Karlyn Davis

8VAC20-800-750-A · When topical skin products such as diaper ointment are used, the following requirements shall be met: The product shall be in the original container and, if provided by the parent, labeled with the child's name.

Destin diaper cream was observed unlabeled next to the changing area.

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8VAC20-800-120-B · Assistants' records shall contain the following: Documentation that two or more references as to character and reputation as well as competency were checked before employment.

Staff #2 has been actively working with children for 12 weeks and does not have documented reference verifications on file.

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8VAC20-770-60-C-2 · For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service.

The Provider could not find the search results for Caregiver A who has been employed for over 1 year.

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8VAC20-800-800-A · The family day home shall have a written emergency preparedness and response plan.

The provider could not locate the emergency preparedness and response plan during the inspection.

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8VAC20-800-800-B · Based on observation and interview, the provider did not document review of the emergency plan at least annually.

Evidence: Emergency preparedness plan was not dated.

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8VAC20-770-40-D-5 · Based on household records review, 1 out 2 records did not contain documentation of the central registry of a person in the home becoming 14 years old.

Evidence" Household member 2 did not have documentation in record of a submitted request for a central registry once becoming 14 years old.

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8VAC20-800-280 · Based on observation, the provider did not ensure potentially poisonous substances were stored away in areas inaccessible to children.

1. In the play area, there were approximately 10 bottles of alcohol located on top of a cabinet shelf. 2. The cabinet shelf was located in a play area where children were observed playing.

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8VAC20-800-700-C · Based on medication records review, when an authorization for medication expires, the provider did not notify that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days shall

be taken to a pharmacy for proper disposal. Evidence: 1. In a locked box, Child #1 authorized medication expired on 9/2022.

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22.1-289.035-B-4 · Based on staff record review, the center did not have documentation of out of state child abuse and neglect results.

Evidence: Staff #1 (date of employment 3/08/2022) did not have documentation of out of state (KY) child abuse and neglect results during inspection.

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22VAC40-111-100-A · Based on children's records, 2 out of 2 records, 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: Child #1 (date of enrollment 6/08/2021) did not have a physical examination in file to review during the inspection.

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