Ms. Shawn Wells

8VAC20-800-210-A

“Repeat Violation Based on a review of annual training and interview on September 14, 2023, the provider failed to ensure caregivers obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #2, hired August 16, 2021, contained documentation of 6.5 hours of annual training from August 16, 2022 to August 15, 2023. 2. The record of caregiver #3, hired April 20, 2022, contained documentation of 6 hours of annual training from April 20, 2022 to April 19, 2023. 3. The provider confirmed the annual training hours were not completed.”

8VAC20-800-210-A

“Repeat Violation Based on a review of annual training and interview on September 14, 2023, the provider failed to ensure caregivers obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #2, hired August 16, 2021, contained documentation of 6.5 hours of annual training from August 16, 2022 to August 15, 2023. 2. The record of caregiver #3, hired April 20, 2022, contained documentation of 6 hours of annual training from April 20, 2022 to April 19, 2023. 3. The provider confirmed the annual training hours were not completed.”

8VAC20-790-250-F

“Based on a review of caregiver records and interview on March 7, 2023, the vendor did not ensure that each caregiver complete the Virginia health and safety update course annually. Evidence: The records of caregiver #1, #2, and #3 did not contain documentation of the 2022 Virginia health and safety update course. Caregiver #1 confirmed the training was not completed for each caregiver.”

8VAC20-790-250-B

“Based on a review of caregiver records and interview on March 7, 2023, the vendor failed to ensure within the first 90 of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Evidence: 1. The record of caregiver #3, hired 4/20/22, did not contain documentation of the Virginia Preservice Training. 2. Caregiver #1 confirmed the training was not complete.”

8VAC20-800-180-A

“Based on a review of caregiver records and interview on March 7, 2023, the provider did not obtain a current Report of Tuberculosis Screening form for each caregiver, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. The record of caregiver #2 contained documentation of a tuberculosis screening dated 12/30/2020. 2. Caregiver #1 acknowledged the repeat tuberculosis screening was not complete.”

8VAC20-800-210-A

“Based on a review of annual training and interview on March 7, 2023, the provider failed to ensure caregivers obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #2 contained documentation of 14 hours of annual training from 08/16/2021 to 08/15/2022. 2. Caregiver #1 confirmed the 16 hours of training was not completed.”

8VAC20-790-250-F

“Based on a review of caregiver records and interview on March 7, 2023, the vendor did not ensure that each caregiver complete the Virginia health and safety update course annually. Evidence: The records of caregiver #1, #2, and #3 did not contain documentation of the 2022 Virginia health and safety update course. Caregiver #1 confirmed the training was not completed for each caregiver.”

8VAC20-790-250-B

“Based on a review of caregiver records and interview on March 7, 2023, the vendor failed to ensure within the first 90 of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Evidence: 1. The record of caregiver #3, hired 4/20/22, did not contain documentation of the Virginia Preservice Training. 2. Caregiver #1 confirmed the training was not complete.”

8VAC20-800-180-A

“Based on a review of caregiver records and interview on March 7, 2023, the provider did not obtain a current Report of Tuberculosis Screening form for each caregiver, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. The record of caregiver #2 contained documentation of a tuberculosis screening dated 12/30/2020. 2. Caregiver #1 acknowledged the repeat tuberculosis screening was not complete.”

8VAC20-800-210-A

“Based on a review of annual training and interview on March 7, 2023, the provider failed to ensure caregivers obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #2 contained documentation of 14 hours of annual training from 08/16/2021 to 08/15/2022. 2. Caregiver #1 confirmed the 16 hours of training was not completed.”

8VAC20-770-40-D-5-a

“Based on a review of records on September 22, 2022, the provider failed to ensure that each household member obtained a central registry check within 30 days of turning 14 years of age. Evidence: 1. The record of household member #1 (DOB 07/27/07) contained documentation of a central registry dated 6/18/22, which exceeds 30 days after turning 14 years of age.”

8VAC20-800-240-A

“Based on observation on September 22, 2022, the provider failed to ensure areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. There were several nail pops on the top step of the deck. 2. The surface area of the deck contained chipped paint. 3. The S hooks on the baby swing had an approximate inch opening.”

8VAC20-800-90-A

“Based on a review of children's records on September 22, 2022, the provider failed to obtain documentation that a child had been adequately immunized before the child attended the family day home. Evidence: The record of child #2, enrolled 6/22/22, contained documentation of immunizations dated 6/29/22, which exceeds the child's first date of attendance.”

8VAC20-800-70-A

“Based on interview and review of documentation on September 22, 2022, the provider failed to ensure that parents were provided the required written information for parents before the child's first day of attendance. Evidence: 1. The records of child #1, child #2, and child #3 did not contain any evidence that the parents of these children were provided, in writing, the requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life-threatening diseases, which must be reported immediately.”

8VAC20-800-60-B

“Based on a review of children's records on September 22, 2022, the provider failed to obtain all required information for children records. Evidence: 1. The record of child #1 did not contain documentation of the name and policy number of the child's medical insurance. 2. The record of child #2 did not contain documentation of the name, address, and telephone number of two designated persons to contact in an emergency.”

8VAC20-770-60-C-2

“Based on a review of caregiver records and interview on September 22, 2022, the provider failed to ensure that each caregiver record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of caregiver #2, hired 4/20/22, contained documentation of a central registry result dated 9/12/22.”

8VAC20-770-40-D-5-a

“Based on a review of records on September 22, 2022, the provider failed to ensure that each household member obtained a central registry check within 30 days of turning 14 years of age. Evidence: 1. The record of household member #1 (DOB 07/27/07) contained documentation of a central registry dated 6/18/22, which exceeds 30 days after turning 14 years of age.”

8VAC20-800-240-A

“Based on observation on September 22, 2022, the provider failed to ensure areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. There were several nail pops on the top step of the deck. 2. The surface area of the deck contained chipped paint. 3. The S hooks on the baby swing had an approximate inch opening.”

8VAC20-800-90-A

“Based on a review of children's records on September 22, 2022, the provider failed to obtain documentation that a child had been adequately immunized before the child attended the family day home. Evidence: The record of child #2, enrolled 6/22/22, contained documentation of immunizations dated 6/29/22, which exceeds the child's first date of attendance.”

8VAC20-800-70-A

“Based on interview and review of documentation on September 22, 2022, the provider failed to ensure that parents were provided the required written information for parents before the child's first day of attendance. Evidence: 1. The records of child #1, child #2, and child #3 did not contain any evidence that the parents of these children were provided, in writing, the requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life-threatening diseases, which must be reported immediately.”

8VAC20-800-60-B

“Based on a review of children's records on September 22, 2022, the provider failed to obtain all required information for children records. Evidence: 1. The record of child #1 did not contain documentation of the name and policy number of the child's medical insurance. 2. The record of child #2 did not contain documentation of the name, address, and telephone number of two designated persons to contact in an emergency.”

8VAC20-770-60-C-2

“Based on a review of caregiver records and interview on September 22, 2022, the provider failed to ensure that each caregiver record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of caregiver #2, hired 4/20/22, contained documentation of a central registry result dated 9/12/22.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain physicals for 3 children within 30 days of the first day of attendance. Evidence: 1. Three children records were reviewed. 2. Child #1, #2 and #3 did not have documentation of obtaining a physical within 30 days of the start of attendance. 3. Child #1 documented first date of attendance was 10/11/2021. Child #2 and Child #3's documented first date of attendance was 08/30/2021. 4. The provider confirmed physicals had not been received for within 30 days of the first day of attendance for Child #1, #2 and #3.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain physicals for 3 children within 30 days of the first day of attendance. Evidence: 1. Three children records were reviewed. 2. Child #1, #2 and #3 did not have documentation of obtaining a physical within 30 days of the start of attendance. 3. Child #1 documented first date of attendance was 10/11/2021. Child #2 and Child #3's documented first date of attendance was 08/30/2021. 4. The provider confirmed physicals had not been received for within 30 days of the first day of attendance for Child #1, #2 and #3.”