Ms. Subhashini Arunachala

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.

Child #4 did not have a physical exam record on file within the first 30 days of attendance. Child #4 had a physical exam record dating more than 45 days after enrollment.

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8VAC20-800-80-A · Based on children?s record review, the provider failed to document verification of the identity and age of the child within seven business days of the child?s first day of attendance at the family day home.

Evidence: The records for C1, C2, C3, C4, and C5 did not document the date the provider verified the identity and age of the children. The element on the form was blank.

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8VAC20-800-780-B · Based on children's record review, the provider failed to ensure that one of five records contain documentation of the review of parental emergency contact information required by 8VAC20-800-60.B.2 and parental signed acknowledgement of the review.

Evidence: The record for C3 enrolled 01/04/2022 failed to contain a parental signature acknowledging the annual review of the child's parental emergency contact information.

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8VAC20-800-180-A · Based on a review of household member records and interview, the provider did not obtain a current Report of Tuberculosis Screening form for each household member, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Evidence: The record of household member #2 contained documentation of a tuberculosis screening dated 6/4/18. The provider acknowledged the repeat tuberculosis screening was not done.

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