Shanna Carter

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“1. The record for caregiver #2 contained an updated TB screening 37 days past the due date. 2. The record for household member #1 contained an updated TB screening 57 days past the due date.”

Rule 8VAC20-800-180-A.

Documentation of additional immunizations is required once every six months for children under the age of two years. ’

“The record for child #2, 19 months old, did not contain additional immunizations.”

Rule 8VAC20-800-90-C.

Children’s records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for Child #2 was missing the telephone number of the two emergency contacts listed. The record of Child #3 and Child #4 were missing the address of the second emergency contact listed for each child.”

Rule 8VAC20-800-60-B.

8VAC20-800-280

“Based on observation, the provider did not ensure that potentially poisonous substances such as cleaning supplies were stored in areas inaccessible to children in care. Evidence: their were two cannisters of disinfectant spray and a bottle of ?bleach mix? sitting on the bathroom counter accessible to the children in care.”

Rule 8VAC20-800-280.

8VAC20-800-100-A

“Based on review of five child records, the provider did not obtain documentation that each child has had a physical prior to the child’s first attendance or within 30 days after the first day of attendance. Evidence: the record for child #1 (date of first attendance: 9/11/2023), child #2 (date of first attendance: 7/28/2021), child #3 (date of first attendance: 5/30/2023), child #4 (date of first attendance: 9/11/23) and child #5 (date of first attendance: 9/11/2023) did not have documentation of a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-530-B

“Based on observation, not all cribs in use had tight fitting sheets. Evidence: an infant was observed in a crib that had loose sheets. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

Rule 8VAC20-800-530-B.

8VAC20-800-900-B

“Based on observation, it was determined that children were allowed to drink while lying down. Evidence: an empty bottle was observed in a crib with a sleeping infant.”

Rule 8VAC20-800-900-B.

8VAC20-800-940-A

“Based on observation, the home did not ensure that temperatures were maintained at or below 40 degrees F in the refrigerator and at or below 0 degrees in the freezer. Evidence: according to the thermometers, the temperature in the refrigerator was 45 degrees F and the temperature in the freezer was 3 degrees F.”

Rule 8VAC20-800-940-A.

8VAC20-800-60-B

“Based on review of three child records, and an interview with the provider, not all records contained all required information. Evidence: The record for child #1, child #2, and child #3 did not contain complete emergency contact information, first date of attendance, parent’s signed acknowledgement of the information required in standard 70, proof of the child’s age and identity, results of the health examination, or written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on review of three child records, and an interview with the provider, not all parents were provided, in writing, all required information for parents before the child’s first day of attendance. Evidence: The record for child #1, child #2, and child #3 did not contain documentation of receipt of all required written information including information for parents, policies on the administration of medication, whether or not there is liability insurance, and provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

8VAC20-800-90-A

“Based on review of three child records, the provider did not obtain documentation that each child has received immunizations prior to the child’s first attendance. Evidence: the record for child #1 (date of first attendance: 11/21/2023), child #2 (date of first attendance: 7/28/2021) and child #3 (date of first attendance: 5/8/2023) did not have documentation of immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-800-940-B

“Based on observation and interview, the home did not have an operable thermometer available to monitor the refrigerator and freezer temperatures. Evidence: the provider stated that she did not have a thermometer.”

Rule 8VAC20-800-940-B.