Hannah Anokye-Gyambrah

22.1-289.036-B-2 · All adult household members must submit to fingerprint background checks. A household member turned 18 three months prior and has not submitted fingerprint result.

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8VAC20-800-180-A · A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for the adult household member was not completed and was overdue by five months.

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8VAC20-800-900-A · To assist in preventing choking, food that is hard, round, small, thick and sticky, or smooth and slippery such as whole hot dogs sliced into rounds, nuts, seeds, raisins, uncut grapes, uncut raw carrots, peanuts, chunks of peanut butter, hard candy, and popcorn shall not be served to children under four years of age, unless the food is prepared before being served in a manner that will reduce the risk of choking, i.e., hot dogs cut lengthwise, grapes cut in small pieces, and carrots cooked or cut lengthwise.

Uncut grapes were served to three children under the age of four.

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8VAC20-800-100-A · Based on review of children records, the provider failed to ensure that documentation of a physical examination was obtained within 30 days after the first day of attendance.

Evidence: Child #1's first date of attendance was 01/15/2024. There was no documentation of a physical examination in the file. Child #1 was in attendance on 03/19/2024.

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8VAC20-800-750-B · Based on observation, the provider failed to ensure that topical skin products were inaccessible to children.

Evidence: 1. There were two buckets of various sunscreen and insect repellants sitting on a bench right at the entrance of the door that comes in from the playground. 2. The provider confirmed that that the topical skin products were accessible to children.

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8VAC20-800-780-B · Based on a review of children records, the provider failed to annually review with the parent the emergency contact information to ensure the information is correct.

Evidence: 1. Child #2's emergency contact information was last reviewed and dated 02/17/2022. 2. Child #4's emergency contact information was last reviewed and dated 02/17/2022. 3. Child #5's emergency contact information was last reviewed and dated 11/02/2021.

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8VAC20-790-250-B · Based on a review of caregiver records, the provider failed to ensure that all caregivers completed the Virginia Preservice Training within 90 days of becoming a subsidy provider.

Evidence: 1. The provider became a subsidy participant in July of 2021. Caregiver #2 has not completed the Virginia Preservice Training. It was required to be completed by the end of October 2021. 2. The provider verified that Caregiver #2 had not completed the Virginia Preservice Training.

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22.1-289.035-B-2 · Based on a review of caregiver records, the provider failed to ensure that the National Fingerprint background check was completed prior to first day of employment.

Evidence: 1. Caregiver #1's record did not contain the National Fingerprint background check. Date of hire for Caregiver #1 was 07/18/2022. 2. The provider verified that the National Fingerprint background check had not been completed.

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22VAC40-111-60-B · Based on review of children's records, the provider failed to obtain all required information in a child's record.

Evidence: 1. Child #3's date of enrollment was 08/16/2021. The written authorization for emergency medical care should an emergency occur and the parent can not be located was not signed by the parent until 08/24/2021. 2. The provider verified the date of enrollment for Child #3 and the date the authorization for emergency medical care was signed.

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