8VAC20-800-100-A · The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

There were no physical exam records available for Child #1, #3, and #5, who had been in care between 23 months to four months.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-900-B · Children shall not be allowed to eat or drink while walking, running, playing,

lying down, or riding in vehicles. Child A was laying in his crib, drinking from a bottle.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

8VAC20-790-250-D-1 · Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

Provider #1 and Caregiver #1 did not have CPR certification with an in-person competency demonstration.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-800-60-B · (Repeat Violation) Based on a review of five children's records and interviews, the provider did not ensure one child's record contained the required information.

Evidence: The record of Child #1, enrolled on 06/11/24, did not contain a second emergency contact. During interview, Caregiver #1 acknowledged the record was missing a second emergency contact. Each child's record shall contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22.1-289.035-B-2 · Based on a review of three caregivers' records and interviews, the provider did not obtain the satisfactory results of a national fingerprint-based criminal record search for one caregiver prior to employment.

Evidence: The national fingerprint-based criminal record search in the record of Caregiver #3, employed on 10/10/23, was completed on 10/18/23. During interview, Caregiver #1 confirmed the fingerprint-based criminal record search for Caregiver #3 was not received prior to employment.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-250-B · Based on a review of three caregivers' records and interview, the vendor did not ensure one caregiver completed the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education within the first 90 days of employment.

Evidence: The certificate of training of the Virginia Preservice Training in the record of Caregiver #3, employed on 10/10/23, had a completion date of 01/20/24. During interview, Caregiver #1 acknowledged the training was completed more than 90 days after employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-770-40-D-6 · Based on a review of two caregivers? records and interview, the provider accepted a required central registry finding from a caregiver that was dated more than 90 days prior to the date of employment.

Evidence: 1) The central registry finding in the record of Caregiver #2, employed on 04/01/23, was completed on 08/02/22. 2) During interview, the Provider reported a new central registry was not requested for Caregiver #2 at the time of employment. A facility must not accept a required criminal history record report or a central registry finding from an applicant, licensee, registrant, or other person required to obtain background checks that is dated more than 90 days prior to the date of employment, volunteering, residing in the home.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-800-100-A · Based on the review of two children's records, two records did not contain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Evidence: The records for Child #1 (first day of attendance 11/17/2020) and Child #2 (first day of attendance 12/28/2020) did not contain documentation of a physical exam by or under the direction of a physician.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.