Ms. Robbin Reid

8VAC20-800-60-B

“Children's records must contain required information. The records for Child #2 and Child #3 did not have a physical examination and is overdue by eight months. The record for Child #4 did not have first date of attendance and insurance plan information.”

8VAC20-800-60-B

“Children's records are required to contain insurance plan/number and signed acknowledgement from parent for receipt of required information. The records for Child #1, #3 and #4 did not have parent's signed acknowledgement of whether provider has liability insurance coverage. The record for Child #3 did not have insurance plan information.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement for any adult household member. There was no sworn statement for household member #4 who is currently residing in the home was overdue by just under 4 months.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

8VAC20-800-180-A

“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 more than 2 months.”

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening for each adult household member and from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening for Caregiver 3, who has been caring for children for over two months. There was no tuberculosis screening for household member # 4 who turned 18 years old over 4 months ago.”

22.1-289.036-B-2

“Providers must obtain a completed national criminal background check for each adult household member. Household member #4, did not have a completed national criminal background check which was overdue by just under 4 months,”

8VAC20-800-240-A

“Based on observation, the licensee did not ensure that all areas and furnishings of the family day home, inside and outside are maintained in a clean, safe, and operable condition. Evidence: A ladder holder was installed on the privacy fence which enclosed the outdoor play space used by children in care. Two of the 4 metal hooks used to support the ladder had an exposed metal edge where the rubber fitting was missing. A child could sustain an injury if they scraped against them or fell onto them.”

8VAC20-800-100-A

“Based on a review of records, 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, whose date of enrollment was8/22/2020, did not contain the results of a physical examination. The provider was unable to provide the documentation during the inspection.”

8VAC20-800-240-A

“Based on observation, the licensee did not ensure that all areas and furnishings of the family day home, inside and outside are maintained in a clean, safe, and operable condition. Evidence: A ladder holder was installed on the privacy fence which enclosed the outdoor play space used by children in care. Two of the 4 metal hooks used to support the ladder had an exposed metal edge where the rubber fitting was missing. A child could sustain an injury if they scraped against them or fell onto them.”

8VAC20-800-100-A

“Based on a review of records, 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, whose date of enrollment was8/22/2020, did not contain the results of a physical examination. The provider was unable to provide the documentation during the inspection.”

8VAC20-800-240-A

“Based on observation, the licensee did not ensure that all areas and furnishings of the family day home, inside and outside are maintained in a clean, safe, and operable condition. Evidence: A ladder holder was installed on the privacy fence which enclosed the outdoor play space used by children in care. Two of the 4 metal hooks used to support the ladder had an exposed metal edge where the rubber fitting was missing. A child could sustain an injury if they scraped against them or fell onto them.”

8VAC20-800-100-A

“Based on a review of records, 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, whose date of enrollment was8/22/2020, did not contain the results of a physical examination. The provider was unable to provide the documentation during the inspection.”

8VAC20-800-880

“Based on observation and interview, the licensee did not ensure that when meals or snacks are provided by the family day home, they follow the most recent, age appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: The children were observed eating a snack which consisted of a cereal bar and water. When asked if the children had been served any additional food components, it was confirmed that they there had been a change in the menu and the children had not had any additional food or drink for their snack. Snacks must include a minimum of 2 separate food components and water is not considered a food component.”

8VAC20-790-180-A

“***REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not obtain for each caregiver a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: Four caregiver/ Assistant / Household Member records were reviewed. The record for caregiver #3, who was working with children during the inspection, contained the most recent result of a Tuberculosis screening which was dated 2/5/2019 and was read more than 2 years ago. The licensee confirmed with caregiver #3, who had just returned to work from an extended leave, that she did had not obtained a more recent screening.”

22.1-289.035-A

“Based on a review of records and interview, the licensee did not ensure that all employees undergo the required background checks before beginning to serve as a volunteer and every five years thereafter. Evidence: Four caregiver / Assistant. / Household Member records were reviewed. The record for caregiver #3 contained the most recent results of a Criminal History Record check which were dated 1/25/2019, more than 5 years ago. The record for caregiver #3 contained the most recent results of a Search of the Central Registry check which were dated 2/12/2019, more than 5 years ago. The licensee confirmed that this was an oversight and that a new request for an updated Criminal History Record Check and an updated Central Registry search had not been completed.”

22.1-289.036-A

“Based on record review and interview, the licensee did not obtain a current Criminal History Record Check within 5 years of the most recently obtained criminal record check. Evidence: Three provider / Assistant / Household member records were reviewed. The record for provider #1 contained the last results of a criminal history record search which was dated 6/18/2018. These results were more than 5 years ago and required updating before 6/18/2023. The provider confirmed that an updated criminal record check had not been completed.”

8VAC20-800-170-A

“Based on a review of records and interview, the licensee did not obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: Three caregiver records were reviewed. The record for caregiver #3, who began employment on 3/17/2023, did not contain results of a Tuberculosis Screening. The licensee confirmed that she had not received this documentation from caregiver #3 who was working with the children during the inspection.”

8VAC20-800-180-A

“Based on a review of records and interview, the licensee did not obtain for each caregiver a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: Three caregiver records were reviewed. The record for caregiver #2, who was working with children during the inspection, contained the most recent results of a Tuberculosis screening which was dated in 2019 and was more than 2 years ago. The licensee confirmed with caregiver #2 that she did had not obtained a more recent screening.”