8VAC20-800-60-B · (Repeat violation) Children's records shall have documentation of medical insurance name and policy number. The record for child #1 did not have insurance plan number. The record for child #3 did not have insurance information.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-60-B · (Repeat Violation) Based on review, provider did not ensure 4 of 5 child records have documentation of required information.

Evidence: The record for child #2 (start date 12/11/2023) did not have insurance plan number The record for child #3 (start date 1/9/2023) did not have insurance plan number and emergency contact addresses. The record for child #4 (start date 1/25/2021) did not have insurance information. The record for child #5 (start date 9/6/2022) did not have the address for the second emergency contact.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-110-B · Based on a review of records and interview, the licensee did not ensure that the record for each enrolled child' contains a Physical and Immunization reports which are signed by a licensed physician, the physician's designee, or an official of a local health department.

Evidence: The record for child #4 contained an immunization record and physical form which were not signed by a licensed physician, the physician's designee, or an official of a local health department.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-250-F · ** 2nd Repeat Violation ** Based on a review of records and interview, the vendor did not ensure that each caregiver includes in their annual training, the department's annual health and safety update course. Evidence: Three caregiver / household member records were reviewed. The record for caregiver #1 did not contain documentation to demonstrate that the department's health and safety update course had been completed within the last 12 months. When asked, caregiver #1 stated that she had not taken the annual course update in the past 12 months.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-A · Based on a review of records and interview, the licensee did not ensure that all employees, undergo a background checks prior to employment or beginning to serve as a volunteer and every five years thereafter.

Evidence: Three Provider / Assistant / Household Member records were reviewed. The record for Assistant #2 contained the most recent result s of a Criminal Record Check that were dated 6/19/2028, more than 5 years ago. The licensee confirmed that a more recent Criminal Record Check had not been requested for Assistant #2 .

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-250-F · ** Repeat Violation **

Based on a review of records and interview, the vendor did not ensure that each caregiver includes in their annual training, the department's annual health and safety update course. Evidence: Three caregiver / household member records were reviewed. The record for caregiver #1 did not contain documentation to demonstrate that the department's health and safety update course had been completed within the last 12 months. When asked, caregiver #1 stated that she had not taken the annual course update in the past 12 months.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-250-F · Based on a review of records and interview, the vendor did not ensure that each caregiver includes int heir annual training, the department's health and safety update course.

Evidence: Three caregiver / household member records were reviewed. The record for caregiver #1 did not contain documentation to demonstrate that the department's health and safety update course had been completed within the last 12 months. When asked, caregiver #1 stated that she had not taken the annual course update in the past 12 months.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-800-60-B · Based on a review of records and interview, the licensee did not ensure that each enrolled child's record contains all of the required documentation.

Evidence: Five children's records were reviewed. The records for child #1 and child #2 did not contain addresses for the designated emergency contacts to be called in the event that a parent cannot be reached in an emergency. The records for child #1 and Child #2 did not contain the Hospitalization plan number. The licensee was unable to demonstrate that this information had been obtained for child #1 and child #2.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-60-B · Based on a review of records and interview, the licensee was unable to demonstrate that all of the required documentation was contained in each enrolled child's record.

Evidence: Three children's records were reviewed. The records for child #1 and child #3 did not contain a policy number for the child's medical insurance. The licensee confirmed that this documentation was not present in the children's records.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22VAC40-665-230-H · Based on a review of records and interview, the licensee did not ensure that each caregiver's annual training includes the department's health and safety update course.

Evidence: Two caregiver records were reviewed. The record for caregiver #2 contain more than the required annual training hours, but did not include the department's annual health and safety training update. When asked if caregiver #2 had taken this training, the licensee stated that she had not.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22VAC40-111-70-A · Based on a review of records and interview, the provider did not ensure that prior to each child's first day of attendance, the child's parents are provided in writing the program's policies for the administration of medications.

Evidence: Two children's records were reviewed during the inspection. The licensee was unable to provide documentation that the parent of child #1 and child #2 received information about the program's policies for the administration of medication. The licensee stated that she did not have this documentation.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.