8VAC20-800-100-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 #5, who had been in care for two months and two weeks..

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-110-B · Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician's designee, or an official of a local health department.

Child #2 had a physical examination in the file, but it was not on the current form approved by the Virginia Department of Health or a physician's form and it was not signed by a licensed physician, the physician's designee, or an official of a local health department.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-250-F · Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department's health and safety update course

Caregiver 1 (took the course 9/28/2023) and Caregiver 2 (took the course 9/27/2023) both took the department's health and safety update course in September 2023 and need to take the health and safety update course for this year..

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-B-2 · Based on review of caregiver records, the provider did not obtain the fingerprint results prior to the first day of employment.

Evidence: 1. Caregiver #2 was hired on 2/02/2024 and the provider received the fingerprint results on 2/07/2024.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-800-90-A · Repeat Violation

Based on review, the provider did not obtain before a child attended the family day home, documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health. Evidence: 1. Child #1's file (start date7/20/2023) had an immunization record, but it was not signed by a physician to document the child has been adequately immunized.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.011-F · Based on observation and interview, the required violation notice and summary documents were not posted from the last inspection.

Evidence: 1. The provider had the acknowledgment of inspection posted from the 5/22/2023 inspection, but the violation notice and summary were not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

22.1-289.058 · Based on interview, the provider did not have a carbon monoxide detector.

Evidence: 1. The provider stated they did not have a carbon monoxide detector.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.