8VAC20-800-800-B · Based upon review of the emergency preparedness plan, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented.

Evidence: 1. The most recent review of the Emergency Preparedness Plan documented by the provider was dated 08/01/2023.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

22.1-289.011-F · Based on review of required posted documents and interview with the Provider, the Provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program.

Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility were not posted. The Provider had posted an Acknowledgement Form instead of the Inspection Report.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-790-250-F · Based on interview and record review, it was determined the Provider and the assistant did not include as part of their 16 hours in annual training the department's health and safety update course.

Evidence; 1. Both the Provider and assistant have 16 hours in annual training. 2. The 3 hour Health and safety update was taken in 2019 but has not been taken in the last year.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.