A written care plan is required 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. Child A, who has been enrolled for three months, has a diagnosed food allergy and did not have a written care plan in their file.

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

Based on review of seven children's records it was determined that not all records contained an allergy care plan as required when a child is identified to have a diagnosed food allergy. Evidence: The record for child A who is documented as haveing a diagnosed food allergy did not have an allergy care plan on file as required.

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

Based on observation, the facility did not ensure that cosmetics, medications , or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children.

Evidence: observed in room C4 a staff purse accessible to children on a shelf, protected by a curtain, and identified through staff that there were vitamins kept in her purse.

8VAC20-780-280-H · Correction status not published

Based on review, the facility did not ensure that staff provided documentation of a negative TB screening prior to coming into contact with children.

Evidence: reviewed 4 staff records and found that Staff 4 did not have documentation of a TB screening on file.

8VAC20-780-160-A · Correction status not published