A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #3, who has been enrolled for ten months, has a diagnosed food allergy and did not have a written care plan in their file.

8VAC20-780-60-A-8 · Correction status not published

Based on staff interview and review of attendance records, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs for one group of children.

Evidence: 1. There were 10 children present in the Frogs classroom. The attendance record for the Frogs classroom did not contain documentation of children currently present in the classroom. 2. Staff stated they usually complete the attendance record at the end of each day.

8VAC20-780-80-A · Correction status not published

Based on record review, 4 of 4 children's records did not contain all required information.

Evidence: 1. The records for Child #1, #2, #3, and #4 did not contain the address for each custodial parent's place of employment.

8VAC20-790-540-B-3 · Correction status not published

Based on record review and staff interview, the center did not maintain documentation as required for 1 of 4 children's records.

Evidence: 1. The immunizations in the record for Child #3 were dated 2/1/2023, after their first date of attendance (1/2/2023). 2. Staff stated the original immunizations obtained for Child #3 before the child was admitted were destroyed once a more up to date document was obtained. Staff stated they have been removing old immunization forms from the files when parents bring updated documents.

8VAC20-780-50-B · Correction status not published

Based on record review, 1 of 2 staff members reviewed did not submit documentation of a negative tuberculosis screening completed within the last 30 calendar days of the date of employment.

Evidence: 1. Staff #1 began employment on 8/22/2022. The tuberculosis screening documentation in the record for Staff #1 was dated 11/03/2021.

8VAC20-780-160-A · Correction status not published