Neethu Girija Vallabhan

22.1-289.011-F · The licenseshall be posted in a conspicuous place on the licensed premises.

The current license was not posted.

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8VAC20-800-180-A · The provider shall obtain for each caregiver a current Report of Tuberculosis Screening form, every two years from the date of the first screening.

1. Caregivers #1 did not have documentation of current Report of Tuberculosis Screening form signed by a physician, physicians' designee, or an official of the local health department, every two years from the date of the first screening. 2. The provider did not obtain current Report of Tuberculosis Screening form for caregiver #2 every two years from the date of the first screening

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8VAC20-800-90-A · Based on record review and interview, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations, before child attended.

Evidence: 1. Child #3 first day or attendance 11/29/2023, immunization documentation received after 12/11/2023 immunizations received. 2. Provider acknowledged they were aware immunization documentation was received after child's first day.

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8VAC20-800-180-A · Based on record review, the provider did not obtain for an adult household member a current Report of Tuberculosis Screening form, every two years from the date of the last screening.

Evidence: HH #1's record contains a Report of Tuberculosis Screening form that expired on 10/25/2023.

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8VAC20-800-90-A · Based on record review, the provider did not obtain immunization documentation for each child in care to verify that they have been adequately immunized prior to their first day of attendance.

Evidence: Child #1's record did not contain immunization documentation. The child's first day of attendance was documented as 6/5/2023.

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8VAC20-800-60-B · Based on record review, children's records did not all contain required information.

Evidence: Child #4's record was missing the name of the child's medical insurance.

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8VAC20-800-750-A · Based on observation, provider did not adhere to requirements for using topical skin products.

Evidence: 1. 1 of 2 topical skin products were not labeled with the child's name. 2. 2 of 2 did not have written authorizations for use of topical skin products.

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8VAC20-800-100-A · Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days of a child's first day of attendance.

Evidence: Child #2's record did not contain a physical examination.

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8VAC20-800-760-A-1 · Based on review of emergency supplies, the first aid kit was incomplete.

Evidence: The first aid kit was missing 1 of 2 required triangular bandages.

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