Kenia Velasco Nava

8VAC20-800-800-B

“Annually, the provider shall review the emergency plan and update the plan as needed. The emergency plan has not been updated for over 24 months.”

Rule 8VAC20-800-800-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 overdue by 19 days.”

Rule 8VAC20-800-180-A.

Children’s records shall contain the name, address, and telephone number of each parent’s place of employment and the policy number of the child’s medical insurance.

“The record for Child #1, enrolled for four months, was missing the employment phone number for one parent. The record for Child #2, #3, and #4 did not contain the policy number of their medical insurance. .”

Rule 8VAC20-800-60-B.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“Household prescription and over-the-counter medication was found in two unlocked drawers in the kitchen, making them accessible to children.”

Rule 8VAC20-800-730-D.

The emergency evacuation procedures shall be practiced monthly will all caregivers and children in care during all shifts that children are in care.

“An evacuation drill was not conducted in March or June of the current year.”

Rule 8VAC20-800-830-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia and applicable State Board of Health regulations.

“Child #1 had been in attendance for approximately two months before a complete immunization record was obtained.”

Rule 8VAC20-800-90-A.

Based on record review, the provider did not obtain subsequent report of tuberculosis screening form for each caregivers every two years from the date of the most recent screening.

“Evidence: Staff 1 has a tuberculosis screening last conducted on 8/11/21.”

Rule 8VAC20-800-180-A.

Based on record review, caregivers did not ensure that children’s hands were washed with liquid soup and warm running water after snack.

“Evidence: Children were observed finishing up snack and going straight to play outside without first washing hands.”

Rule 8VAC20-800-680-B.

Based on record review and interview, emergency evacuation procedures were not documented

“Evidence: Emergency evacuation drills for July and August 2023 were not documented. Provider stated they drills were conducted but not documented.”

Rule 8VAC20-800-830-C.

Based on a review of children’s records, the provider failed to obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #3’s record does not contain documentation of a physical exam by the 30th day of attendance. First Day of Attendance - 08/02/2021.”

Rule 8VAC20-800-100-A.

Based on observation, the provider failed to ensure that child-resistant protective covers larger than 1 1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“Evidence: Outlet cover was missing from outlet in the den.”

Rule 8VAC20-800-320-B.

Based on a review of pet vaccinations, the provider failed to obtain/maintain documentation of the current rabies vaccinations.

“Evidence: Pet #2’s records did not have documentation of current rabies vaccination.”

Rule 8VAC20-800-460-D.

Based on observation, the family day home failed to ensure that each building that houses a child day program that is licensed and that serves preschool-age children shall be equipped with at least one carbon monoxide detector on each floor where children are served.

“Evidence: The provider did not have a carbon monoxide detector on the first floor where children are served.”

Rule 22.1-289.058.

Based on a review of children’s records, the family day home failed to obtain all required documents for each child enrolled.

“Evidence: Child #3 and child #5’s records do not contain signed written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. Child #1 and child #2’s records do not contain documentation of an annual update of emergency contact information.”

Rule 8VAC20-800-60-B.

Based on observation, when topical skin products, such as diaper ointments are used, the product if provided by the parent, shall be labeled with the child’s name.

“Evidence: There were 4 containers of diaper cream that were not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

Based on a review of children’s records, the provider failed to maintain all required documents for all children enrolled.

“Evidence: Child #1’s record did not have documentation of a doctor’s address, authorization of emergency pick or a medical insurance policy number. Child #2 record did not include documentation of one of the parents work address or phone number or the doctors phone number. Child #3’s record did not include documentation of a parents work address or phone number, the other parent’s work number, the doctor’s phone number or the medical insurance policy number.”

Rule 8VAC20-800-60-A.