Phyllis Singh

8VAC20-800-210-A

“Based on a review of two caregiver's files and interview, it was determined that 16 hours of annual training had not been obtained for each caregiver. Evidence: Person A had 6.5 of the 16 hours annual training for 2023 and Person B had none of the 16 hours of annual training for 2023.”

8VAC20-800-100-A

“Based on a review of five children's files and interview with the provider, it was determined that child A ( enrolled 6/13/22) did not have a physical on file within 30 days of their first day of enrollment.”

22.1-289.036-A

“Based on a review of two caregivers files and interviews, it was determined that a repeat child abuse and neglect background check had not been obtained every five years. Evidence: Person A and B's last child abuse and neglect background checks were dated11/29/18 and had not been repeated every five years.”

22.1-289.036-A

“Based on review of two caregiver records and interview, the provider did not ensure that the results of a national, fingerprint-based criminal history check were obtained every five years from the date of the last check. Evidence: The fingerprints on record for Caregiver A and Caregiver B were dated 7/17/18.”

8VAC20-800-140-B-3

“Based on review of two caregiver records, and interview, the provider did not ensure that they maintained current certification in cardiopulmonary resuscitation (CPR). Evidence: The most recent CPR certification on record for the provider was dated 4/26/21 and expired on 4/26/23.”

22.1-289.036-A

“Based on review of two caregiver records and interview, the provider did not ensure that the results of a national, fingerprint-based criminal history check were obtained every five years from the date of the last check. Evidence: The fingerprints on record for Caregiver A and Caregiver B were dated 7/17/18.”

8VAC20-800-140-B-3

“Based on review of two caregiver records, and interview, the provider did not ensure that they maintained current certification in cardiopulmonary resuscitation (CPR). Evidence: The most recent CPR certification on record for the provider was dated 4/26/21 and expired on 4/26/23.”

8VAC20-800-830-A

“Based on review of documentation, the family day home did not ensure that emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: The emergency drill log was reviewed on 12/1/22. There was no documentation of an emergency evacuation drill practiced in March, May, October or November.”

8VAC20-800-210-A

“Based on review of documentation, the provider did not ensure that in addition to satisfactory completion of first aid training and CPR training, caregivers obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider reported that they were unsure how many hours of training had been completed by the Assistant or themself for the year and they needed to reach out to a trainer for certificates. No certificates were submitted by the close of the inspection.”

8VAC20-800-830-A

“Based on review of documentation, the family day home did not ensure that emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: The emergency drill log was reviewed on 12/1/22. There was no documentation of an emergency evacuation drill practiced in March, May, October or November.”

8VAC20-800-210-A

“Based on review of documentation, the provider did not ensure that in addition to satisfactory completion of first aid training and CPR training, caregivers obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider reported that they were unsure how many hours of training had been completed by the Assistant or themself for the year and they needed to reach out to a trainer for certificates. No certificates were submitted by the close of the inspection.”

8VAC20-790-180-B

“Based on review of documentation and interview, the provider did not maintain a written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: On 7/12/22 at approximately 10:10 am there were six children present in the family day home. The attendance record contained documentation of eight children present. The provider reported that two children had left for Summer School and would return in a couple of hours.”

8VAC20-790-190-B-12

“Based on review of five child records, the provider did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child B contained documentation that the child is allergic to nuts. The record did not include an allergy care plan from the physician.”

8VAC20-800-100-A

“Based on review of five child 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 for two children. Evidence: The records for Child A and Child B, with a start date of 6/16/21, did not contain documentation of a physical.”

8VAC20-800-60-B

“Based on review of five child records, the provider did not obtain all required documentation for child records. Evidence: The record for Child C did not contain the name, address, and telephone number of a second designated person to contact in case of emergency if the parent cannot be reached.”

8VAC20-790-180-B

“Based on review of documentation and interview, the provider did not maintain a written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: On 7/12/22 at approximately 10:10 am there were six children present in the family day home. The attendance record contained documentation of eight children present. The provider reported that two children had left for Summer School and would return in a couple of hours.”

8VAC20-790-190-B-12

“Based on review of five child records, the provider did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child B contained documentation that the child is allergic to nuts. The record did not include an allergy care plan from the physician.”

8VAC20-800-100-A

“Based on review of five child 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 for two children. Evidence: The records for Child A and Child B, with a start date of 6/16/21, did not contain documentation of a physical.”

8VAC20-800-60-B

“Based on review of five child records, the provider did not obtain all required documentation for child records. Evidence: The record for Child C did not contain the name, address, and telephone number of a second designated person to contact in case of emergency if the parent cannot be reached.”

8VAC20-790-180-B

“Based on review of documentation and interview, the provider did not maintain a written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: On 7/12/22 at approximately 10:10 am there were six children present in the family day home. The attendance record contained documentation of eight children present. The provider reported that two children had left for Summer School and would return in a couple of hours.”

8VAC20-790-190-B-12

“Based on review of five child records, the provider did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child B contained documentation that the child is allergic to nuts. The record did not include an allergy care plan from the physician.”

8VAC20-800-100-A

“Based on review of five child 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 for two children. Evidence: The records for Child A and Child B, with a start date of 6/16/21, did not contain documentation of a physical.”

8VAC20-800-60-B

“Based on review of five child records, the provider did not obtain all required documentation for child records. Evidence: The record for Child C did not contain the name, address, and telephone number of a second designated person to contact in case of emergency if the parent cannot be reached.”

8VAC20-790-180-B

“Based on review of documentation and interview, the provider did not maintain a written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: On 7/12/22 at approximately 10:10 am there were six children present in the family day home. The attendance record contained documentation of eight children present. The provider reported that two children had left for Summer School and would return in a couple of hours.”

8VAC20-790-190-B-12

“Based on review of five child records, the provider did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child B contained documentation that the child is allergic to nuts. The record did not include an allergy care plan from the physician.”

8VAC20-800-100-A

“Based on review of five child 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 for two children. Evidence: The records for Child A and Child B, with a start date of 6/16/21, did not contain documentation of a physical.”

8VAC20-800-60-B

“Based on review of five child records, the provider did not obtain all required documentation for child records. Evidence: The record for Child C did not contain the name, address, and telephone number of a second designated person to contact in case of emergency if the parent cannot be reached.”

22VAC40-111-50-A

“Based on record review and interview with the provider, the provider did not ensure that all children were included on the record of attendance each day. Evidence: 1. At approximately 10:15am on 11/29/21 the daily attendance record had documentation of five children being present. There were six children present at the time. 2. Interview revealed that the child not included on the attendance had arrived at approximately 8:45am.”

22VAC40-111-100-A

“Based on review of five child records and interview with the provider, the provider did not obtain documentation of a physical examination for a child by a physician within 30 days of attendance. Evidence: 1. The record for Child B, with a start date of 8/23/21, did not contain documentation of a physical. 2. The record for Child C, with a start date of 6/14/21, contained documentation of a religious exemption for the physical that was dated 8/5/21.”

22VAC40-111-90-A

“Based on review of five child records and interview with the provider, the provider did not obtain documentation that a child had been adequately immunized before attending. Evidence: The record for Child A, with a start date of 11/17/21, did not contain immunizations.”

22VAC40-111-60-B

“Based on review of five child records and interview with the provider, the provider did not ensure that each child's record contained all of the required documentation. Evidence: The record for Child A did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.”

22VAC40-111-50-A

“Based on record review and interview with the provider, the provider did not ensure that all children were included on the record of attendance each day. Evidence: 1. At approximately 10:15am on 11/29/21 the daily attendance record had documentation of five children being present. There were six children present at the time. 2. Interview revealed that the child not included on the attendance had arrived at approximately 8:45am.”

22VAC40-111-100-A

“Based on review of five child records and interview with the provider, the provider did not obtain documentation of a physical examination for a child by a physician within 30 days of attendance. Evidence: 1. The record for Child B, with a start date of 8/23/21, did not contain documentation of a physical. 2. The record for Child C, with a start date of 6/14/21, contained documentation of a religious exemption for the physical that was dated 8/5/21.”

22VAC40-111-90-A

“Based on review of five child records and interview with the provider, the provider did not obtain documentation that a child had been adequately immunized before attending. Evidence: The record for Child A, with a start date of 11/17/21, did not contain immunizations.”

22VAC40-111-60-B

“Based on review of five child records and interview with the provider, the provider did not ensure that each child's record contained all of the required documentation. Evidence: The record for Child A did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.”

22VAC40-111-50-A

“Based on record review and interview with the provider, the provider did not ensure that all children were included on the record of attendance each day. Evidence: 1. At approximately 10:15am on 11/29/21 the daily attendance record had documentation of five children being present. There were six children present at the time. 2. Interview revealed that the child not included on the attendance had arrived at approximately 8:45am.”

22VAC40-111-100-A

“Based on review of five child records and interview with the provider, the provider did not obtain documentation of a physical examination for a child by a physician within 30 days of attendance. Evidence: 1. The record for Child B, with a start date of 8/23/21, did not contain documentation of a physical. 2. The record for Child C, with a start date of 6/14/21, contained documentation of a religious exemption for the physical that was dated 8/5/21.”

22VAC40-111-90-A

“Based on review of five child records and interview with the provider, the provider did not obtain documentation that a child had been adequately immunized before attending. Evidence: The record for Child A, with a start date of 11/17/21, did not contain immunizations.”

22VAC40-111-60-B

“Based on review of five child records and interview with the provider, the provider did not ensure that each child's record contained all of the required documentation. Evidence: The record for Child A did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.”