Thara Jefferson

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“There were no updated TB screening/testing results for the provider, assistant providers, and household members. These were overdue by approximately 8 months.”

Rule 8VAC20-800-180-A.

The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements.

“There was no documentation of additional immunizations in the record for child #2, this was overdue by approximately 1 year and 7 months.”

Rule 8VAC20-800-90-C.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“The providers and household member did not have updated TB screenings, they are two months overdue.”

Rule 8VAC20-800-180-A.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There were no physical exam records available for Child #2 and #3, who had been in care for over seven months.”

Rule 8VAC20-800-100-A.

Provider shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“Provider’s CPR certification expired a month ago.”

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

Provider shall have current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

“Provider’s first aid certification expired one month ago.”

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

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There were no physical exam records available for Child #1, who had been in care for over 30 days.”

Rule 8VAC20-800-100-A.

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for child #1, who was in care during the inspection and had been in care for three weeks.”

Rule 8VAC20-800-90-A.

8VAC20-800-240-A

“Based on observation and interview it was determined the provider did not ensure all areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. In the outdoor play space there was a corner piece of vinyl siding on the exterior of the home that was broken at child level. 2. Provider confirmed this needed to be repaired.”

Rule 8VAC20-800-240-A.

8VAC20-800-60-B

“Based on record review and interview it was determined the provider did not ensure that children’s records contained all the required information. Evidence: 1. The records for child #1 and child #2 did not contain medical insurance policy information and information on previously attended programs. 2. Provider confirmed this information was not available during this inspection.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-C

“Based on record review and interview it was determined the provider did not document all emergency evacuation drills. Evidence: 1. There was no documentation of the evacuation drill practiced in June 2024. 2. Provider confirmed it was practiced but had not written down the date.”

Rule 8VAC20-800-830-C.

8VAC20-800-760-A-1

“Based on observation and interview it was determined the provider did not ensure the first aid kit contained all of the required components. Evidence: 1. The first aid kit did not contain triangular bandages. 2. Provider confirmed the first aid kit id not have triangular bandages during this inspection.”

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

8VAC20-800-790

“Based on observation and interview it was determined the provider did not have the required emergency telephone numbers posted in a visible area close to the telephone. Evidence: 1. There were no emergency numbers posted close to the phone. 2. Provider confirmed that the emergency numbers were not posted during this inspection.”

Rule 8VAC20-800-790.

8VAC20-800-920

“Based on observation and interview it was determined the provider did not ensure that the one week menu was given to or posted in an area accessible to parents. Evidence: 1. The menu was not posted or given to parents weekly. 2. Provider confirmed the menu was not posted during this inspection.”

Rule 8VAC20-800-920.