Ms. Roxana Nelson-Snaith

8VAC20-800-880 · Based on review of documentation, and an interview with the provider, not all meals and snacks provided by the family day home follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the USDA. Evidence: the menu dated 1/10-1/14/2022 did not include: 1) a meat or meat alternative for lunch on 1/12 or 1/14/22; 2) a fruit or second vegetable for lunch on 1/10, 1/11, or 1/13/22; 3) a second component with the am snack (milk/meat or meat alternative/fruit/vegetable) on 1/11, 1/13, or 1/14/22; 4) a second component with the pm snack (milk/meat or meat alternative/fruit/vegetable) on 1/12, or 1/13; 5) two components for the pm snack on 1/10, 1/11 and 1/15/22 (grain-based desserts and fruit snacks are not components of the meal plan.

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22.1-289.011-F · The provider shall post the program license and the findings of the most recent inspection in a conspicuous place on the licensed premises.

The most recent licensing inspection for the facility was not posted in the family day home available for review.

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8VAC20-800-320-B · Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

There were two outlets in the bathroom designated for child use that were not covered.

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22.1-289.036-B-1 · The provider is required to obtain a completed sworn statement for household members 18 years or older.

There was no documentation of a completed sworn statement for a Household Member A, who turned 18 years of age 5 months ago.

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8VAC20-800-50-A · Based on review of documentation, and interview, the provider did not keep a written record of attendance that accurately included all children in care. Evidence: there was no written record of attendance for the eight children in care on 9/10/2024, or since April 2024.

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8VAC20-770-40-D-5 · Based on review of four applicant/household member records, it was determined that not all household members had an original central registry report, within 30 days of becoming 14 years old, as required. Evidence: the record for household member #4 (date of birth: 12/29/2009) did not contain documentation of a central registry search report.

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22.1-289.035-A · Based on review of three provider/household member records, and an interview with the provider, it was determined that not all repeat Office of Background Investigations (OBI) fingerprinting-based criminal history record checks were completed every five years as required. Evidence: the record for provider #1 and household member #2 contained an expired OBI fingerprint determination letter dated: 7/17/2018.

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8VAC20-800-180-A · Based on review of three provider/household member records, and an interview with the provider, not all providers/household members had a current Tuberculosis (TB) screening/test every two years as required. Evidence: the record for caregiver #1 and household member #2 had TB tests/screenings dated: 12/21/2020.

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8VAC20-800-100-A · Based on a review of four child records, the provider did not obtain documentation that each child has received a physical examination by or under the direction of a physician prior to the child's first attendance or within one month after attendance. Evidence: the record for child #2 (date of first attendance: 7/19/2021) and child #4 (date of first attendance: 8/22/2022) did not have documentation of a physical examination.

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8VAC20-800-830-C · Based on observation, and an interview with the provider, the provider failed to maintain documentation of emergency evacuation and shelter-in-place drills as required: Evidence: Documentation of the provider's emergency drills did not contain 1) the method used for notification of the drill, 2) any special conditions simulated, 3) the time it took to complete the drill, 4) problems encountered, if any, and 5) the weather conditions (for emergency evacuation drills only.)

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