8VAC20-800-180-A · Based on review of record, the provider failed to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years.

Evidence: 1. The provider?s tuberculosis (TB) screening was dated 01/10/2022. 2. Household member #1?s TB screening was dated 01/10/2022. 3. The provider confirmed that the TB screenings had not been updated every two years.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-320-G · Based on review of documentation and interview, the provider failed to ensure that wood burning fireplaces and associated chimneys are inspected annually.

Evidence: 1. Documentation showed that the date of the last inspection of the fireplace was 03/01/2022 2. The provider confirmed that a fireplace inspection had not been conducted since 03/01/2022.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-790-220-B · Based on interview, the provider failed to inform the department?s representative as soon as practicable, but no more than two business days, of any injury to a child while under the vendor?s supervision when a referral is made for treatment from a medical professional.

Evidence: 1. On 05/30/2023, the Department received a complaint regarding an injury that occurred on 05/25/2023. 2.Interview with the vendor on 06/06/2023 confirmed that on 05/25/2023, Child #1 received medical treatment due to a knee injury that occurred from jumping off a piece of play equipment while Child #1 was under the supervision of the vendor. 3. The vendor confirmed that she failed to report the injury to the department?s representative.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-800-560-A · Based on interview, the provider failed to provide direct care and supervision of each child in care at all times, specifically awareness of and responsibility for each child in care, including being near enough to intervene if needed.

Evidence: 1. The provider reported to the licensing inspector on 05/26/2023 that on 05/25/2023 Child #1 had left the house through the back door, rode a Power Wheels tractor down the driveway and into the main road (Rt. 55/Strasburg Road). 2. A 45 second video, posted by a passerby on Facebook (FDH-1108924(06-06-2023)v1.mov), shows Child #1 getting off the Power Wheels tractor in the middle of the road, turning it around, and driving back down the middle of the road in the direction of the family day home. Cars are stopped on each side of the road. 3. The provider confirmed that she was not aware that the child had left the house and once she found Child #1, she was the end of the driveway, returning from driving in the road.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-770-40-D-4-a · Based on review of records and interview, the provider failed to ensure that central registry results were obtained within 30 days of residency for household members.

Evidence: 1. The provider confirmed that Household member #2 began living in the home in early July of 2022. 2. The provider did not have documentation of a central registry check for House Member #2. 3. The provider confirmed that they did not obtain central registry results for Household Member #2 within 30 day of residency.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.