Ms. Melissa Smith

8VAC20-800-180-A · Repeat violation

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Caregiver #1 last TB test was more than two years old.

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8VAC20-800-180-A · The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Staff #1 tuberculosis screening was more than 2 years old. The T.B. test was 23 days over the date it was due for update assessment/screening.

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8VAC20-800-790 · Repeat Violation

The telephone number for a responsible person for emergency backup care. The provider confirmed that she does not have a designated back up care person.

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8VAC20-790-180-B · The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Children arrived approximately hour before the inspection.The vendor did not have daily attendance that documents the 3 children arrival as it occurs.

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22.1-289.011-F · Based on record review, the licensee did not ensure the most recent violation notice was posted in a conspicous place on the licensed premises.

Evidence: The inspection posted was for 08/08/2023. The most recent inspection was January 25, 2024 and inspection was not posted.

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8VAC20-800-830-A · Based on documentation and interview, the provider did not ensure to practice emergency evacuation procedures monthly.

Evidence: The documentation reviewed partial completion of the monthly drills. Interview with caregiver confirmed the practiced drills were not completed each month.

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8VAC20-800-880 · Based on observation, the licensee did not ensure to follow the most recent, age-appropriate nutritional requirements of USDA when providing meals at family day home.

Evidence: During the inspection on February 8, 2023, there was observation of 2 of 3 children in care being served french fries and a drink as a meal for lunch at the family day home.

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8VAC20-800-830-A · Based on review of emergency drills and interview, the licensee did not ensure to practice all monthly emergency evacuation procedures.

Evidence: A review of the emergency drills log revealed that last emergency drill was completed in April 2022. Interview with licensee confirmed the emergency drills documentation available for review during the inspection.

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8VAC20-800-100-A · Based on review of children's record and interview, the provider did not ensure to obtain documentation of a physical examination within 30 days after the first day of attendance.

Evidence: During the inspection on May 26, 2022, in Child#1's and Child#2's record (start date 8/30/2021, there was no documentation of physical examination found. Interview with provider confirmed the documentation was not available during this inspection.

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22VAC40-111-210-B · Based on review of the caregiver's record and interview, the provider did not ensure to complete the required annual training.

Evidence: In Caregiver #1's record, there were a total of 4 out the16 annual training hours verified during this inspection. Interview with provider confirmed the 4 hours of completion for the annual training.

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