Melissa McKensie

8VAC20-790-210-B

“Caregivers shall have updated TB screenings at least every two years. The record for caregiver #1 did not have documentation of an updated TB screening and was overdue by 1 year and 11 months.”

8VAC20-790-210-B

“Caregivers shall have updated TB screenings at least every two years. The record for caregiver #1 did not have documentation of an updated TB screening and was overdue by 1 year and 11 months.”

8VAC20-790-410-B

“The following nonmedical emergency supplies shall be required; battery operated radio. A battery operated radio was not available at the time of inspection.”

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. The record for caregiver #1 did not have documentation of the department's health and safety update course for 2025.”

8VAC20-790-250-F

“Based on a review of one caregiver’s record and interview, the vendor did not complete the department’s health and safety update course annually. Evidence: 1) The health and safety update course in the record of Caregiver #1 was completed on 07/28/23. 2) During interview, Caregiver #1 reported she did not have documentation that the health and safety update course was taken prior to 07/28/23. The family day home was approved as a subsidy vendor 11/30/21, therefore, the course should have been completed no later than 11/30/22.”

8VAC20-790-250-D-1

“Based on a review of one caregiver’s record and interview, the vendor did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1) The record of Caregiver #1 did not contain documentation that the caregiver has current certification in CPR. 2) During interview, Caregiver #1 acknowledged she does not have a current certification in CPR appropriate to the ages of children in care.”

8VAC20-790-230-A

“Based on a review of four children’s records and interview, the vendor did not obtain documentation that one child has been immunized 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 of Child #2, date of attendance 01/16/23, did not contain documentation of the child’s immunization record. 2) During interview, Caregiver #1 confirmed the immunization record for Child #2 had not been obtained to date.”

8VAC20-790-260-C-2

“Based on observations, the vendor did not ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: During the inspection, the inspector observed four electrical outlets without protective covers. Two 2-year-old children were observed playing near the electrical outlets.”

8VAC20-790-250-D-2

“Based on a review of one caregiver’s record and interview, the vendor did not have current certification in in first aid appropriate to the ages of children in care. However, a caregiver who is a registered nurse or licensed practical nurse with a current license from the Board of Nursing shall not be required to obtain first aid certification. Evidence: 1) The record of Caregiver #1 did not contain documentation that the caregiver has current certification in first aid. 2) During interview, Caregiver #1 acknowledged she does not have a current certification in first aid appropriate to the ages of children in care.”

8VAC20-790-430-B

“Based on documentation reviewed, the vendor did not maintain a record of the dates of the practice drills for one year. Evidence: 1) During the inspection, the record of the dates of the practice drills could not be reviewed. 2) During interview, Caregiver #1 acknowledged the practice drills were conducted, but the record of the dates of the practice drills could not be located at the time of the inspection.”

22VAC40-665-170-B

“Based on review of two children's records and interview, the vendor did not ensure two children's records contained the required information. Evidence: The records for Child #1 (first date of attendance 04/07/2021) and Child #2 (first date of attendance 08/22/2021) did not contain the following: proof of the child's identity; home and work address for each parent who has custody; address of at least one person designated by the parent to contact in case of an emergency if the parent cannot be reached; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection for the provision of medical treatment on religious or other grounds; a written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor; and any written agreements between the parent and the vendor. The vendor stated the model forms asking for this information have been given to the families.”

22VAC40-665-400-A

“Based on documentation review, the vendor did not have a written emergency preparedness plan that addresses caregiver's responsibility and home readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. Evidence: The vendor had a model template for the emergency plan that was not completed. The plan is required to address the most likely to occur emergency scenario or scenarios, including but not limited to fire, severe storms, flooding, tornadoes, loss of utilities, earthquakes, intruders, violence on or near the premises, chemical spills, and facility damage or other situations that may require evacuation, lockdown or shelter-in-place.”

22VAC40-665-410-A-1

“Based on documentation review and interview, the vendor did not ensure evacuation procedures were practiced at least monthly. Evidence: During documentation review, the vendor stated evacuation procedures have not been practiced at least monthly.”