22.1-289.035-B-2 · Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver #2 did not have a completed national criminal background check.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-800-70-B · (Repeat violation )

Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. Child #1 (enrolled 7 months), Child #2 (enrolled 17 months) and Child #3 (enrolled 17 months) did not have medication policy or emergency plan acknowledgements form parents. Child #2 (enrolled 17 months) and Child #3 (enrolled 17 months) did not have the liability form acknowledged by parent.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-800-700-C · When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days shall be taken to a pharmacy for proper disposal. The medication authorization had been expired for 3 months and the medication was still on the premises and had not been properly disposed of.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-800-B · Based on document review and staff interview the center did not ensure they shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

Evidence: The most recent documented review was 12/13/2022.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-800-120-B · Based on record review and staff interview the licensee did not ensure to obtain that two or more references as to character and reputation as well as competency were checked before employment.

Evidence: The provider confirmed that reference checks had not been completed for Staff #2.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-770-60-C-2 · Based on record review and provider interviews, the provider did not ensure the results of the Central Registry Search (CRS) were received by the end of the 30th Day of employment for all providers.

Evidence: The record for Provider #2 did not contain a CRS and thy began working on 2-28-23.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-800-830-A · Based on document review and staff interview the licensee did not ensure emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children are in care.

Evidence: The licensee confirmed they did not conduct emergency evacuation drills during the months of May, June, July, and August 2022.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-800-680-A · Based on observation and provider interviews, the provider did not ensue to wash their hands with liquid soap and warm running water as required.

Evidence: The provider was observed during the inspection, just after changing a diaper, for child #1 and was observed throwing away the soiled diaper. The provider then used hand sanitizer on their hands and began preparing and serving snack to the 3 children in care. The provider did not wash their hands with liquid soap and warm running water as required after helping a child with diapering and before serving food.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

8VAC20-800-900-A · Based on staff interviews and observation of type of food served, the provider did not ensure to assist in preventing choking, by serving food that is is hard, round, small, thick and sticky, or smooth and slippery such as whole hot dogs sliced into rounds, nuts, seeds, raisins, uncut grapes, uncut raw carrots, peanuts, chunks of peanut butter, hard candy, and popcorn shall not be served to children under four years of age, unless the food is prepared before being served in a manner that will reduce the risk of choking, i.e., hot dogs cut lengthwise, grapes cut in small pieces, and carrots cooked or cut lengthwise.

Evidence: On February 28, 2022, the children ages 2 and 3 (Child #1, age 2 and Child #2 and Child #3 age 3) were served raw carrots as a part of their lunch. Provider confirmed the carrots were raw baby carrots and they were not sliced or cut but were served whole to the children. This item is considered a potential choking hazards.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.