8VAC20-800-210-A · Caregivers shall obtain a minimum of 16 clock hours of training annually.

None of the caregivers (#1,#2 and #3) obtained any training hours in 2024.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

Records for children #3 and #4 did not have a current parent?s signature for an annual review of the emergency contact information. The last documented review for both children had been over a year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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 #4 who had been in care for over 30 days.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-60-A · An up to date record for each child enrolled shall be maintained by the provider.

There was no record for Child #2, who was in care during the inspection. The only documentation on file were the child's health forms (physical and immunization page).

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-60-B · Children's records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

The record for Child #5 was missing the information for two emergency contacts. Child #5 was present during the inspection and had been in care for over a year. The record for Child #3 did not have a written authorization for emergency medical care on file. Child #3 was present during the inspection and had been in care for over a year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-80-A · Within seven business days of the child's first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs.

The record for Child #3, #4, and #5 were all missing the documentation of each child's Proof of Identification. Child #3 had been in care for over a year; Child #4 had been in care for two months; and Child #5 had been in care for over a year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-90-C · Documentation of additional immunizations is required once every six months for children under the age of two years. '

Child #1, 22 months old, last documented immunization was over 20 months ago. Child #3, 21 months old, last documented immunization was over 12 months ago.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.036-B-3 · The family day home must request a search of the central registry every five years since the date of the most recent check on file at the family day home.

Staff #2 had a central registry search on file that expired 4 months ago.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22.1-289.036-B-2 · Based on review, 1 of 2 household files indicated a Fingerprint check (FPC) on file at the Family Day Home (FDH) was older than 5 years in age.

Evidence - 1. It was later discovered, after a review of notes taken on site, that a FPC for Household Member #1 was dated - 10/09/2018. 2. This finding expired on 10/09/2023 and will need to be updated.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-770-40-D-4 · Based on review, 1 of 2 household files indicated a

CPS check on file at the Family Day Home (FDH) was older than 5 years in age. Evidence - 1. It was later discovered, after a review of notes taken on site, that a search of the central registry ( CPS check) for Household Member #1 was dated - 10/29/2018. 2. This finding expired on 10/29/2023 and will need to be updated.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22.1-289.036-B-2 · Based on review and interview, 1 of 4 staff files indicated that the submitted fingerprinting check on file had expired.

Evidence - 1. On the date of inspection (03/22/2024), the fingerprint check (FPC) on file for Staff #2 was dated - 03/22/2019. 2. The Provider stated (on the date of inspection) that a new check has not yet been scheduled.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-800-780-B · Based on review, 2 of 5 children files indicated that the child's parent did not annually provide a review of the parent's emergency contact information to ensure that the information is correct.

Evidence - 1. On the date of inspection (10/05/2023), the last documented review of the emergency contact information for Child #1 was dated - 05/05/2022. 2. The last documented review of the emergency contact information for Child #4 was dated - 04/28/2021.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-90-A · Based on review, 2 of 5 children files indicated that the Provider did not obtain 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 regulations).

Evidence - 1. On the date of inspection (10/05/2023), the following children did not have documentation that each had been adequately immunized within their files: Child #2 (start date - 09/05/2023), and Child #3 (start date - 09/25/2023). 2. While an immunization page was missing entirely for Child #2, on the health forms for Child #3 their immunization page had a note from their doctor's office saying, "see attached." However, no other immunization documentation was attached to this form.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-90-C · Based on review, 2 of 5 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations (for children who were not exempt from the immunization requirements according to subsection B of this section) once every six months for any child in care who is under the age of two years.

Evidence - 1. On the date of inspection (10/05/2023) the following children did not have an updated immunization page available for review: Child #1 (last on file - 05/05/2022), and Child #5 (last on file - 03/07/2023). 2. On the date of inspection, both Child #1, and Child #5 were under the age of two years.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-770-60-B · Based on review, 1 of 4 staff files indicated that an employee of a licensed Family Day Home (FDH) employed a staff person without a completed sworn statement or affirmation (SDS) on file.

Evidence - 1. On the date of inspection (03/22/23), a SDS was not available for review for Staff #5. The start date for Staff #5 was listed as 03/13/2023. 2. Staff #5 was observed providing care to children on the date of inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-120-B · Based on review, 2 of 4 staff files indicated that not all of the required information was contained within each staff record.

Evidence - 1. On the date of inspection (10/04/2022), the emergency contact information for Staff #3 and Staff #4 were not available for review. 2. This was confirmed on the date of inspection by the Provider.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-60-B · Based on review, 1 of 11 children files indicated that not all of the required documentation was contained within each child's record.

Evidence - 1. On the date of inspection (10/04/2022), the health forms (immunization page and documentation of a physical examination) were not available for review for Child #11. 2. The start date for Child #11 was listed as 08/17/2022.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-80-A · Based on review, 1 of 11 children files indicated that the proof of identification was available within each child's record.

Evidence - 1. On the date of inspection (10/04/2022), the Proof of Identification was not available for Child #2. 2. Child #2 was in care on the date of inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-90-C · Based on review, 3 of 11 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who is not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

Evidence - 1. On the date of inspection (10/04/2022), the following children had immunization documentation that was older than 6 months: Child #7 (immunization page dated - 10/01/2021), Child #8 (immunization page dated - 02/05/2022), and Child #10 (immunization page dated - 08/02/2021). 2. On the date of inspection, based on the information contained in their file, all three children listed above were under two years of age.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-180-A · Based on review, 1 of 4 staff files indicated that the Provider did not obtain for each caregiver a current Report of Tuberculosis Screening (TB) form, (in accordance with the requirements in 8VAC20-800-170), every two years.

Evidence - 1. On the date of inspection (10/04/2022), the most current TB documentation on file for Staff #1 was dated - 12/21/2018. 2. This same standard was cited during the previous inspection conducted on 03/29/2022.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-B-4 · Based on review, 2 of 5 staff files indicated that the Family Day Home (FDH) did not obtain a copy of the results of a criminal history record information check (

CRC

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22VAC40-111-60-B · Based on file review, 1 out of 2 children's records did not have all required information.

Evidence 1. Child #2 did not have their health insurance policy number on the registration form.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.