Meenakshi Verma

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu shall be current and dated. The posted menu was dated over 3 months ago.”

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. The record for Child #1 (in care for over 1 year) did not have a parent’s signature for an annual review of the emergency contact information.”

8VAC20-800-70-B

“Before the child’s first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. There were no parent acknowledgements available for two children who were provided care over one month.”

8VAC20-790-430-A-3

“The vendor shall ensure lockdown procedures are practiced at least annually. The vendor did not have record of lockdown drills conducted.”

8VAC20-800-180-A

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

8VAC20-800-830-A

“The provider shall ensure emergency evacuation procedures shall be practiced monthly. The last documented emergency evacuation drill was over 3 months ago and the provider confirmed one was not completed since.”

8VAC20-800-60-B

“The provider shall ensure an up-to-date record is maintained for each enrolled child with the required information. The record for Child #3, enrolled for over 4 months, was missing the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached, and the first date of attendance.”

8VAC20-800-70-A

“The provider shall ensure parents are provided in writing the required information prior to a child's first day of attendance. The record for Child #3, enrolled over 4 months was missing the requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up, and the requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.”

8VAC20-790-430-A-3

“The vendor shall ensure lockdown procedures are practiced at least annually. The vendor did not have record of lockdown drills conducted.”

8VAC20-800-180-A

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

8VAC20-800-830-A

“The provider shall ensure emergency evacuation procedures shall be practiced monthly. The last documented emergency evacuation drill was over 3 months ago and the provider confirmed one was not completed since.”

8VAC20-800-60-B

“The provider shall ensure an up-to-date record is maintained for each enrolled child with the required information. The record for Child #3, enrolled for over 4 months, was missing the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached, and the first date of attendance.”

8VAC20-800-70-A

“The provider shall ensure parents are provided in writing the required information prior to a child's first day of attendance. The record for Child #3, enrolled over 4 months was missing the requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up, and the requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.”

8VAC20-790-250-F

“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 record of the department's health and safety update course and stated they had not taken it.”

8VAC20-800-80-C

“The provider shall document the method of verification of the child's age and identity in the child's record. The records for Child #1, #2, and #3 were missing the required documentation of the method of verification of the child's age and identity.”

8VAC20-800-70-B

“Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. There were no parent acknowledgements available for Child #1, who had been in care over 4 months, and for Child #3, who had been in care for over 2 months.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. The immunization record for Child #2, 3 years and 5 months old, was overdue by 1 year and 6 months.”

8VAC20-790-250-F

“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 record of the department's health and safety update course and stated they had not taken it.”

8VAC20-800-80-C

“The provider shall document the method of verification of the child's age and identity in the child's record. The records for Child #1, #2, and #3 were missing the required documentation of the method of verification of the child's age and identity.”

8VAC20-800-70-B

“Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. There were no parent acknowledgements available for Child #1, who had been in care over 4 months, and for Child #3, who had been in care for over 2 months.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. The immunization record for Child #2, 3 years and 5 months old, was overdue by 1 year and 6 months.”

8VAC20-770-40-D-4

“Repeat violation Based on record review and provider interview, the provider did not obtain a search of the central registry within 30 days of a person 18 years or older beginning to reside in the home for 2 of 2 household members. Evidence: 1. The provider stated Household Member (HHM) #1 began residing in the home in November 2023. The record for HHM #1 did not contain documentation of the results of a search of the central registry. 2. The provider stated HHM #2 began residing in the home in March 2024. The record for HHM#2 did not contain documentation of the results of a search of the central registry.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain a tuberculosis screening every two years for 1 caregiver. Evidence: 1. The most recent documentation of a tuberculosis screening in the record for Caregiver #2 was dated 09/21/2021.”

8VAC20-800-70-B

“Based on record review, the provider did not obtain the parent's written acknowledgement of the receipt of required information. Evidence: 1. The record for Child #2 did not contain the parent's acknowledgement of the receipt of the provider's Policies for the administration of medications; 2. The record for Child #3 did not contain the parent's acknowledgement of the receipt of the following information: -Operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; - Schedule of fees and payment plans; -Check in and check out procedures; -Requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home; -Requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life- threatening diseases, which must be reported immediately;”

8VAC20-800-80-C

“Based on record review, the provider did not document all required information. Evidence: 1. The record for Child #3 did not contain the the signature of person verifying proof of identity and the date in which the document was reviewed.”

8VAC20-800-180-A

“Based on record review and provider interview, the provider did not obtain a tuberculosis screening every two years. Evidence: 1. The most recent documentation of a tuberculosis screening in the record for Caregiver #1 was dated 12/14/2021.”

8VAC20-770-40-D-4

“Based on record review and provider interview, the results of a search of the central registry were not obtained for one household member. (HHM) Evidence: 1. Provider reported HHM 1 began residing in the home in November 2023. 2. The record for HHM 1 did not contain documentation of search results of the central registry.”

22.1-289.011-F

“Based on observation, the license required by the Superintendent was not posted in a conspicuous place on the licensed premises. Evidence: 1. The provider had the license posted that expired on 11/16/2022.”

22.1-289.035-A

“Based on record review, the provider did not obtain an updated background check every five years. Evidence: 1. Caregiver #1 had a fingerprint background check dated 1/23/2018.”

8VAC20-800-200-C

“Based on interview, the provider did not have documentation that the assistant had completed orientation by the end of their first week of assuming job responsibilities. Evidence: 1. The provider stated she completed the orientation training with the assistant (start date January or February 2022), but did not have the documentation.”

22.1-289.036-A

“Based on record review, the provider did not obtain an updated background check every five years for a household member. Evidence: 1. Household Member #1 had a fingerprint background check dated 1/23/2018.”

8VAC20-800-60-B

“Based on review of children's records and interview, the provider did not obtain written authorization if the child is taken off the premises of the family day home as required. Evidence: 1. Child #1 and Child #2 did not have written authorization from the parent to take the child off premises. 2. The provider stated she takes the children to the playground in the neighborhood.”

8VAC20-770-60-C-2

“Based on review, the provider did not have the central registry findings within 30 days of employment for a caregiver. Evidence: 1. Caregiver #2's file (Start date approximately January or February 2022) did not have the central registry findings.”

8VAC20-800-770

“Based on observation, the provider did not have a working battery operated weather band radio. Evidence: 1. The provider had a weather band radio, but could not get the radio to work during the inspection.”

8VAC20-800-120-B

“Based on review, the provider's records did not contain all required information for a caregiver. Evidence: 1. Caregiver #2's file (approximate start date January or February 2022) did not have the emergency contact name, address and phone number or the employment date.”

8VAC20-800-920

“Based on observation and interview, the provider provided meals and snacks and did not have a menu for the current one week period. Evidence: 1. The provider stated the menu was not up to date for this week. The menu that was posted was dated November 2022.”

8VAC20-800-830-B

“Based on review, the provider did not practice shelter in place procedures twice per year. Evidence: 1. The provider documented practicing shelter in place procedures April 2022 only.”

8VAC20-800-830-A

“Based on review, the provider did not practice emergency evacuation procedures monthly. Evidence: 1. The provider documented practicing evacuation procedures the month of January 2022 through October 2022, but did not practice them in November 2022, December 2022, January 2023, February 2023, March 2023 or April 2023.”

8VAC20-800-800-C

“Based on review of staff records, the provider had a caregiver that had not received training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of his first week of assuming job responsibilities, on an annual basis, and at the time of each plan update. Evidence: 1. Caregiver #2 (approximate start date January 2022) did not have documentation that the emergency training had been received.”

8VAC20-800-800-B

“Based on review, the provider did not review the emergency plan at least annually and update the plan as needed and document each review. Evidence: 1. The emergency plan review was documented on 12/23/2021.”