April Jones-Jack

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 was no physical exam record available for child #4 who has been in attendance for 4 months.

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22.1-289.035-A · Repeat Violation

The provider is required to have caregivers and household members undergo a background check every five years. 1. The most recent central registry for household member #1 was overdue by 11 months.

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22.1-289.035-A · The provider is required to have caregivers and household members undergo a background check every five years.

The most recent central registry for household member #1 was overdue by 6 months.

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8VAC20-800-210-A · Repeat Violation

Based on documentation review and interview, the provider failed to ensure that caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The record for caregiver #2 contained documentation of 2 hours of annual training. Interview with the provider confirmed that caregiver #2 did not obtain sixteen clock hours of training annually.

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22.1-289.035-B-4 · Based on record review, observation, and interview, the provider failed to obtain a criminal history record information check and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.

Evidence: The record for staff #3, date of employment 12/01/2023, indicated that staff #3 lived in another state outside of Virginia in the preceding 5 years. The record did not contain a criminal history record information check or a search of the child abuse and neglect registry from that state. Staff #3 was observed working with children. The provider acknowledged that a criminal history record check or a search of the child abuse and neglect registry were not obtained for staff #3.

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8VAC20-800-830-C · Based on interview, the provider failed to maintain documentation of emergency evacuation and shelter-in-place drills.

Evidence: When asked to view documentation of emergency evacuation and shelter-in-place drills the provider was unable to locate the documentation.

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8VAC20-800-830-A · Based on documentation review, and interview, the provider failed to practice an evacuation drill each month. Evidence: Documentation of evacuation drills indicated that the last evacuation drill was conducted on 2/7/23. When asked, the provider acknowledged that a drill was not documented in the month of March.

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22.1-289.058 · Based on interview, the provider failed to ensure that the areas in the home where children are cared for contains a carbon monoxide detector. Evidence: When asked, the provider stated that she did not know that she was required to have a carbon monoxide detector.

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22VAC40-111-180-A · Based on a review of caregiver records and interview, the provider did not ensure to obtain a tuberculosis screening for each caregiver every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Evidence: 1. The record of Caregiver #1 contained documentation of a chest x-ray dated 4/2/19. 2. The record of Caregiver #2 contained documentation of a tuberculosis test dated 4/22/19. 3. The provider acknowledged they did not have updated tuberculosis screenings.

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