Ms. Rebecca Garson

8VAC20-800-60-A

“An up-to-date record for each child enrolled shall be maintained by the provider. There was a blank model form for registration in child’s #1, who was in care during the inspection.”

22.1-289.036-A

“The provider is required to have board officers undergo a background check every five years. The most recent national criminal background check for board officer # 2 was overdue by one year. Board officer # 3 and 4 most recent national criminal background check was overdue by 2 years and 6 months.”

22.1-289.035-A

“Based on interview and review of record, the provider failed to ensure that background checks are repeated every five years. Evidence: 1. The provider’s criminal history background check was dated 06/09/2018. 2. The provider confirmed that their criminal history background check had not been repeated every five years.”

22.1-289.036-A

“22.1-289.036-A: A2 Based on interview and review of record, the provider failed to ensure that background checks are repeated every five years for household members. Evidence: 1. Household member #1?s criminal history background check was dated 06/07/2018. 2. The provider confirmed that the criminal history background check for household member #1 had not been repeated every five years.”

8VAC20-800-800-B

“Based on interview, the provider failed to document in writing each annual review of the emergency plan update. Evidence: 1. The provider confirmed that the emergency plan had not been updated annually and that documentation of the annual review was not available at the time of the inspection.”

8VAC20-800-60-B

“Based on review of records and interview, the provider failed to ensure that each child’s record contained the first and last date of attendance and the name, address and telephone number two designated persons to contact in case of an emergency if the parent cannot be reached Evidence: 1. Child #3?s record did not contain a start date and it did not contain the name, address and telephone of a second emergency contact. 2. The provider confirmed that the start date and a second emergency contact was not in the child’s record.”

22.1-289.035-B-2

“Based on review of caregiver records, the provider failed to ensure that fingerprints were completed and on file prior to the first day of employment. Evidence: 1. Caregiver #2's date of employment was 01/03/2022. The fingerprints were dated 01/11/2022. 2. The provider verified the date of employment.”

22.1-289.035-B-4

“Based on review of caregiver records, the provider failed to obtain all required out-of-state background checks in the required time frames. Evidence: 1. Caregiver #2's sworn disclosure statement signed 12/16/2021 indicated they had lived in two states outside of Virginia within the past five years. 2. There was not a completed out-of-state criminal history check completed for one state. The out-of-state criminal history background check is required prior to hire. Date of hire for Caregiver #2 was 01/03/2022. 3. There was not a completed sex offender name check completed for one state. The sex offender name check is required prior to hire. Date of hire for Caregiver #2 was 01/03/2022. 4. There was not a completed out-of-state child abuse and neglect completed for one state. The out-of-state child abuse and neglect is required to be sent out by the 30th day of employment, which would have been 02/03/2022. Date of hire for Caregiver #2 was 01/03/2022. 5. The provider verified the date of employment for Caregiver #2, and verified that the required background checks had not been completed.”

22.1-289.036-C

“Based on review of board member background checks, the center failed to ensure that background checks were updated every five years. Evidence: 1. The central registry finding for Agent #1 was last completed on 01/03/2017. A new central registry finding was required by 1/03/2022. 2. The central registry finding for Agent #2 was last completed on 08/22/2016. An new central registry finding was required by 08/22/2021. 3. The sworn disclosure statement for Agent #2 was last completed on 08/01/2016. A new sworn disclosure statement was required by 08/01/2021. 4. The central registry finding for Agent #3 was last completed on 08/08/2016. A new central registry finding was required by 08/08/2021. 5. The sworn disclosure statement for Agent #3 was last completed on 07/21/2016. A new sworn disclosure statement was required by 07/21/2021.”

8VAC20-800-100-A

“Based on a review of children records, the provider failed to obtain a physical within 30 days after the first date of attendance. Evidence: 1. Child #1's date of enrollment was 06/23/2021. There was not a completed physical examination on file for Child #1. 2. The provider verified the date of enrollment, and that there was not a completed physical examination on file.”

22VAC40-111-90-A

“Based on a review of children's records, the provider failed to obtain documentation of immunizations before the child's first day of enrollment. Evidence: 1. Child #3's immunizations were dated 09/10/2021. First day of attendance for Child #3 was 09/02/2021. 2. The provider verified the date on the immunizations, and the child's first date of enrollment.”