Ms. Clara Robinson

22VAC40-111-70-A · Based on review of two children's records, the provider has not ensured that before a child's first day of attendance, the parents are provided in writing the providers decision regarding the administration of medication.

Evidence: The provider was unable to show documentation that the parent of child 1 was provided, in writing, the provider's decision regarding the administration of medication.

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8VAC20-790-180-A · Repeat Violation

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening. Staff #1 has an expired tuberculosis screening dated October 8, 2024.

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8VAC20-790-250-D-1 · All caregivers shall have a current certification in CPR appropriate to the ages of children in care. Staff #2's CPR expired on October, 8, 2024.

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8VAC20-800-180-A · The provider shall obtain for each caregiver a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health

department. Staff #1 has an expired tuberculosis screening dated March 17, 2024.

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8VAC20-800-830-A · Based on record review and interview, it was determined that the provider did not ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

Evidence: 1. In reviewing the evacuation log there is no documentation for the month of November 2023 that there was an emergency evacuation practice drill completed. 2. Staff #1, owner, confirmed that for the month of November, there was no emergency evacuation practice drill completed.

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8VAC20-800-550 · Based on observation and interview, it was determined that the provider did not ensure that when a play pen is used it shall not be used for the designated sleeping area.

Evidence: 1. Child #1 and Child #2 have play pens that were brought from home. Staff #1 reported that per the request of the parents that the children sleep in their pack and plays during nap. 2. Staff #1 confirmed and is aware that Child #1 and Child #2 should not use a play pen for the designated sleeping area.

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8VAC20-800-60-A · Based on record review and interview, it was determined that the provider did not ensure that the provider maintain an up-to-date record at the family day home for each enrolled child.

Evidence: 1. Child #2 (date of enrollment 11/21/22) did not have an up-to-date record at the family day home. 2. Provider confirmed that Child #2 does not have an up-to-date record at the family day home.

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8VAC20-800-830-A · Based upon review of the documentation of emergency evacuation drills and provider interview, the provider has not ensured that emergency evacuation procedures are practiced monthly.

Evidence: 1. There was no documentation of an emergency evacuation drill being conducted in April 2022. 2. The provider confirmed that an evacuation drill was not documented for April 2022.

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