Ms. Shawn Wells

22.1-289.035-A · All applicants for employment, employees, applicants to serve as volunteers, and volunteers shall undergo a background check every five years. The record of caregiver #2 did not have a subsequent sworn statement five years from the date of the previous check. The sworn statement was overdue by 159 days.

8VAC20-800-180-A · A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for caregiver #2 was not completed and was overdue by six weeks.

8VAC20-800-100-A · The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There were no physical exam records available for child #1 and child #2, who had been in care for four months.

8VAC20-790-250-F · Repeat Violation

Caregivers who work directly with children shall annually complete the department's health and safety update course. There is no documentation caregiver #2 has completed the 2024 update training, which was cited 09/04/2024.

8VAC20-790-250-F · Based on a review of caregiver records and interview, the vendor failed to ensure that each caregiver complete the Virginia health and safety update course annually.

Evidence: 1. The record of caregiver #1 did not contain documentation of the 2024 Health and safety update. 2. The record of caregiver #2 contained documentation of the 2023 training dated 5/2/23. The record did not contain documentation of the 2024 training. 3. The record of caregiver #3 contained documentation of the 2023 training dated 8/10/23. The record did not contain documentation of the 2024 training. 4. The provider reported that the 2024 Health and Safety update had not been completed for the staff.

8VAC20-800-180-A · Based on a review of records and interview, the provider failed to ensure to obtain a tuberculosis screening for each caregiver every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Evidence: The record of staff #3, hired 4/20/22, contained documentation of a tuberculosis screening dated 4/13/22. The provider confirmed the repeat screening was not completed.

8VAC20-800-210-A · Repeat Violation

Based on a review of annual training and interview on September 14, 2023, the provider failed to ensure caregivers obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #2, hired August 16, 2021, contained documentation of 6.5 hours of annual training from August 16, 2022 to August 15, 2023. 2. The record of caregiver #3, hired April 20, 2022, contained documentation of 6 hours of annual training from April 20, 2022 to April 19, 2023. 3. The provider confirmed the annual training hours were not completed.

8VAC20-800-180-A · Based on a review of caregiver records and interview on March 7, 2023, the provider did not obtain a current Report of Tuberculosis Screening form for each caregiver, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Evidence: 1. The record of caregiver #2 contained documentation of a tuberculosis screening dated 12/30/2020. 2. Caregiver #1 acknowledged the repeat tuberculosis screening was not complete.

8VAC20-790-250-B · Based on a review of caregiver records and interview on March 7, 2023, the vendor failed to ensure within the first 90 of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education.

Evidence: 1. The record of caregiver #3, hired 4/20/22, did not contain documentation of the Virginia Preservice Training. 2. Caregiver #1 confirmed the training was not complete.

8VAC20-770-40-D-5-a · Based on a review of records on September 22, 2022, the provider failed to ensure that each household member obtained a central registry check within 30 days of turning 14 years of age.

Evidence: 1. The record of household member #1 (DOB 07/27/07) contained documentation of a central registry dated 6/18/22, which exceeds 30 days after turning 14 years of age.

8VAC20-800-100-A · Based on record review, the provider did not obtain physicals for 3 children within 30 days of the first day of attendance.

Evidence: 1. Three children records were reviewed. 2. Child #1, #2 and #3 did not have documentation of obtaining a physical within 30 days of the start of attendance. 3. Child #1 documented first date of attendance was 10/11/2021. Child #2 and Child #3's documented first date of attendance was 08/30/2021. 4. The provider confirmed physicals had not been received for within 30 days of the first day of attendance for Child #1, #2 and #3.