Gedell Gresham

8VAC20-800-240-A

“Based on observation, the provider did not ensure areas and furnishing of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: Two sheets of wooden latus were observed on the ground near the slide. The latus had multiple nails that were protruding upward and posed a risk of puncturing a child in care.”

8VAC20-800-780-B

“Based on review of eight children’s records, the provider did not annually obtain the parents signed acknowledgement of the emergency contact information review. Evidence: 1. The most recent acknowledgement of the emergency contact information for child #4 was dated 03/18/2018, exceeding the annual requirements. 2. The most recent acknowledgement of the emergency contact information for child #8 was dated 04/03/2017, exceeding the annual requirements.”

8VAC20-800-100-A

“Based on review of eight children’s records, the provider did not obtain documentation of the child’s physical prior to the child’s attendance or within 30 days after the first day of attendance for two children’s records. Evidence: 1. The record of Child #3, enrolled 01/23/2023, did not have documentation of a physical exceeding 30 days from the first day of attendance. 2. The record of Child #6, enrolled 01/03/2023, did not have documentation of a physical exceeding 30 days from the first day of attendance.”

8VAC20-800-240-A

“Based on observation, the provider did not ensure areas and furnishing of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: Two sheets of wooden latus were observed on the ground near the slide. The latus had multiple nails that were protruding upward and posed a risk of puncturing a child in care.”

8VAC20-800-780-B

“Based on review of eight children’s records, the provider did not annually obtain the parents signed acknowledgement of the emergency contact information review. Evidence: 1. The most recent acknowledgement of the emergency contact information for child #4 was dated 03/18/2018, exceeding the annual requirements. 2. The most recent acknowledgement of the emergency contact information for child #8 was dated 04/03/2017, exceeding the annual requirements.”

8VAC20-800-100-A

“Based on review of eight children’s records, the provider did not obtain documentation of the child’s physical prior to the child’s attendance or within 30 days after the first day of attendance for two children’s records. Evidence: 1. The record of Child #3, enrolled 01/23/2023, did not have documentation of a physical exceeding 30 days from the first day of attendance. 2. The record of Child #6, enrolled 01/03/2023, did not have documentation of a physical exceeding 30 days from the first day of attendance.”

8VAC20-800-730-D

“Based on observation, the provider did not ensure medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: A box containing children’s Tylenol was observed sitting on the table in the den. Child #6, age 11 years, in care as observed in the den with access to the medication.”

22.1-289.036-A

“Based on review of two household member's records and interview, the provider did not obtain a current central registry check every five years from the initial central registry check for one household member. Evidence: 1. The most recent central registry check for household member #2 was dated 02/20/2018. 2. The provider stated she had not requested an updated central registry for household member #2.”

8VAC20-800-260-A

“Based on observation, the provider did not ensure the water of the aboveground swimming pool was not accessible to children in care. Evidence: The privacy fencing surrounding the raised deck of the aboveground pool had a rear gate that was missing a piece and could not be secured shut. The open area was approximately four feet off the ground and had no steps leading the pool however there was a pool pump that could be used to climb onto the deck and access the water. The entrance gate to the pool was locked.”

8VAC20-800-90-A

“Based on review of six children’s records, the provided did not obtain documentation that a child was adequately immunized, before the child attended the family day home. Evidence: The record of child #6, enrolled 04/24/2023, did not contain documentation of immunizations exceeding the first day of attendance.”

8VAC20-800-60-B

“Based on review of six children’s records, the provider did not obtain all required documentation for each child’s record. Evidence: 1. The record of child #1, enrolled 03/20/2023, did not contain parent’s signed acknowledgement of the receipt of whether there is liability insurance. 2. The record of child #2, enrolled 04/13/2020, did not contain the name, address and phone number for two designated persons to be contacted in an emergency if the parent cannot be reached. 3. The record of child #4, enrolled 11/15/2021, did not contain the parent work pho e number and address. 4. The record of Child #6, enrolled 04/24/2023, did not contain the name, address and telephone number of the child’s physician.”

8VAC20-800-730-D

“Based on observation, the provider did not ensure medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: A box containing children’s Tylenol was observed sitting on the table in the den. Child #6, age 11 years, in care as observed in the den with access to the medication.”

22.1-289.036-A

“Based on review of two household member's records and interview, the provider did not obtain a current central registry check every five years from the initial central registry check for one household member. Evidence: 1. The most recent central registry check for household member #2 was dated 02/20/2018. 2. The provider stated she had not requested an updated central registry for household member #2.”

8VAC20-800-260-A

“Based on observation, the provider did not ensure the water of the aboveground swimming pool was not accessible to children in care. Evidence: The privacy fencing surrounding the raised deck of the aboveground pool had a rear gate that was missing a piece and could not be secured shut. The open area was approximately four feet off the ground and had no steps leading the pool however there was a pool pump that could be used to climb onto the deck and access the water. The entrance gate to the pool was locked.”

8VAC20-800-90-A

“Based on review of six children’s records, the provided did not obtain documentation that a child was adequately immunized, before the child attended the family day home. Evidence: The record of child #6, enrolled 04/24/2023, did not contain documentation of immunizations exceeding the first day of attendance.”

8VAC20-800-60-B

“Based on review of six children’s records, the provider did not obtain all required documentation for each child’s record. Evidence: 1. The record of child #1, enrolled 03/20/2023, did not contain parent’s signed acknowledgement of the receipt of whether there is liability insurance. 2. The record of child #2, enrolled 04/13/2020, did not contain the name, address and phone number for two designated persons to be contacted in an emergency if the parent cannot be reached. 3. The record of child #4, enrolled 11/15/2021, did not contain the parent work pho e number and address. 4. The record of Child #6, enrolled 04/24/2023, did not contain the name, address and telephone number of the child’s physician.”

22.1-289.035-A

“Based on review of records and interview, the provider did not ensure that the background checks for one of two employees were updated every five years. Evidence: Staff #3's last Central Registry was done on 02-22-17 and was due to be repeated no later than 02-22-22. When interviewed the provider stated that she had mailed the request on 05-16-22 but never received the results.”

22.1-289.036-A

“Based on review of records and interview, the provider did not ensure that the background checks for one of two licensees/household members were updated every five years. Evidence: 1) Staff #1's last Central Registry was done on 11-2-16 and was due to be repeated no later than 11-2-21. When interviewed the provider stated that she had mailed the request on 05-16- 22 but never received the results.”

8VAC20-800-180-A

“Based on a review of records, and interview, the provider did not ensure that each caregiver obtains an updated TB every two years. Evidence: 1) Staff #2's last TB was done on 04/01/20. The updated test results should have been completed on or before 04/01/2022. 2) Staff #3's last TB was done on 04-24-19. The updated test results should have been completed on or before 04-24-21. When interviewed, the provider stated that she was unaware that staff #3 was due for updates.”

8VAC20-800-100-A

“Based on a review of records, the provider did not obtain documentation of a physical examination within 30 days of a child’s attendance for one of five children. Evidence: Child #5?s file, date of enrollment 11-15-21, did not contain a physical.”

22.1-289.035-A

“Based on review of records and interview, the provider did not ensure that the background checks for one of two employees were updated every five years. Evidence: Staff #3's last Central Registry was done on 02-22-17 and was due to be repeated no later than 02-22-22. When interviewed the provider stated that she had mailed the request on 05-16-22 but never received the results.”

22.1-289.036-A

“Based on review of records and interview, the provider did not ensure that the background checks for one of two licensees/household members were updated every five years. Evidence: 1) Staff #1's last Central Registry was done on 11-2-16 and was due to be repeated no later than 11-2-21. When interviewed the provider stated that she had mailed the request on 05-16- 22 but never received the results.”

8VAC20-800-180-A

“Based on a review of records, and interview, the provider did not ensure that each caregiver obtains an updated TB every two years. Evidence: 1) Staff #2's last TB was done on 04/01/20. The updated test results should have been completed on or before 04/01/2022. 2) Staff #3's last TB was done on 04-24-19. The updated test results should have been completed on or before 04-24-21. When interviewed, the provider stated that she was unaware that staff #3 was due for updates.”

8VAC20-800-100-A

“Based on a review of records, the provider did not obtain documentation of a physical examination within 30 days of a child’s attendance for one of five children. Evidence: Child #5?s file, date of enrollment 11-15-21, did not contain a physical.”

8VAC20-800-180-A

“Based on review of household member records, the provider did not ensure household member #2 obtained a current report of tuberculosis screening every two years from the date of the first screening. Evidence: Documentation of a tuberculosis screening for household member #2 was dated 04/24/2019, exceeding the two year allowance.”

22.1-289.036-A

“Based on a review of caregiver records and interview, the provider did not obtain the required repeat background checks for one caregiver every five years. Evidence: The most recent central registry check for caregiver #1 was dated 11/02/2016 and expired on 11/02/2021. The provider stated she requested an updated central registry check in November 2021 however she had not received the results and had not followed up to obtain the status of the request.”

8VAC20-800-260-A

“Based on observation and interview, the provider did not ensure the aboveground swimming pool was locked in a manner to prevent access to the water by children in care. Evidence: The gate to the aboveground swimming pool was closed but was not locked in a manner that would prevent access by children in care. The provider stated the lock was not in place as they had been working on the pool over the weekend.”

8VAC20-800-180-A

“Based on review of household member records, the provider did not ensure household member #2 obtained a current report of tuberculosis screening every two years from the date of the first screening. Evidence: Documentation of a tuberculosis screening for household member #2 was dated 04/24/2019, exceeding the two year allowance.”

22.1-289.036-A

“Based on a review of caregiver records and interview, the provider did not obtain the required repeat background checks for one caregiver every five years. Evidence: The most recent central registry check for caregiver #1 was dated 11/02/2016 and expired on 11/02/2021. The provider stated she requested an updated central registry check in November 2021 however she had not received the results and had not followed up to obtain the status of the request.”

8VAC20-800-260-A

“Based on observation and interview, the provider did not ensure the aboveground swimming pool was locked in a manner to prevent access to the water by children in care. Evidence: The gate to the aboveground swimming pool was closed but was not locked in a manner that would prevent access by children in care. The provider stated the lock was not in place as they had been working on the pool over the weekend.”