Carla Seay

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Household Member 4 was not completed and was overdue by four months.”

22.1-289.036-B-1

“The provider is required to obtain a completed sworn statement for household members over the age of 18. There was no sworn statement from Household Member 6 available for review by inspector.”

8VAC20-800-210-A

“caregivers shall obtain a minimum of sixteen clock hours of training annually. Caregiver 2 did not have documentation of trainings. Caregiver 2 stated that they did not take any trainings in 2025.”

22.1-289.035-A

“The provider is required to have household members over the age of 14 years undergo a background check every five years. The central registry check for Household Member 5 was not available for review.”

8VAC20-800-200-A

“The provider must orient substitute assistants by the end of their first week of assuming job responsibilities. Assistant Caregiver 1 did not have orientation documentation on file.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver 1 had a completed national criminal background check dated 2 months after date of hire.”

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. The tuberculosis screening for Caregiver 1, was obtained 2 months after date of hire.”

22.1-289.035-B-1

“The provider is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Caregiver 1, who is currently working, was dated 2 months after the date of hire.”

22.1-289.035-B-3

“Providers must obtain a completed central registry background check prior to the employee's first day of employment. Caregiver 1 had a completed central registry background check dated 2 months after date of hire.”

8VAC20-800-80-A

“Within seven business days of the child's first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child. Child A did not have verification of identity on hand. Child has been in attendance for 2 months.”

8VAC20-800-240-A

“Areas of the family day home, will be maintained in a safe condition. A basket containing hand sanitizer and diaper creams was stored on the diaper changing table within reach of the children.”

8VAC20-800-430-A

“Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. The gate at the bottom of the stairs was left open.”

8VAC20-800-240-A

“Areas of the family day home, will be maintained in a safe condition. A basket containing hand sanitizer and diaper creams was stored on the diaper changing table within reach of the children.”

8VAC20-800-430-A

“Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. The gate at the bottom of the stairs was left open.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain subsequent TB screenings at least every two years from the date of the initial screening, or more frequently if recommended by a physician. Evidence: Staff #2's record contained documentation of a tuberculosis screening dated 06/22/2022. Documentation of a subsequent tuberculosis screening was not available for review.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain subsequent TB screenings at least every two years from the date of the initial screening, or more frequently if recommended by a physician. Evidence: Staff #2's record contained documentation of a tuberculosis screening dated 06/22/2022. Documentation of a subsequent tuberculosis screening was not available for review.”

22.1-289.035-B-2

“Based on record review, the provider failed to require that caregivers submit to fingerprinting and obtain the results of a criminal record check prior to hire. Evidence: Caregiver 3's record did not contain the results of a criminal record check.”

22.1-289.035-A

“Based on record review, the provider failed to obtain the results of a central registry check for all caregivers every five years. Evidence: Caregiver 2's most ecnt central registy check was conducted on 7/7/2016.”

8VAC20-800-680-B

“Based on observation, caregivers sis not ensure that that children's hands are washed with liquid soap and warm running water as required. Evidence: Caregiver 1 did not ensure that a child's hands were washed with soap and water after diapering.”

8VAC20-800-100-A

“Based on record review, the provider did not 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. Evidence: Child 4's record did not contain the results of physical examination by or under the direction of a physician. Child 4's date of enrollment is listed as 8/21/2023.”

8VAC20-800-50-C

“Based on observation, information contained in a child's record was not kept confidential. Evidence: On the date of inspection the provider had a posted copy of the supplemental page from a previous licensing inspection. The supplemental page contains confidential information about children in care.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: 1. Child 2's record did not contain documentation that the file was reviewed by the parent annually. 2. Child 4's record did not contain the child's health insurance policy number and a physical.”

8VAC20-800-680-A

“Based on observation, caregivers did not wash their hands with liquid soap and warm running water as required. Evidence: Caregiver 1 did not wash hands with soap and water after diapering a child.”

8VAC20-800-960-E

“Based on observation, bottlers were not labeled with the child's name and date. Evidence: One bottle was observed without a label to include the child's name or date.”

8VAC20-800-830-A

“Based on record review, the provider failed to practice evacuation procedures monthly. Evidence: An evacuation drill was not conducted in November 2023.”

22.1-289.035-B-2

“Based on record review, the provider failed to require that caregivers submit to fingerprinting and obtain the results of a criminal record check prior to hire. Evidence: Caregiver 3's record did not contain the results of a criminal record check.”

22.1-289.035-A

“Based on record review, the provider failed to obtain the results of a central registry check for all caregivers every five years. Evidence: Caregiver 2's most ecnt central registy check was conducted on 7/7/2016.”

8VAC20-800-680-B

“Based on observation, caregivers sis not ensure that that children's hands are washed with liquid soap and warm running water as required. Evidence: Caregiver 1 did not ensure that a child's hands were washed with soap and water after diapering.”

8VAC20-800-100-A

“Based on record review, the provider did not 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. Evidence: Child 4's record did not contain the results of physical examination by or under the direction of a physician. Child 4's date of enrollment is listed as 8/21/2023.”

8VAC20-800-50-C

“Based on observation, information contained in a child's record was not kept confidential. Evidence: On the date of inspection the provider had a posted copy of the supplemental page from a previous licensing inspection. The supplemental page contains confidential information about children in care.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: 1. Child 2's record did not contain documentation that the file was reviewed by the parent annually. 2. Child 4's record did not contain the child's health insurance policy number and a physical.”

8VAC20-800-680-A

“Based on observation, caregivers did not wash their hands with liquid soap and warm running water as required. Evidence: Caregiver 1 did not wash hands with soap and water after diapering a child.”

8VAC20-800-960-E

“Based on observation, bottlers were not labeled with the child's name and date. Evidence: One bottle was observed without a label to include the child's name or date.”

8VAC20-800-830-A

“Based on record review, the provider failed to practice evacuation procedures monthly. Evidence: An evacuation drill was not conducted in November 2023.”

8VAC20-800-180-A Complaint related: No

“Based on record review, the provider failed to obtain a negative tuberculosis screening for all caregivers every two years. Evidence: 1. Adult 1?s Tuberculosis screening was conducted on 4/2/2020. 2. Adult 3?s Tuberculosis screening ws conducted on 4/5/2020.”

8VAC20-800-90-A Complaint related: No

“Based on record review, the provider failed to obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations prior to one child's first date of attendance.”

8VAC20-800-70-A Complaint related: No

“Based on record review, the provider failed to inform in writing to the parents of all required information. Evidence: Child 5?s record did not contain documentation of whether the provider carries liability insurance.”

8VAC20-800-100-A Complaint related: No

“Based on record review, 2 of 5 children's records did not contain 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. Evidence: Child 1 and Child 4?s record did not contain documentation of a physical examination.”

8VAC20-800-700-B Complaint related: No

“Based on a review of medication, prescription medication with an authorization to administer for a period of longer than ten days did not have a doctor’s signature. Evidence: A long term prescription medication for Child 1 had a parental authorization to administer the medication to the child between 6/12/2023 and 8/1/2023. The authorization form did not contain a doctors signature.”

22.1-289.035-B-2 Complaint related: No

“Based on record review, the provider failed to obtain a central registry check for all caregivers. Evidence: Adult 2?s record did not contain a central registry check.”

22.1-289.035-A Complaint related: No

“Based on record review, the provider failed to obtain a repeat central registry check for all caregivers every five years. Evidence: 1. Adult 1?s most recent central registry check was conducted on 6/16/2017. 2. Adult 3?s most recent central registry check was conducted on 7/7/2016.”

8VAC20-800-800-B Complaint related: No

“Based on record review, the provider failed to review the emergency preparedness plan annually. Evidence: The emergency preparedness plan was most recently reviewed on 6/8/2022.”

8VAC20-800-180-A Complaint related: No

“Based on record review, the provider failed to obtain a negative tuberculosis screening for all caregivers every two years. Evidence: 1. Adult 1?s Tuberculosis screening was conducted on 4/2/2020. 2. Adult 3?s Tuberculosis screening ws conducted on 4/5/2020.”

8VAC20-800-90-A Complaint related: No

“Based on record review, the provider failed to obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations prior to one child's first date of attendance.”

8VAC20-800-70-A Complaint related: No

“Based on record review, the provider failed to inform in writing to the parents of all required information. Evidence: Child 5?s record did not contain documentation of whether the provider carries liability insurance.”

8VAC20-800-100-A Complaint related: No

“Based on record review, 2 of 5 children's records did not contain 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. Evidence: Child 1 and Child 4?s record did not contain documentation of a physical examination.”

8VAC20-800-700-B Complaint related: No

“Based on a review of medication, prescription medication with an authorization to administer for a period of longer than ten days did not have a doctor’s signature. Evidence: A long term prescription medication for Child 1 had a parental authorization to administer the medication to the child between 6/12/2023 and 8/1/2023. The authorization form did not contain a doctors signature.”

22.1-289.035-B-2 Complaint related: No

“Based on record review, the provider failed to obtain a central registry check for all caregivers. Evidence: Adult 2?s record did not contain a central registry check.”

22.1-289.035-A Complaint related: No

“Based on record review, the provider failed to obtain a repeat central registry check for all caregivers every five years. Evidence: 1. Adult 1?s most recent central registry check was conducted on 6/16/2017. 2. Adult 3?s most recent central registry check was conducted on 7/7/2016.”

8VAC20-800-800-B Complaint related: No

“Based on record review, the provider failed to review the emergency preparedness plan annually. Evidence: The emergency preparedness plan was most recently reviewed on 6/8/2022.”