Juntimada Mueangjun

Assistants’ and substitute providers’ records shall contain required information.

“The record for Caregiver #3 did not have documentation of the name, address, and telephone number of a person to notified in an emergency, and documentation that two or more references as to character and reputation as well as competancy were checked before employment.”

Rule 8VAC20-800-120-B.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgment of the receipt of the information regarding family day home operations and administration.

“There was no parent acknowledgement available for Child #5, in care for three months.”

Rule 8VAC20-800-70-B.

Annually, the provider shall review withthe parent the emergency contact information required in each child’s record to ensure the information is correct and shall be obtain the parents signed acknowledgment of the review.

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

Rule 8VAC20-800-780-B.

Caregivers shall complete a sworn statement or affirmation prior to employment.

“Caregiver #3, employed and actively working with children for three days, did not complete a sworn statement or affirmation prior to employment.”

Rule 22.1-289.035-B-1.

Caregivers shall submit to a national fingerprint check prior to employment.

“Caregiver #3, employed and actively working with children for three days, did not submit a national fingerprint check prior to employment.”

Rule 22.1-289.035-B-2.

The providers must request a search of the central registry prior to the caregiver’s employment.

“Caregiver #3, employed and actively working with children for three days, did not have documentation of a search of the central registry in the record.”

Rule 22.1-289.035-B-3.

The provider shall maintain a record for each caregiver.

“Caregiver #3, employed for three days, did not have a record.”

Rule 8VAC20-800-120-A.

A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.

“Caregiver #2, employed for two years and substitute provider, did not have documentation of the time of arrivals and departures on each day that they worked.”

Rule 8VAC20-800-140-D.

Repeat Violation

“The provider shall obtain for each caregiver a current Report of Tuberculosis Screening form. Caregiver #3, employed for three days and actively working with children, did not have documentation of a current Report of Tuberculosis Screening form in the record.”

Rule 8VAC20-800-180-A.

The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

“The provider did not orient Caregiver #3, employed for three days, by the end of their first week of assuming job responsibilities. The provider has not been on site for the last eight days.”

Rule 8VAC20-800-200-A.

To safely perform medication administration practices whenever the home-based child care has agreed to administer prescription medications or nonprescription medications, the administration shall be performed by a caregiver who has satisfactorily completed a training program for this purpose developed or approved by the Board of Nursing.

“Caregiver #3, employed for two years, did not have documentation of completion of a training program for the purpose of safely performing medication administration. Caregiver #3 confirmed that they did not complete Medication Administration Training Program(MAT) to safely administer medication. Child #3 has prescription medication on site. Caregiver #3 confirmed that a prescription medication had been administered to Child #3 by them twice a day for the last eight days.”

Rule 8VAC20-800-220-A.

Potentially poisonous substances, materials, and supplies shall stored in areas inaccessible to children.

“A container of fertilizer , containing the words “Keep out of reach of Children,” was located in the backyard where the children play on top of a slide. and accessible to children. A bottle of air freshener with the words” Keep out of reach of children” was located on a counter accessible to children.”

Rule 8VAC20-800-280.

No soft bedding of any kind shall be used under or around infants.

“A blanket was located in the crib while Child #6, 5 months old, was asleep.”

Rule 8VAC20-800-530-F.

Before the child’s first day of attendance, parents shall be provided in writing required information.

“Child #5 and Child #6, in care for 13 days, did not have documentation in the records for provisions of the home-based child care’s emergency preparedness and response plan and whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the home-based child care operation.”

Rule 8VAC20-800-70-A.

Prescription and nonprescription medications shall be given to a child only with written authorization from the parent.

“Child #3, 35 months old, has prescription medication on site. Child #3 was administered prescription medication without written authorization from the parent.”

Rule 8VAC20-800-700-A.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“Child #3 and Child #4 have prescription medication on site. Albuterol and an Epi-pen were located on a counter accessible to children.”

Rule 8VAC20-800-730-D.

The provider shall keep a record of prescription and nonprescription medication given to children.

“Child #3 has prescription medication on site. Caregiver #3 confirmed that Child #3 is administered prescription medication twice a day and no record has been not been maintained.”

Rule 8VAC20-800-740.

Repeat Violation

“Before a child may attend the home-based child care, the provider shall obtain documentation that the child has been adequately immunized. Child #3, 35 months old and in care for 18 days, did not have documentation that the child had been adequately immunized in the record.”

Rule 8VAC20-800-90-A.

Repeat Violation

“The home-based child care shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements. Child #1, 2 years old, did not have documentation of additional immunizations in the record. Documentation of the last immunization was a year ago.”

Rule 8VAC20-800-90-C.

Bottles shall be refrigerated and labeled with the child’s name and the date.

“Five bottles were not labeled with the child’s name and date.”

Rule 8VAC20-800-960-E.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening.

“Caregiver #1’s record did not obtain documentation of a subsequent Report of Tuberculosis(TB) Screening form. Documentation of a previous TB screening report was expired by nine days. Caregiver #2’s record did not contain documentation of a subsequent Report of Tuberculosis (TB) Screening form. Documentation of a previous TB screening report was expired by 10 days. Household Member #1’s record did not contain documentation of a subsequent Report of Tuberculosis (TB) Screening form. Documentation of a previous TB screening was expired by four days.”

Rule 8VAC20-800-180-A.

Annually, the provider shall review with the parent the emergency contact information to ensure the information is correct and obtain a parent’s signed acknowledgment of the review.

“The record for Child #4, enrolled for 15 months, did not contain a parent’s signed acknowledgment of the review of the emergency contact information.”

Rule 8VAC20-800-780-B.

The provider shall review and document in writing the each review of the emergency plan at least annually and update the plan as needed.

“The provider confirmed that the emergency plan was not reviewed and documented in writing annually. Documentation of the last review in writing was twenty months ago.”

Rule 8VAC20-800-800-B.

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

“Child #4, enrolled for 15 months and 17 months old, did not have additional immunizations once every six months. Documentation of the last immunization record was nine months ago.”

Rule 8VAC20-800-90-C.

Lockdown procedures shall be practiced at least annually.

“The provider did not practice at least one lockdown procedure annually.”

Rule 8VAC20-790-430-A-3.

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The current inspection notice was not posted in a conspicuous place on the licensed premises.”

Rule 22.1-289.011-F.

8VAC20-800-70-B

“Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration. There was no parent acknowledgement available for Child #2 who has been in care for 11 months.”

Rule 8VAC20-800-70-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 parent’s signed acknowledgment of the review. Child #3’s record did not have a parent’s signature for an annual review of the emergency contact information. Child #3 has been in care for 16 months.”

Rule 8VAC20-800-780-B.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“The emergency evacuation procedures for the months of March, April, May, June, and July were not practiced monthly.”

Rule 8VAC20-800-830-A.

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #2, 13 months old, last documented immunization was 11 months ago. Child #3, 19 months old, last documented immunization was one year ago.”

Rule 8VAC20-800-90-C.

The provider is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“Caregiver #2, who has been employed for two weeks, did not complete a sworn statement prior to their first day of employment.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver #2, who had been employed for two weeks, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

The provider is required to obtain a central registry request prior to employment.

“Caregiver #2, who has been employed for two weeks, did not have documentation of a central registry request completed prior to employment.”

Rule 22.1-289.035-B-3.

The provider shall maintain a record for each caregiver.

“The provider did not maintain a record for Caregiver #2.”

Rule 8VAC20-800-120-A.

The provider shall obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening.

“Caregiver #2 did not have documentation of a Tuberculosis Screening at the time of the inspection.”

Rule 8VAC20-800-170-A.

Documentation of the orientation shall be signed and dated by the provider and assistant.

“Caregiver #2 did not have documentation of orientation.”

Rule 8VAC20-800-200-C.

Caregivers shall wash their hands with liquid soap and warm running water after diapering a child.

“Caregiver #2 did not wash their hands with liquid soap and warm running water after diapering a child. Caregiver #2 applied hand sanitizer to their hands after diapering.”

Rule 8VAC20-800-680-A.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after diapering.

“Child #5’s hands were not washed after diapering.”

Rule 8VAC20-800-680-B.

Prescription and nonprescription medications shall be given to a child only with written authorization from the parent.

“Documentation of written authorization from the parent for a prescription medication was not available at the time of the inspection for Child #1.”

Rule 8VAC20-800-700-A.

8VAC20-800-100-A

“Based on documentation review and interview, the provider 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. Evidence: 1. Child #2’s record (Start date-04/01/2024) did not contain documentation of a physical examination. 2. Caregiver #1 confirmed that Child #2’s documentation of a physical examination was not obtained from a physician.”

Rule 8VAC20-800-100-A.

Repeat Violation

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #2’s record (Start date-04/01/2024) did not contain Parent’s signed acknowledgement of the receipt of the Liability Insurance Declaration.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-A

“Based on documentation review and interview, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that the children are in care. Evidence: 1. The emergency evacuation procedures were not practiced for the month of July. 2. Caregiver #1 confirmed that the emergency evacuation procedures for the month of July were not practiced.”

Rule 8VAC20-800-830-A.

22.1-289.011-F

“Based on observation and interview, the family day home did not post the findings of the most recent inspection in a conspicuous place. Evidence: 1. The findings of the most recent inspection was not posted in a conspicuous place in the family day home. The provider confirmed that the most recent inspection findings was not printed and posted.”

Rule 22.1-289.011-F.

8VAC20-800-70-A

“Based on record review and interview, parents were not provided required information in writing before the child’s first day of attendance. Evidence: 1. Child # 1’s record (Start date-04/01/2024) did not contain documentation of whether or not there is liability insurance of at least $100,000 per occurrence and $30,000 aggregate in force on the family day home operation. 2. The provider confirmed that the parents were not provided the declaration of liability insurance before the child’s first day of attendance.”

Rule 8VAC20-800-70-A.

8VAC20-800-760-A

“Based on observation and interview, the required emergency supplies were not in the family day home. Evidence: 1. The first aid kit was missing one triangular bandage. The first aid kit had one, but not more than one. 2. Caregiver #1 confirmed that the first aid kit did not contain more than one triangular bandage.”

Rule 8VAC20-800-760-A.

8VAC20-800-800-A

“Based on documentation review and interview, the family day home did not have a written emergency preparedness and response plan. Evidence: 1.The family day home did not have documentation of a written emergency preparedness and response plan. 2. Caregiver #1 confirmed that a written emergency preparedness and response plan was not written at the time of the inspection.”

Rule 8VAC20-800-800-A.