Misty Carbonara

8VAC20-800-430-A · Accordion expansion gates and pressure mounted gates shall not be used as

protective barriers at stair openings. There was a pressure mounted gate used as a protective barrier at the stair openings from the backyard up to the deck.

View state record

8VAC20-800-100-A · Based on records review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child?s attendance or within 30 days after the first day of attendance.

Evidence: Child #4 (start date 8/16/2021) did not have documentation of a physical examination in the file.

View state record

8VAC20-800-170-A · Based on review of household member records, a TB screening was not obtained for 1 household member.

Evidence: Household member #1 is over the age of 18 years. A TB screening has not been completed.

View state record

8VAC20-800-710 · Based on review of medication onsite. One medication found that requires additional medication administration training and was not maintained in the original pharmacy labeled container.

Evidence: 1. An emergency medication did not have a pharmacy label that includes the child's name. 2. An emergency medication requires additional training to administer AuviQ epinephrine. The additional training was not obtained by the Provider.

View state record

8VAC20-800-240-A · Based on observation of the program area, one area was not maintained in a safe condition.

Evidence: Tall bookshelves located in the large play area and accessible to children in care are not stationary to prevent them from tipping over.

View state record