The family day home shall obtain the results of a central registry check for each household member?s record every five years as required. The record of household member #2 contained documentation of a central registry check dated more than five years ago. An updated central registry was due three months ago. An updated central registry has not been requested.

22.1-289.036-A · Correction status not published

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. A copy of the Consent Agreement dated February 4, 2025, including the Notice of Intent to Deny the License dated October 7, 2024, and violation notices listed in the Notice of Intent dated May 15, 2024, July 24, 2024, and September 10, 2024, and a copy of the Final Compliance Plan submitted to the Department on November 22, 2024 were not posted in the family day home.

22.1-289.011-F · Correction status not published

The program is required to submit and implement a plan to test potable water for lead to the Virginia Department of Health. The provider stated a plan to test potable water for lead had not been submitted to VDH.

22.1-289.057-A · Correction status not published

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. A copy of the Consent Agreement dated February 4, 2025, including the Notice of Intent to Deny the License dated October 7, 2024, and violation notices listed in the Notice of Intent dated May 15, 2024, July 24, 2024, and September 10, 2024, and a copy of the Final Compliance Plan submitted to the Department on November 22, 2024 were not posted in the family day home.

22.1-289.011-F · Correction status not published

A child's record shall contain all required information.

The record of child #1, enrolled for over a year, did not have documentation of the annual review of the child?s emergency contact information.

8VAC20-800-60-B · Correction status not published

Based on a review of children's records and interview, the vendor did not obtain 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: The record of Child #8, enrolled on 10/02/23, contained documentation of a diagnosed food allergy. The record did not contain a written care plan. Caregiver #1 reported a written allergy care plan had not been obtained for child #8.

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

Repeat

Based on review of children?s records, the provider did not obtain all required information for each child?s record. Evidence: 1. The record of child #1, enrolled 08/14/2023, did not contain documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. 2. The record of child #2, enrolled 05/09/2023, did not contain the name, address and telephone number of each custodial parent's place of employment, and documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. 3. The record of child #9, enrolled 01/29/2018, did not contain documentation of the annual review of the child's emergency contact information as required by 8VAC20-800-780 B. The most recent review of emergency contact information was documented on 07/17/2023.

8VAC20-800-60-B · Correction status not published

Repeat

Based on review of four caregiver records, the provider did not obtain all required documentation for one caregivers? record. Evidence: The record of caregiver #4, employed 07/22/2024 and identified as the substitute caregiver, did not contain the name, address, and telephone number of a person to be notified in an emergency, documentation of a high school program completion or the equivalent and three months of programmatic experience.

8VAC20-800-120-B · Correction status not published

Based on review of one caregiver record, interview, and observation, the provider did not obtain a national fingerprint background check for one caregiver prior to employment.

Evidence: The record of caregiver #1, employed 05/15/2024, did not contain a national fingerprint background check. Caregiver #1 was observed working during the inspection on 05/15/2024. The provider stated caregiver #1 had not completed a national fingerprint check.

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

Based on review of documentation, the provider did not ensure the emergency plan was reviewed at least annually and updated as needed. The provider shall document in writing each review and update to the emergency plan.

Evidence: The most recent review of the emergency plan was documented on 12/13/2022, exceeding the annual requirement.

8VAC20-800-800-B · Correction status not published

Based on record review and interview, the vendor did not complete the department's

annual health and safety update course. Evidence: 1. The record for the vendor documented a certificate of training for the department's annual health and safety update course dated, 2/4/2022. 2. During an interview with caregiver #2, it was acknowledged that the vendor had not completed an updated training.

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

Based on observation, the provider failed to ensure a working battery-operated flashlight was kept in a designated area and available to caregivers at all times.

Evidence: 1. During the inspection, the battery-operated flashlight was observed as not working. 2. The substitute caregiver acknowledged during the inspection, that the flashlight was not operating and was not able to locate a working flashlight during the inspection.

8VAC20-800-770 · Correction status not published

Based on observation and interview, the provider did not ensure medications, including the medications for household members, were kept in a locked place using a safe locking method that prevents access by children.

Evidence: Two bottles of prescription medications were observed unlocked on the nightstand in two bedrooms on the second floor. The provider acknowledged the medications were unlocked and stated children do not use the second level of the home. All medications, except those prescriptions designated otherwise by a written physician?s order are required to be kept in a locked place using a safe locking method that prevents access by children.

8VAC20-800-730-D · Correction status not published

Based on review of caregiver records, the provider did not ensure caregivers completed Virginia preservice training for Child Care staff sponsored by the Department of Education, within the first 90 days of employment.

Evidence: Caregiver #3, employed 07/25/2022, did not have documentation of completing the Virginia preservice training, exceeding 90 days from employment.

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

Based on interview and review of documentation, the provider did not review the emergency preparedness plan at least annually and document in writing each review and update to the emergency plan.

Evidence: 1. The provider stated that the emergency preparedness plan had been reviewed however the most resent date of review documented was 08/31/2020, exceeding the annual requirement. 2. The provider stated she had forgotten to document the date reviewed.

8VAC20-800-800-B · Correction status not published

Based on review of two caregivers' records and interview, the vendor did not ensure each caregiver completed the department's health and safety update course annually.

Evidence: 1. The record of caregiver #1 contained documentation of the caregivers' completion of the required Virginia Annual Health and Safety Update Training dated 06/28/2020. Caregiver #1 did not have documentation of completing the updated health & safety training within 12 months of the original training. Caregiver #1 did not complete the training by June 27, 2021 as required. 2. The record of caregiver #2 contained documentation of the caregivers' completion of the required Virginia Annual Health and Safety Update Training dated 06/14/2020. Caregiver #2 did not have documentation of completing the updated health & safety training within 12 months of the original training. Caregiver #2 did not complete the training by June 13, 2021 as required.

22VAC40-665-230-H · Correction status not published

Based on review of the emergency preparedness plan and interview, the provider did not ensure the emergency plan was reviewed at least annually and update as needed. The provider shall document in writing each review and update to the emergency plan.

Evidence: 1, Written documentation indicated the emergency preparedness plan was last reviewed on 07/02/2019, exceeding the requirement to review annually. 2. The provider stated the emergency plan had not been reviewed.

22VAC40-111-800-B · Correction status not published