22.1-289.036-B-3 · The family day home must request a search of the central registry for all household members 14 years and older.

Household member #1did not have a central registry search requested.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-250-B · Based on review and interview, 1 of 2 staff files indicated that within the first 90 days of employment a caregiver did not complete Virginia Preservice Training for Child Care Staff (10-hour) sponsored by the Virginia Department of Education.

Evidence - 1. On the date of inspection (05/01/2024), a certificate of completion for Staff #2 of the Virginia Preservice training was not available for review. 2. The start date for Staff #2 was listed as - 01/05/2024. 3. The Provider stated (during an interview conducted on the date of inspection) that the assistant is currently working on this training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-780-B · Based on review, 1 of 4 children files indicated that annually, the Provider did not review with the parent - the emergency contact information (required in 8VAC20-800-60 B 2) to ensure that the information is correct, and obtain the parent's signed acknowledgment of this review.

Evidence - 1. On the date of inspection (05/01/2024), the most recent signed and dated review of the emergency information on file for Child #5 was dated - 11/07/22). 2. This finding was confirmed on the date of inspection by the Provider.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-780-B · Based on review, the annual review for each child's emergency contact information did not have a signed review noted for the past year.

Evidence - 1. On the date of inspection (12/01/2023), the most recent review of the emergency contact information listed for Child #1 was dated - 06/25/2022. 2. This was confirmed on the date of inspection by the Provider.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-800-60-B · Based on review, 1 of 4 children files indicated that not all of the required information was contained within each child's record.

Evidence - 1. On the date of inspection (12/01/2023), 1 of 2 emergency contacts was listed for Child #4. 2. The start date for Child #4 was listed as - 10/16/2023.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-70-A · Based on review, 4 of 4 children files indicated that not all of the required signed documentation was available on site for each child.

Evidence - On the date of inspection (12/01/2023), the following documents were not available for review: 1. The Provisions of the Emergency Preparedness and Response Plan for: Child #1, #2, #3, and #4. 2. The Information for Parent form, while completed, it was not signed by the Parent of Child #4.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-180-A · Based on review and interview, 3 of 5 Household Member files indicated that the Provider did not obtain for each adult household member a current Report of Tuberculosis Screening (TB) form (in accordance with the requirements in 8VAC20-800-170), every two years.

Evidence - 1. On the date of inspection (12/01/2023), the following household members (HM) had outdated TB documentation on file: HM #1 (dated - 11/22/2021), HM #2 (dated - 11/27/21), and HM #4 (dated - 11/22/2021). 2. The Provider stated that an appointment to update this documentation has already been scheduled for later this month.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-90-C · Based on review, 1 of 5 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

Evidence - 1. On the date of inspection (05/31/2023), the most current immunization page on file for Child #4 was dated - 05/18/2022. 2. On the date of inspection, Child #4 (based on information on file) was under the age of two years.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-100-A · Based on review, 1 of 4 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

Evidence - 1. On the date of inspection (12/05/2022), documentation of a physical for Child #3 was not available for review. 2. The start date for Child #3 was listed as 10/31/2022. Child #3 was in attendance on the date of inspection.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-100-A · Based on review, 1 of 4 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician within 30 days after the child's first day of attendance.

Evidence - 1. On the date of inspection (05/24/2022), documentation of a physical examination for Child #4 was not available for review. 2. The start date for Child #4 was listed as 04/01/2022.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.