Mrs. Bristel White

8VAC20-790-190-B-12 · A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction is required.

Child #3, enrolled for over seven months, has a diagnosed food allergy and did not have a written care plan in their record.

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8VAC20-800-90-C · Documentation of additional immunizations is required once every six months for children under the age of two years. '

Child #2, 14 months old, last documented immunization was over six months ago.

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8VAC20-790-250-D-1 · Caregivers shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

Staff #2 did not have current CPR certification, their certification expired three months ago.

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8VAC20-800-100-A · The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

There was no physical exam records available for child #5, who had been in care for 30 days.

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8VAC20-800-240-A · Based on observation it was determined the provider did not ensure that all areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition.

Evidence: There was peeling paint on the banister and on the walls in the lower level of the day care.

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8VAC20-800-920 · Based on observation and interview it was determined the current one-week menu was not posted.

Evidence: 1. There was no menu posted. 2. The provider confirmed this was not posted during the inspection.

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