Maria Araujo

8VAC20-800-100-A · Based on record review and interview with the provider, 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: 1) The records for Child #1 (start date 10/20/2021) and Child #2 (start date 09/07/2021) did not contain documentation of a physical examination report. 2) The provider could not locate the physical examination report in the records for Child #1 and #2.

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22VAC40-665-230-H · Baes on record review, the provider did not ensure that all caregivers who work directly with children annually attend the department's safety update course.

Evidence: 1) On the date of inspection, the record for Staff #1 did not contain documentation of having completed the annual safety update course. The most recent certificate was dated 07/30/2019.

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22VAC40-111-320-G · Based on interview with the provider, fireplaces and associated chimneys were not inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed.

Evidence: 1) On the date of inspection, the provider stated that the fireplace had not been inspected.

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8VAC20-790-430-A-3 · Lockdown procedures shall be practiced at least annually.

A lockdown drill was not conducted during the year 2025.

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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.

The record for Child #1, enrolled for three months, did not contain a physical examination

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8VAC20-800-700-A · Long-term medications shall be given to a child only with written authorization from the child's physician and parent.

There was no authorization form for medication for Child #2, Child #3, Child #4, Child #5 and Child #6.

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8VAC20-800-780-B · Based on record review, the provider did not review with the parent, annually, the emergency contact information to ensure the information is correct and obtain the parent's signed acknowledgment of the review.

Evidence: 1) The most recent review of the emergency information in the record for Child #4 was dated 03/09/2023.

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8VAC20-800-700-C · Based on documentation and medication review, the provider did not ensure that, when the medication authorization was not available, that medication was picked up by the parent.

Evidence: 1) On the date of inspection, medication for Child #4 and Child #5 was available in the family day home. Authorization forms for this medication was not available for review.

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22.1-289.035-B-2 · Based on record review, the provider did not ensure to obtain a fingerprint-based criminal history check determination letter every five years for caregivers.

Evidence: 1) The most recent fingerprint-based criminal history check determination letter in the record for Staff #2 was dated 02/16/2018. 2) The most recent fingerprint-based criminal history check determination letter in the record for Staff #3 was dated 03/05/2018.

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8VAC20-790-190-B-12 · Based on record review, children's records did not contain all required information.

Evidence: 1) The record for Child #2 did not contain a written care plan for each 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. The record for Child #3 did contain a written care plan but the form was missing important information.

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22.1-289.035-B-2 · Based on record review and interview, it was determined that the provider did not ensure that fingerprint-based criminal history check determination letter is obtained every five years for employees.

Evidence: 1) Fingerprint-based criminal history check determination letters were due for 3 caregivers: The most recent determination letter available in the record for Staff #1 was dated 02/07/2018; for Staff #2 was dated 02/16/2018; for Staff #3 was dated 03/05/2018.

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22.1-289.035-B-2 · Based on record review, the center did not ensure to obtain fingerprint-based criminal history check determination letter prior to first day of employment for one staff person.

Evidence: 1) The record for Staff #4 (hire date 03/21/2022) had a fingerprint-based criminal history check determination letter dated 03/30/2022.

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8VAC20-790-180-B · Based on documentation review, the provider did not maintain a written hard copy record of daily attendance that accurately documents the arrival and departure of each child in care as it occurs.

Evidence: 1) The record of attendance for the dates of June 21, June 30, July 1 and July 5 did not document the arrival or the departure of children in a consistent way: The arrival of the child would be documented but not the departure or vice versa.

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