Valley Health Child Care Center

8VAC20-780-150-B · Documentation of a physical examination and immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

The documentation of the physical examination and immunization record for Child #9 was not signed.

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8VAC20-780-130-E · Based on review of records and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: 1. Child #3?s date of birth was 08/22/2022. The date of the last immunization on file was 05/23/2023. Staff #11 confirmed that the center had not obtain documentation of additional immunization within the last six months. 2. Child #10?s date of birth was 10/24/2022. The date of the last immunization on file was 01/13/2023. Staff #11 confirmed that the center had not obtain documentation of additional immunization within the last six months.

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8VAC20-780-130-E · Based on review of records and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: 1. Child #8?s birthdate is 02/07/2021. Child #8?s start date was 05/04/2021. The vaccinations on file were dated 04/30/2021, 03/11/2022 and 06/20/2022. 2. Staff #10 confirmed that the center did not obtain documentation of additional immunization once every six months for Child #8.

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8VAC20-780-380-A · Based on observation and interview, the center failed to ensure that there was a daily schedule posted for toddlers and preschoolers.

Evidence: 1. In the Pathfinders 2 classroom, there was no daily schedule posted. Staff #11 and #12 confirmed there was no daily schedule posted and that the age of the children were 19 months to 2 years old. 2. In the Trailblazers 2 classroom, there was no daily schedule posted. Staff #13 confirmed that there was no daily schedule posted and that the ages of the children were four to five years old. 3. In the Creators 3 classroom, there was no daily schedule posted. Staff #14 confirmed that there was no daily schedule posted and that the ages of the children were three to four years old.

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8VAC20-780-520-A · Based on observation and interview, the center kept over-the-counter skin products past their expiration date.

Evidence: 1. In the Adventure 2?s classroom, there was one container of Up and Up Brand Diaper Rash Paste labeled for Child #6 which had an expiration date of 1/2023. Staff #2 confirmed that the medication was expired. 2. In the Adventure 2?s classroom, there was one container of Desitin Multipurpose Ointment which had expired. Staff #2 confirmed that the medication was expired. 2. In the Adventure 2?s classrooms, there was Benadryl labelled for Child #10 which had and expiration date of 4/2023. Staff #2 confirmed that the medication was expired. 3. In the Pathfinder 2 classroom, there was Babyganics Sunscreen (SPF 50+) which was labelled for center use that had an expiration date of 09/2022. Staff #12 confirmed that the medication was expired.

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8VAC20-780-130-E · Based on review of records and interview, the center failed to obtain documentation of additional immunization once every six months for children under the age of two years old.

1. Child #5?s birthdate is 6/2/2021. The immunizations on file were dated 7/12/2021. 2. Child #6?s birthdate is 9/25/2020. The immunizations on file were dated 7/7/2021 and 2/17/2021. 2. Staff #7 confirmed that the vaccination record had not been updated.

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8VAC20-780-60-A-8 · Based on medication review, the center did not ensure five children's records contained documentation of 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: 1. The records of Child #1, Child #2, Child #3, Child #4, and Child #5 did not have documentation of a written care plan 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. 2. Administration confirmed there was not a written care plan for each child with a diagnosed food allergy.

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