Creola Williams

8VAC20-790-250-D-2

“Repeat Violation: All caregivers shall have a current certification in first aid appropriate to the ages of children in care. Caregiver #1 had a first aid certification that expired over one year ago.”

8VAC20-790-250-D-1

“Repeat Violation: All caregivers shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Caregiver #1 had a CPR certification that expired over one year ago.”

8VAC20-790-250-F

“Repeat Violation: 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 did not have completed annual hours for 2025 and did not have the most recent health and safety update course for 2025.”

8VAC20-790-230-B

“Based on review of four children’s records, the vendor did not obtain documentation of additional immunizations once every six months for children less than the age of two years. Evidence: 1. The record for Child #1 (First date of attending 09/18/2019) contained immunization records dated 09/17/2019. Child #1 turned two years of age in the Fall of 2021. 2. The record for Child #4 (first date of attendance 09/12/2022) contained immunization records dated 05/20/2022. Child #4 will turn two years of age in the Summer of 2023.”

8VAC20-790-420-B-6

“Based on documentation review, the vendor did not review and update the emergency preparedness plan. Evidence: The emergency plan was completed but was not dated. Information regarding the annual review and updated was documented.”

8VAC20-790-230-A

“Based on a review of four children's records and interview, the vendor did not obtain documentation that two children obtained immunizations according to the requirements of subsection A of ? 32.1-46 of the Code of Virginia and applicable State Board of Health regulations before the child attended the family day home. Evidence: 1) The record for Child #1, date of attendance 09/12/22, did not contain documentation of immunizations. 2) The record for Child #2, date of attendance 05/09/20, did not contain documentation of immunizations. 3) During interview, the provider reported the immunizations for Child #1 and Child #2 have not been obtained.”

8VAC20-790-210-A

“Based on a review of two caregivers' records and interview, the vendor did not ensure one caregiver was evaluated by a health professional and be issued a statement that individual is determined to be free of communicable tuberculosis (TB). Evidence: 1) The record for Caregiver #2, employed 08/02/22, did not contain a TB test or screening. 2) During interview, Caregiver #1 reported the TB for Caregiver #2 has not been received. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department .”

8VAC20-790-200-2-a-1

“Based on a review of two caregivers' records and interview, the vendor did not ensure one caregiver obtained a fingerprint-based national criminal background check prior to employment. Evidence: 1) The record for Caregiver #2, employed 08/02/22, did not contain the results of a fingerprint-based national criminal background check. 2) During interview, Caregiver #1 reported the fingerprints for Caregiver #2 have not been requested.”

8VAC20-790-200-2-d

“Based on a review of two caregivers' records and interview, the vendor did not obtain a completed sworn statement for one caregiver prior to the first day of employment. Evidence: 1) The record for Caregiver #2, date of employment 08/02/22, did not contain a completed sworn statement. 2) During interview, Caregiver #1 reported Caregiver #2 has not completed a sworn statement.”

8VAC20-790-200-2-a-2

“Based on a review of two caregivers' records and interview, the vendor did not obtain the results of a Virginia Child Protective Services Central Registry check for one caregiver by the end of 30th day of employment. Evidence: 1) The record for Caregiver #2, employed 08/02/22, did not contain the results of a Virginia Child Protective Services Central Registry check. 2) During interview, Caregiver #1 reported the Virginia Child Protective Services Central Registry check has not been requested.”

8VAC20-790-250-C

“Based on a review of two caregivers' records and interview, the vendor did not complete orientation training for one caregiver prior to the caregiver working alone with children and within seven days of the date of employment. Evidence: 1) The record for Caregiver #2, employed 08/02/22, did not contain documentation of orientation training. 2) During interview, Caregiver #1 reported Caregiver #2 has not completed orientation training.”