Mrs. Joan Green

22VAC40-111-510-A · Based on observation, the provider failed to ensure that a child shall be provided with an individual crib, cot, rest mat, or bed for resting or napping.

Evidence: 1. A preschool age child was observed napping on a couch in the child care play room at approximately 1:15 pm during the virtual inspection conducted on 10/27/2021.

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8VAC20-800-780-B · Annually the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parents' signed acknowledgment of the review.

Child #1, Child #2, and Child #3 did not have an annual review within the last 12 months.

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8VAC20-800-800-B · The provider 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.

The provider had not updated the emergency preparedness plan since 8/22/2024.

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8VAC20-800-780-B · Repeat Violation: 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 #4 did not have a parent?s signature for an annual review of the emergency contact information. Child #2 had been in care for over a year. Child #4 had been in care for almost two years without any annual review.

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22.1-289.035-B-3 · Based on staff record review, staff did not have up to date Central Registry checks in employee files.

Evidence: 1. Staff #1, with a hire date of 2002, did not have documentation of an updated Central Registry check. The last documented background check was dated in 2016. 2. Staff #3, with a hire date of 09/19/2016, did not have documentation of an updated Central Registry check. The last documented background check was dated in 2016. 3. Director acknowledged there were no updated checks.

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8VAC20-800-780-B · Based on record review, the provider failed to ensure that annually children's records will be reviewed with the parent to ensure that emergency contact information is correct and obtain the parent's signed acknowledgment of the review.

Evidence: 1. The following children's records lacked documentation of annual review by the parent: a. The enrollment record for child 7 was last reviewed by the parent on 01/03/2023; b. The enrollment record for child 4 was last reviewed by the parent on 01/03/2023; c. The enrollment record for child 5 was last reviewed by the parent on 12/2019; d. The enrollment record for child 6 was last reviewed by the parent on 01/04/2021. 2. The provider confirmed that the above records had not been reviewed annually by each parent.

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22.1-289.035-A · Based on record review and interview, the provider failed to obtain for all applicants, caregivers and household members a fingerprint background check every five years.

Evidence: 1. The most recent fingerprint background check for caregiver 2 was conducted on 04/27/2018; 2. The most recent fingerprint background check for caregiver 3 was conducted on 05/07/2018; 3. The most recent fingerprint background check for caregiver 4 was conducted on 05/04/2018; 4. The most recent fingerprint background check for household member 1 was conducted on 05/08/2018 5. The provider verified that these background checks had not been updated.

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8VAC20-790-250-B · Based on record review and interview, the vendor failed to ensure that within the first 90 days of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education.

Evidence: 1. Caregiver 1, hire date 01/02/2023 lacks documentation of completion of Virginia Preservice Training. a. The provider confirmed that caregiver 1 had not completed this training.

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8VAC20-800-100-A · Based on record review and interview, 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: 1. Child 1, enrollment date 09/06/2022, lacked documentation of a physical exam. 2. The provider confirmed that a physical exam was not on file for child 1 who was in care during the inspection.

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8VAC20-800-960-E · Based on observation, the provider failed to ensure that bottles shall be labeled with the child's full name and the date, if more than one infant is in care.

Evidence: 1. Three bottles of formula were not dated. 2. One bottle of formula lacked a name label. a. The provider stated there were 2 infants in care that were bottle fed with formula.

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8VAC20-770-40-D-1-c · Based on record review and interview, the provider failed to ensure that any person living in the family day home who is required to have a search of central registry shall obtain an updated central registry check before three years since the dates of the most recent central registry finding.

1. The most recent central registry search for household member 1 was conducted on 12/08/2016. a. The provider confirmed that an updated central registry check had not been obtained for household member 1.

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