Ms. Nicole Watson-Lawrence

8VAC20-800-60-B · (Repeat violation) Children's records are required to contain required information. The record for Child #2 was missing a parent's employment phone number, addresses for the two emergency contacts and insurance plan number. The record for Child #4 was missing a parent's employment phone number and insurance plan number.

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8VAC20-800-830-A · Emergency evacuation procedures must be practiced monthly. There was not a emergency evacuation drill conducted in April and August of this year.

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8VAC20-800-330-A · (Repeat Violation) A landline telephone, excluding a cordless or cell phone, that does not require electricity to operate, shall be available, operable, and accessible during the family day home's hours of operation. The licensee was not able to provide documentation to demonstrate that the digital telephone service obtained to operate the telephone in the event of a power outage.

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22.1-289.035-A · The family day home is required to have caregivers undergo a background check every five years. The most recent central registry check for caregiver #1 was overdue by over 2 months.

The results of a "Portability" central registry check were completed inadvertently and are present in the record.

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22.1-289.036-A · Based upon a review of documentation and interview, the licensee did not ensure that each caregiver and household member (14 years of age or older) who is or will be involved in the day-to-day operations of the family day home, or living in such family day home shall undergo a background check in prior to issuance of a license as family day home, and every five years thereafter.

Evidence: Three provider / household member records were reviewed. The record for household member #2 , who is an adult living in the home, did not contain the result s of a Search of the Central Registry.

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8VAC20-790-250-F · Based on a review of records and interview, the provider did not annually attend at least 16 hours of training, to include the department's health and safety update course.

Evidence: The last documentation of having taken the department's annual health and safety training was dated 6/15/2022. The provider confirmed that this was the last time she completed the department's annual health and safety training .

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8VAC20-800-330-A · Based on observation and interview, the provider does not have a landline telephone.

Evidence: The provider was asked to show her landline telephone. The provider stated that she does not have a landline telephone but has been working to find a suitable service for a landline phone.

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8VAC20-800-180-A · * REPEAT VIOLATION*

Based on a review of records and interview, the licensee did not ensure that each caregiver and adult household member maintains a current Report of Tuberculosis Screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: Two Caregiver / Household Records were reviewed. The record for Household member #2 did contained the most recent results of a TB screening which were dated 6/13/2019. The licensee confirmed that she did not have a more recent TB screening for Household member #2.

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8VAC20-800-180-A · Based on a review of records and interview, the licensee did not ensure that each caregiver and adult household member maintains a current Report of Tuberculosis Screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Evidence: Two Caregiver / Household Records were reviewed. The record for Household member #2 did contained the most recent results of a TB screening which were dated 6/13/2019. The licensee confirmed that she did not have a more recent TB screening for Household member #2.

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8VAC20-800-60-B · Based on a review of records and interview, the licensee did not ensure that each child's record contains all of the required information.

Evidence: Two children's records were reviewed. The record for child #1 did not contain addresses for either of the emergency contacts listed to be called in the event of an emergency if the parents cannot be reached. The provider confirmed that this information was not in the child's record.

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22VAC40-111-180-A · Based on a review of records and interview, the provider did not ensure that subsequent Tuberculosis Screenings are obtained within 2 years of the previous Tuberculosis screening.

Evidence: Two provider / Household Member records were reviewed. The record for provider #1, whose last Tuberculosis screening was conducted 6/7/2019,did not contain an updated screening. The record for household member #2, whose last Tuberculosis screening was conducted 6/13/2019,did not contain an updated screening. The provider confirmed that updated screenings had not been completed.

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