Aliesha Miffin

8VAC20-800-570-A

“The provider shall ensure that a caregiver does not exceed 16 points. There was a total of 11 children in care totaling 31 points with only one caregiver upon the inspector’s arrival. Caregiver #2 arrived approximately two minutes later.”

8VAC20-800-510-A

“A child shall be provided with an individual crib, cot, rest mat, or bed for resting or napping. Child # 4 did not have a rest mat available at nap time. Provider confirmed they did not have an extra rest mat for the child.”

8VAC20-800-180-A

“Repeat Violation: A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 was not completed and was overdue by 10 months.”

8VAC20-800-180-A

“Repeat Violation: A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 was not completed and was overdue by 10 months.”

8VAC20-790-250-F

“Repeat Violation: In addition to preservice and orientation training, 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. Caregiver #1 and #2 did not complete the most recent department's health and safety update course. The health and safety update course was due seven months ago. Caregiver #3 did not complete the department's most recent health and safety update course. The health and safety update course was due over one year ago.”

8VAC20-800-830-C

“Documentation shall be maintained of emergency evacuation and shelter-in-place drills. The provider could not locate the emergency evacuation and shelter in place drills at the time of inspection.”

8VAC20-800-200-C

“Documentation of the orientation shall be signed and dated by the provider and substitute provider or by the provider and assistant. Caregiver #4, who has been employed for five months, did not have documentation of a signed orientation on file.”

8VAC20-800-760-A

“Family day homes shall maintain required emergency supplies in the family day home and wherever children are in care. The family day home was missing one triangular bandage.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #3 was not completed and was overdue by four months.”

8VAC20-790-250-F

“Repeat Violation: In addition to preservice and orientation training, 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. Caregiver #1 and #2 did not complete the most recent department's health and safety update course. The health and safety update course was due seven months ago. Caregiver #3 did not complete the department's most recent health and safety update course. The health and safety update course was due over one year ago.”

8VAC20-800-830-C

“Documentation shall be maintained of emergency evacuation and shelter-in-place drills. The provider could not locate the emergency evacuation and shelter in place drills at the time of inspection.”

8VAC20-800-200-C

“Documentation of the orientation shall be signed and dated by the provider and substitute provider or by the provider and assistant. Caregiver #4, who has been employed for five months, did not have documentation of a signed orientation on file.”

8VAC20-800-760-A

“Family day homes shall maintain required emergency supplies in the family day home and wherever children are in care. The family day home was missing one triangular bandage.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #3 was not completed and was overdue by four months.”

8VAC20-790-250-F

“In addition to preservice and orientation training, 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. Evidence: 1. Caregiver #1 and #2 did not complete the department's health and safety update course for 2024.The health and safety update course was due 30 days ago.”

8VAC20-800-140-B-3

“Providers are required to have current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. Evidence: 1. Provider #1 had a CPR certification dated 08/03/2022. A new certification was required 47 days ago.”

8VAC20-800-140-B-4

“Providers are required to have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Evidence: 1. Provider #1 had a First Aid certification dated 08/03/2022. A new certification was required 47 days ago.”

8VAC20-790-250-F

“In addition to preservice and orientation training, 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. Evidence: 1. Caregiver #1 and #2 did not complete the department's health and safety update course for 2024.The health and safety update course was due 30 days ago.”

8VAC20-800-140-B-3

“Providers are required to have current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. Evidence: 1. Provider #1 had a CPR certification dated 08/03/2022. A new certification was required 47 days ago.”

8VAC20-800-140-B-4

“Providers are required to have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Evidence: 1. Provider #1 had a First Aid certification dated 08/03/2022. A new certification was required 47 days ago.”

8VAC20-790-250-F

“Based on a review of four caregiver records and interview, the vendor did not ensure that two caregivers annually completed the department's health and safety update course. Evidence: 1. The records of caregiver #1 and caregiver #4 did not contain documentation of the 2022 and 2023 annual health and safety update course. 2. The vendor acknowledged that the courses had not been completed.”

8VAC20-800-830-C

“Based on a review of documentation and interview, the provider did not ensure that required monthly evacuation drills were documented. Evidence: 1. An evacuation drill from October of 2023 was not documented. 2. The provider acknowledged that the drill had not been documented.”

8VAC20-800-200-C

“Based on a review of four caregiver records and interview, the provider did not ensure that the documentation of orientation training was signed by the provider and assistants as required for two caregivers. Evidence: 1. The records of caregivers #2 and #3 did not contain signed orientation forms. 2. The provider acknowledged that orientation had been completed but the forms had not been signed.”

8VAC20-800-120-B

“Based on a review of four caregiver records and interview, the provider did not ensure that two records contained the required information. Evidence: 1. The record of caregiver #2 (date of employment: 9/18/2023) contained one of the two references required prior to employment. The record of caregiver #3 (date of employment: 9/18/2023) did not contain two references. 2. The provider acknowledged that the references were missing.”

8VAC20-790-250-F

“Based on a review of four caregiver records and interview, the vendor did not ensure that two caregivers annually completed the department's health and safety update course. Evidence: 1. The records of caregiver #1 and caregiver #4 did not contain documentation of the 2022 and 2023 annual health and safety update course. 2. The vendor acknowledged that the courses had not been completed.”

8VAC20-800-830-C

“Based on a review of documentation and interview, the provider did not ensure that required monthly evacuation drills were documented. Evidence: 1. An evacuation drill from October of 2023 was not documented. 2. The provider acknowledged that the drill had not been documented.”

8VAC20-800-200-C

“Based on a review of four caregiver records and interview, the provider did not ensure that the documentation of orientation training was signed by the provider and assistants as required for two caregivers. Evidence: 1. The records of caregivers #2 and #3 did not contain signed orientation forms. 2. The provider acknowledged that orientation had been completed but the forms had not been signed.”

8VAC20-800-120-B

“Based on a review of four caregiver records and interview, the provider did not ensure that two records contained the required information. Evidence: 1. The record of caregiver #2 (date of employment: 9/18/2023) contained one of the two references required prior to employment. The record of caregiver #3 (date of employment: 9/18/2023) did not contain two references. 2. The provider acknowledged that the references were missing.”

8VAC20-800-210-A

“Based on record review and an interview, the provider did not ensure to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider had 1.5 of the 16 required annual clock hours of training in areas relevant to their job responsibilities. During the inspection, the provider confirmed that she did not complete all of the required annual clock hours of training.”

8VAC20-800-980-A

“Based on record review, the provider the not ensure five of five children’s records contained documentation of general written permission from parents for the provider to take the child off the premises of the family day home. Evidence: 1. The record of child #1 (enrollment date: 1/30/23) did not have documentation of written permission to be taken of the premises of the family day home from the child’s parent. The provider stated that the children are taken to the for a walk around the neighborhood regularly. 2. The record of child #2 (enrollment date: 1/30/23) did not have documentation of written permission to be taken of the premises of the family day home from the child’s parent. The provider stated that the children are taken to the for a walk around the neighborhood regularly. 3. The record of child #3 (enrollment date: 2/08/23) did not have documentation of written permission to be taken of the premises of the family day home from the child’s parent. The provider stated that the children are taken to the for a walk around the neighborhood regularly. 4. The record of child #4 (enrollment date: 3/24/23) did not have documentation of written permission to be taken of the premises of the family day home from the child’s parent. The provider stated that the children are taken to the for a walk around the neighborhood regularly. 5. The record of child #5 (enrollment date: 3/7/23) did not have documentation of written permission to be taken of the premises of the family day home from the child’s parent. The provider stated that the children are taken to the for a walk around the neighborhood regularly.”