Dora Cedillo Amaya

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for child #3, who was in care during the inspection and had re-started with the Home-Based Child Care beginning today.”

Rule 8VAC20-800-90-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 children #1, #2, and #3 did not have a parent’s signature for an annual review of the emergency contact information. All three had been in care over the past year without an annual review.”

Rule 8VAC20-800-780-B.

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for Child #5, who was in care during the inspection and had been in care for approximately (4) four months.”

Rule 8VAC20-800-90-A.

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

“Child #4, 11 months old, last documented immunization was over 7 months ago.”

Rule 8VAC20-800-90-C.

Within the first 90 days of employment all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education.

“A certificate of completion of the Virginia Preservice Training for Staff #2 was not conducted within 90 days of their start date.”

Rule 8VAC20-790-250-B.

Assistant records shall contain an emergency contact.

“An emergency contact for Staff #2 was not available for review.”

Rule 8VAC20-800-120-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 #1, #2, and #3 did not have a current (within the past year) parent’s signature for an annual review, verifying their child’s emergency information.”

Rule 8VAC20-800-780-B.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

The program is required to submit results of potable water testing to VDH.

“The program did not have evidence of submitting test results to VDH.”

Rule 22.1-289.057-B.

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 #4 who had been in care for over 10 months.”

Rule 8VAC20-800-100-A.

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

“Child #1, 20 months old, last documented immunization was 19 months ago.”

Rule 8VAC20-800-90-C.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets accessible to children under five years of age.

“One outlet cover was missing for an outlet that was accessible to the 2 mobile children that were in care today.”

Rule 8VAC20-800-320-B.

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

“The fire drill conducted in the month of September 2024 was not recorded on the posted log.”

Rule 8VAC20-800-830-C.

Based on review, 1 of 4 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection (07/26/2024), documentation of a physical examination was not available for review for Child #2. 2. The start date for Child #2 was listed as 04/01/2024.”

Rule 8VAC20-800-100-A.

Based on review, 1 of 4 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - On the date of inspection (07/26/2024), the following information was not available for Child #2 (start date - 04/01/2024): 1. Parent’s work information 2. Doctor’s address and phone number 3. The information for 1 of 2 emergency contacts was listed. 4. The medical insurance (policy name and number).”

Rule 8VAC20-800-60-B.

Based on review, 4 of 4 children files indicated that not all of the required signed information was kept on site.

“Evidence - On the date of inspection (07/24/2024) the following documents were not available for review for Child #1, #2, #3, and #4: 1. Information for Parents form 2. Provisional of the Emergency Preparedness and Response Plan form 3. Liability Insurance Declaration form”

Rule 8VAC20-800-70-B.

Based on observation, the Family Day Home (FDH) did not have a completed Emergency Preparedness and Response Plan (EP&RP) available for review.

“Evidence - 1. On the date of inspection (07/26/2024), the FDH did not have a completed EP&RP. 2. The plan available on site was still blank.”

Rule 8VAC20-800-800-A.