Tegist Hailu

8VAC20-790-190-B-12

“A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #7 did not have a current allergy action plan available. The plan available for review was dated 2024.”

Rule 8VAC20-790-190-B-12.

8VAC20-800-70-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 family day home operations and administration. T There was no parent acknowledgements available for Child #1 who had been enrolled and attending the daycare for five months.”

Rule 8VAC20-800-70-B.

8VAC20-800-700-B

“Long-term prescription and nonprescription drug use may be allowed with written authorization from the child’s physician and parent. Child #7 had a long term prescription and a nonprescription medication on site that did not have written authorizations available from the parent and the child’s physician.”

Rule 8VAC20-800-700-B.

8VAC20-800-710

“Prescription medication The family day home may administer prescription medication that would normally be administered by a parent or guardian to a child provided the caregiver administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container. One prescription medication on site was not in the original labeled container.”

Rule 8VAC20-800-710.

8VAC20-800-60-B

“Repeat Violation Systemic Deficiency A child’s record shall contain the following information; the telephone number of each custodial parent’s place of employment. Children #2,6and 7’s record did not contain a work telephone number for each parent.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-B

“Annually the provider shall review with the parent the emergency contact information, and obtain the parent’s signed acknowledgment of the review. Child #6’s record was not updated annually. The review was overdue by 2 months.”

Rule 8VAC20-800-780-B.

8VAC20-800-180-A

“The provider shall obtain for each caregiver a current Report of Tuberculosis Screening form, every two years from the date of the first screening. Caregiver B’s repeat negative screening result on file was overdue by 15 days when provided.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“Repeat Violation Systemic Deficiency A child’s record shall contain the following information: Name, address and telephone number of each custodial parent’s place of employment; name and policy number of the child’s medical insurance, written authorization for emergency medical care. *There was no work phone number for parents (Child #3) *There was no work phone number for one parent (Child #1) *There was no insurance name or policy number provided(Child #6)”

Rule 8VAC20-800-60-B.

8VAC20-790-170-G

“The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies. There was no list of children’s allergies available for caregivers.”

Rule 8VAC20-790-170-G.

8VAC20-790-190-B-12

“A child’s record shall include a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #1 had a diagnosed food allergy documented with no written allergy action plan available.”

Rule 8VAC20-790-190-B-12.

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. Two cribs have end panels that are splintered and worn down by chewing, Multiple cribs have peeling paint on the railing sides.”

Rule 8VAC20-800-240-A.

8VAC20-800-60-B

“Repeat Violation Systemic Deficiency A child’s record shall contain the following information: telephone number of each custodial parent’s place of employment, written authorization for emergency medical care, policy number of the child’s medical insurance. *Child #1’s record did not contain written authorization for emergency medical care. *Child #3’s record did not contain the insurance policy number. *Child #4’s record did not contain a parent work phone number.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-B

“Annually, the provider shall review with the parent the required emergency contact information and obtain the parent’s signed acknowledgment of the review. Child #6’s record was overdue for the annual update by 6 months.”

Rule 8VAC20-800-780-B.

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #4’s record contained no immunization updates. Update were overdue by 22 months.”

Rule 8VAC20-800-90-C.

8VAC20-790-250-B

“Based on a review of records, one caregiver record did not contain documentation of the required Preservice training course. Evidence: Caregiver B’s record did not contain documentation of the preservice course completion.”

Rule 8VAC20-790-250-B.

8VAC20-790-250-D-1

“Based on a review of records, one caregiver record did not contain documentation of current cardiopulmonary resuscitation (CPR) certification. Evidence: Caregiver B has no CPR certification available for review.”

Rule 8VAC20-790-250-D-1.

8VAC20-790-250-D-2

“Based on a review of records, one caregiver record did not contain documentation of current first aid certification. Evidence: Caregiver B’s record had no documentation of first aid certification.”

Rule 8VAC20-790-250-D-2.

22.1-289.011-F

“Repeat Violation Based on observation, documents required by the Superintendent were not posted. Evidence: 1. The most recent inspection was conducted on 4/3/24. The inspection paperwork posted was dated 9/19/23. 2. The most recently issued licensed was not posted. The posted license expired 5/16/24.”

Rule 22.1-289.011-F.

8VAC20-800-180-A

“Based on a review of records two adult records did not contain documentation of a subsequent Tuberculosis(TB) screening, within two years from the date of the previous screening. Evidence: 1. The negative results on file for Adult A is dated 8/21/22 (expired). 2. the negative results on file for Adult B is dated 8/20/22 (expired).”

Rule 8VAC20-800-180-A.

8VAC20-800-50-A

“Based on a review of documentation, a written record of children in attendance was not kept. Evidence: At LI arrival, no attendance was available for the 5 children present. The attendance sheet presented for review later was not accurate, as a child was listed that was not present.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Repeat Violation Systemic Deficiency Based on a review of records, child records did not contain all required information. Evidence: 9 records were reviewed. 1. 1 record did not contain documentation of the first date of attendance. (Child #9) 2. 2 records did not contain Proof of birth documentation that was signed by the [person viewing the document. (Children #6, 9) 3. 2 records did not contain documentation of health insurance name and policy number. (Children # 4,5)”

Rule 8VAC20-800-60-B.

8VAC20-800-70-B

“Repeat Violation Systemic Deficiency Based on a review of records, child records did not contain written acknowledgment of all policies and procedures. Evidence: 1. No medication policy is marked on the decision to administer medication form and the form is not signed by the parent. (Child 3) 2. The Decision to administer medication policy form is not signed by the parent. (Children # 2,9)”

Rule 8VAC20-800-70-B.

8VAC20-790-250-F

“Based on a review of records, caregiver records did not contain documentation of the required annual health and safety update training. Evidence: 2 caregiver records had not documentation of the annual update training. (Caregiver A, B)”

Rule 8VAC20-790-250-F.

22.1-289.011-F

“Based on observation the most recent Inspection paperwork was not posted. Evidence: The inspection paperwork posted was dated 4/4/23. The most recent inspection was conducted on 9/19/23.”

Rule 22.1-289.011-F.

8VAC20-800-240-A

“Based on observation, the home was not maintained in a clean, safe and operable condition. Evidence: The smoke detector on the main floor of the home is “Chirping” due to a dead battery.”

Rule 8VAC20-800-240-A.

8VAC20-800-570-A

“Based on observation the provider did not ensure that a caregiver did not exceed 16 points. Evidence: At LI arrival, there were 12 children present totaling 33 points. There were only 2 caregivers present. A third caregiver came to the daycare area approximately 45 minutes later.”

Rule 8VAC20-800-570-A.

8VAC20-800-60-B

“Repeat Violation Systemic Deficiency Based on a review of records, Child record did not contain all required documentation. Evidence: 8 child records were reviewed. 1. 2 records did not contain health insurance name and/or the insurance policy number. (Children #3,4)”

Rule 8VAC20-800-60-B.

8VAC20-800-680-B

“Based on observation, a caregiver did not ensure that a child’s hands were washed with liquid soap and running water after diapering. Evidence: After a diaper change, a child was placed in a high chair in preparation for eating lunch. The child’s hands were not washed until the LI mentioned they had not been washed.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“Based on observation, the diapering surface was not nonabsorbent, and was not cleaned and sanitized after each use. Evidence: 1. An absorbent cloth was in use on the diaper changing pad. 2. The diaper changing area was not cleaned and sanitized after a diaper change was completed.”

Rule 8VAC20-800-690-D.

8VAC20-800-70-B

“Repeat Violation Systemic deficiency Based on a review of records, child records did not contain written acknowledgement of all policies and procedures. Evidence: 8 records were reviewed. 1. No medication policy is not marked on the decision to administer medication form (Child 5) 2. No provisions of the emergency preparedness plan and liability insurance declaration is available for review (Child 7) 3. The Decision to Administer Medication policy is not signed by the parent. (Child 8)”

Rule 8VAC20-800-70-B.

8VAC20-800-890

“Based on observation, food brought from home was not labeled in a way that identifies the owner. Evidence: Multiple infants had bottles brought from home. No bottles were labeled to identify the owner.”

Rule 8VAC20-800-890.

8VAC20-790-180-B

“Based on a review of documentation, the vendor failed to maintain a written hard copy of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: There was no written record of attendance available for review.”

Rule 8VAC20-790-180-B.

8VAC20-800-140-B-3

“Based on a review of records, one caregiver record did not contain documentation of current first aid and Cardiopulmonary resuscitation (CPR). Evidence: Caregiver 1’s record contain an expired First aid and CPR certification. Certification expired 9/18/23.”

Rule 8VAC20-800-140-B-3.

8VAC20-800-60-B

“Repat Violation Based on a review of records child record were incomplete. Evidence: 3 child records were reviewed. 1. 3 of 3 reviewed were missing documentation of viewing proof of birth. Signature of person viewing the document, date document was viewed. (Children 1, 2, 3) 2. Signed Emergency care authorization. (Child 2)”

Rule 8VAC20-800-60-B.

8VAC20-800-70-B

“Repeat Violation Based on a review of records, child records did not include acknowledgement of all policies and procedures. Evidence: 3 child records were reviewed. 1. 2 of 3 records did not include a completed decision to administer medication policy. While the form is signed, there was no policy was identified. (Children 1, 2)”

Rule 8VAC20-800-70-B.

8VAC20-800-830-C

“Based on a review of documentation, the provider did not maintain documentation of monthly emergency evacuation drills that were practiced. Evidence: No emergency evacuation drills have been documented since March 2023.”

Rule 8VAC20-800-830-C.

8VAC20-800-60-B

“Based on a review of records, one child records is incomplete. Evidence: *1 of 3 records reviewed was missing documentation of authorization for emergency care. (Child 1) *1 of 3 records reviewed was missing documentation of Proof of Birth. (Child 1)”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on a review of records, one child record does not contain documentation of acknowledgement of written policy for the decision to administer medication. Evidence: 1 of 3 records reviewed was missing a complete medication policy signed by the parent (Child 1)”

Rule 8VAC20-800-70-A.