Nancy Miller

8VAC20-800-730-D · Medication including medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

Household medication was stored in an unlocked cabinet above the refrigerator.

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8VAC20-800-100-A · Based on a review of five children's records and interviews, the provider did not obtain documentation of one child's 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 record of Child #2, date of attendance 04/01/24, did not contain documentation of a physical examination. During interview, Caregiver #1 reported the physical examination could not be located at the time of the inspection.

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22.1-289.036-A · Based on a review of records, the provider did not ensure an applicant shall undergo background checks every five years.

Evidence: The most recent central registry finding in the record of Applicant #1 was obtained on 01/08/19. A new central registry finding should have been obtained no later than 01/08/24. During interview, Applicant #1 acknowledged a new central registry finding had not been obtained as required.

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22.1-289.035-A · Based on a review of records and interview, the provider did not obtain the satisfactory results of the fingerprint-based national criminal background check every five years.

Evidence: 1) The record of Caregiver #1 contained documentation of a fingerprint-based national criminal background check dated 03/06/2018. The repeat background check should have been obtained prior to 03/06/2023. 2) During interview, Caregiver #1 acknowledged the fingerprints were not completed every five years as required.

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8VAC20-800-140-B-3 · Based on a review of records and interview, the provider did not ensure that one provider had current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

Evidence: 1) The most recent CPR certification in the record for Caregiver #1 was dated 01/11/2020 and expired on 01/2022. 2) During interview, Caregiver #1 confirmed the certification had expired and had not been renewed.

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