Lorretta Cavalheri

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. There was no tuberculosis screening for Caregiver 2 who was caring for children on the day of inspection, but does not provide care on a daily basis.”

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. Caregiver #2, who was present and providing care on the day of the inspection but does not provide care on a regular basis, did not have a completed sworn statement.”

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 #2, who was present and providing care on the day of the inspection but does not provide care on a regular basis, did not have a completed national criminal background check.”

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, who was present and providing care on the day of the inspection but does not provide care on a regular basis, did not have documentation of a central registry search request.”

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 four months.”

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually. An annual review of the emergency plan was overdue by one month.”

8VAC20-800-60-B

“An up to date record for each child enrolled shall be maintained by the provider and contain all required information. The record for Child #1 did not contain documentation of the name, address and telephone number of the father's place of employment and documentation of viewing proof of the child's age and identity. Child #1 was in care during the inspection and had been in care for over one year.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Records for children #1, #2, #3 and #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #1, 2, and 3 had been in care for over a year. Child #4 had been in care for over two years. A review was overdue by 5 months.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #2 was not completed and was overdue by two months.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. The last documented immunization in the record for Child #2, 20 months old, was over 12 months ago.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Evidence: 1. Caregiver #3, who had been employed for one day, did not have a completed national criminal background check.”

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. Evidence: Provider stated a central registry search had not been requested for Caregiver #3, who had been employed for one day.”

8VAC20-800-780-B

“Annually, the provider is required to review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence: 1. The record for Child #1 did not have a parent’s signature for an annual review of the emergency contact information. Child #1 had been in care for over a year.”

8VAC20-800-120-A

“The provider shall maintain a record for each caregiver. Evidence: 1. The provider did not have a record for Caregiver #3 who had been working at the Family Day Home for one day.”

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. Evidence: 1. The provider did not obtain a sworn statement for Caregiver #3 who has been working at the family day home for one day.”

8VAC20-800-200-A

“Based on record review, the provider did not orient the assistant by their first week of assuming job responsibilities. Evidence: 1. The record for Caregiver #1 did not contain documentation of orientation training. 2. Caregiver #1 began employment on 8/14/2023.”

8VAC20-800-120-B

“Based on record review, the record for 1 of 2 caregivers did not contain all required information. Evidence: 1. The record for Caregiver #1 did not contain the name address and telephone number of a person to be notified in an emergency”

8VAC20-800-120-B

“Based on record review, 1 of 2 caregiver records reviewed did not contain all required information. Evidence: 1. The record for Caregiver #2 did not contain a second reference check as required.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain a current Report of Tuberculosis Screening form every two years from the date of the first screening for one caregiver and one household member. Evidence: 1. The most current report of tuberculosis screening in the record for Caregiver #1 was dated 10/16/2021. 2. The most current report of tuberculosis screening int he record for Household Member #1 was dated 10/16/2021”

22.1-289.036-A

“Repeat Violation Based on record review, the provider did not obtain subsequent background checks every five years for one caregiver and one household member. Evidence: 1. The most recent fingerprint-based criminal history record check results in the record for Caregiver #1 were dated 4/19/2018. The most recent fingerprint-based criminal history record check results in the record for Household Member #1 were dated 8/23/2018. 2. The most recent Sworn Statement in the record for Caregiver #1 was dated 8/14/2018. The most recent Sworn Statement in the record for Household Member #1 was dated 8/14/2018. 3. The most recent search results of the Virginia Central Registry in the record for Caregiver #1 were dated 8/30/2018. The most recent search results of the Virginia Central Registry in the record for Household Member #1 were dated 8/30/2018.”

8VAC20-800-60-B

“Based on the review of 4 children's records, the provider failed to get some information to make the record complete. Evidence: One child, Child 1, is missing a second emergency contact.”

8VAC20-800-830-C

“Based on the review of the emergency drill records the provider failed to record one drill. Evidence The provider conducted a drill in April but did not record it.”

8VAC20-800-830-A

“Based on the review of the emergency drill record, the provider failed to conduct an emergency drill monthly. Evidence: The provider did not record a May 2023 emergency drill.”

22.1-289.036-B-2

“Based on review of the providers records, a subsequent background check has not been conducted. Evidence: Reviewed two staff records, one staff, Staff 1, is missing a subsequent criminal records check. Previous check was done 4/19/2018.”

8VAC20-800-690-D

“Based on observation and interview with caregiver, the diapering surface is not being cleaned and sanitized after each use. Evidence A container of Clorox wipes was observed by the diapering surface. Caregiver #2 confirmed the diapering surface was wiped down with Clorox wipes after each diapering surface. Regulations require the diapering surface be sprayed or dipped with a solution of soap and water, then pat dry with single use paper towel to clean the surface. Spray or dip with a solution of bleach and water and allow to air dry to sanitize.”

8VAC20-770-60-C-2

“Based on review of two caregiver records, one caregiver did not have a central registry finding within 30 days of employment. Evidence The record for caregiver #1 (date of hire 10/20) did not contain documentation of a central registry finding within 30 days of employment.”

22.1-289.035-B-2

“Based o review of two caregivers records, one caregiver did not submit to fingerprinting before their first day of employment. Evidence The record for caregiver #1 (date of hire 10/20) did not contain documentation of an eligible fingerprint letter before the first day of employment.”

8VAC20-800-120-B

“Based on review of two caregivers records, one did not contain all required reference check documentation. Evidence The record for caregiver #1 (date of hire 10/20) did not contain the required two reference checks. Only one reference check was in the record.”

22VAC40-111-120-B

“Based on record review, 1 of 2 caregiver records did not contain all required information. Evidence: The record for Caregiver #1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.”

22VAC40-111-60-B

“Based on record review, 1 of 2 children's records did not contain all required information. Evidence: The record for child #1 did not contain the telephone number for one parent's place of employment”