Based on a review of records and interview, the provider did not ensure one out of five child

records had an annual review with the parent emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct and to obtain the parent's signed acknowledgment of the review. Evidence: 1. Child #1 (date of enrollment 09/06/2022) did not contain an annually signed review in September of 2023.

8VAC20-800-780-B · Correction status not published

Based on interview, record review and observation, it was determined the provider did not ensure compliance with the home's policies that have been disclosed to the parents.

Evidence: 1. The record for provider #1 and provider #2 did not have documentation of a MAT or AMAT certification. 2. The Medication Administration - Decision to Administer provided to families states that the Provider will not administer any medications - prescription and / or non prescription. 3. The provider stated child #1 has a food allergy and there is prescription medication at the home in the event the child has an allergic reaction.

8VAC20-800-30-B · Correction status not published

Based on review of household records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening.

Evidence: The record for household Member #1 had a TB screening dated 03/30/23 (date of last TB screening: 03/19/21). Tuberculosis Screening/ test should be completed every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

8VAC20-800-180-A · Correction status not published

Based on observation, the provider did not ensure that medication for household members were kept in a locked place using a safe locking method that prevents access by children. Evidence: There were several prescription and non-prescription medications in an unlocked cabinet in the kitchen.

8VAC20-800-730-D · Correction status not published