Poonam Anand

8VAC20-800-120-B · The provider shall obtain for each caregiver the documentation of two or more references prior to employment.

The references for Caregiver 2 were dated 17 days after the first day of employment.

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22.1-289.035-B-2 · Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Caregiver 3 had been employed and working with children for 23 days before the completed national criminal background check results were returned. Caregiver4 had been employed and working with children for 4 days before the completed national criminal background check results were returned.

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8VAC20-800-780-B · Annually, the provider will review with the parent the emergency contact information for accuracy and obtain the parent's signed acknowledgment of the review.

Child A and D had no documentation of an annual review in over one year.

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8VAC20-800-760-A-1 · Based on observation, the provider did not ensure that the first aid kit contained the required minimum items.

Evidence: observed that the first aid kit only had one triangular bandage.

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8VAC20-800-70-A · Based on records reviewed, 4 of 5 children's records did not include documentation of the medication policy provided to parents. Evidence: There was no documentation of the medication policy for Child #2, #3, #4, and #5.

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8VAC20-800-80-C · Based on records reviewed, the provider did not ensure that documentation of verifying a child's proof of identity was completed in 1 of 3 children's records. Evidence: There was no documentation that the proof of identity had been verified for Child #8.

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8VAC20-800-120-B · Based on records reviewed, it was determined that 2 of 2 staff records did not include required information.

Evidence: 1. Staff #2 ? There was no documentation of at least 2 reference checks having been completed. Date of hire was 11/4/22. 2. Staff #3 - There was no documentation of at least 2 reference checks having been completed. Date of hire was 11/3/22.

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8VAC20-800-500-C · Based on observations made, it was determined that a piece of outdoor play equipment was installed over a hard surface. Evidence: A sliding board was placed on brick pavers covered with artificial turf. Areas of the turf were torn which exposed the brick pavers. There was no resilient surfacing present.

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8VAC20-800-200-A · Based on records requested and interview conducted, it was determined that the assistant caregiver has not received training, as required by the end of the first week of employment. Evidence: There was no documentation of orientation training available for review and the provider reported that it has not been completed to-date.

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22VAC40-111-60-B · Based on records reviewed, it was determined that 2 of 2 children's records did not include required information.

Evidence: 1. Child #6 - There was no documentation of medical insurance and emergency medical authorization signed by the parent. The emergency medical authorization form on-file was blank and not signed by the parent. 2. Child #7 - There was no documentation of medical insurance, emergency medical authorization signed by the parent, and notice of liability insurance form.

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