Miriam Medina

8VAC20-800-90-A · Before a child may attend the family day home, the provider is required to obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

Child #5 did not have documentation of immunizations on file at the time of the inspection. Child #5 has been enrolled for 2 weeks.

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8VAC20-790-180-B · REPEAT VIOLATION***

The vendor is required to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The vendor's attendance sheet on the date of the inspection listed 12 children. 2 of the children listed on the attendance sheet were not actually present. There was a total of 15 children in attendance, which means a total of 5 children who were present were not listed on the attendance sheet for the day. The children's attendance is not being marked as they arrive with the arrival time.

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22.1-289.035-B-2 · All employees must submit to fingerprinting prior to employment as described in

subdivision B 2 of ? 19.2-392.02. Caregiver #3 did not have submit to fingerprinting within the required timeframe. There was no documentation available of the results of fingerprints testing at the time of the inspection for the caregiver.

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8VAC20-790-180-B · The vendor is required to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

The vendor's attendance sheet on the date of the inspection was missing 3 out of 12 children's names who had arrived for the day. The previous week's attendance sheets showed that children have not been consistently written on the attendance sheet and there is no indication of the arrival and departure of each child in care as it occurs.

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22.1-289.035-B-3 · Each employee is required to authorize the family day home to obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515.

Caregiver #1 and Caregiver #2 did not have documentation of the results of a central registry background check on file at the time of the inspection.

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8VAC20-800-960-E · Based on observation, all bottles were not labeled with the child's full name and the date.

Evidence: 1. In the kitchen area, 3 bottles were observed to have no name and no date for the day. There was more than one infant in care at the time of the inspection.

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8VAC20-800-60-B · Based on a review of children's records, 1 out of 5 child records reviewed did not contain the required information.

Evidence: 1. Child #1 did not have documentation of the Emergency Preparedness and Response Plan on file at the time of the inspection.

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8VAC20-800-100-A · Based on a review of children's records, the provider did not obtain documentation of a physical examination for 1 out of 4 children 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. Child #4 (doe: 10/3/2022) did not have documentation of a physical examination on file at the time of the inspection.

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8VAC20-800-780-B · Based on a review of children's records, 2 out of 4 children did not have acknowledgement of the review of the annual review of emergency contact information required to ensure the information is correct.

Evidence: 1. Child #1's (doe: 1/4/2018) last annual update of emergency contact information was on 7/7/2020. 2. Child #2's (doe: 1/4/2018) last annual update of emergency contact information was on 7/7/2020.

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8VAC20-800-100-A · Based on a review of children's records, 1 out of 2 children's records did not include documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

Evidence: 1. Child #1 (doe: 6/28/2021) did not have documentation of a physical examination report on file during the inspection.

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22VAC40-191-60-B · Based on a review of records, an employee was employed prior to having the person's completed sworn statement or affirmation.

Evidence: 1. Caregiver #3 (doh: 7/24/2021) did not have a sworn statement on file at the time of the inspection.

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