Narinder Saini

The provider is required to 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.

“The record for Child B contained documentation of a diagnosed food allergy. There was no allergy care plan on record for the child.”

Rule 8VAC20-790-190-B-12.

The provider is required to ensure that the home’s activities, services, and facilities are conducive to the welfare of children in care.

“The record for Child B contained documentation that the child has a diagnosed food allergy. The provider reported serving Child B the food to which they have a diagnosed allergy on multiple occasions as the child has not shown a reaction at the center.”

Rule 8VAC20-800-30-E.

The provider is required to obtain from the parent verification of the identity and age of the child within seven business days of the child’s first day of attendance.

“Child B has been enrolled for more than four months but there was no documentation on record of the enrolling person providing proof of the child’s identity and age.”

Rule 8VAC20-800-80-A.

(Repeat Violation) The provider is required to obtain a current tuberculosis test or screening for each caregiver and adult household member every two years from the date of the previous test or screening.

“An updated TB screening for Household Member #2 was past due by more than 21 months.”

Rule 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 more than two months.”

Rule 8VAC20-790-180-A.

8VAC20-800-50-A

“Based on review of documentation, the provider did not ensure to keep a written record of children in attendance each day. Evidence: On 8/27/24 at approximately 11:15am, there were three children observed in care. The attendance record did not contain documentation of any children present for the day.”

Rule 8VAC20-800-50-A.

8VAC20-800-180-A

“Based on review of three caregiver records, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening. Evidence: The TB screenings on record for Caregiver B and Caregiver C were completed in 11/2021 and expired in 11/2023.”

Rule 8VAC20-800-180-A.

22VAC40-111-180-A

“Based on review of five household member records it was determined that not all household members obtained a tuberculosis (TB) screening every two years. Evidence: The most recent dates for TB screenings on file for the following household members are as follows: household member A-09/06/2019, household member B-03/20/2019, household member C-08/30/2019.”

Rule 22VAC40-111-180-A.