Patricia Harrell

8VAC20-790-250-D-1

“Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.The training shall include an in-person competency demonstration. Staff #1 does not have current CPR. Staff #1 CPR expired three months ago.”

8VAC20-790-250-D-2

“Current certification in first aid appropriate to the ages of children in care. Staff #1 first aid expired 3 months ago.”

8VAC20-790-250-F

“Repeat violation : Caregivers who work directly with children shall, annually attend at least 16 hours of training, to include the department's health and safety update course. This training shall be related to child safety, child development, health and safety in the family day home environment, and any required department sponsored training. Staff#1 did not have documentation of attending 16 hours of annual training. Staff #1 did not complete and updated health and safety training annually.”

8VAC20-790-430-B

“Repeat: The vendor shall maintain a record of the dates of the practice drills for one year. The vendor did not have documentation of drills for 2025.”

8VAC20-790-430-B

“Based on a review of records and interview, the vendor did not maintain a record of the dates of practice drills for one year. Evidence: The provider confirmed that she did not have documentation of the practice drills for the previous 12 months period. The provider stated that evacuation drills, shelter-in-place drills and a lockdown drill had been practiced, but she was unable to show producedocumentation of them.”

8VAC20-790-210-B

“Based on a review of records and interview, the vendor did not ensure that caregivers undergo TB screenings at least every two years from the date of the initial screening or more frequently if recommended by a physician. Evidence: One caregiver record was reviewed. The record for caregiver #1 contained the most recent TB screening which was dated 8/18/2022, more than 2 years ago.”

8VAC20-790-250-F

“Based on a review of records and interview, the vendor did not ensure that caregivers who work with children will, in addition to required preservice and orientation training, annually attend at least 16 hours of training, to include the department's health and safety update course. Evidence: The vendor confirmed that she did not have documentation of any training completed over the last 12 month period and had not completed the department's annual health and safety update course in the last 12 month period.”

8VAC20-790-190-B

“Based on a review of records and interview, the vendor did not ensure that the child's information included all of the required documentation. Evidence: One enrolled child's record was reviewed. The provider confirmed that the record did not contain proof of the child's identity and she did not have this documentation available for review. The provider confirmed that the record did not contain an immunization record which is required before the first day of attendance and she did not have this documentation available for review.”

8VAC20-790-410-B

“***REPEAT VIOLATION*** Based on observation and interview, the provider does not have all of the required First Aid and Emergency Supplies available. Evidence: The provider confirmed that she does not have a battery operated radio in her home.”

8VAC20-790-250-F

“Based on a review of records and interview, the provider did not annually attend at least 16 hours of training, to include the department's health and safety update course. Evidence: The provider was unable to locate documentation of the department's health and safety update course. The original training was present in the record and was dated 1/21/2017. The provider confirmed she was unable to locate an annual update training certificate during the inspection.”

22.1-289.035-A

“Based on a review of records and interview, the caregiver did not undergo a criminal background check within 5 years of the most recent documented background check results. Evidence: The most recently dated criminal record check for caregiver #1 was dated 5/16/2018 which is more than 5 years ago. The provider confirmed that she had not obtained an updated Criminal Record Search since 5/16/2018.”

8VAC20-790-410-B

“Based on observation and interview, the vendor did not ensure that all required non-medical emergency supplies were available in the home. Evidence: There was not a battery operated radio available in the home. The vendor confirmed that the battery operated radio she had purchased for emergency use had been removed from the home and that there was not a radio available at the time of the inspection.”