Ms. Trevor Carter

8VAC20-800-180-A

“Repeat Violation 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 six months.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Child #1's record documented the parent’s signature for an annual review of the emergency contact information that was more than three weeks overdue. Child #2's record documented the parent’s signature for an annual review of the emergency contact information that was more than one year overdue.”

8VAC20-790-250-F

“Caregivers annual training shall include completion of the VA Preservice health and safety update course. Caregiver A's record did not contain documentation of completed VA Preservice Health and Safety course updates. Caregiver B's most recent VA Preservice Health and Safety Update course was dated 7/6/2022.”

8VAC20-790-250-A

“Prior to approval as a subsidy vendor, the provider shall complete VA Preservice Training. Caregiver A did not have documentation of completed VA Preservice Training.”

8VAC20-800-180-A

“Each caregiver shall obtain a current report of TB screening form every two years. Caregiver A's TB screening was dated 6/10/21 (expired: 6/10/23).”

8VAC20-800-140-B-3

“Providers and substitute providers shall have current CPR certification. Caregiver A's most recent CPR certification expired May 2025.”

8VAC20-800-140-B-4

“Providers and substitute providers shall have current first aid certification. Caregiver A's most recent first aid certification expired May 2025.”

8VAC20-790-250-F

“Caregivers annual training shall include completion of the VA Preservice health and safety update course. Caregiver A's record did not contain documentation of completed VA Preservice Health and Safety course updates. Caregiver B's most recent VA Preservice Health and Safety Update course was dated 7/6/2022.”

8VAC20-790-250-A

“Prior to approval as a subsidy vendor, the provider shall complete VA Preservice Training. Caregiver A did not have documentation of completed VA Preservice Training.”

8VAC20-800-180-A

“Each caregiver shall obtain a current report of TB screening form every two years. Caregiver A's TB screening was dated 6/10/21 (expired: 6/10/23).”

8VAC20-800-140-B-3

“Providers and substitute providers shall have current CPR certification. Caregiver A's most recent CPR certification expired May 2025.”

8VAC20-800-140-B-4

“Providers and substitute providers shall have current first aid certification. Caregiver A's most recent first aid certification expired May 2025.”

8VAC20-790-170-F

“The vendor shall inform all caregivers of children’s allergies, sensitivities, and dietary restrictions. Evidence: Not all caregivers were aware of a child with a documented food allergy.”

8VAC20-790-170-G

“The vendor shall maintain in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. Evidence: There was no written allergy list at the time of the inspection.”

8VAC20-790-430-A-3

“The emergency response Lockdown Drill shall be practiced at least annually. Evidence: The last documented Lock Down Drill was dated 2/2/24, making it overdue by three months.”

8VAC20-800-50-A

“Providers must keep a written record of children in attendance each day. Evidence: There were five children present, the written record reflected there were three.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. Evidence: The last documented Shelter-in place drill was dated 8/19/24, making it overdue by three months.”

8VAC20-800-790

“Emergency telephone numbers shall be posted in a visible area close to the telephone: Evidence: There was no list of emergency telephone numbers.”

8VAC20-790-170-F

“The vendor shall inform all caregivers of children’s allergies, sensitivities, and dietary restrictions. Evidence: Not all caregivers were aware of a child with a documented food allergy.”

8VAC20-790-170-G

“The vendor shall maintain in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. Evidence: There was no written allergy list at the time of the inspection.”

8VAC20-790-430-A-3

“The emergency response Lockdown Drill shall be practiced at least annually. Evidence: The last documented Lock Down Drill was dated 2/2/24, making it overdue by three months.”

8VAC20-800-50-A

“Providers must keep a written record of children in attendance each day. Evidence: There were five children present, the written record reflected there were three.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. Evidence: The last documented Shelter-in place drill was dated 8/19/24, making it overdue by three months.”

8VAC20-800-790

“Emergency telephone numbers shall be posted in a visible area close to the telephone: Evidence: There was no list of emergency telephone numbers.”

8VAC20-800-120-B

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Caregiver #2, who has been working for one month, did not have any completed reference verifications on file.”

8VAC20-800-100-A

“(Repeat Violation) The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #3, who has been in care for over 60 days”

8VAC20-800-530-A

“Cots/rest mats when being used for sleeping or napping shall have linens consisting of a top cover and a bottom cover. Two children were observed napping on cots/rest mats without a top cover.”

8VAC20-800-120-B

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Caregiver #2, who has been working for one month, did not have any completed reference verifications on file.”

8VAC20-800-100-A

“(Repeat Violation) The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #3, who has been in care for over 60 days”

8VAC20-800-530-A

“Cots/rest mats when being used for sleeping or napping shall have linens consisting of a top cover and a bottom cover. Two children were observed napping on cots/rest mats without a top cover.”

22.1-289.036-B-4

“Based on review of two applicant/caregiver/household member records, it was determined that no out of state sex offender registry search or out of state child abuse and neglect search was conducted by the end of the 30th day of residence, and no follow up documented. Evidence: the record for household member #1, (date of residence: 6/25/23) who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state sex offender or central registry search request or follow up.”

8VAC20-770-40-D-4

“Based on review of two applicant/caregiver/household member records, it was determined that not household members had an original central registry report within 30 days of residence. Evidence: the record for household member #1 (date of residence: 6/25/2023) did not contain documentation of a central registry search report.”

8VAC20-800-70-A

“Based on review of three child records, and an interview with the provider, not all parents were provided, in writing, all required information for parents before the child's first day of attendance. Evidence: The record for child #1, child #2, and child #3 did not contain documentation of receipt of policies on the administration of medication.”

22.1-289.036-A

“Based on review of two applicant/caregiver/household member records, it was determined that not all repeat central registry search reports were completed every five years as required. Evidence: The record for applicant/caregiver #1 had a central registry search report dated: 8/19/2018.”

8VAC20-800-330-A

“Based on observation, and an interview with the provider, the provider did not have a landline telephone available, operable, and accessible during the home's hours of operation. Evidence: there was no landline telephone in the home.”

8VAC20-800-100-A

“Based on review of three child records, the provider did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within 30 days after the first day of attendance. Evidence: the record for child #1 (date of first attendance: 9/11/2023) did not have documentation of a physical.”

8VAC20-770-40-D-4-a

“Based on record review and interview, the provider did not obtain a sworn disclosure statement for each household member living in the residence above the age of 18 years. Evidence: The record for household member #1, with a move in date of 6/25/23, did not have documentation of a sworn disclosure statement at the time of the inspection.”

8VAC20-770-40-D-4-a

“Based on record review and interview, the provider did not obtain a sworn disclosure statement for each household member living in the residence above the age of 18 years. Evidence: The record for household member #1, with a move in date of 6/25/23, did not have documentation of a sworn disclosure statement at the time of the inspection.”