22.1-289.035-B-4 · The provider is required to obtain background checks from any state in which the individual has resided in the preceding five years.

The provider did not request a search of the child abuse and neglect registry, fingerprints or sex offender registry checks from one state for caregiver #2, who has been employed for more than two months and was working with children at the time of the inspection.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-800-100-A · Based on a review of children?s records, the provider did not obtain 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: 1. The record for child #1 (enrolled 11/17/2022) did not contain record of a physical examination received prior to their enrollment or within 30 days thereafter. 2. Provider acknowledged not obtaining a physical examination from the child's parent.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-250-F · Based on a review of three caregiver records and interview, the vendor did not ensure that one caregiver who worked directly with children annually completed the department's health and safety update course as required.

Evidence: 1. The record of caregiver #1 did not contain documentation to show that the 2022 or 2023 health and safety update training had been completed. 2. The vendor acknowledged that the training had not been completed annually as required.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-780-B · Based on a review of five child records and interview, the provider did not ensure to annually review with the parents, the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review.

Evidence: 1. The record of child #1 (date of enrollment: 6/26/21) contained a signed and dated review in June of 2022. The record did not contain a signed review in June of 2023. The record of child #3 (date of enrollment: 6/18/2018) contained a signed review in June of 2022. The record did not contain a signed review in June of 2023. 2. The provider acknowledged that the annual signed acknowledgements of the reviews had not been obtained.

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 (3) caregiver records and interview, the provider did not ensure to obtain a fingerprint background check for one (1) caregiver prior to the first date of employment as required.

Evidence: 1. The record of caregiver #2 (date of employment: 6/13/2022) did not contain a fingerprint background check. 2. The provider acknowledged that the background check had not been completed.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-800-780-B · Based on a review of 5 children's records and interview, the provider did not ensure that 1 record contained the parent's signed acknowledgement of an annual review of the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information was correct.

Evidence: 1. The record of child #2 (DOE:06/26/2021) did not contain documentation of the parent's annual review. 2. The provider acknowledged that it was missing.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.