Nora Nimely

8VAC20-800-100-A · The provider shall 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. In reviewing all four children?s records. There was no documentation of physical examinations for any of the children in care.

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8VAC20-790-250-F · Caregivers who work directly with children shall annually attend at least 16 hours of training, to include the department's health and safety update course. Staff #1 did not complete the 3 hour Virginia Preservice training the past year.

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8VAC20-770-60-B · A child's record shall contain emergency contact information including name, home address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Three of the five children?s records reviewed did not have one of the two emergency contacts listed.

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8VAC20-790-250-B · Within the first 90 days of employment all caregivers shall complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Staff #1 did not complete the Virginia Preservice training and has been employed since November 2024.

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22.1-289.057-A · The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.

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8VAC20-800-60-B · A child?s record shall contain the telephone number of each custodial parents place of

Employment. Child #1 and Child #2 did not have the telephone numbers of their mother?s employment.

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8VAC20-800-800-B · The family day home provider shall review the emergency preparedness and response plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. The plan?s last written review date was October 12, 2022.

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8VAC20-800-180-A · Based on record reviewed and interview, it was determined that the provider did not ensure that each caregiver and adult household member have aa 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: 1. The provider, Staff #1, had an expired report of tuberculosis screening dated 3/04/2021. 2. Staff #1 confirmed that the tuberculosis screening was expired.

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8VAC20-800-60-B · 8VAC20-800-60. B

Based on the review of four children?s records and interview, it was determined that the provider did not ensure that a child's record contain the telephone number of each custodial parent's place of employment. Evidence: 1. Child #2 (date of enrollment 10/4/21) did not have the work phone numbers for both parents. 2. Provider confirmed that Child #2 did not have the phone numbers for the parent?s employers.

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8VAC20-800-830-C · Based on conversation with the provider, it was determined that the provider is practicing emergency drills but is not documenting them.

Evidence: There was no documentation of evacuation drills and shelter-in-place drills to review.

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