Shamedra Alston

8VAC20-800-330-A

“Repeat Violation Based on interview, the provider failed to have available an operable landline telephone that is accessible during the family day home's hours of operation. Evidence: When asked to see the landline telephone, the provider stated that she did not have one.”

8VAC20-800-180-A

“Based on records review the provider failed to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: The record for caregiver #1 and household member #1 contained Tuberculosis screenings dated 08/03/21. A repeat screening was due on or before 08/03/23.”

22.1-289.035-A

“Based on record review, the provider failed to conduct a central registry background check every five years for household members. Evidence: The record for household member #1 contained central registry results dated 01/11/18. A repeat central registry check was due on or before 01/11/23.”

8VAC20-800-330-A

“Repeat Violation Based on interview, the provider failed to have available an operable landline telephone that is accessible during the family day home's hours of operation. Evidence: When asked to see the landline telephone, the provider stated that she did not have one.”

8VAC20-800-180-A

“Based on records review the provider failed to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: The record for caregiver #1 and household member #1 contained Tuberculosis screenings dated 08/03/21. A repeat screening was due on or before 08/03/23.”

22.1-289.035-A

“Based on record review, the provider failed to conduct a central registry background check every five years for household members. Evidence: The record for household member #1 contained central registry results dated 01/11/18. A repeat central registry check was due on or before 01/11/23.”

22.1-289.036-B-2

“Based on a review of household member records, the provider failed to ensure that adults lining in such family day home shall undergo background checks including a national criminal background check. Evidence: The record for household member #2, age 19, did not contain the results of a national criminal background check being conducted”

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

“Based on a review of household member records, the provider failed to ensure that all household members over the age of 18 have a central registry background check within 30 days. Evidence: The record for household member #2, age 19, did not have evidence of a central registry background check being conducted.”

8VAC20-800-330-A

“Based on interview, the provider failed to have an operable and accessible landline telephone during the hours of operation. Evidence: The provider stated that she did not currently have an operable landline telephone.”

8VAC20-800-830-C

“Based on documentation review, and interview, the provider failed to maintain documentation of emergency evacuation and shelter in place drills. Evidence: The emergency evacuation documentation drill log stated that the last emergency evacuation drill was conducted on 09/11/22 and did not have any shelter in place drills documented. When interviewed the provider acknowledged that the drills were not documented.”

8VAC20-800-330-A

“Based on interview, the provider failed to have an operable and accessible landline telephone during the hours of operation. Evidence: The provider stated that she did not currently have an operable landline telephone.”

8VAC20-800-170-A

“Based on a review of records, and interview, the provider failed to ensure that each adult household member has a current Report of Tuberculosis screening or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: The record for household member #1 did not contain evidence of tuberculosis screening. Household member #1 was seen in the household. The provider reported that the tuberculosis screening had not been completed.”

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

“Based on a review of household member records and interview, the provider did not ensure to have a Sworn Statement of affirmation and central registry results available for each household member. Evidence: The record of household member #1 did not contain documentation of a sworn statement of affirmation and central registry results. The provider reported the sworn statement was not completed and central registry had been mailed but the results had not been received.”

8VAC20-800-330-A

“Based on interview, the provider failed to have an operable and accessible landline telephone during the hours of operation. Evidence: The provider stated that she did not currently have an operable landline telephone.”

8VAC20-800-170-A

“Based on a review of records, and interview, the provider failed to ensure that each adult household member has a current Report of Tuberculosis screening or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: The record for household member #1 did not contain evidence of tuberculosis screening. Household member #1 was seen in the household. The provider reported that the tuberculosis screening had not been completed.”

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

“Based on a review of household member records and interview, the provider did not ensure to have a Sworn Statement of affirmation and central registry results available for each household member. Evidence: The record of household member #1 did not contain documentation of a sworn statement of affirmation and central registry results. The provider reported the sworn statement was not completed and central registry had been mailed but the results had not been received.”

8VAC20-800-560-A Complaint related: Yes

“Based on interviews, the provider did not maintain direct care and supervision of each child at all times. Evidence: 1. Two outside witnesses reported that on several occasions the provider was not present at pick-up and children were being cared for by unidentified individuals. 2. During an interview with the provider she reported that approximately two times a month, since September 2021, she leaves the home to go to the store or pick up her own child from school, leaving the children in care with an unauthorized caregiver.”

8VAC20-800-390-A Complaint related: Yes

“Based on observation and interview, the provider did not ensure children age two and older have access to an individual location in which to keep clothing, toys, and belongings. Evidence: 1. Two outside witnesses reported children's belongings are stacked on a dog crate without labels. 2.The provider acknowledged that children's belongings are kept on the dog crate and there was no individual location for children's belongings.”

8VAC20-800-90-A Complaint related: No

“Based on a review of children's records, the provider did not ensure before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Evidence: The record of child #2 (enrolled 11/19/19) did not contain documentation of immunizations.”

8VAC20-800-60-B Complaint related: No

“Based on a review of children's records, the provider did ensure that each child's record contained all the required information. Evidence: The record of child #2 (enrolled 11/19/19) did not contain documentation of the addresses for two people to contact in an emergency when a parent can't be reached.”

8VAC20-800-390-B Complaint related: Yes

“Based on observation and interview, the provider did not ensure children under the age of two have access to an individual location in which to keep clothing, toys, and belongings, that is accessible to the caregiver and parent. Evidence: 1. Two outside witnesses reported children's belongings are stacked on a dog crate without labels. 2. The provider reported the youngest child in care is 1 years old. 3. The provider acknowledged that children's belongings are kept on the dog crate and there was no individual location for children's belongings.”

8VAC20-800-170-A

“Based on a review of household member records and interview, the provider did not obtain from one adult household member prior to coming into contact with children a current report of tuberculosis (TB) screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: The record of household member #1 did not contain documentation of a tuberculosis screening. The provider reported household member #1 has been a household member since December 28, 2021. The provider reported the tuberculosis screening was not completed.”

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

“Based on a review of household member records and interview, the provider did not ensure to have a Sworn Statement or affirmation and central registry results available for each household member. Evidence: The record of household member #1 did not contain documentation of a sworn statement or affirmation and central registry results. The provider reported the sworn statement and central registry was not completed.”

8VAC20-800-320-B

“Based on observation, the provider did not ensure that child-resistant protective covers larger than 1-1/4 inches in diameter were installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: There was a surge protector on the floor accessible to children, in the living room where children sleep, with 8 uncovered outlets.”

8VAC20-800-60-A

“Based on interview, the provider did not maintain an up-to-date record for each enrolled child. Evidence: During an interview, caregiver #1 reported having no record for child #1 who is 22 months old.”

8VAC20-800-90-C

“Based on a review of children's records, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The most recent immunizations record for child #2, age 22 months, were dated 6/17/20. The record of child #2 did not have documentation of additional immunizations every six months.”

8VAC20-800-560-A Complaint related: Yes

“Based on interviews, the provider did not maintain direct care and supervision of each child at all times. Evidence: 1. Two outside witnesses reported that on several occasions the provider was not present at pick-up and children were being cared for by unidentified individuals. 2. During an interview with the provider she reported that approximately two times a month, since September 2021, she leaves the home to go to the store or pick up her own child from school, leaving the children in care with an unauthorized caregiver.”

8VAC20-800-390-A Complaint related: Yes

“Based on observation and interview, the provider did not ensure children age two and older have access to an individual location in which to keep clothing, toys, and belongings. Evidence: 1. Two outside witnesses reported children's belongings are stacked on a dog crate without labels. 2.The provider acknowledged that children's belongings are kept on the dog crate and there was no individual location for children's belongings.”

8VAC20-800-90-A Complaint related: No

“Based on a review of children's records, the provider did not ensure before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Evidence: The record of child #2 (enrolled 11/19/19) did not contain documentation of immunizations.”

8VAC20-800-60-B Complaint related: No

“Based on a review of children's records, the provider did ensure that each child's record contained all the required information. Evidence: The record of child #2 (enrolled 11/19/19) did not contain documentation of the addresses for two people to contact in an emergency when a parent can't be reached.”

8VAC20-800-390-B Complaint related: Yes

“Based on observation and interview, the provider did not ensure children under the age of two have access to an individual location in which to keep clothing, toys, and belongings, that is accessible to the caregiver and parent. Evidence: 1. Two outside witnesses reported children's belongings are stacked on a dog crate without labels. 2. The provider reported the youngest child in care is 1 years old. 3. The provider acknowledged that children's belongings are kept on the dog crate and there was no individual location for children's belongings.”

8VAC20-800-170-A

“Based on a review of household member records and interview, the provider did not obtain from one adult household member prior to coming into contact with children a current report of tuberculosis (TB) screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: The record of household member #1 did not contain documentation of a tuberculosis screening. The provider reported household member #1 has been a household member since December 28, 2021. The provider reported the tuberculosis screening was not completed.”

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

“Based on a review of household member records and interview, the provider did not ensure to have a Sworn Statement or affirmation and central registry results available for each household member. Evidence: The record of household member #1 did not contain documentation of a sworn statement or affirmation and central registry results. The provider reported the sworn statement and central registry was not completed.”

8VAC20-800-320-B

“Based on observation, the provider did not ensure that child-resistant protective covers larger than 1-1/4 inches in diameter were installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: There was a surge protector on the floor accessible to children, in the living room where children sleep, with 8 uncovered outlets.”

8VAC20-800-60-A

“Based on interview, the provider did not maintain an up-to-date record for each enrolled child. Evidence: During an interview, caregiver #1 reported having no record for child #1 who is 22 months old.”

8VAC20-800-90-C

“Based on a review of children's records, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The most recent immunizations record for child #2, age 22 months, were dated 6/17/20. The record of child #2 did not have documentation of additional immunizations every six months.”

8VAC20-800-560-A Complaint related: Yes

“Based on interviews, the provider did not maintain direct care and supervision of each child at all times. Evidence: 1. Two outside witnesses reported that on several occasions the provider was not present at pick-up and children were being cared for by unidentified individuals. 2. During an interview with the provider she reported that approximately two times a month, since September 2021, she leaves the home to go to the store or pick up her own child from school, leaving the children in care with an unauthorized caregiver.”

8VAC20-800-390-A Complaint related: Yes

“Based on observation and interview, the provider did not ensure children age two and older have access to an individual location in which to keep clothing, toys, and belongings. Evidence: 1. Two outside witnesses reported children's belongings are stacked on a dog crate without labels. 2.The provider acknowledged that children's belongings are kept on the dog crate and there was no individual location for children's belongings.”

8VAC20-800-90-A Complaint related: No

“Based on a review of children's records, the provider did not ensure before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Evidence: The record of child #2 (enrolled 11/19/19) did not contain documentation of immunizations.”

8VAC20-800-60-B Complaint related: No

“Based on a review of children's records, the provider did ensure that each child's record contained all the required information. Evidence: The record of child #2 (enrolled 11/19/19) did not contain documentation of the addresses for two people to contact in an emergency when a parent can't be reached.”

8VAC20-800-390-B Complaint related: Yes

“Based on observation and interview, the provider did not ensure children under the age of two have access to an individual location in which to keep clothing, toys, and belongings, that is accessible to the caregiver and parent. Evidence: 1. Two outside witnesses reported children's belongings are stacked on a dog crate without labels. 2. The provider reported the youngest child in care is 1 years old. 3. The provider acknowledged that children's belongings are kept on the dog crate and there was no individual location for children's belongings.”

8VAC20-800-170-A

“Based on a review of household member records and interview, the provider did not obtain from one adult household member prior to coming into contact with children a current report of tuberculosis (TB) screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: The record of household member #1 did not contain documentation of a tuberculosis screening. The provider reported household member #1 has been a household member since December 28, 2021. The provider reported the tuberculosis screening was not completed.”

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

“Based on a review of household member records and interview, the provider did not ensure to have a Sworn Statement or affirmation and central registry results available for each household member. Evidence: The record of household member #1 did not contain documentation of a sworn statement or affirmation and central registry results. The provider reported the sworn statement and central registry was not completed.”

8VAC20-800-320-B

“Based on observation, the provider did not ensure that child-resistant protective covers larger than 1-1/4 inches in diameter were installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: There was a surge protector on the floor accessible to children, in the living room where children sleep, with 8 uncovered outlets.”

8VAC20-800-60-A

“Based on interview, the provider did not maintain an up-to-date record for each enrolled child. Evidence: During an interview, caregiver #1 reported having no record for child #1 who is 22 months old.”

8VAC20-800-90-C

“Based on a review of children's records, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The most recent immunizations record for child #2, age 22 months, were dated 6/17/20. The record of child #2 did not have documentation of additional immunizations every six months.”

22VAC40-665-410-A-3

“Based on a review of records and interview, the vendor did not ensure to practice lockdown procedures at least annually. Evidence: 1. There was no documentation of lockdown procedures practiced. 2. The vendor reported she didn't keep a record.”

22VAC40-191-40-D-1-a

“Based on a review of records and interview, the provider did not ensure to have a central registry result available for each agent. Evidence: 1. The record of Agent #1 (Agent date 8/12/19) did not contain documentation of central registry results. 2. The provider reported the results were misplaced.”

22VAC40-111-330-A

“Based on observation and interview, the provider did not ensure a landline telephone, excluding a cordless or cell phone, was available, operable, and accessible during the family day home's hours of operation. Evidence: 1. The telephone observed was a cordless phone requiring electricity to operate. 2. The provider reported the cordless phone wasn't working. 3. The provider reported she was only using her cell phone in the family day home.”

22VAC40-111-800-B

“Based on interview, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The provider stated she didn't review the emergency plan.”

22VAC40-111-760-A

“Based on observation and interview on October 21, 2021, the first aid kit did not contain all required supplies. Evidence: 1. The first aid kit did not contain tweezers. 2. The provider confirmed there were no tweezers in the kit.”

22VAC40-665-410-A-3

“Based on a review of records and interview, the vendor did not ensure to practice lockdown procedures at least annually. Evidence: 1. There was no documentation of lockdown procedures practiced. 2. The vendor reported she didn't keep a record.”

22VAC40-191-40-D-1-a

“Based on a review of records and interview, the provider did not ensure to have a central registry result available for each agent. Evidence: 1. The record of Agent #1 (Agent date 8/12/19) did not contain documentation of central registry results. 2. The provider reported the results were misplaced.”

22VAC40-111-330-A

“Based on observation and interview, the provider did not ensure a landline telephone, excluding a cordless or cell phone, was available, operable, and accessible during the family day home's hours of operation. Evidence: 1. The telephone observed was a cordless phone requiring electricity to operate. 2. The provider reported the cordless phone wasn't working. 3. The provider reported she was only using her cell phone in the family day home.”

22VAC40-111-800-B

“Based on interview, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The provider stated she didn't review the emergency plan.”

22VAC40-111-760-A

“Based on observation and interview on October 21, 2021, the first aid kit did not contain all required supplies. Evidence: 1. The first aid kit did not contain tweezers. 2. The provider confirmed there were no tweezers in the kit.”