Shemik Sellars

22.1-289.035-A · The provider is required to have employees undergo a background check every five years.

The most recent central registry check for caregiver #1 was overdue by one month.

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8VAC20-800-90-C · Documentation of additional immunizations is required once every six months for children under the age of two years.

Child #2, 2 years old, last documented immunization was over 8 months ago.

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8VAC20-790-250-F · Staff shall complete the department's health and safety update course annually.

Staff #1 did not have documentation of completing the annual health and safety update course for 2024.

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8VAC20-800-90-A · 8VAC20-800-90-A

Before attendance, documentation of immunizations is to be obtained for each child. Documentation of immunizations for child #2 was obtained one month after the child?s first date of attendance. Documentation of immunizations for child #3 was obtained seven days after the child?s first date of attendance.

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8VAC20-790-250-D-1 · Based on review of caregiver records, the provider did not ensure all caregivers have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Evidence: 1. The record for caregiver #3 contained a CPR certification that expired on 2/12/2024. 2. The provider acknowledged not having a current CPR certification for caregiver #3.

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8VAC20-800-120-B · Based on review of caregiver records, the provider did not ensure the caregiver record contained documentation of 2 or more references as to character and reputation as well as competency were check before employment.

Evidence: 1. The record for caregiver #2 (DOH: 4/15/2024) and caregiver #3 (DOH: 5/9/2022) contained documentation of only 1 reference. 2. The provider acknowledged only documenting one reference in each record.

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8VAC20-800-60-B · Based on review of 5 children records, the provider failed to ensure each child's record contained the required information.

Evidence: 1.The record for Child #3, did not document the address of the two designated people to call in an emergency if a parent cannot be reached.

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8VAC20-790-250-F · Based on record review and interview, the vendor did not ensure caregivers who work with children complete the department's annual health and safety update course.

Evidence: 1. The record for caregiver #3 documented a certificate of training for the department's annual health and safety update course dated, 4/17/2022. 2. During an interview with the vendor, it was acknowledged that caregiver #3 had not completed an updated training course.

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8VAC20-790-250-B · Based on review of documentation, the provider did not ensure all caregivers completed the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education, within the first 90 days of employment.

Evidence: The record of caregiver #2, employed 05/09/2022, contained documentation of completion of the Virginia Preservice Training dated 10/14/2022 exceeding 90 days after employment.

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8VAC20-800-140-D · Based on interview, the provider did not ensure a substitute provider recorded and signed the time of arrival and departure on each day that the substitute provider worked.

Evidence: On 01/12/2023, caregiver #2 was the assigned substitute provider upon the inspector?s arrival. After the provider returned to the family day home, she stated she had been away for more than two hours and did not have the substitute provider record and sign the time of arrival and departure as she was unaware of the requirement.

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8VAC20-800-170-A · Based on review of three caregiver records, the provider did not obtain documentation of a negative tuberculosis screening for one caregiver at the time of hire.

Evidence: The record of caregiver #2, hired 09/12/2022, contained documentation of a tuberculosis screening dated 09/14/2022, exceeding the date of hire.

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8VAC20-800-630-B · Based on review of video footage and interview, the provider did not ensure that ?time-out? when used as a discipline technique does not exceed one minute for each year of the child?s age.

Evidence: Video viewed on May 25, 2022, showed child #1 (4 years in age) being placed into the infant room for approximately 45 minutes away from his peers. During interview on June 6, 2022, the provider stated that the child was in ?time-out? because he was having a rough morning and that she was totally incapacitated to the point where she couldn?t care for him.

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22.1-289.035-B-2 · Based on review of caregiver records and observation, the provider did not obtain a national finger print background check for one caregiver prior to employment.

Evidence: The record of caregiver #3, hired 05/09/2022, did not contain a national fingerprint background check. Caregiver #3 was observed working during today?s inspection on 05/25/2022.

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22VAC40-111-730-D · Based on interview, the provider did not ensure Medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, were kept in a locked place using a safe locking method that prevents access by children.

Evidence: 1. The provider stated household medications were being stored on top of the refrigerator, unlocked in a bag. 2. The refrigerator is on the second floor of the home where children do not have access to.

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