Amy Russell

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

“An updated TB screening for Caregiver #1 (over due by 2 months) and for Household Member #1 (over due by 1 month) were not available for review.”

Rule 8VAC20-800-180-A.

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for Child #5 and Child #6. Both were in care during the inspection and had been in care since the beginning of the month.”

Rule 8VAC20-800-90-A.

A household member must have a subsequent background check done every 5 years.

“A household member did not get a new criminal records after the 5 years had passed from the last criminal records check.”

Rule 22.1-289.036-B-2.

8VAC20-800-70-A

“Based on the review of children’s records, the provider failed to have the liability insurance disclosure paperwork. Evidence: The three children’s files reviewed did not have the form informing parents of the providers liability insurance.”

Rule 8VAC20-800-70-A.

8VAC20-800-800-A

“The provider failed to have an emergency preparedness plan available. Evidence: During the inspection the provider could not locate the emergency preparedness plan, only the one page plan for the parents could be located.”

Rule 8VAC20-800-800-A.

8VAC20-800-100-A

“Based on the review of children’s records the provider failed to get a physical for one child in care. Evidence: Reviewed four children’s records during the inspection. One child, Child 4, is missing a physical and has been in care for more than 30 days.”

Rule 8VAC20-800-100-A.

8VAC20-800-700-A

“Based on the review of medications, the provider failed to have authorization for one medication at the child care. Evidence: One medication is missing an authorization from the parent. Child 1 has an emergency medication at the family day home without an authorization from a parent and physician.”

Rule 8VAC20-800-700-A.

8VAC20-800-90-A

“Based on the review of children’s records, the provider failed to get immunization records for one of the children before the child started. Evidence: Reviewed 4 children’s records during the inspection, one child, Child 4 is missing the immunization records. Child has been in care for 6 weeks.”

Rule 8VAC20-800-90-A.

8VAC20-800-700-A

“Based on the review of medications the provider failed to have updated authorizations for one medication. Evidence: The provider gives a child Glucagon and the authorization for that expired end of SY 2023.”

Rule 8VAC20-800-700-A.

8VAC20-800-700-C

“Based on the review of the medications at the center and the interview with provider, the provider failed to discard an Auvi-Q device after the authorization and the medication expired. Evidence: The medication authorization expired at the end of last school year and the medication expired in August. The provider did not discard medication.”

Rule 8VAC20-800-700-C.

8VAC20-800-710

“Based on the review of medications on site. The provider failed to have the original box with the prescription able at the home. Evidence: An Auvi-Q is in a bag without the original box and prescription label. .”

Rule 8VAC20-800-710.

8VAC20-800-830-C

“Based on the review of the emergency drill record the provider failed to record drills monthly. Evidence: The drills for April and May 2023 were done according to the provider, but not recorded.”

Rule 8VAC20-800-830-C.

8VAC20-800-60-B

“Based on the review of children’s records, the provider failed to get one component of the child’s file to make it complete. Evidence: Based on the review of 4 children’s enrollment records, one child, child 4 is missing the emergency contacts. The emergency contact currently listed is the father.”

Rule 8VAC20-800-60-B.

8VAC20-800-700-A

“Based on the review of the over the counter medication, the provider failed to get authorization for one medication. Evidence: One over the counter medication for child 5, does not have the medication authorization.”

Rule 8VAC20-800-700-A.

8VAC20-800-710

“Based on the review of the prescription medication at the home, the provider failed to get the box with the prescription label. Evidence: Based on the review of prescription medication for the children, one medication, for child 6, is not in the original box with the prescription label.”

Rule 8VAC20-800-710.