Hamdi Eslaquit

22.1-289.035-B-2 · Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Caregiver #2, who had been employed for four months, did not have a completed national criminal background check that corresponded to the Provider's FDH address.

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8VAC20-800-780-B · 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.

The record for Child #8 did not have a current parent?s signature for an annual review of the emergency contact information. The last documented review was over 13 months ago.

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8VAC20-800-210-A · Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

Caregivers (#1,#2, #3, and #4) obtained less than 16 hours of training in 2023.

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8VAC20-800-90-C · Based on review, 2 of 12 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children (who were not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of (2) two years.

Evidence - 1. On the date of inspection (04/02/2024), the following children did not have a current immunization page on file: Child #5 (dated - 09/25/2023); and Child #6 (dated - 09/13/2023). 2. On the date of inspection both Child #5 and Child #6 were under the age of 2 years.

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8VAC20-770-40-D-5 · Based on review, a household member, 14 years of age and older did not have a search of the central registry (

CPS

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8VAC20-800-30-E · Based on interviews, the provider failed to ensure that the home's services were conducive to the welfare of one child.

Evidence: 1. On 05/04/2023, Staff #1 cut the fingernails of Child #1 (22 months) without parent permission to provide this service. While Staff #1 was cutting the nails, the skin of Child #1's finger was cut and started to bleed. 2. According to Staff #1, Child #1 has a history of scratching other children in care. 3. Staff #1 stated that on 05/04/2023, "[Child #1] scratched [Child #2] right under the eye. I looked at [Child #1]'s nails and they were long so I trimmed her nails." 4. According to Staff #1, one fingernail began to bleed while the fingernails were being cut. Staff #1 stated, "It did bleed a few seconds and I pressed on it and it stopped. I put a little bit of Neosporin on [Child #1]'s pinky." One of three other staff interviewed stated, "I saw [Staff #1] put [Child #1] on her lap and [Staff#1] trimmed her nails. It hurt her a little bit and she cried a little bit. It accidentally cut the skin." 5. Staff #1 stated, "It scared her and when it was clipped, she cried a little bit. It was 20 seconds for her to calm down." 6. Child #1's parent went to pick up Child #1 after work on 05/04/2023. The parent stated, "I said, 'Oh my God' look how short they are. I asked her if [Staff #1] did this to her and she nodded and said 'Mama, boo boo ouch'."

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22.1-289.036-B-2 · Based on review, 1 of 4 household records indicated that a fingerprint check (FPC) on file at the Family Day Home (FDH) was older than 5 years.

Evidence - 1. On the date of inspection (05/02/2023), the FPC on file for Household Member #1 was dated - 04/16/2018. 2. The Provider confirmed this finding on the date of inspection.

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22.1-289.035-B-4 · Based on review, 1 of 4 staff files indicated that the family day home (FDH) did not obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry (

CPS

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8VAC20-800-90-C · Based on review, 3 of 7 children files reviewed indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children (who were 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 (05/12/2022) the following children had immunization pages on file at the FDH old than 6 months: Child #3 (immunization page dated - 09/07/2021); Child #4 (immunization page dated - 03/30/2021), and Child #5 (immunization page dated - 10/26/2021). 2. On the date of inspection, based on information contain in their file, Child #3, Child #4, and Child #5 were all under 2 years of age.

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22VAC40-111-90-C · Based on review, 2 of 6 children files determined that the Family Day Home (FDH) did not obtain documentation of additional tuberculosis (TB) immunizations for children (who were 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 (10/22/2021), the following children had TB documentation older than 6 months: Child #4 (TB documentation dated - 04/08/2021), and Child #5 (TB documentation dated - 03/30/2021). 2. This finding was confirmed on the date of inspection by the Provider.

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