Trina Swift

8VAC20-800-60-B

“A child’s record shall contain all required elements. The enrollment record for child 1 lacked a work phone number and employment address for one parent. The policy number for child 1’s medical insurance was not listed.”

Rule 8VAC20-800-60-B.

Based on record review and interview the provider failed to 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.

“Evidence: 1.Child #1 (enrollment date 9/6/22) lacked documentation of a physical exam. 2. The provider confirmed that a documented physical was not on file for child #1.”

Rule 8VAC20-800-100-A.

Based on observation the provider failed to ensure that children over the age of two shall not have access to stairs with three or more risers that do not have protective barriers.

“Evidence: 1. The stairs leading from the childcare area into the home lacked any type of barrier to prevent children under the age of two access. a. These stairs have four risers and there was one child in care under the age of two years.”

Rule 8VAC20-800-430-C.

Based on observation and interview the provider failed to ensure that the first aid kit contained all of the required elements.

“Evidence: 1. The first aid kit for the family day home lacked antiseptic cleaning solution or pads. 2. The provider confirmed that antiseptic cleaning solution or pads were not available.”

Rule 8VAC20-800-760-A-1.

Based on record review, the provider failed to ensure that children’s records contain all of the required elements.

“Evidence: 1. The enrollment record for child 1 and child 2 lack documentation of the name, address and phone number for a second emergency contact.”

Rule 8VAC20-800-60-B.

Based on record review, the provider failed to obtain documentation of additional immunizations.

“Evidence: 1. The most recent immunizations for child 1 were administered on 09/03/2020. The immunization record on file does not list all required immunizations needed for child over the age of two years.”

Rule 8VAC20-800-90-C.

Based on record review, the provider failed to ensure that the current form approved by the Virginia Department of Health or a physician’s form shall be used to record the results of the required physical examination.

“Evidence: 1. The note from the physician of child 2 did not provide all of the required information for a physical exam.”

Rule 8VAC20-800-110-A.

Based on observation, the provider failed to ensure that outside areas of the family day home shall be maintained in a safe operable condition.

“Evidence: 1. The following safety hazards were observed in the backyard play area: a. A tree root, measuring approximately 16 inches, was protruding from the ground. This is a trip hazard. b. Two tricycle seats were missing areas of plastic on the seat. These missing areas have resulted in cracked plastic with sharp edges.”

Rule 8VAC20-800-240-A.

Based on record review, the provider failed to ensure that children’s records contain all of the required elements.

“Evidence: 1. The enrollment record for child 1 lacked the following required information: a. The address is not listed for both emergency contacts; b. Proof of the child’s age and identity was not on file. 2. A second emergency contact is not on file for child 2. 3. Documentation of the annual review of the child’s emergency contact information was not on file for child 3, child 4, and child 5.”

Rule 8VAC20-800-60-A.