Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

There were no shelter-in-place documented for 2024.

8VAC20-800-830-C · Correction status not published

Lockdown procedures shall be practiced at least annually.

There was no documentation of lockdown drills for 2024.

8VAC20-790-430-A-3 · Correction status not published

A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 was not completed and was overdue by over four months and for Household Member #1 was not completed and was overdue by over five months.

8VAC20-800-180-B · Correction status not published

REPEAT VIOLATION

Based on observation, the provider failed to ensure that pressure mounted gates were not utilized at stair openings. Evidence: In the upstairs of the home there is a pressure mounted gate installed with zip ties at the stair opening.

8VAC20-800-430-B · Correction status not published

Based on review of documentation and interview, the provider failed to ensure there was documentation of monthly fire drills and twice annual shelter in place drills.

Evidence: 1.There was no fire drill documented for August, September, October and November of 2023. 2.There was no documentation of at least two shelter in place drills for the 2022 period.

8VAC20-800-830-C · Correction status not published

Based on review of documentation and interview, the provider failed to ensure there was documentation of an annual lockdown drill.

Evidence: There was no documentation of at least one lockdown drill for the 2022 period.

8VAC20-790-430-A-3 · Correction status not published

Based on review of the first aid kit, the provider failed to ensure that all required items were in the first aid kit.

Evidence: 1. The first aid kit did not contain a pair of tweezers and a triangular bandage. 2. The provider verified that the items could not be located and were not in the first aid kit.

8VAC20-800-760-A · Correction status not published

Based on a review of documentation and interview, the provider did not ensure that the total number of children receiving care at one time does not exceed the maximum licensed capacity of the home.

Evidence: 1. The Family Day Home License effective 08/01/2022-01/31/2023 was issued for a capacity of five children in care at one time. 2. The sign-in/sign-out sheet dated 10/18/2022 indicated seven children in care for ten minutes, and six children in care for 4.5 hours. 3. The sign-in/sign-out sheet dated 10/20/2022 indicated six children in care for thirty minutes. 4. The sign-in/sign-out sheet dated 10/25/2022 indicated seven children in care for 38 minutes, and six children in care for an additional three minutes. 5. The sign-in/sign-out sheet dated 10/28/2022 indicated seven children in care for 16 minutes, and six children in care for 3 hours 22 minutes. 6. The provider verified during an interview, on 12/06/2022, the dates and number of children in care for the four days in October 2022.

8VAC20-800-40-A · Correction status not published

Based on a review of children records, the provider failed to ensure that physical examinations and immunizations were signed by a licensed physician, the physician's designee or an official of a local health department.

Evidence: 1. There was no signature, stamp, or electronic signature on Child #1's physical examination and immunizations. 2. There was no signature, stamp, or electronic signature on Child #2's immunizations.

8VAC20-800-110-B · Correction status not published

Based on observation and interview, the provider failed to ensure that a landline telephone shall be available, operable, and accessible during the family day home's hours of operation.

Evidence: 1. There was no landline telephone installed in the home at the time of the inspection. 2. The provider verified that there was not a landline currently installed in the home.

8VAC20-800-330-A · Correction status not published