Jenny Pugh

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 record for Child #4 did not have a parent’s signature for an annual review of the emergency contact information. The current review is 4 months past due.”

Rule 8VAC20-800-780-B.

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

“An updated TB screening for Household Member #2 was not completed and was overdue by two months.”

Rule 8VAC20-800-180-A.

Based on review, 1 of 5 children records indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (07/24/2024), an immunization on file for Child #5 was dated - 09/15/2023. 2. On the date of inspection, Child #5 was under two years of age.”

Rule 8VAC20-800-90-C.

Based on review, 1 of 5 children files reviewed indicated that not all of the required information was on file.

“Evidence - 1. On the date of inspection (01/25/2024), 1 of 2 emergency contact information for Child #5 was listed. 2. This same standard was cited previously during an inspection conducted on 08/25/2023.”

Rule 8VAC20-800-60-B.

Based on review, 2 of 5 children files did not contain all of the required information within each child’s record.

“Evidence - 1. On the date of inspection (08/25/2023), 1 of 2 emergency contact information was listed for Child #5. 2. An emergency medical authorization completed and signed by the child’s parent was not available for Child #5. 3. A general permission for regularly scheduled trips was not available for Child #4, and Child #5.”

Rule 8VAC20-800-60-B.

Based on review, 2 of 5 children files indicated that not all of the required documentation was contained within each file.

“Evidence - 1. On the date of inspection (08/25/2023), a medication administration - decision to administer form was not available for review for Child #5. 2. A provisions of the emergency preparedness and response plan form was not available for: Child #4, and Child #5. 3. A Liability Insurance Declaration form was not available for: Child #4, and Child #5.”

Rule 8VAC20-800-70-A.

Based on review, 1 of 5 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (08/25/2023), the current immunization page of file for Child #2 was dated - 02/07/2023. 2. Based on information on file, on the date of inspection, Child #2 was under two years of age.”

Rule 8VAC20-800-90-C.

Based on review and interview, the Provider did not document in writing each review to the Emergency Preparedness and Response Plan (EP&RP).

“Evidence - 1. On the date of inspection (01/26/2023), the most recent review documented on the EP&RP was dated - 09/29/2021. 2. This was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-800-B.

Based on interview, the Family Day Home (FDH) does not have a carbon monoxide detector.

“Evidence - 1. The Provider stated during an interview conducted on the date of inspection (01/13/2022), the the home did not have a carbon monoxide detector. 2. The home was built prior to 2015. 3. There were (3) three preschool age children in care today.”

Rule 22.1-289.058.