8VAC20-770-60-B · Based on review, 3 of 6 children files indicated that not all of the required authorizations was contained within each child's record.

Evidence - 1. On the date of inspection (06/11/2024), the following children did not have an emergency medical authorization on file: Child #1, Child #5, and Child #6. 2. For Child #1, while an emergency medical authorization was on file, it did not specifically authorize the provider. 3. For Child #5 and Child #6, the back page (page 2) of the Child's Record was blank. This page is where this authorization is generally located.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-770-40-D-4 · Based on review, the provider did not ensure that all household members 18 years of age and older had documentation of a completed sworn statement or affirmation.

Evidence: reviewed 2 caregiver records and 3 household member's records and found that caregiver 2 did not have documentation of a sworn statement.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-100-A · Based on record review, the provider did not obtain documentation of a physical examination for each child in attendance:

Evidence: Child A did not have a documentation of a physical examination on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-60-B · Based on record review, a child's record was missing required information.

Evidence: Child A and Child B were missing liability insurance declaration, permission to go off premises, and proof of identity.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.