records reviewed did not contain all required information.

“Evidence: 1. The record for Child #1 did not contain the name, address and telephone number for one of two designated persons to contact in case of an emergency if the parent cannot be reached;”

Rule 8VAC20-800-60-B.

Based on caregiver interview and record review, the use of topical skin products did not meet all requirements.

“Evidence: 1. Caregiver #2 stated topical products are used for Child #1,2,3,4 and 5. 2. Topical products were located in the family day home labeled with the children’s names. 3. The provider did not obtain written parent authorization noting any known adverse reactions for the topical products for Child #1,2,3,4, and 5.”

Rule 8VAC20-800-750-A.

Based on record review, the provider did not obtain documentation a child has been adequately immunized before the child’s first day for 1 of 5 children reviewed.

“Evidence: 1. Documentation of immunizations in the record for Child #4 (start date 1/23/2024) were dated 1/29/2024, after the child’s first day.”

Rule 8VAC20-800-90-A.

Based on observation, the first aid kit did not contain the minimum required components.

“Evidence: 1. The first aid kit did not contain a digital thermometer.”

Rule 8VAC20-800-760-A-1.

Based on record review, the emergency preparedness and response plan did not include all required components.

“Evidence: 1. The emergency preparedness and response plan did not include provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents.”

Rule 8VAC20-800-800-A.

Based on record review, the provider did not update the emergency preparedness plan as needed.

“Evidence: The Emergency Preparedness Plan provided during the inspection contained information from a previous address.”

Rule 8VAC20-800-800-B.