Michel Vasquez Lopez

8VAC20-800-100-A · he provider shall obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance. The record for Child #1 did not contain documentation of a physical exam. Child has been attending for more than a month, the documentation is 6 days overdue.

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8VAC20-800-60-B · An up to date record for each child enrolled shall be maintained by the provider and contain all required information.

The record for Child #1 did not contain the following: -name, office address and telephone number of the child's physician; -address and telephone number for one of two designated persons to contact in case of an emergency if the parent cannot be reached; -name and policy number of the child's medical insurance Child #1 was present during the inspection and has been attending for one week. The record for Child #2 was missing the policy number of the child's medical insurance. Child #2 was present during the inspection and has been attending for 5 months. The record for Child #3 did not contain the following: -name, address and telephone number of each custodial parent's place of employment; -address of two designated persons to contact in case of an emergency if the parent cannot be reached; Child #3 was present during the inspection and has been attending for 5 months.

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8VAC20-800-60-B · An up to date record for each child enrolled shall be maintained by the provider and contain all required information. The records for Child #1, 2, 3, and 4 did not contain the name and policy number of the child's medical insurance and the name, office address and telephone number of the child's physician. The record for Child #5 did not contain the policy number of the child's medical insurance.

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