Henrico Education Foundation - Shady Grove

8VAC20-780-510-F · The medication authorization shall be available to staff during the entire time it is effective.

Two medications for child #1 were on site, however, there were no completed medication authorizations in the child?s record.

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8VAC20-780-150-B · Immunizations for children are required to be signed by a physician, his designee, or an official of a local health department.

The immunization record for Child #1, who has been in care for 3 weeks, was not signed by a physician, his designee or an official of a local health department.

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8VAC20-790-600-D-1 · Based on review of seven staff records, the center did not ensure all staff who work directly with children obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment or 90 days from vender approval.

Evidence: 1. The record of staff #4, employed 08/16/2022, did not have documentation of current CPR exceeding 90 days from employment and vender approval. The center received vender approval on 08/29/2023. 2. The record of staff #5, employed 08/22/2023, did not have documentation of current CPR exceeding 90 days from employment and vender approval. The center received vender approval on 08/29/2023.

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8VAC20-780-240-A · Based on review of seven staff records, the center did not ensure two staff completed the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.

Evidence: 1. The record of staff #2, employed 10/19/2021, did not contain documentation of the Virginia Department of Education-sponsored orientation course exceeding 90 calendar days from employment. 2. The record of staff #5, employed 08/22/2023, contained documentation of the Virginia Department of Education-sponsored orientation course dated 01/01/09/2024, exceeding 90 calendar days from employment.

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8VAC20-780-60-A · Based on review of six children's records, the center did not obtain all required information for two children's records. Evidence:

1. The record of child # 3 did not have the name and phone number of the child's physician. 2. The record of child # 5 did not have the name and phone number of the child's physician or the name and phone number of each parent's employment.

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8VAC20-770-60-C-2 · Based on a review of six staff records and interviews, the center did not ensure that three

staff members had a central registry finding within 30 days of employment. Evidence: 1. The record for Staff #2, employed on 09/09/2022, did not contain results of a central registry finding exceeding 30 days from employment. Documentation indicated the original request was mailed on 09/15/2022 exceeding 7 days from employment. A follow up as to the status was conducted on 10/10/2022 and a new request was mailed on 10/25/2022. 2. The results of the central registry finding in the record for Staff #5, employed on 08/30/2022, were dated 10/24/2022, exceeding 30 days from the date of employment. The record contained documentation of a follow up as to the status of the central registry check, but it was dated 10/03/2022. 3. The record for Staff #6, employed on 09/23/2022, did not contain results of a central registry finding. The record contained documentation that the request was mailed 10/05/2022 and the center followed up as to the status of the central registry check on 10/25/2022.

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8VAC20-770-60-C-2 · Based on review of five staff records and interview, the center did not obtain a central registry finding within 30 days of employment for four staff records.

Evidence: 1. The record of staff #2, hired 08/10/2021, had a central registry check dated 10/01/2021 exceeding 30 days from employment. 2. The record of staff #3, hired 10/05/2021, had a central registry check dated 11/18/2021 exceeding 30 days from employment. 3. The record of staff #4 hired 09/08/2021, had a central registry check dated 10/30/2021 exceeding 30 days from employment. 4. The record of staff #5, hired 08/24/2021, had a central registry check dated 10/01/2021 exceeding 30 days from employment. 5. Administration stated there was no documentation that a follow up had been conducted 30 days after employment to check the status of the registry findings.

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