Nargis Akther

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screenings for Caregiver #1 and Household Member #1 were not completed and was overdue by approximately two months.”

Rule 8VAC20-800-180-A.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There was not a physical exam record available for Child #5, who has been in care for over 3 months.”

Rule 8VAC20-800-100-A.

Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.

“The record for Child #5 was missing the signed authorization for emergency medial care. The child had been in care for 3 months.”

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 family day home operations and administration.

“There were no parent acknowledgements available for the following forms - The Provisions of the Emergency Preparedness and Response Plan form for the following children: Child #4, #5, #6, and #7; and the Liability Insurance Declaration form for Child #4. All listed children are currently enrolled and have been attending this program.”

Rule 8VAC20-800-70-B.

Medication for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“Both prescription and over the counter medication was observed on the kitchen table in an area accessible to the preschool age children in care.”

Rule 8VAC20-800-730-D.

The Family Day Home (FDH) shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every six months for children under the age of two years.

“Child #5, 20 months old, last documented immunization was just over 6 months ago.”

Rule 8VAC20-800-90-C.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There were no physical exam records available for Child #1, who had been in care for over 4 months.”

Rule 8VAC20-800-100-A.

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

Rule 8VAC20-800-780-B.

Based on review, 4 of 4 children files indicated that documentation of a physical examination was not available for review.

“Evidence - On the date of inspection (02/28/2024), the following children did not have a physical available for review: 1. Child #1 (start date: 10/23/2023); Child #2 (start date: 07/15/2023); Child #3 (start date: 10/31/2023); and Child #4 (start date: 01/08/2024). 2. All listed start dates were more than 30 days from the date of inspection.”

Rule 8VAC20-800-100-A.

Based on review, 2 of 4 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (02/28/2024), 1 of 2 emergency contacts were provided for Child #1, and Child #2. 2. This same violation was cited previously during an inspection that took place on 11/08/2023.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 4 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 (02/28/2024), the current immunization page for Child #1 was dated - 08/14/2023. 2. On the date of inspection, Child #1 was under the age of 2 years. 3. Child #1 did not have any religious exemption documentation on file at the FDH.”

Rule 8VAC20-800-90-C.

Based on review, 4 of 4 children records did not contain all of the required information.

“Evidence - On the date of inspection (11/08/2023), the following information was unavailable for review: 1. 1 of 2 emergency contacts were listed for: Child #1, Child #2, and Child #3. 2. The policy number for the child’s medical insurance was not available for: Child #2, and Child #4.”

Rule 8VAC20-800-60-B.

Based on review, 4 of 4 children files did not contain all of the required documentation.

“Evidence - On the date of inspection (11/08/2023), the following signed documents were not available for review: 1. The Information for Parents form for: Child #1, Child #2, Child #3, and Child #4. 2. The Medication Administration - Decision to Administer form: Child #1, Child #2, Child #3, and Child #4. 3. The Provisions of the Emergency Preparedness and Response Plan form: Child #1, Child #2, Child #3, and Child #4. 4. The Liability Insurance Declaration form for: Child #1, Child #2, Child #3, and Child #4.”

Rule 8VAC20-800-70-A.