22.1-289.057-A · The family day home is required to submit to VDH and implement a plan to test potable water for lead. The family day home did not have evidence of submitting a testing plan to VDH. The provider stated she had not submitted a plan.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-800-140-B-3 · Providers and substitute providers shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. The record of caregiver #2, identified as a substitute provider, contained documentation of CPR that had expired four months ago. The provider stated caregiver #2 did not have current CPR and had not been along with children in the past four months.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-770 · Repeat

A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times. The portable battery-operated weather band radio on site was not operational.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-790-250-B · Repeat

Based on record review and discussion, the vendor did not ensure that all caregivers shall complete the Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: The record of household member #1, employed on 06/01/2020 and identified as the substitute provider, did not contain documentation of the completion of the Virginia Preservice Training. The provider stated the Virginia preservice training had not been completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22.1-289.036-A · Based on record review and interview, the provider did not obtain the results of a national fingerprint- based criminal background check for each applicant and household member?s record every 5 years as required.

Evidence: 1. The record of the applicant, caregiver #1, contained documentation of fingerprints dated 09/05/2018 exceeding five years. 2. The record of household member #1, contained documentation of fingerprints dated 09/14/2018 exceeding five years. 3. The provider stated she had not requested updated fingerprints.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-250-B · Based on record review, the provider failed to ensure that staff shall complete the Virginia

Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S2, employed 06/01/2020 did not contain a certificate of showing completion of the Virginia Preservice Training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-800-B · Based on review of the emergency plan, the provider failed to document the annual review of the emergency plan.

Evidence: The last review of the emergency plan was documented on 06/02/2022.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-790-250-B · Based on a review of two 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: 1) The record of Caregiver #2, employed on 06/01/2020, did not contain documentation that the caregiver completed the Virginia Preservice Training. 2) During interview, the provider confirmed Caregiver #2 has not completed the training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-830-D · Based on a review of the family day homes' emergency response drills, the provider did not maintain the records of emergency evacuation and shelter-in-place drills for one year.

Evidence: 1) The most recent emergency evacuation drill documented was 01/04/23. 2) During interview, the provider reported the emergency evacuation drills have been conducted monthly, but documentation could not be located at the time of the inspection. 3) Per the provider, the most recent shelter-in-place drill was practiced on 04/18/23, but the documentation could not be located at the time of the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-790-180-B · Based on observation, the vendor failed to maintain a written hard copy of daily attendance that documented the arrival and departure of each child in care as it occurs.

Evidence: Licensing Inspector requested daily attendance records for June and July 2022. Provider was unable to provide for review the attendance logs documenting the arrival and departure time for children in care.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-60-B · Based on child record review, the provider failed to ensure that five of five records contained required information.

Evidence: 1. Children, C1, C2, C3 enrolled 7/01/2022. The records for C1, C2, and C3 failed to contain: one of two designated persons to contact in an emergency; authorization for emergency medical care; and documentation of parent?s signed acknowledgement of the receipt of the information required by 8VAC20-800-70. 2. The record for child, C4 enrolled 06/01/2020 failed to document: chronic physical problems, pertinent developmental information, and any special accommodations needed; current school attending; medical insurance and policy number; names of persons other than the custodial parents who are authorized to pick up child; immunization records as required by 8VAC20-800-90; results of the health examination as required by 8VAC20-800-100. 3. The record for C3 (DOA 07/01/2022) failed to document proof child?s age and identity. 4. The record for C4 (DOA 06/01/2020) and C5 (DOA 08/03/2020) failed to contain documentation of the review of the child?s emergency contact information. 5. The record for C5 (re-enrolled 08/03/2020) failed to document: chronic physical problems, pertinent developmental information, and any special accommodations needed; medical insurance and policy number; two emergency contacts (only one noted); authorization for emergency care; annual review of emergency contact information with parents; and documentation of parent?s signed acknowledgement of the receipt of the information required by 8VAC20-800-70.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-780-B · Based on record review, the provider did not review the record of each child with the parent annually.

Evidence: The records for child #1 (last review date 3/16/20), child #2 (last review date: 3/16/20), child #3 (last review date: 3/01/21, and child #4 (last review date 4/05/21) were not reviewed annually.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22VAC40-665-230-H · Based on record review, the provider did not obtain the department's health and safety update course for each staff member.

Evidence: 1. The caregiver record did not contain documentation of the updated annual health and safety update.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22VAC40-111-140-B-3 · Based on a review of records and interview, the provider did not ensure that one caregiver had current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

Evidence: 1. The record for caregiver #1 had documentation of CPR certification with an expiration date of 9/10/20. 2. The provider confirmed the certification had expired.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.