Ms. Sandra Nicholas

8VAC20-770-40-D-1-a

“Based on record review and interview, the provider failed to ensure that all staff shall undergo background checks every five years. Evidence: 1. The staff record for Staff #1 contained a central registry background dated 6/8/2018. Staff #1 should have undergone a criminal background check on or before 6/8/2023. 2. The provider verified that a central registry background check had not been completed.”

8VAC20-770-40-D-4

“Based on record review, the provider did not update background check documentation for a household member every 5 years. Evidence: Household member # 1's record contains a central registry check that was last updated on 12/15/2018. Household member #1 should have completed an updated central registry background on or before 12/15/2023.”

8VAC20-800-100-A

“(Repeat Violation) Based on review children records, the provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. The record for child # 4, did not contain documentation of a physical examination. Child # 4?s date of enrollment was 8/28/2023.”

8VAC20-800-60-B

“(Repeat Violation) Based on record review, the record of each child was not complete. Evidence: Child #4 did not have documentation of proof of identification.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain a current report of tuberculosis screening/test for each household member/caregiver every two years from the date of the last test/screening. Evidence: Staff#1's record contains a TB test/screening that was last updated on 5/12/2018.”

8VAC20-800-210-A

“Based on review of records, the provider did not ensure that all staff receive the required 16 hours of annual training. Evidence: Staff #2 received a total of 4 hours of annual training.”

8VAC20-800-90-A

“(Repeat Violation) Based on review children records, the provider did not obtain documentation of immunizations before a child may attend the family day home. Evidence - 1. The record for child #4, did not contain documentation of immunizations.”

8VAC20-800-60-A

“Based on record review, children's records did not contain all required information. Evidence: The record for child #1 did not contain the address and phone number for a second emergency contact.”

8VAC20-800-80-C

“Based on review of three children's records, the provider failed to obtain proof of child identity and age requirements for one child. Evidence: 1. Child #1's file did not contain documentation of proof of identity. Date of enrollment was 2/27/2023.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements prior to attending the family day home. Evidence: 1. The record for Child #1 (DOE: 2/27/2023) did not contain a immunization record.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials, and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were not stored away in areas inaccessible to children. Evidence: 1. Cleaning and disinfectant products were stored around the sink accessible to children. The following were unlocked and accessible to children: Clorox disinfectant wipes, Lysol disinfectant spray, Microband, and Lysol Cleaner.”

8VAC20-800-830-C

“Based on record review and interview with the provider, the provider failed to maintain documentation of emergency evacuation. Evidence: 1. There was no documentation of emergency evacuations drills January 2023 ? July 2023. 2. The provider stated that drills were completed but she was unable to provide documentation that verified drills were done.”

8VAC20-800-100-A

“Based on a review of children records, the provider failed to 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: 1. The record for child #1 did not contain documentation of a physical examination.”

8VAC20-800-60-A

“Based on record review, children's records did not contain all required information. Evidence: The record for child #1 did not contain the address and phone number for a second emergency contact.”

8VAC20-800-80-C

“Based on review of three children's records, the provider failed to obtain proof of child identity and age requirements for one child. Evidence: 1. Child #1's file did not contain documentation of proof of identity. Date of enrollment was 2/27/2023.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements prior to attending the family day home. Evidence: 1. The record for Child #1 (DOE: 2/27/2023) did not contain a immunization record.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials, and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were not stored away in areas inaccessible to children. Evidence: 1. Cleaning and disinfectant products were stored around the sink accessible to children. The following were unlocked and accessible to children: Clorox disinfectant wipes, Lysol disinfectant spray, Microband, and Lysol Cleaner.”

8VAC20-800-830-C

“Based on record review and interview with the provider, the provider failed to maintain documentation of emergency evacuation. Evidence: 1. There was no documentation of emergency evacuations drills January 2023 ? July 2023. 2. The provider stated that drills were completed but she was unable to provide documentation that verified drills were done.”

8VAC20-800-100-A

“Based on a review of children records, the provider failed to 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: 1. The record for child #1 did not contain documentation of a physical examination.”

8VAC20-800-840-B Complaint related: No

“Based on record review, the injury report did not include all required information. Evidence: The injury report completed by the provider did not include when and how the parents were notified, the time the incident occurred, actions to prevent future occurrences of similar incidents, and the parent and provider’s signature.”

8VAC20-800-680-A Complaint related: No

“Based on observation of the diapering process, the caregiver failed to wash their hands with liquid soap and warm running water after toileting. Evidence: 1. The inspector observed staff #1 changing a toddler’s diaper. Staff #1 did not wash their hands with liquid soap and warm running water after toileting. 2. The provider stated that she has instructed staff #1 on proper handwashing before and after toileting.”

8VAC20-800-690-D Complaint related: No

“Based on observation, the caregiver failed to clean and sanitize the diapering surface after each use. Evidence: Staff 1 did not sanitize the diapering surface after use.”

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children's hands are washed with liquid soap and warm running water. Evidence: 1. The provider failed to ensure that the child's hands were washed after diapering.”

8VAC20-800-60-B

“Based on a review, the provider failed to ensure that all required information was documented in children's record. Evidence: 1. Child #2's record did not contain a signed written authorization for emergency medical care should an emergency occur and the parent cannot be located. Date of enrollment was 04/12/2021. 2. The provider confirmed that the parent did not sign the emergency medical authorization form.”

8VAC20-800-80-A

“Based on record review, 5 of 5 children's records did not contain complete documentation of proof of identification for each child in care.”

8VAC20-800-90-A

“Based on record review, 1 of 6 children did not have documentation of adequate immunization prior to attendance. Evidence: Child 3 enrolled on 9/8/2021 and no immunization record is available in the child's record.”

8VAC20-800-60-A

“Based on record review, one of five children's records was incomplete. Evidence: The record for Child #1 was missing parent signature for emergency authorization and provider signature.”

8VAC20-800-830-C

“Based on record review, documentation of the emergency evacuation drill was not maintained. Evidence: There was no record of fire drills conducted between January 2022 ?June 2022.”

8VAC20-800-830-B

“Based on interview, it was determined that the provider has not conducted at least two shelter- in -place drills. Evidence: There was no documentation of shelter-in-place drills completed.”

8VAC20-800-80-A

“Based on record review, 5 of 5 children's records did not contain complete documentation of proof of identification for each child in care.”

8VAC20-800-90-A

“Based on record review, 1 of 6 children did not have documentation of adequate immunization prior to attendance. Evidence: Child 3 enrolled on 9/8/2021 and no immunization record is available in the child's record.”

8VAC20-800-60-A

“Based on record review, one of five children's records was incomplete. Evidence: The record for Child #1 was missing parent signature for emergency authorization and provider signature.”

8VAC20-800-830-C

“Based on record review, documentation of the emergency evacuation drill was not maintained. Evidence: There was no record of fire drills conducted between January 2022 ?June 2022.”

8VAC20-800-830-B

“Based on interview, it was determined that the provider has not conducted at least two shelter- in -place drills. Evidence: There was no documentation of shelter-in-place drills completed.”

8VAC20-800-120-A

“Based on a review of two caregiver records, one caregiver's record did not contain the required documentation. Evidence: 1) The record for Caregiver #2, hired on 10/29/2021, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. The record did not contain documentation of the Caregivers' education and training as required by 8VAC20-800-230.”

8VAC20-800-60-B

“Based on a review of two children's records and interview, the provider did not ensure one child's record contained the required information. Evidence: 1) The record for Child #1, enrolled on 01/24/2022, did not contain a second emergency contact. A child's record should contain the name, address, and telephone number of two designated persons to contact in case of an emergency if a parent cannot be reached. 2) The record for Child #1 did not contain the parent's signed acknowledgement of the receipt of the information required by 8VAC20-800-70. 3) During interview, Caregiver #1 acknowledged the information was not in the child's record.”

8VAC20-800-90-A

“Based on a review of two children's records and interview, the provider did not obtain documentation that one child had been adequately immunized before the child may attend the family day home. Evidence: 1) The record for Child #1, enrolled on 01/24/2022, did not contain documentation that the child has been adequately immunized. 2) During interview, Caregiver #1 reported the documentation has not been obtained to date.”

8VAC20-800-170-A

“Based on a review of two caregivers' records and interview, the provider did not obtain from one caregiver at the time of hire a current report of tuberculosis (TB) 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: 1) The record for Caregiver #2, hired on 10/29/2021, did not contain documentation of a TB screening. 2) During interview, Caregiver #1 reported Caregiver #2 does not have a current TB screening on file.”

8VAC20-800-680-A

“Based on observations and interview, a caregiver did not wash their hands with soap and warm running water after diapering a child. Evidence: 1) During the inspection, Caregiver #2 was observed diapering a child. Caregiver #2 did not wash their hands with soap and water after diapering the child. Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. 2) During interview, Caregiver #1 reported Caregiver #2 has been reminded to wash their hands with soap and warm running water after diapering a child.”

8VAC20-770-60-C-2

“Based on a review of two caregivers' records, the provider did not ensure one caregiver had a central registry finding within 30 days of employment. Evidence: 1) The record for Caregiver #2, hired on 10/29/2021, did not contain a central registry finding. 2) During interview, Caregiver #1 reported the central registry finding for Caregiver #2 has not been received.”

8VAC20-770-60-B

“Based on a review of two caregivers' records and interview, the provider did not ensure one caregiver had a complete sworn statement or affirmation prior to employment. Evidence: 1) The sworn statement in the file for Caregiver #2, hired on 10/29/2021, was dated 01/05/2022. 2) During interview, Caregiver #1 confirmed the sworn statement for Caregiver #2 was completed after their hire date.”

22.1-289.035-B-2

“Based on a review of two caregivers' records and interview, the provider did not ensure one caregiver obtained fingerprints prior to hire. Evidence: 1) The record for Caregiver #2, hired on 10/21/2021, did not contain a fingerprint-based background check determination letter from the Office of Background Investigation prior to employment. 2) During interview, a Caregiver #1 confirmed the fingerprint-based background check results for Caregiver #2 have not been received.”

8VAC20-800-120-A

“Based on a review of two caregiver records, one caregiver's record did not contain the required documentation. Evidence: 1) The record for Caregiver #2, hired on 10/29/2021, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. The record did not contain documentation of the Caregivers' education and training as required by 8VAC20-800-230.”

8VAC20-800-60-B

“Based on a review of two children's records and interview, the provider did not ensure one child's record contained the required information. Evidence: 1) The record for Child #1, enrolled on 01/24/2022, did not contain a second emergency contact. A child's record should contain the name, address, and telephone number of two designated persons to contact in case of an emergency if a parent cannot be reached. 2) The record for Child #1 did not contain the parent's signed acknowledgement of the receipt of the information required by 8VAC20-800-70. 3) During interview, Caregiver #1 acknowledged the information was not in the child's record.”

8VAC20-800-90-A

“Based on a review of two children's records and interview, the provider did not obtain documentation that one child had been adequately immunized before the child may attend the family day home. Evidence: 1) The record for Child #1, enrolled on 01/24/2022, did not contain documentation that the child has been adequately immunized. 2) During interview, Caregiver #1 reported the documentation has not been obtained to date.”

8VAC20-800-170-A

“Based on a review of two caregivers' records and interview, the provider did not obtain from one caregiver at the time of hire a current report of tuberculosis (TB) 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: 1) The record for Caregiver #2, hired on 10/29/2021, did not contain documentation of a TB screening. 2) During interview, Caregiver #1 reported Caregiver #2 does not have a current TB screening on file.”

8VAC20-800-680-A

“Based on observations and interview, a caregiver did not wash their hands with soap and warm running water after diapering a child. Evidence: 1) During the inspection, Caregiver #2 was observed diapering a child. Caregiver #2 did not wash their hands with soap and water after diapering the child. Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. 2) During interview, Caregiver #1 reported Caregiver #2 has been reminded to wash their hands with soap and warm running water after diapering a child.”

8VAC20-770-60-C-2

“Based on a review of two caregivers' records, the provider did not ensure one caregiver had a central registry finding within 30 days of employment. Evidence: 1) The record for Caregiver #2, hired on 10/29/2021, did not contain a central registry finding. 2) During interview, Caregiver #1 reported the central registry finding for Caregiver #2 has not been received.”

8VAC20-770-60-B

“Based on a review of two caregivers' records and interview, the provider did not ensure one caregiver had a complete sworn statement or affirmation prior to employment. Evidence: 1) The sworn statement in the file for Caregiver #2, hired on 10/29/2021, was dated 01/05/2022. 2) During interview, Caregiver #1 confirmed the sworn statement for Caregiver #2 was completed after their hire date.”

22.1-289.035-B-2

“Based on a review of two caregivers' records and interview, the provider did not ensure one caregiver obtained fingerprints prior to hire. Evidence: 1) The record for Caregiver #2, hired on 10/21/2021, did not contain a fingerprint-based background check determination letter from the Office of Background Investigation prior to employment. 2) During interview, a Caregiver #1 confirmed the fingerprint-based background check results for Caregiver #2 have not been received.”