Faten Bush

The provider shall obtain documentation of a 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.

“Documentation of a physical examination was not available for review for Child #1. This child has been enrolled for the past 3 months.”

Rule 8VAC20-800-100-A.

A child’s record shall contain all of the required information.

“The following documentation / Information was not available for review: Action to listed allergy - Child #1; the policy number for the child’s medical insurance - Child #8; and Emergency Medical Authorization signed by child’s parent - Child #9.”

Rule 8VAC20-800-60-B.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Household Member #1 was not completed and was overdue by two months.”

Rule 8VAC20-800-180-A.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“Records for children #1, #2, #3, #8, and #9 did not have a parent’s signature for an annual review of their child’s emergency contact information within the past year.”

Rule 8VAC20-800-780-B.

The Provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There were no physical exam records available for Child #11, who had been in care for over 9 months.”

Rule 8VAC20-800-100-A.

Mattresses, when used, shall be covered with a waterproof material that can be cleaned and sanitized.

“Three (3) mattresses (used by the children in care) were each observed with rips on their surface; exposing the padding underneath. Thus, rending it no longer waterproof.”

Rule 8VAC20-800-530-I.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There were no parent acknowledgements (Medication Administration ? Decision to Administer form) available for Child #6 and Child #10. Both children have been enrolled for over 6 months.”

Rule 8VAC20-800-70-B.

When meals or snacks are provided by the Family Day Home (FDH), the menu for the current one-week period.

“While the Provider stated that the information is communicated verbally to each parent, a menu for the current week was not posted either on site or on-line.”

Rule 8VAC20-800-920.

Based on review and interview, 11 of 11 children files indicated that not all of the required documentation had the parent’s written acknowledgement as the receipt of this information.

“Evidence - 1. On the date of inspection (08/08/2024), the Family Day Home Program Decision to Administer Prescription Medication form, was not available for review for the following children: Child #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, and #11. 2. The Provider stated (during an interview conducted on the date of inspection) that she did not include this form within each child’s record (as she did in the past) once her MAT certification had expired.”

Rule 8VAC20-800-70-B.

8VAC20-800-680-B

“Based on observation, caregiver did not ensure that children’s hands are washed with liquid soap and warm running water before eating. Evidence: Caregiver #2 did not ensure children’s hands were washed before providing the morning snack and drink.”

Rule 8VAC20-800-680-B.

8VAC20-800-90-C

“Based on record review, it was determined documentation of additional immunizations was not obtained every six months for children under the age of two years. Evidence: Child #1 (DOB 12/16/2020) most recent documented immunization record is dated 06/21/22.”

Rule 8VAC20-800-90-C.

8VAC20-800-920

“Based on observation and interview, the menu for the current one-week was not given to parents or posted or placed in an area accessible to parents. Evidence: 1) Menu for the current week was not posted or placed in an area accessible to parents 2) The provider acknowledge the menu was not given to the parents, or posted or placed in an area accessible to parents.”

Rule 8VAC20-800-920.

Based on review of 2 household member records, 2 did not contain a Criminal History Record Check (eligible fingerprint letter) within 30 days of new household member moving in.

“Evidence: The record for household member #1 and #2 did not contain documentation of a Criminal history Record Check (eligible fingerprint letter) within 30 days of moving in.”

Rule 22.1-289.036-A.