Ximena Shanghai

8VAC20-800-730-D · Medication shall be kept in a locked place using a safe locking method that prevents access by children.

Medication belonging to Child A was in a low level backpack that is not locked using a safe locking method that prevents access by children.

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8VAC20-800-180-A · The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

1. Caregiver #1's subsequent TB screening is overdue by 19 days. 2. Caregiver #2's subsequent TB screening is overdue by 21 days. 3. Household Member #1's subsequent TB screening is overdue by 19 days.

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8VAC20-800-840-B · The information recorded for injuries shall include the following: Caregiver present and action taken, Date and time when parents were notified; Any future action to prevent recurrence of the injury; Caregiver and parent signatures or two caregiver signatures; Documentation on how the parent was notified.

1. On 3/12/2025, Child A sustained an injury that required first aid at the family day home. The following information was missing from the incident report: Date and time when parents were notified; Any future action to prevent recurrence of the injury; Documentation on how the parent was notified. 2. On 4/10/2025, Child B sustained an injury that required first aid at the family day home. The following information was missing from the incident report: Date and time when parents were notified; Any future action to prevent recurrence of the injury; Caregiver and parent signatures or two caregiver signatures; Documentation on how the parent was notified.

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8VAC20-800-220-A · Whenever the family day home has agreed to administer prescription medications or nonprescription medications, the administration shall be performed by a caregiver who has satisfactorily completed MAT training.

The Provider disclosed on documentation that they will administer medication and the Provider?s MAT training expired over 1 month ago. Prescribed medication was also on-site.

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8VAC20-800-710 · Prescription medication may be administered provided that the medication is maintained in the original, labeled pharmacy container.

The medications for child A and B were not maintained in the original container with the pharmacy label.

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22.1-289.035-B-4 · Based on interview and a review of one staff file, it was determined that an employee ( staff A) was hired on 1/10/22 and the provider had not obtained their out of state sex offender registry background check for Hawaii, which must be obtained prior to the first day of employment.

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22VAC40-111-770 · Based on observation and interview, it was determined that there was no portable, battery operated weather band radio available.

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