Chamika Amarasekara

8VAC20-790-480-D

“Equipment used by children shall be assembled, maintained, and used in accordance with the manufacturer's instructions. Child #6 was observed in a highchair without the safety straps fastened. Highchair manufacturers universally state that the seat belt or harness is the primary safety restraint and must be used.”

8VAC20-800-70-B

“The provider shall obtain the parent's written acknowledgement of receipt of the written information for parents. The record of child #1, enrolled for 17 days, did not contain the parent’s written acknowledgement that they received the written notification on whether the provider has liability Insurance.”

8VAC20-800-60-B

“A child's record shall contain all required information. 1. The record of child #1 did not contain the name, address and phone number of a second person to contact in case of an emergency if the parent cannot be reached. 2. The record of child #2 did not contain the name and policy number of the child's medical insurance. 3. The record of child #4 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds. 4. The record of child #5 did not contain the parent's signed acknowledgement of the receipt of the written parent information, policies for the administration of medications and whether or not there is liability insurance.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. 1. The record of child #1, enrolled for five months, did not contain documentation of a physical. 2. The record of child #2, enrolled for five months, did not contain documentation of a physical. 3. The record of child #3 contained documentation of a physical dated 37 days after the date of enrollment.”

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. There was no documentation of an evacuation drill being conducted for the months February through June of 2026. The provider stated she had not conducted any evacuation drills.”