Nancy Miller

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 over six months.”

8VAC20-800-280

“Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children. Cleaning chemicals and sanitizing wipes were stored in a low cabinet under the kitchen sink which is accessible to the children when eating meals and snacks.”

8VAC20-800-60-B

“Children's records are required to contain documentation of viewing proof of the child's age and identity. The record of Child #2 did not contain documentation of viewing proof of the child's age and identity. The provider stated that a birth certificate was viewed but not documented.”

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall: 1. Be dated; 2. Be given to parents or posted or placed in an area accessible to parents; 3. List any substituted food; and 4. Be kept on file one week at the family day home. A weekly dated menu was not posted or given to the parents.”

8VAC20-800-730-D

“Medication including medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Household medication was stored in an unlocked cabinet above the refrigerator.”

8VAC20-800-100-A

“Based on a review of five children's records and interviews, the provider did not obtain documentation of one child's 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: The record of Child #2, date of attendance 04/01/24, did not contain documentation of a physical examination. During interview, Caregiver #1 reported the physical examination could not be located at the time of the inspection.”

8VAC20-800-90-A

“Based on a review of five children's records and interviews, the provider did not obtain documentation that one child has been adequately immunized according to the requirements of ?32.1-46 A of the Code of Virginia and applicable State Board of Health regulations prior to attendance. Evidence: The record of Child #2, date of attendance 04/01/24, did not contain documentation of immunizations. During interview, Caregiver #1 reported the immunizations could not be located at the time of the inspection.”

22.1-289.036-A

“Based on a review of records, the provider did not ensure an applicant shall undergo background checks every five years. Evidence: The most recent central registry finding in the record of Applicant #1 was obtained on 01/08/19. A new central registry finding should have been obtained no later than 01/08/24. During interview, Applicant #1 acknowledged a new central registry finding had not been obtained as required.”

8VAC20-800-180-A

“Based on a review of records and interview, the provider did not obtain a repeat tuberculosis (TB) screening for one 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 most recent TB screening the record of Caregiver #1 was completed on 12/20/20. 2) During interview, Caregiver #1 acknowledged an updated TB screening has not been obtained. The updated TB should have been obtained no later than 12/20/22.”

22.1-289.035-A

“Based on a review of records and interview, the provider did not obtain the satisfactory results of the fingerprint-based national criminal background check every five years. Evidence: 1) The record of Caregiver #1 contained documentation of a fingerprint-based national criminal background check dated 03/06/2018. The repeat background check should have been obtained prior to 03/06/2023. 2) During interview, Caregiver #1 acknowledged the fingerprints were not completed every five years as required.”

8VAC20-800-180-A

“Based on a review of records and interview, the provider did not obtain a repeat tuberculosis (TB) screening for one 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 most recent TB screening the record of Caregiver #1 was completed on 12/20/20. 2) During interview, Caregiver #1 acknowledged an updated TB screening has not been obtained. The updated TB should have been obtained no later than 12/20/22.”

22.1-289.035-A

“Based on a review of records and interview, the provider did not obtain the satisfactory results of the fingerprint-based national criminal background check every five years. Evidence: 1) The record of Caregiver #1 contained documentation of a fingerprint-based national criminal background check dated 03/06/2018. The repeat background check should have been obtained prior to 03/06/2023. 2) During interview, Caregiver #1 acknowledged the fingerprints were not completed every five years as required.”

8VAC20-800-140-B-3

“Based on a review of records and interview, the provider did not ensure that one provider had current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1) The most recent CPR certification in the record for Caregiver #1 was dated 01/11/2020 and expired on 01/2022. 2) During interview, Caregiver #1 confirmed the certification had expired and had not been renewed.”

8VAC20-800-140-B-4

“Based on a review of records and interview, the provider did not ensure that one provider had current certification in first aid. Evidence: 1) The most recent first aid certification in the record for Caregiver #1 was dated 01/11/2020 and expired on 01/2022. 2) During interview, Caregiver #1 confirmed the certification had expired and had not been renewed.”