Melissa McKensie

8VAC20-790-210-B · Caregivers shall have updated TB screenings at least every two years.

The record for caregiver #1 did not have documentation of an updated TB screening and was overdue by 1 year and 11 months.

8VAC20-790-230-A · Based on a review of four children?s records and interview, the vendor did not obtain documentation that one child has been immunized according to the requirements of subsection A of ? 32.1-46 of the Code of Virginia and applicable State Board of Health regulations before the child attended the family day home.

Evidence: 1) The record of Child #2, date of attendance 01/16/23, did not contain documentation of the child?s immunization record. 2) During interview, Caregiver #1 confirmed the immunization record for Child #2 had not been obtained to date.

8VAC20-790-430-B · Based on documentation reviewed, the vendor did not maintain a record of the dates of the practice drills for one year.

Evidence: 1) During the inspection, the record of the dates of the practice drills could not be reviewed. 2) During interview, Caregiver #1 acknowledged the practice drills were conducted, but the record of the dates of the practice drills could not be located at the time of the inspection.

22VAC40-665-170-B · Based on review of two children's records and interview, the vendor did not ensure two children's records contained the required information.

Evidence: The records for Child #1 (first date of attendance 04/07/2021) and Child #2 (first date of attendance 08/22/2021) did not contain the following: proof of the child's identity; home and work address for each parent who has custody; address of at least one person designated by the parent to contact in case of an emergency if the parent cannot be reached; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection for the provision of medical treatment on religious or other grounds; a written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor; and any written agreements between the parent and the vendor. The vendor stated the model forms asking for this information have been given to the families.