8VAC20-800-100-A · Based on records review, the provider did not obtain documentation of a physical exam for children in care within 30 days of enrollment.

Evidence: 1. First day of enrollment for the children enrolled are as follows: Child # 1: 9/6/22; Child # 2: 8/15/22. 2. Documentation of a physical exam was not obtained for Child # 1 and Child # 2.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-100-A · Based on records review, the provider did not obtain documentation of a physical exam for children in care within 30 days of enrollment.

Evidence: 1. First day of enrollment for the children enrolled are as follows: Child # 1: 8/15/22; Child # 2: 1/1/22; Child # 3: 8/2021 and Child # 4: ?. 2. Documentation of a physical exam was not obtained for any of the four children.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-320-G · Based on observation and staff interview, wood burning fireplaces were not inspected annually.

Evidence: 1. The family day home has two wood burning fireplaces, one in the basement and the other on the main level of the home. 2. An annual inspection to verify that the fireplaces were properly installed, maintained and cleaned as needed, was not completed for either fireplace.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.