Ms. Hirut Yigezu

8VAC20-800-700-A · The provider shall obtain written parental authorization for children's prescription and nonprescription medications.

There were four nonprescription medications on site for enrolled children that did not have written parental authorization on file.

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

There were multiple pain reliever and cough medications stored in an upper unlocked cabinet in the children's meal and snack area.

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8VAC20-800-900-B · Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles.

Three children were observed drinking from bottles and sippy cups while laying down on cots during nap time.

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8VAC20-800-60-B · Based on record review, the provider did not ensure children's records contained documentation of the parent's annual review of the child's emergency contact information.

Evidence: Child #1's most recent review of emergency contact information was 5/30/22. Child #2's most recent review of emergency contact information was 3/1/23. Child #3's most recent review of emergency contact information was 8/4/21. Child #5's most recent review of emergency contact information was 12/17/21.

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8VAC20-770-60-C-2 · Based on record review and provider interview, the provider did not obtain the results of a Virginia Child Abuse and Neglect Central Registry search within 30 days of employment for staff.

Evidence: Staff #2 (Date of Hire: 6/5/2023) did not have Virginia Child Abuse and Neglect Central Registry search results on file.

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8VAC20-800-760-A-1 · Based on observation, the provider did not ensure that the first aid kit contained the minimum required items.

Evidence: observed that the first aid kit did not have adhesive tape or 2 triangular bandages.

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8VAC20-800-100-A · Based on review, the provider did not ensure that they obtained documentation of a physical exam within 30 days after the first day of care.

Evidence: Reviewed 2 children's records and found that Child 1 did not have documentation of a physical exam, and has been in care for more than 30 days.

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8VAC20-800-730-D · Based on observation, the provider did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children.

Evidence: observed two containers of liquid Children's Motrin on a shelf next to the changing table.

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22VAC40-111-110-B · Based on review, the provider did not ensure that each physical examination report is signed by a licensed physician, their physician's designee, or an official of a local health department.

Evidence: Reviewed 3 children's records and found that 1 (child 1) did not have documentation of a signed physical examination record.

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