Laura Hou

8VAC20-800-60-B

“Children's records are required to contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. The record for Child A was missing written authorization for emergency medical care. The child was present during the inspection and had been in care for three days.”

8VAC20-800-170-B

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. The form shall have been completed within the last 30 days and be signed by a physician, physicians' designee, or an official of the local health department. Caregiver B's tuberculosis screening was completed 374 days prior to their date of hire.”

8VAC20-800-120-B

“Assistants and substitute providers' records must contain documentation that two or more references as to character and reputation as well as competency were checked before employment. Caregiver #2's references were checked after employment. The first reference was contacted two days after hire, and the second reference was contacted six days after hire.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Provider did not obtain a completed national criminal background check for Caregiver #2 prior to the employee's first day of employment. The criminal background check results were dated three days after employment at the day care.”

22.1-289.035-B-3

“The provider must request a search of the central registry prior to the employee's first day of employment. Caregiver #2's central registry search was requested two days after the first day of employment.”

8VAC20-800-570-B

“Based on observation, the provider failed to ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed. Evidence: 1. The provider had 17 points during the inspection on 11/20/2023 with 5 children in care and 3 resident children. (Children in care: 10 months-4 points, 11 months -4 points, 14 months.-4 points, 3 years old-2 points, 3 years old-2 points, and Resident Children: 5 years old-1 point, 8 years old, 10 years old).”

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: 1. Household Member #1 had a tuberculosis screening form dated 6/30/2020.”