Naila Ayoub

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 #3 did not have a current parent’s signature for an annual review of the emergency contact information. The review on file was older than 1 year.”

Rule 8VAC20-800-780-B.

Annually, the provider shall document in writing each review and update to the emergency plan.

“It has been more than 16 months since a review has been documented.”

Rule 8VAC20-800-800-B.

Documentation shall be maintained of each monthly emergency evacuation drill.

“It has been over 4 months since the last documented emergency evacuation drill.”

Rule 8VAC20-800-830-C.

Based on review, 3 of 5 children files indicated that each child emergency contact information was not reviewed on an annual basis.

“Evidence - 1. On the date of inspection (10/19/2023), the last documented review of the emergency information for the following children were older than one year: Child #1 (dated - 09/19/2022), Child #2 (dated - 09/25/2022), and Child #3 (dated - 10/12/2022). 2. This finding was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-780-B.

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 (10/19/2023), the current immunization record on file for Child #4 was dated - 09/28/2022. 2. Based on information on file, Child #4 was under the age of 2 years on the date of inspection.”

Rule 8VAC20-800-90-C.

Based on review, 3 of 3 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the child’s first day of attendance.

“Evidence - 1. On the date of inspection (09/09/2022), did not have documentation of a physical examination of file. 2. The following children had the following start dates listed: Child #1 (start date - 12/02/2019), Child #2 (start date - 04/05/2021), and Child #3 (start date - 08/22/2022). All three were on site during today’s inspection.”

Rule 8VAC20-800-100-A.

Based on review, 3 of 3 children files indicated that not all of the required information needed tp be given to each child’s parent prior to their child’s start was distributed.

Rule 8VAC20-800-70-A.

Based on review and interview, a written authorization for topical skin products such as diaper ointment was not available.

“Evidence - 1. On the date of inspection (09/09/2022), an authorization to apply topical skin products for Child #3 was not available for review. 2. The Provider stated (during an interview conducted on the date of inspection) that Child #3 was the only child in care who receives diaper ointment when changing their diaper.”

Rule 8VAC20-800-750-A.

Based on observation, a working portable battery-operated weather band radio (WB), and extra batteries were not kept in a designated area and were available to the caregiver at all times.

“Evidence - 1. On the date of inspection (09/09/2022), a WB radio was not available. 2. The FDH had an AM\FM radio and not a WB radio.”

Rule 8VAC20-800-770.