For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

There were 16 children present but only 13 were signed in on the attendance sheets.

8VAC20-780-80-A · Correction status not published

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medications that are not picked up by the parent within 14 days shall be disposed of by the center.

Medication for Child #1 was onsite, but the medication authorization had expired over 21 days ago. The authorization had not been renewed and the medication was not returned or disposed of as required.

8VAC20-780-510-P · Correction status not published

Based on documentation review, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: Child #9 has a diagnosed food allergy and did not have a written allergy care plan on file.

8VAC20-780-60-A-8 · Correction status not published

Based on review of three staff records it was determined that not all records contained documentation of a repeated central registry check every five years. Evidence: The most recent central registry check on file for Staff A was dated 12/04/2015.

63.2(17)-1720.1-A · Correction status not published