Ms. Mary Bellamy

8VAC20-800-110-B

“Based on a review of records and interview, the licensee did not ensure that the record for each enrolled child' contains a Physical and Immunization reports which are signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: The record for child #4 contained an immunization record and physical form which were not signed by a licensed physician, the physician's designee, or an official of a local health department.”

8VAC20-800-60-B

“** REPEAT VIOLATION**** Based on a review of records and interview, the licesee did nt ensure that each child's record contains all of the required information to include the Name, Address and phone number for 2 people to be contacted in the case of an emergency if the child's parent cannot be reached. Evidence: Five children's records were reviewed. The record for child #2 (enrolled 8/2/2021) did not contain the address for one of two of the listed emergency contacts. The record for child #5 (enrolled 12/29/2021) did not contain the address for either of the two listed emergency contacts. The licensee confirmed that these addresses were no listed in the children's records.”

8VAC20-790-250-F

“** 2nd Repeat Violation ** Based on a review of records and interview, the vendor did not ensure that each caregiver includes in their annual training, the department's annual health and safety update course. Evidence: Three caregiver / household member records were reviewed. The record for caregiver #1 did not contain documentation to demonstrate that the department's health and safety update course had been completed within the last 12 months. When asked, caregiver #1 stated that she had not taken the annual course update in the past 12 months.”

22.1-289.036-A

“Based on record review and interview, the licensee did not ensure that every applicant or agent who is or will be involved in the day-to-day operations of the family day home, who is or will be alone with, in control of, or supervising one or more of the children; and any adult living in the family day home undergoes required background checks prior to issuance of a license as a family day home and every five years thereafter. Evidence: Three Provider / Assistant / Household Member Records were reviewed. The record for provider #1 contained the most recent result s of a Criminal Record Check that were dated 6/15/2028, more than 5 years ago. The record for Household Member #3 contained the most recent result s of a Criminal Record Check that were dated 6/28/2028, more than 5 years ago. The licensee confirmed that a more recent Criminal History Check had not been requested for Provider #1 and Household Member #3.”

8VAC20-800-60-B

“Based on a review of records and interview, the licensee did not ensure that each enrolled child's record contains all of the required information. Evidence: Five children's records were reviewed. The record for child #2 did not contain the address for one of the two required individuals to be contacted in an emergency if the parents could not be reached. The record for child #4 and child #5 did not contain the address for either of the two required individuals to be contacted in an emergency if the parents could not be reached. The licensee acknowledged that this information was not in the record for child #2, #4 and #5.”

8VAC20-800-180-A

“Based on record review and interview, the licensee did not always obtain, for each caregiver and adult household member, a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: Three provider / assistant / Household member records were reviewed. The record for household member #3 contained the most recent results of a tuberculosis (TB) screening which were dated 6/10/2021. The licensee confirmed that she had not obtained more recent result s of a TB screening for household member #3.”

22.1-289.035-A

“Based on a review of records and interview, the licensee did not ensure that all employees, undergo a background checks prior to employment or beginning to serve as a volunteer and every five years thereafter. Evidence: Three Provider / Assistant / Household Member records were reviewed. The record for Assistant #2 contained the most recent result s of a Criminal Record Check that were dated 6/19/2028, more than 5 years ago. The licensee confirmed that a more recent Criminal Record Check had not been requested for Assistant #2 .”

8VAC20-800-100-A

“Based on a review of records and interview, the licensee did not always obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Five children's records were reviewed. The record for child #1, who began attending the family day home 7/17/2023, did not contain the results of a physical examination. The licensee acknowledged that this documentation was not present in the child #1's record.”

8VAC20-790-250-F

“** 2nd Repeat Violation ** Based on a review of records and interview, the vendor did not ensure that each caregiver includes in their annual training, the department's annual health and safety update course. Evidence: Three caregiver / household member records were reviewed. The record for caregiver #1 did not contain documentation to demonstrate that the department's health and safety update course had been completed within the last 12 months. When asked, caregiver #1 stated that she had not taken the annual course update in the past 12 months.”

22.1-289.036-A

“Based on record review and interview, the licensee did not ensure that every applicant or agent who is or will be involved in the day-to-day operations of the family day home, who is or will be alone with, in control of, or supervising one or more of the children; and any adult living in the family day home undergoes required background checks prior to issuance of a license as a family day home and every five years thereafter. Evidence: Three Provider / Assistant / Household Member Records were reviewed. The record for provider #1 contained the most recent result s of a Criminal Record Check that were dated 6/15/2028, more than 5 years ago. The record for Household Member #3 contained the most recent result s of a Criminal Record Check that were dated 6/28/2028, more than 5 years ago. The licensee confirmed that a more recent Criminal History Check had not been requested for Provider #1 and Household Member #3.”

8VAC20-800-60-B

“Based on a review of records and interview, the licensee did not ensure that each enrolled child's record contains all of the required information. Evidence: Five children's records were reviewed. The record for child #2 did not contain the address for one of the two required individuals to be contacted in an emergency if the parents could not be reached. The record for child #4 and child #5 did not contain the address for either of the two required individuals to be contacted in an emergency if the parents could not be reached. The licensee acknowledged that this information was not in the record for child #2, #4 and #5.”

8VAC20-800-180-A

“Based on record review and interview, the licensee did not always obtain, for each caregiver and adult household member, a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: Three provider / assistant / Household member records were reviewed. The record for household member #3 contained the most recent results of a tuberculosis (TB) screening which were dated 6/10/2021. The licensee confirmed that she had not obtained more recent result s of a TB screening for household member #3.”

22.1-289.035-A

“Based on a review of records and interview, the licensee did not ensure that all employees, undergo a background checks prior to employment or beginning to serve as a volunteer and every five years thereafter. Evidence: Three Provider / Assistant / Household Member records were reviewed. The record for Assistant #2 contained the most recent result s of a Criminal Record Check that were dated 6/19/2028, more than 5 years ago. The licensee confirmed that a more recent Criminal Record Check had not been requested for Assistant #2 .”

8VAC20-800-100-A

“Based on a review of records and interview, the licensee did not always obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Five children's records were reviewed. The record for child #1, who began attending the family day home 7/17/2023, did not contain the results of a physical examination. The licensee acknowledged that this documentation was not present in the child #1's record.”

8VAC20-790-250-F

“** Repeat Violation ** Based on a review of records and interview, the vendor did not ensure that each caregiver includes in their annual training, the department's annual health and safety update course. Evidence: Three caregiver / household member records were reviewed. The record for caregiver #1 did not contain documentation to demonstrate that the department's health and safety update course had been completed within the last 12 months. When asked, caregiver #1 stated that she had not taken the annual course update in the past 12 months.”

8VAC20-790-250-F

“Based on a review of records and interview, the vendor did not ensure that each caregiver includes int heir annual training, the department's health and safety update course. Evidence: Three caregiver / household member records were reviewed. The record for caregiver #1 did not contain documentation to demonstrate that the department's health and safety update course had been completed within the last 12 months. When asked, caregiver #1 stated that she had not taken the annual course update in the past 12 months.”

8VAC20-790-420-B-5

“Based on a review of the family day home's Emergency Plan and interview, the Family Day Home's written emergency plan does not include procedures for Lockdown. Evidence: 1. The written emergency plan did not address lockdown procedures. 2. The licensee confirmed that she used a model form which she did not realize was missing elements required of susbsidy vendors and that the current written plan did not contain lockdown procedures.”

8VAC20-800-60-B

“Based on a review of records and interview, the licensee did not ensure that each enrolled child's record contains all of the required documentation. Evidence: Five children's records were reviewed. The records for child #1 and child #2 did not contain addresses for the designated emergency contacts to be called in the event that a parent cannot be reached in an emergency. The records for child #1 and Child #2 did not contain the Hospitalization plan number. The licensee was unable to demonstrate that this information had been obtained for child #1 and child #2.”

8VAC20-790-250-F

“Based on a review of records and interview, the vendor did not ensure that each caregiver includes int heir annual training, the department's health and safety update course. Evidence: Three caregiver / household member records were reviewed. The record for caregiver #1 did not contain documentation to demonstrate that the department's health and safety update course had been completed within the last 12 months. When asked, caregiver #1 stated that she had not taken the annual course update in the past 12 months.”

8VAC20-790-420-B-5

“Based on a review of the family day home's Emergency Plan and interview, the Family Day Home's written emergency plan does not include procedures for Lockdown. Evidence: 1. The written emergency plan did not address lockdown procedures. 2. The licensee confirmed that she used a model form which she did not realize was missing elements required of susbsidy vendors and that the current written plan did not contain lockdown procedures.”

8VAC20-800-60-B

“Based on a review of records and interview, the licensee did not ensure that each enrolled child's record contains all of the required documentation. Evidence: Five children's records were reviewed. The records for child #1 and child #2 did not contain addresses for the designated emergency contacts to be called in the event that a parent cannot be reached in an emergency. The records for child #1 and Child #2 did not contain the Hospitalization plan number. The licensee was unable to demonstrate that this information had been obtained for child #1 and child #2.”

8VAC20-800-60-B

“Based on a review of records and interview, the licensee was unable to demonstrate that all of the required documentation was contained in each enrolled child's record. Evidence: Three children's records were reviewed. The records for child #1 and child #3 did not contain a policy number for the child's medical insurance. The licensee confirmed that this documentation was not present in the children's records.”

8VAC20-800-80-A

“Based on a review of records and interview, the Licensee was unable to demonstrate that within 7 days of the child's first day of attendance the parent provided Verification of the age and identity of each enrolled child. Evidence: Three children's records were reviewed. The record for child #1, whose first date of attendance was 9/7/2021, did not contain documentation that the licensee had proof of child #1's age and identity. The licensee confirmed that this documentation was not in the record.”

8VAC20-800-180-A

“Based on a review of records and interview, the licensee did not obtain, for every adult household member, a tuberculosis screening within two years from the date of the most recently documented screening. Evidence: Three provider / Assistant / Household Member Records were reviewed. The record for Household Member #2 contained the most recent Tuberculosis screening results which were dated 1/16/2019. The licensee confirmed that household member #1 had not had a more recent screening.”

8VAC20-800-60-B

“Based on a review of records and interview, the licensee was unable to demonstrate that all of the required documentation was contained in each enrolled child's record. Evidence: Three children's records were reviewed. The records for child #1 and child #3 did not contain a policy number for the child's medical insurance. The licensee confirmed that this documentation was not present in the children's records.”

8VAC20-800-80-A

“Based on a review of records and interview, the Licensee was unable to demonstrate that within 7 days of the child's first day of attendance the parent provided Verification of the age and identity of each enrolled child. Evidence: Three children's records were reviewed. The record for child #1, whose first date of attendance was 9/7/2021, did not contain documentation that the licensee had proof of child #1's age and identity. The licensee confirmed that this documentation was not in the record.”

8VAC20-800-180-A

“Based on a review of records and interview, the licensee did not obtain, for every adult household member, a tuberculosis screening within two years from the date of the most recently documented screening. Evidence: Three provider / Assistant / Household Member Records were reviewed. The record for Household Member #2 contained the most recent Tuberculosis screening results which were dated 1/16/2019. The licensee confirmed that household member #1 had not had a more recent screening.”

22VAC40-665-230-H

“Based on a review of records and interview, the licensee did not ensure that each caregiver's annual training includes the department's health and safety update course. Evidence: Two caregiver records were reviewed. The record for caregiver #2 contain more than the required annual training hours, but did not include the department's annual health and safety training update. When asked if caregiver #2 had taken this training, the licensee stated that she had not.”

22VAC40-111-70-A

“Based on a review of records and interview, the provider did not ensure that prior to each child's first day of attendance, the child's parents are provided in writing the program's policies for the administration of medications. Evidence: Two children's records were reviewed during the inspection. The licensee was unable to provide documentation that the parent of child #1 and child #2 received information about the program's policies for the administration of medication. The licensee stated that she did not have this documentation.”

22VAC40-665-230-H

“Based on a review of records and interview, the licensee did not ensure that each caregiver's annual training includes the department's health and safety update course. Evidence: Two caregiver records were reviewed. The record for caregiver #2 contain more than the required annual training hours, but did not include the department's annual health and safety training update. When asked if caregiver #2 had taken this training, the licensee stated that she had not.”

22VAC40-111-70-A

“Based on a review of records and interview, the provider did not ensure that prior to each child's first day of attendance, the child's parents are provided in writing the program's policies for the administration of medications. Evidence: Two children's records were reviewed during the inspection. The licensee was unable to provide documentation that the parent of child #1 and child #2 received information about the program's policies for the administration of medication. The licensee stated that she did not have this documentation.”