Teoshia Johnson

Caregivers who work directly with children are required to attend the department’s health and safety update course.

“Caregiver #2 did not have an updated health and safety training.”

Rule 8VAC20-790-250-F.

Providers must keep a written record of children in attendance each day.

“There were no attendance records on the date of inspection.”

Rule 8VAC20-800-50-A.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“In room #1, three electrical outlets were not covered.”

Rule 8VAC20-800-320-B.

Children’s records are required to contain two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for child #3 did not have documentation of one of the two required designated emergency contacts;”

Rule 8VAC20-800-60-B.

Annually, the provider shall review the emergency contact information to ensure the information is correct.

“The record for child #7 and child #8, did not contain documentation of annual review of emergency contact information.”

Rule 8VAC20-800-780-B.

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

“1. Caregiver #2, who has been employed for 16 days, did not have documentation of orientation on file. 2. Caregiver #3, who has been employed for 336 days, did not have documentation of orientation on file.”

Rule 8VAC20-800-200-C.

Poisonous materials shall be stored in an area inaccessible to children.

“1. A container of Febreze and a container of Clorox were on a stand in the hallway within reach of children. 2. A container of Clorox was on a shelf within reach of children in the room where children have meals.”

Rule 8VAC20-800-280.

Cribs, cots, rest mats, and beds when being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges.

“Six children were observed napping without a bottom cover.”

Rule 8VAC20-800-530-A.

Before attendance, documentation of immunizations is required for each child.

“1. The record for child #2 had documentation of immunizations dated 22 days after the first day of attendance.”

Rule 8VAC20-800-90-A.

The provider shall obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis Screening (TB) form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.

“Caregiver #1 did not have a TB screening at time of hire.”

Rule 8VAC20-800-170-A.

Based on record review and interview, the center did not have documentation of central registry findings for two caregivers.

“Evidence: The records for caregiver #1 and caregiver #2 did not contain documentation of a central registry findings. Caregiver #1 and Caregiver #2 were not being supervised at all times by a person who has received a qualifying result on all background checks within the last 5 years.”

Rule 22.1-289.035-B-3.

Based on record review, the provider did not ensure that documentation of a physical examination by or under the direction of a physician was obtained prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: The record for child #4 did not have documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-680-B

“Based on observation, caregivers did not ensure to wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Evidence: Caregiver #2 did not wash hands after diapering a child in care.”

Rule 8VAC20-800-680-B.

Based on record review, the provider did not obtain documentation that each child has been adequately immunized before a child may attend the family day home.

“Evidence: The records for child #1, child #2, child #4, and child #8 did not have documentation of immunizations.”

Rule 8VAC20-800-90-A.