Dana Smith-Washington

22VAC40-111-60-B · Based on a review of records and interview, the licensee was not able to demonstrate that each enrolled child had a complete record which contained all of the required documentation.

Evidence: The records for child #2 and child #3 did not contain the name and policy number of the child's medical insurance. Child #2's record had no information written pertaining to the child's medical insurance. The record for child #3 contained the insurance provider's name but no policy number. The record for child #3 did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Only one emergency contact person's information was documented in the record for child #3. The licensee confirmed that she did not have the aforementioned documentation for child #2 and child #3.

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8VAC20-790-170-G · The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential.

There was not a list of children's allergies, sensitivities, and dietary restrictions. Child #4 had two allergy listed on the child's record. Child #4 has been the program for 2 months.

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8VAC20-800-790 · Emergency phone numbers shall be posted in a visible area .

The provider was unable to locate the emergency phone numbers.

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22.1-289.057-A · The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.

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8VAC20-790-170-G · The vendor shall maintain, in a way that is accessible to all caregivers, a current

written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. The provider did not have a allergies, sensitivities, and dietary restrictions list. Child #4, who is enrolled has allergy listed on registration and in doctors documentation.

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22.1-289.011-F · The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

The most recent inspection report was not posted.

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8VAC20-770-60-C-2 · Based on review of records and interview, the provider did not ensure to obtain a central registry finding within 30 days of employment or volunteer service.

Evidence:1. In the Assistant's record, there was no central registry findings found. 2.In Household member #3's record, there was no central registry findings found. 3. Interview with the provider confirmed the central registry findings were not available for review during the inspection. Interview

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8VAC20-800-50-A · Based on a review of documentation and interview, the licensee did not ensure that a written record of attendance is kept each day.

Evidence: The attendance binder contained a written record of attendance for the current week, but did not contain the attendance for any other period after March 2023. The licensee confirmed that the attendance had not been recorded in April, May, June, July, August or most of September until the current week of 9/25/2023.

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8VAC20-800-80-B · Based on record review and interview, the licensee did not always verify the identity and age of each enrolled child by viewing acceptable documentation.

Evidence: Four Children's Records were reviewed, The record for child #3 whose date of enrollment was documented as 9/7/2021did not contain documentation that the provider verified the identity and age of child #3, The provider stated that she had requested the documentation but did not have documentation that she had viewed it.

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8VAC20-800-100-A · Based on a review of records, the licensee was unable to demonstrate that a physical examination by or under the direction of a physician was obtained prior to a child's attendance or within 30 days after the first day of attendance.

Evidence: The record for child #5 whose enrollment date was documented as 1/3/2022, did not contain the results of a physical examination. The licensee confirmed that she did not have results of a physical examination for child #5.

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8VAC20-800-100-A · Based on a review of records and interview, the licensee was unable to demonstrate that documentation of a physical examination by or under the direction of a physician was obtained prior to a child's attendance or within 30 days after the first day of attendance.

Evidence: Two children's records were reviewed. The record for child #2 (enrolled 12/21/2022) did not contain the results of a physical examination. The licensee confirmed that this documentation was not in the file and she was unable to provide this documentation during the inspection.

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22VAC40-111-100-A · Based on a review of records and interview, the provider did not obtain results of a physical examination within 30 days of the child attending the family day home.

Evidence: Two children's records were reviewed. The record for child #2, whose first date of attendance was 9/9/2021, did not contain documentation of the results of a physical examination. When asked, the provider stated that she does not have results of a physical examination for child #2.

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