Ms. Terrie Finney

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

There were three children in attendance, and the daily attendance had not been taken to document the arrival of each child as it occurred.

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8VAC20-800-60-B · A child?s record shall contain all of the information required by the standards.

The record for Child 1 did not contain the first date of attendance.

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8VAC20-800-90-A · Before a child may attends the family day home, the provider shall obtain documentation that the child has been adequately immunized.

The immunization record for Child 3 was obtained 3 weeks after the first day of attendance.

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8VAC20-800-780-B · Based on record review, the provider failed to obtain the parent?s signed acknowledgement of reviewing the child?s emergency contact information annually.

Evidence: 1. The most recent signed acknowledgement of the review of the emergency contact information in the record for Child 1 was obtained on 02/01/2023; an annual update was not obtained by 02/01/2024. 2. The most recent signed acknowledgement of the review of the emergency contact information in the record for Child 2 was obtained on 12/07/2022; an annual update was not obtained by 12/07/2023.

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

Evidence: The attendance record for 03/26/2024 did not document the children?s departure. There was a total of 5 children observed in attendance during the 03/27/2024 inspection. The attendance record did not document any children in care; the attendance was not taken upon arrival as it occurred on 03/27/2024.

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8VAC20-800-900-B · Based on observations, the provider failed to ensure that children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles.

Evidence: 1. Child 1 was observed walking around while drinking from a cup. 2. Child 2 was observed walking around while drinking from a bottle.

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8VAC20-800-920 · Based on observations, the provider failed to ensure that when meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated; given to parents or posted in an area accessible to parents; list any substituted foods; and kept on file one week at the family day home.

Evidence: The posted menu for the current one-week period of March 6-10 was not complete. The menu was missing the following: the AM Snack provided on 03/07/2023; and the breakfast and afternoon snacks for Wednesday-Friday.

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8VAC20-800-60-B · Based on record review and discussion, the provider failed to ensure that the record for each child enrolled contains all of the elements as required by the standard.

Evidence: 1. The record for Child 1 did not contain the following information: office address and telephone number of the child?s physician; name, address and telephone number of two designated person to contact if case of an emergency if the parent cannot be reached (there was not an addresses provided for the second contact); and the names and addresses of previously attended child day care and schools. 2. The record for Child 2 did not contain the parent?s signed acknowledgement of the receipt of the information required by 8VAC20-800-70.

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22VAC40-111-780-B · Based on record review and discussion, the provider failed to ensure that an annual review of emergency contact information required by the standards occurs with the parents and to obtain the parent's signed acknowledgement of the review.

Evidence: 1. The record for Child 1 did not contain verification that an annual review of emergency contact information took place with the parent; the date of the most recent review was 07/26/2020. 2. The record for Child 2 did not contain verification that an annual review of emergency contact information took place with the parent, the date of the most recent review was 10/03/2019.

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