Ruwani Ranatunga

8VAC20-800-750-D · When topical skin products are used, the product shall not be used beyond the expiration date of the product. Diaper ointment for Child #1 and Child #6 have been expired for 8 months.

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8VAC20-800-750-A · When topical skin products such as sunscreen, diaper ointment and lotion are used, the provider must obtain written parent authorization noting any known adverse reactions at least annually.

The record for Child #1 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #1. Child #1 was present for the inspection and has been attending the family day home for 5 days. The record for Child #2 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #2. Child #2 was present for the inspection and has been attending the family day home for 5 months. The record for Child #3 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #3. Child #3 has been attending the family day home for two years. The record for Child #4 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #4. Child #4 was present for the inspection and has been attending the family day home for more than one year. The record for Child #5 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #5. Child #5 was present for the inspection and has been attending the family day home for more than one year.

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8VAC20-800-70-A · Before the child's first day of attendance, parents shall be provided required information in writing. The parents of Child #2 were not provided in writing the following required information: whether or not there is liability insurance in force on the family day home operation, and provisions of the family day home?s emergency preparedness and response plan. Child #2 had been in care for five months.

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22.1-289.036-B-3 · Based on record review, the family day home did not obtain a copy of the results of a search of the central registry for 1 of 2 household members.

Evidence: 1. The record for Household Member #1 did not contain documentation of the result of a search of the central registry.

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8VAC20-800-710 · Based on record review, caregivers do not have training required in order to administer prescription medication.

Evidence: 1. Child #5 is prescribed emergency medication that is stored at the Family Day Home. 2. There were no caregivers present at the family day home who have received the medication administration training and certification required in order to administer the specific medication prescribed to the child.

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8VAC20-800-800-B · Based on record review, the provider did not review the emergency plan annually.

Evidence: 1. The most recent review of the emergency plan was documented on 6/16/2022

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8VAC20-800-700-A · Based on a review of children's medications, it was determined that one prescription medication was on site without all required documentation.

Evidence: One child's long term prescription medication was on site without written authorization from the parent.

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22VAC40-111-100-A · Based on file review, 1 child's record did not have a physical examination.

Evidence 1. Child #1 did not have a physical on file.

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