Sharon Bork

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced annually. A lockdown drill was not practiced for 2025. The last documented lockdown drill was documented in December 2024.”

Rule 8VAC20-790-430-A-3.

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #3, 17 months, last documented immunization was over 12 months ago.”

Rule 8VAC20-800-90-C.

8VAC20-800-100-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child # 2, who had been enrolled for five months.”

Rule 8VAC20-800-100-A.

8VAC20-800-40-A

“The provider shall ensure the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. The provider is licensed for 12 children at one time. There were 13 children present.”

Rule 8VAC20-800-40-A.

8VAC20-800-570-A

“The provider shall ensure that each caregiver does not exceed 16 points. The total points of children in care today was 33 with two care givers.”

Rule 8VAC20-800-570-A.

Based on review of children records, the provider failed to obtain a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. Child #2’s first date of attendance was 02/12/2024. There was not a physical examination in the child’s record. 2. The provider verified that the Child #2’s record did not contain a physical examination.”

Rule 8VAC20-800-100-A.

Based on observation, the center failed to ensure that rest mats that are used must have at least an inch of cushioning.

“Evidence: Five out of eight children did not have a rest mat with at least an inch of cushioning. The children had sleep bags that were laid directly on the floor.”

Rule 8VAC20-800-510-D.

Based on review of children records, the provider failed to ensure all required information was in the children records.

“Evidence: 1. Four out of four children records did not contain the address of the two designated persons to contact in case of an emergency if the parent cannot be reached. 2. The provider verified that the records did not contain the address of the emergency contacts.”

Rule 8VAC20-800-60-B.

Based on observation, the provider failed to ensure that children were washing with soap and running water before eating.

“Evidence: Two children were in play equipment for infants before lunch. Caregiver #2 took the children out of the equipment and placed in highchairs for lunch. The children’s hands were not washed before they began lunch.”

Rule 8VAC20-800-680-B.

8VAC20-800-710

“Based on review of medication, the provider did not ensure that they had completed the additional medication administration training, and the medication was not maintained in the original pharmacy labeled container. Evidence: 1. An emergency medication, Auvi-Q, did not have a pharmacy label that includes the child’s name. 2. An emergency medication, requires additional training to administer AuviQ epinephrine. The additional training was not obtained by the Provider.”

Rule 8VAC20-800-710.