Angelina Piaggio

Children’s records are required to contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

“The record for Child B, enrolled for 11 months, was missing written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding the home-based child care’s operations and administration.

“The provider did not obtain child B’s parent acknowledgement of the receipt of the provisions of the home-based child care’s emergency preparedness and response plan. Child B has been enrolled for eleven months.”

Rule 8VAC20-800-70-B.

Based on record review and provider statement, a person of 14 years of age and older residing at the family day home did not have a search of the central registry available within 30 days of the person becoming 14 years old.

“Evidence: Household Member #3 (DOB: December 2009) was missing documentation of a search of the central registry in the records.”

Rule 8VAC20-770-40-D-5.

Based on observation, the first aid kit did not contain the minimum required emergency supplies.

“Evidence: The first aid kit was missing the below listed required items: 1) First aid instructional manual 2) More than 1 triangular bandages”

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

Based on record review, the provider did not practice monthly with all caregivers and children in care during all shifts that children are in care.

“Evidence: Drill record did not have any documentation of a fire drill completed for the month of December 2023.”

Rule 8VAC20-800-830-A.

8VAC20-800-100-A

“Based on record review and provider statement, a child did not have a physical exam within 30 days of attendance. Evidence: Child #1 enrolled 2/27/23 and no physical was in the record.”

Rule 8VAC20-800-100-A.

8VAC20-800-70-B

“Based on record review, the provider did not obtain the parent’s signed acknowledgement on the Information For Parents form. Evidence: Child #1’s information for Parents form does not have the parent signature acknowledging receipt of the information.”

Rule 8VAC20-800-70-B.

8VAC20-790-250-F

“Based on record review and provider statement, the provide did not complete the annual health and safety training within the required year.. Evidence: The last health and safety training was August 2021.”

Rule 8VAC20-790-250-F.

22.1-289.058

“Based on provider statement, a carbon monoxide detector is not in the home. Evidence: Provider stated that no carbon monoxide detector was available.”

Rule 22.1-289.058.

8VAC20-800-60-B

“Based on record review, 3 of 3 records were incomplete. Evidence: Child #1 and Child # 2 were missing the fieldtrip permission form. Child #3 was missing an annual update. Last reviewed 4/2021.”

Rule 8VAC20-800-60-B.

8VAC20-800-280

“Based on observation, potentially hazardous materials were accessible to children. Evidence: A gas can was sitting by the front step leading into the daycare home as well as unlocked items in the downstairs bathroom cabinet.”

Rule 8VAC20-800-280.

8VAC20-800-290

“Based on observation, a sharp object is not inaccessible to children. Evidence: A pair of gardening shears were laying by the front door step.”

Rule 8VAC20-800-290.

8VAC20-800-480-E

“Based on observation, equipment used by the provider is not free from hazards. Evidence: Kitchen stools are high and have potential head entrapment areas that the children used during lunch.”

Rule 8VAC20-800-480-E.

8VAC20-800-70-A

“Based on record review, 2 of 4 children’s records were missing signed paperwork. Evidence: Child #1 and Child #2 were missing a signed acknowledgement that they received the Information For Parents form, medication policy and liability declaration.”

Rule 8VAC20-800-70-A.