Shanise Alvarado

8VAC20-800-770 · A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times.

Provider did not have a batteries for the portable radio.

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8VAC20-800-770 · Provider shall have a working portable battery-operated weather band radio.

There was no battery operated radio.

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8VAC20-800-900-A · Based on observation it was determined the provider did not ensure that in order to assist in preventing choking, food that is hard, round, small, thick and sticky, or smooth and slippery such as whole hot dogs sliced into rounds, nuts, seeds, raisins, uncut grapes, uncut raw carrots, peanuts, chunks of peanut butter, hard candy, and popcorn shall not be served to children under four years of age, unless the food is prepared before being served in a manner that will reduce the risk of choking, i.e., hot dogs cut lengthwise, grapes cut in small pieces, and carrots cooked or cut lengthwise.

Evidence: 1. Whole grapes were served to two children under the age of four years old during this inspection. 2. Provider confirmed that the children with whole grapes were under the age of four years old.

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8VAC20-800-830-C · Based on record review and interview it was determined the provider did not ensure that all evacuation drills documented.

Evidence: 1. There were no drills documented October 2023 to January 2024. 2. Provider reported they were conducted but not documented.

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8VAC20-800-120-A · Based on record review and interview it was determined that provider did not ensure all the required information was in he record for each caregiver.

Evidence: 1. There were no references or documentation of orientation in the record for the substitute provider(hired 10/11/23). 2. Substitute provider was alone with the children in care throughout this inspection.

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8VAC20-800-100-A · Based on record review and interview it was determined the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Evidence: 1. The records for child #2, #3, and #4 did not contain documentation of a physical exam. 2. Provider confirmed that this documentation was not available during this inspection.

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