Fauzia Zubair

8VAC20-800-120-B · Assistants' and substitute providers' records shall contain all required information.

The record for Caregiver #1, employed for 2 days, was missing the following components: -Name address and telephone number of a person to be notified in an emergency -Address -Verification of age -Documentation that two or more references as to character and reputation as well as competency were checked before employment

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8VAC20-800-180-A · A tuberculosis (TB) screening is required every two years from the last screening.

An updated TB screening for Caregiver #1 was not completed and was overdue by four months.

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8VAC20-800-100-B · Based on record review and interview, the physical examination prior to attendance was not conducted twelve months prior to attendance for children two years of age through five years of age.

Evidence: 1. The records for Child #1 and Child #2 had documentation of physical examinations dated outside of the allowable twelve month time frame. 2. Caregiver #1 acknowledged that the physical examinations were accepted outside of the allowable twelve month time frame.

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

Evidence: 1) Household member #4's most recent TB screening on file expired on 11/26/2021. A subsequent TB screening was not obtained every two years.

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8VAC20-800-170-A · Based upon record review, caregiver did not have a current Report of Tuberculosis Screen upon returning to work 4/2023.

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