Jeevamany Wimalkantha

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 and Household Member #1 was completed more than one month after the updated screening was due.”

Rule 8VAC20-800-180-A.

8VAC20-800-780-B

“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. The annual review for Child #4 was overdue by 4 months.”

Rule 8VAC20-800-780-B.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. The documentation of immunizations for Child #1 was obtained three weeks after the child’s first day.”

Rule 8VAC20-800-90-A.

8VAC20-800-250-E

“Balloons shall be inaccessible to children under 5 years of age. 5 balloons were observed in the play area of the family day home, accessible to children. All 6 children present were under the age of 5 years.”

Rule 8VAC20-800-250-E.

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. A review of the plan was overdue by more than one month.”

Rule 8VAC20-800-800-B.

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. An evacuation procedure was not completed during the month of November.”

Rule 8VAC20-800-830-A.

8VAC20-800-60-B

“Children’s records are required to contain the name and policy number of the child’s medical insurance. The record for Child #2 was missing the policy number of the child’s medical insurance. Child #2 was in care during the inspection and had been attending for more than three months.”

Rule 8VAC20-800-60-B.

8VAC20-800-60-B

“Children’s records are required to contain parental employment addresses. The record for Child #3 was missing the employment address for one parent. The child was present during the inspection and had been in care for four months.”

Rule 8VAC20-800-60-B.

8VAC20-800-80-A

“Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs. Verification of the identity and age of Child #3 was completed 10 business days after the child’s first day.”

Rule 8VAC20-800-80-A.

8VAC20-800-90-A

“The provider is required to obtain documentation of immunizations for each child before their first date of attendance. The documentation of immunizations for child #3 were dated two weeks after the child’s first day.”

Rule 8VAC20-800-90-A.

Based on record review, 1 of 2 caregiver records reviewed did not contain all required information.

“Evidence: 1. The record for Caregiver #2 did not contain the following: -Name address and telephone number of a person to be notified in an emergency; -Documentation that two or more references as to character and reputation as well as competency were checked before employment”

Rule 8VAC20-800-120-B.

Based on record review, the provider did not obtain a current tuberculosis screening form every two years for 2 of 3 caregiver/household members.

“Evidence: 1. The most current tuberculosis screening results in the record for Caregiver #1 was dated 11/22/21. 2. The most current tuberculosis screening results in the record for Household Member #1 was dated 12/10/2021.”

Rule 8VAC20-800-180-A.

Based on record review, 1 of 2 caregivers were not provided orientation by the end of their first week of assuming job responsibilities.

“Evidence: 1. The record for Caregiver #2 did not contain documentation of completed orientation.”

Rule 8VAC20-800-200-A.

Based on record review, 1 of 3 children’s records reviewed did not contain all required information.

“Evidence: 1. The record for Child #2 did not contain the medical insurance policy number.”

Rule 8VAC20-800-60-B.

Based on record review and provider interview, the provider did not maintain documentation of emergency evacuation drills.

“Evidence: 1. An emergency evacuation drill was not documented for November and December 2023. 2. The provider reported drills were completed for both months but were documented on a separate piece of paper which has been misplaced.”

Rule 8VAC20-800-830-C.

Based on a review of children’s records, the provider failed to obtain all required documentation for each child enrolled.

“Evidence: Child #1, #2,#3 and #4’s records do not contain documentation of the names of persons other than the custodial parents who are authorized to pick up the child. Chile #3 and #4’s records do not contain documentation of the telephone number of each custodial parent’s place of employment.”

Rule 8VAC20-800-60-A.

Based on a review of caregiver and household member records, the provider failed to obtain every two years from the date of the first screening by a physician or the local health department.

“Evidence: Caregiver #1’s record does not have documentation of a current tuberculosis test or screen. Last test dated 09/18/2019. Caregiver #2’s record does not have documentation of a current tuberculosis test or screen. Last test date 05/09/2019. Household member #1 does not have documentation of a current tuberculosis test or screen. Last test 09/18/2019.”

Rule 8VAC20-800-180-A.

Based on a review of child records, the provider failed to obtain and maintain up to date required documents for all children enrolled.

“Evidence: Child # 3’s record does not include documentation of a work place and work phone number for one of the listed parents.”

Rule 8VAC20-800-60-A.