Sharon Bork

8VAC20-790-430-A-3 · Lockdown procedures shall be practiced annually. A lockdown drill was not practiced for 2025. The last documented lockdown drill was documented in December 2024.

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8VAC20-800-90-C · Documentation of additional immunizations is required once every six months for children under the age of two years. Child #3, 17 months, last documented immunization was over 12 months ago.

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8VAC20-800-100-A · Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child # 2, who had been enrolled for five months.

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8VAC20-800-710 · Based on review of medication, the provider did not ensure that they had completed the additional medication administration training, and the medication was not maintained in the original pharmacy labeled container.

Evidence: 1. An emergency medication, Auvi-Q, did not have a pharmacy label that includes the child's name. 2. An emergency medication, requires additional training to administer AuviQ epinephrine. The additional training was not obtained by the Provider.

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