Milkessa Recio

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening (TB) form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the most current documentation on file. Both Staff #1 and Household Member #1 had TB documentation on file that expired one month ago.”

Rule 8VAC20-800-180-A.

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.

“There was no parent acknowledgement (Medication Administration - Decision to Administer form) available for one child who was provided care in the past two weeks.”

Rule 8VAC20-800-70-B.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“An emergency evacuation (fire) drill was not recorded for October 2024.”

Rule 8VAC20-800-830-C.

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 #4 was missing the written authorization for emergency medical care. The child was present during the inspection and had been in care for over a month.”

Rule 8VAC20-800-60-B.

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.

“Records for children #2 and #3 did not have a parent’s signature for an annual review of the emergency contact information. Both Child #2 and Child #3 had been in care for over a year.”

Rule 8VAC20-800-780-B.

Based on review and interview, 1 household record indicated that an out-of-state background check was not available from a state in which an individual had resided in the preceding five years.

Rule 22.1-289.035-B-4.

Based on review, 3 of 3 children files indicated that not all of the required information was contained within each record.

“Evidence - 1. On the date of inspection (10/17/2023), the place of employment for each child’s parent was not listed for: Child #1 (start date - 09/16/23), Child #2 (start date - 09/05/23), and Child #3 (start date - 09/05/23). 2. The addresses for each listed emergency contact were not available for: Child #1, Child #2, and Child #3.”

Rule 8VAC20-800-60-B.

Based on review, 3 of 3 children files indicated that not all of the required documentation was contained within each child’s file.

“Evidence - 1. On the date of inspection, the following children did not have a completed Medication Administration - Decision to Administer form within their file - Child #1, Child #2, and Child #3. 2. The following children did not have a completed Provisions of the Emergency Preparedness and Response Plan form within their file - Child #1, Child #2, and Child #3.”

Rule 8VAC20-800-70-A.

Based on review and interview, 3 of 3 children files indicated that the Provider did not document in each child’s record the verification that proof of identification was reviewed.

“Evidence - 1. On the date of inspection (10/17/2023), documentation in each child’s record that verification of the proof of identification was reviewed for each child was not available for: Child #1, Child #2, and Child #3. 2. The Provider stated (during an interview conducted on the date of inspection) that she viewed the birth certificate for each child, but did not document these reviews.”

Rule 8VAC20-800-80-C.