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 #2 and #3 did not have a parent?s signature for an annual review of the emergency contact information.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-110-B · The immunization 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. The immunization report for Child #1 did not include the date of the physical examination or the physician?s signature. The immunization report for Child #2 did not include the physician?s signature.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-240-A · (Repeat Violation) Based on observation, the caregiver failed to maintain areas of the family day home in a clean and safe condition.

Evidence: 1) Multiple items including pencils, pens, a drill, and scissors were observed piled high on side tables in the living room that a child could pull down onto themselves. 2) A trashcan on the floor near the hallway to the bathroom was overflowing with trash that a child could put in their mouth. 3) The floors in the hallway and the kitchen were observed to be dirty with bits of trash, an old straw, lint, and dog hair that a child could put in their mouth. 4) On the floor by a side table in the living room there was a bag of snack food, bits of trash, and a cherry tomato that could present a choking hazard. 5) The front porch that is accessible to children had peeling paint and was observed to be dirty and cluttered with multiple items including cigarettes and wood filler. 6) In an interview on 8/26/24, the caregiver acknowledged that they needed to clean things up.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

8VAC20-790-220-A-3 · Based on an interview, the provider did not inform the inspector as soon as practicable, but not to exceed one business day of the suspension of child care services for more than 24 hours as a result of an emergency situation.

Evidence: The provider reported that the Family Day Home was closed from 4/01/24-4/05/24 due to a family emergency in a phone interview on 6/20/24.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

22.1-289.036-A · Based on review of four caregiver?s records and interview, the provider did not obtain background checks every 5 years.

Evidence: The record for caregiver #1 contained the results of a central registry search dated 6/13/19, exceeding 5 years. The provider acknowledged that a request to update the central registry search for caregiver #1 had not been sent in and that the most recent results for caregiver #1 exceeded 5 years.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-250-F · Based on review of caregiver records, the provider did not ensure caregivers completed, in addition to 16 hours of training, the department?s health and safety update course annually.

Evidence: 1. The record of caregiver #1 had documentation of completing the department?s health and safety updated course on 02/02/2023. There was no documentation of the annual health and safety course for the 2024 year. 2. The record of caregiver #2 had documentation of completing the department?s health and safety updated course on 02/02/2023. There was no documentation of the annual health and safety course for the 2024 year.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-460-D · Based on review of documentation, the provider did not maintain documentation of the current rabies vaccination.

Evidence: The vaccine record for Konahu (canine) stated the rabies vaccine expired 08/29/2023. There was no additional documentation of a current rabies vaccine.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-100-A · Based on review of ten children?s records, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child?s attendance or within 30 days after the first day of attendance.

Evidence: 1. The record of child #9, enrolled 04/20/2023, contained a school health form with the date of a physical, however the form did not contain the results of the physical nor a signature of a physician. 2. The provider acknowledged the form was not complete or signed by a physician.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-A · Based on review of two caregiver?s records, the provider did not obtain background checks every five years.

Evidence: 1. The record for caregiver #1 contained the results of a fingerprint national criminal record check dated 05/30/2018, exceeding five years. 2. The record for caregiver #2 contained the results of a fingerprint national criminal record check dated 05/30/2018, exceeding five years.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22.1-289.035-A · Based on review of two caregiver?s records and interview, the provider did not obtained background checks every five years.

Evidence: 1. The record for caregiver #1 contained the results of a fingerprint national criminal record check dated 05/30/2018, exceeding five years. 2. The record for caregiver #2 contained the results of a fingerprint national criminal record check dated 05/30/2018, exceeding five years. 3. The provider confirmed a request to update the fingerprint national criminal record check had not yet been requested.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-250-F · Based on review of caregiver records, the provider did not ensure caregivers completed,

in addition to 16 hours of training, the department?s health and safety update course annually. Evidence: 1. The record of caregiver #1 had documentation of completing the department?s health and safety updated course on 05/13/2021. There was no documentation of the annual health and safety course for the 2022 calendar year. 2. The record of caregiver #2 had documentation of completing the department?s health and safety updated course on 05/12/2021. There was no documentation of the annual health and safety course for the 2022 calendar year.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-770-40-D-5 · Based on review of two household member records and interview, the provider did not

obtain the results of a central registry background check within 30 days of one household member becoming 14 years of age. Evidence: The record of household Member #2, 14 years in age as of March 19, 2023, was missing results of a central registry background check. The provider stated she had not requested a central registry background check for household member #2.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-800-900-B · Based on observation and interview, the provider did not ensure that children are not allowed to eat or drink while walking, running, playing, or lying down. Evidence: 1) A child was sleeping in a crib and began to cry. The provider made a bottle for the child and walked in and handed it to the child and removed an empty bottle that was in the crib. When asked, the provider stated that was how the child liked to fall asleep. 2) The children were served snack while sitting on the living room floor. They were observed to be moving around and playing while eating the snack. When asked, the provider stated that she normally has them sit with trays but forgot to today.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

22VAC40-111-730-D · Based on observation and interview, the provider did not ensure medications for household members were kept in a locked place using a safe locking method that prevents access by children.

Evidence: 1. A medication box located in the providers bedroom was not locked at the time of the inspection. The medication box contained medications identified by the provider as being for household members. 2. The provider stated the box was not locked as that time.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.