A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for S1 was completed more than 7 months late.

8VAC20-790-180-A · Correction status not published

Based on caregiver record review, the provider failed to ensure that caregivers who work directly with children shall annually attend at least 16 hours of training, to include the department?s health and safety update course.

Evidence: The record for S1 documented did not document the department?s annual health and safety update course due by 05/01/2024.

8VAC20-790-250-F · Correction status not published

Based on child record review, the provider failed to 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: The record for C2, enrolled 09/18/2023 did not contain a physical examination.

8VAC20-800-100-A · Correction status not published

Based on observation, the vendor failed to maintain a written hard copy of daily attendance that documented the arrival and departure of each child in care as it occurs.

Evidence: Licensing Inspector reviewed the notebook used for the daily attendance records. The attendance log documented the children present each day; however, it did not document the arrival and departure time for the children in care.

8VAC20-790-180-B · Correction status not published

Based on observations, the provider failed to always have a working portable battery-operated weather band radio available to caregivers.

Evidence: The weather band radio in the family day home was not operable.

8VAC20-800-770 · Correction status not published

Based on a review of two caregivers' records and interview, the provider did not ensure one caregiver completed a national fingerprint check before the first day of employment.

Evidence: 1) The national fingerprint check in the record for Caregiver #2, hired on 04/21/22, was dated 12/11/18. 2) During interview, Caregiver #1 reported Caregiver #2 was previously employed, but was terminated from employment in 2020. New fingerprints were not obtained prior to the first day of employment on 04/21/22.

22.1-289.035-B-2 · Correction status not published

Based on a review of five children's records and interview, the vendor did not have a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: 1) The record for Child #5, enrolled on 02/03/22, indicated the child has a diagnosed food allergy. The record did not contain a written care plan. 2) During interview, Caregiver #1 acknowledged a written care plan was not obtained for Child #5.

8VAC20-790-190-B-12 · Correction status not published