Feliza Choquez

8VAC20-790-250-F

“Based on staff record review, staff who work directly with children did not complete the department's health and safety update course. Evidence: Caregiver #1 did not have documentation of completing the health and safety update course for 2023.”

8VAC20-790-250-B

“REPEAT VIOLATION Based on record review and interview, it was determined that 1 of 2 caregivers did not complete the 10 hour Virginia Preservice Training within the first 90 days of employment. Evidence: 1. There was no documentation of the Virginia Preservice Training (10 hours) within the first 90 days of employment for Caregiver #2. 2. The date of employment for Caregiver #2 is 1/25/23”

8VAC20-800-60-B

“REPEAT VIOLATION Based on record review and interview, the provider did not obtain all the information required for a child's record. Evidence: 1. Child #3 is missing the name and policy number of the child's medical insurance. 2. Child #2 is missing the telephone number of the child's physician.”

8VAC20-800-70-A

“REPEAT VIOLATION Based on record review, the provider did not provide the family day home policies to parents in writing before the child's first day of attendance. Evidence: 1. Child #2 is missing the policy for picking up a ill child, notification of communicable disease, policies for the administration of medications, liability insurance, and the home emergency preparedness and response plan. 2. Child #3 is missing the policy for picking up an ill child, notification of communicable disease, and the home's emergency preparedness and response plan. 3. Child #1 is missing the home's emergency preparedness and response plan.”

8VAC20-800-80-A

“REPEAT VIOLATION Based on record review and interview, proof of identity was not obtained within 7 days. Evidence: 1. Child #2 and Child #4 do not have signed documentation of viewing the proof of identity for the child. 2. The start date for Child #2 is 8/21/2022 and Child #4 is 01/10/2022.”

8VAC20-800-780-B

“REPEAT VIOLATION Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information was correct and obtain the parent’s signed acknowledgment of the review. Evidence: Child #3's last annual emergency contact review was on 10/05/2022.”

8VAC20-800-960-A

“Based on observation and interview, high chairs, infant carrier seats, or feeding tables with safety waist and crotch straps were not fastened according to the manufacturer's instructions. Evidence: At approximately 9:23 am, Child #5 was observed by the inspector during the inspection not fastened in a high chair that has straps while eating.”

8VAC20-800-90-A

“REPEAT VIOLATION Based on record review and interview, before a child's first day of attendance, the provider did not obtain documentation that a child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. There was no documentation that Child #1 had been adequately immunized before their first day of attendance, as required by Virginia Code ? 32.1-46 A. 2. The start date for Child #1 is 06/05/2023”

8VAC20-800-100-A

“REPEAT VIOLATION Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician before a child's attendance or within 30 days after the first day of attendance. Evidence: 1. There was no documentation of a physical examination for Child #1 and Child #2 before their first day of attendance. 2. The start date for Child #1 is 06/05/2023 and for Child #2 is 8/2/2023.”

8VAC20-800-180-A

“Based on record review and interview, the provider failed to obtain updated tuberculosis (TB) tests or screenings for each household member every two years. Evidence: The TB test for Caregiver #1 is dated 7/21/2021 and expired on 7/21/2023.”

8VAC20-800-750-A

“Based on observation and interview, the provider did not label and obtain written parent authorization for topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent. Evidence: 1. There was no documentation of written parent authorization for 4 diaper ointments and 1 sunscreen used for the children in care. 2. 3 of 4 diaper ointments were not labeled with the child's name. 3. 3 of 4 diaper ointments were expired.”

8VAC20-790-250-F

“Based on staff record review, staff who work directly with children did not complete the department's health and safety update course. Evidence: Caregiver #1 did not have documentation of completing the health and safety update course for 2023.”

8VAC20-790-250-B

“REPEAT VIOLATION Based on record review and interview, it was determined that 1 of 2 caregivers did not complete the 10 hour Virginia Preservice Training within the first 90 days of employment. Evidence: 1. There was no documentation of the Virginia Preservice Training (10 hours) within the first 90 days of employment for Caregiver #2. 2. The date of employment for Caregiver #2 is 1/25/23”

8VAC20-800-60-B

“REPEAT VIOLATION Based on record review and interview, the provider did not obtain all the information required for a child's record. Evidence: 1. Child #3 is missing the name and policy number of the child's medical insurance. 2. Child #2 is missing the telephone number of the child's physician.”

8VAC20-800-70-A

“REPEAT VIOLATION Based on record review, the provider did not provide the family day home policies to parents in writing before the child's first day of attendance. Evidence: 1. Child #2 is missing the policy for picking up a ill child, notification of communicable disease, policies for the administration of medications, liability insurance, and the home emergency preparedness and response plan. 2. Child #3 is missing the policy for picking up an ill child, notification of communicable disease, and the home's emergency preparedness and response plan. 3. Child #1 is missing the home's emergency preparedness and response plan.”

8VAC20-800-80-A

“REPEAT VIOLATION Based on record review and interview, proof of identity was not obtained within 7 days. Evidence: 1. Child #2 and Child #4 do not have signed documentation of viewing the proof of identity for the child. 2. The start date for Child #2 is 8/21/2022 and Child #4 is 01/10/2022.”

8VAC20-800-780-B

“REPEAT VIOLATION Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information was correct and obtain the parent’s signed acknowledgment of the review. Evidence: Child #3's last annual emergency contact review was on 10/05/2022.”

8VAC20-800-960-A

“Based on observation and interview, high chairs, infant carrier seats, or feeding tables with safety waist and crotch straps were not fastened according to the manufacturer's instructions. Evidence: At approximately 9:23 am, Child #5 was observed by the inspector during the inspection not fastened in a high chair that has straps while eating.”

8VAC20-800-90-A

“REPEAT VIOLATION Based on record review and interview, before a child's first day of attendance, the provider did not obtain documentation that a child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. There was no documentation that Child #1 had been adequately immunized before their first day of attendance, as required by Virginia Code ? 32.1-46 A. 2. The start date for Child #1 is 06/05/2023”

8VAC20-800-100-A

“REPEAT VIOLATION Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician before a child's attendance or within 30 days after the first day of attendance. Evidence: 1. There was no documentation of a physical examination for Child #1 and Child #2 before their first day of attendance. 2. The start date for Child #1 is 06/05/2023 and for Child #2 is 8/2/2023.”

8VAC20-800-180-A

“Based on record review and interview, the provider failed to obtain updated tuberculosis (TB) tests or screenings for each household member every two years. Evidence: The TB test for Caregiver #1 is dated 7/21/2021 and expired on 7/21/2023.”

8VAC20-800-750-A

“Based on observation and interview, the provider did not label and obtain written parent authorization for topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent. Evidence: 1. There was no documentation of written parent authorization for 4 diaper ointments and 1 sunscreen used for the children in care. 2. 3 of 4 diaper ointments were not labeled with the child's name. 3. 3 of 4 diaper ointments were expired.”

8VAC20-790-250-B

“Based on record review and interview, it was determined that 1 of 3 caregivers did not complete the Virginia Preservice Training for Child Care Staff class (10 hours) within the first 90 days of employment. Evidence: There was no documentation of the Virginia Preservice Training for Child Care Staff class (10 hours) within the first 90 days of employment for Caregiver #2. The date of employment for Caregiver #2 is 1/25/23.”

8VAC20-800-100-A

“Based on record review, the provider did not 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. Evidence: There was no 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 for child #5 (Start Date: 10/8/2020).”

8VAC20-800-30-A

“Based on observation and interview, the provider failed to ensure compliance with these standards and the terms of the current license issued by the department and with relevant federal, state or local laws, and other relevant regulations. Evidence: The Inspector was unable to enter a storage space at the family day home due to the door being locked. The provider confirmed that the door was locked and they did not have a key to unlock it during the inspection.”

8VAC20-800-320-A

“Based on observation, small appliances were not unplugged when not in use. Evidence: An electric kettle and a toaster oven were found to be plugged in while not in use.”

8VAC20-800-700-A

“Based on medication review and inteview, the provider failed to obtain a written authorization from a parent to administer a medication for a child in care. Evidence: There was no written authorization from a parent to administer medication for Child #3 who has emergency medication at the family day home.”

8VAC20-800-90-A

“Based on record review and interview, before a child's first day of attendance, the provider did not obtain documentation that a child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: There was no documentation that child #3 had been adequately immunized prior to their first day of attendance, as required by Virginia Code ? 32.1-46 A. The start date for child #3 is 3/2022.”

8VAC20-800-80-A

“Based on record review and interview, proof of identity was not obtained within 7 days. Evidence: Child #2 and Child #3 do not have signed documentation of viewing the proof of identity for the child. The start date for child #2 is 5/30/2023 and the start date for child #3 is 3/2023.”

8VAC20-800-70-A

“Based on record review, the provider did not provide all the required family day home policies in writing prior to the child's first day of attendance. Evidence: 1. Child #3 and Child #4 record did not contain the family day homes policies for medication. 2. Child #1 and Child #3 record did not contain information on whether or not the family day home has liability insurance. 3. Child #1, #2, #3, #4 record did not contain the family day home's emergency preparedness and response plan 4. Child #2 and Child #3 record did not contain the requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home. 5. Child #2 and Child #3 record did not contain the requirements for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life- threatening diseases, which must be reported immediately.”

8VAC20-800-120-B

“Based on record review and interview, documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: Caregiver #3 is missing 1 of 2 references as to character and reputation as well as competency were checked before employment. The date of employment for Caregiver #3 is 5/11/2023.”

8VAC20-800-780-B

“Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review. Evidence: 1. Child #5's last annual emergency contact review was on 6/4/2020.”

8VAC20-800-60-B

“Based on record review and interview, the provider did not obtain all information required for a child's record. Evidence: 1. Child #1 is missing a second emergency contact 2. Child #2 is missing two emergency contact addresses and phone numbers. 3. Child #3 is missing two emergency contact addresses. 4. Children #2, 3, 4, and 5 are missing two parent work phone numbers.”

8VAC20-790-250-B

“Based on record review and interview, it was determined that 1 of 3 caregivers did not complete the Virginia Preservice Training for Child Care Staff class (10 hours) within the first 90 days of employment. Evidence: There was no documentation of the Virginia Preservice Training for Child Care Staff class (10 hours) within the first 90 days of employment for Caregiver #2. The date of employment for Caregiver #2 is 1/25/23.”

8VAC20-800-100-A

“Based on record review, the provider did not 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. Evidence: There was no 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 for child #5 (Start Date: 10/8/2020).”

8VAC20-800-30-A

“Based on observation and interview, the provider failed to ensure compliance with these standards and the terms of the current license issued by the department and with relevant federal, state or local laws, and other relevant regulations. Evidence: The Inspector was unable to enter a storage space at the family day home due to the door being locked. The provider confirmed that the door was locked and they did not have a key to unlock it during the inspection.”

8VAC20-800-320-A

“Based on observation, small appliances were not unplugged when not in use. Evidence: An electric kettle and a toaster oven were found to be plugged in while not in use.”

8VAC20-800-700-A

“Based on medication review and inteview, the provider failed to obtain a written authorization from a parent to administer a medication for a child in care. Evidence: There was no written authorization from a parent to administer medication for Child #3 who has emergency medication at the family day home.”

8VAC20-800-90-A

“Based on record review and interview, before a child's first day of attendance, the provider did not obtain documentation that a child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: There was no documentation that child #3 had been adequately immunized prior to their first day of attendance, as required by Virginia Code ? 32.1-46 A. The start date for child #3 is 3/2022.”

8VAC20-800-80-A

“Based on record review and interview, proof of identity was not obtained within 7 days. Evidence: Child #2 and Child #3 do not have signed documentation of viewing the proof of identity for the child. The start date for child #2 is 5/30/2023 and the start date for child #3 is 3/2023.”

8VAC20-800-70-A

“Based on record review, the provider did not provide all the required family day home policies in writing prior to the child's first day of attendance. Evidence: 1. Child #3 and Child #4 record did not contain the family day homes policies for medication. 2. Child #1 and Child #3 record did not contain information on whether or not the family day home has liability insurance. 3. Child #1, #2, #3, #4 record did not contain the family day home's emergency preparedness and response plan 4. Child #2 and Child #3 record did not contain the requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home. 5. Child #2 and Child #3 record did not contain the requirements for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life- threatening diseases, which must be reported immediately.”

8VAC20-800-120-B

“Based on record review and interview, documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: Caregiver #3 is missing 1 of 2 references as to character and reputation as well as competency were checked before employment. The date of employment for Caregiver #3 is 5/11/2023.”

8VAC20-800-780-B

“Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review. Evidence: 1. Child #5's last annual emergency contact review was on 6/4/2020.”

8VAC20-800-60-B

“Based on record review and interview, the provider did not obtain all information required for a child's record. Evidence: 1. Child #1 is missing a second emergency contact 2. Child #2 is missing two emergency contact addresses and phone numbers. 3. Child #3 is missing two emergency contact addresses. 4. Children #2, 3, 4, and 5 are missing two parent work phone numbers.”

8VAC20-790-250-F

“Based on record review and interview, the Provider failed to ensure that caregivers who work directly with children shall annually attend the department's health and safety update course. Evidence: 1. The record for Caregiver #1 did not contain a current annual 3-hour updated subsidy training course. The previous 3-hour update training course was completed in July 2021.”

22.1-289.035-B-2

“Based on a record review and interview, the Provider did not obtain criminal fingerprints for a caregiver prior to the caregiver’s first day. Evidence: Caregiver #3 (date of hire 11/3/2022) did not have fingerprinting results on file during the inspection on 11/15/2022.”

8VAC20-770-60-B

“Based on record review and interview, a caregiver of the family day home did not have a completed sworn statement prior to their first day. Evidence: There was no documentation of a sworn statement on file for Caregiver #3 (date of hire 11/3/2022) prior to their first day.”

8VAC20-800-800-B

“Based on record review and interview, the Provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The emergency plan was last reviewed in 9/2019.”

8VAC20-800-830-C

“Based on record review and interview, the Provider did not ensure that monthly evacuation drills were documented. Evidence: 1. The evacuation drill for October 2022 was not documented. 2. The Provider stated that the October 2022 evacuation drill had been completed, but, not documented.”

8VAC20-800-100-A

“Based on record review and interview, the Provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: Child #2 did not have documentation of a physical examination prior to or within 30 days after the child’s first day of attendance. The child’s start date was 5/28/22.”

8VAC20-800-120-A

“Based on record review and interview, the Provider did not maintain a record for each caregiver. Evidence: Caregiver #3 (date of hire 11/3/2022) did not have a record on file during the inspection on 11/15/2022.”

8VAC20-800-50-A

“Based on record review and interview, the Provider did not keep a written record of children in attendance each day. Evidence: At approximately 9:57 am on 11/15/22, the attendance record did not contain documentation of attendance for the day.”

8VAC20-800-60-A

“Based on records review, the children's records were not complete. Evidence: Child #2's record was missing the name, address, and telephone number of one designated person to contact in case of an emergency if the parent cannot be reached.”

8VAC20-800-70-A

“Based on record review, the Provider did not provide in writing the following information to parents before the child’s first day of attendance. Evidence: Child #2 did not have written documentation of the family day home's medication administration policy or emergency preparedness and response plan prior to the child’s first day of attendance. The child’s start date was 5/28/2022.”

8VAC20-800-60-B

“Based on record review and interview, the Provider did not review with the parent the emergency contact information to ensure the information is correct and did not obtain the parent’s signed acknowledgment of the review, annually. Evidence: 1. Child #1 emergency contact information was last reviewed on 05/12/2020. 2. Child #3 emergency contact information was last reviewed on 8/17/2021. 3. Child #5 emergency contact information was last reviewed on 7/20/2021.”

8VAC20-790-250-F

“Based on record review and interview, the Provider failed to ensure that caregivers who work directly with children shall annually attend the department's health and safety update course. Evidence: 1. The record for Caregiver #1 did not contain a current annual 3-hour updated subsidy training course. The previous 3-hour update training course was completed in July 2021.”

22.1-289.035-B-2

“Based on a record review and interview, the Provider did not obtain criminal fingerprints for a caregiver prior to the caregiver’s first day. Evidence: Caregiver #3 (date of hire 11/3/2022) did not have fingerprinting results on file during the inspection on 11/15/2022.”

8VAC20-770-60-B

“Based on record review and interview, a caregiver of the family day home did not have a completed sworn statement prior to their first day. Evidence: There was no documentation of a sworn statement on file for Caregiver #3 (date of hire 11/3/2022) prior to their first day.”

8VAC20-800-800-B

“Based on record review and interview, the Provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The emergency plan was last reviewed in 9/2019.”

8VAC20-800-830-C

“Based on record review and interview, the Provider did not ensure that monthly evacuation drills were documented. Evidence: 1. The evacuation drill for October 2022 was not documented. 2. The Provider stated that the October 2022 evacuation drill had been completed, but, not documented.”

8VAC20-800-100-A

“Based on record review and interview, the Provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: Child #2 did not have documentation of a physical examination prior to or within 30 days after the child’s first day of attendance. The child’s start date was 5/28/22.”

8VAC20-800-120-A

“Based on record review and interview, the Provider did not maintain a record for each caregiver. Evidence: Caregiver #3 (date of hire 11/3/2022) did not have a record on file during the inspection on 11/15/2022.”

8VAC20-800-50-A

“Based on record review and interview, the Provider did not keep a written record of children in attendance each day. Evidence: At approximately 9:57 am on 11/15/22, the attendance record did not contain documentation of attendance for the day.”

8VAC20-800-60-A

“Based on records review, the children's records were not complete. Evidence: Child #2's record was missing the name, address, and telephone number of one designated person to contact in case of an emergency if the parent cannot be reached.”

8VAC20-800-70-A

“Based on record review, the Provider did not provide in writing the following information to parents before the child’s first day of attendance. Evidence: Child #2 did not have written documentation of the family day home's medication administration policy or emergency preparedness and response plan prior to the child’s first day of attendance. The child’s start date was 5/28/2022.”

8VAC20-800-60-B

“Based on record review and interview, the Provider did not review with the parent the emergency contact information to ensure the information is correct and did not obtain the parent’s signed acknowledgment of the review, annually. Evidence: 1. Child #1 emergency contact information was last reviewed on 05/12/2020. 2. Child #3 emergency contact information was last reviewed on 8/17/2021. 3. Child #5 emergency contact information was last reviewed on 7/20/2021.”

8VAC20-800-240-A

“Based on observation and interview, the family day home (FDH) did not maintain all equipment in good repair. Evidence: 1.During the inspection a smoke alarm was tested, one of the two smoke detectors located outside the kitchen area was inoperable during the inspection..”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that a child had been adequately immunized before their first day of attendance. Evidence: Child #2's record does not contain immunization records.”

8VAC20-800-120-B

“Based on record review, staff records did not contain required information. Evidence: 1. Staff #2's record did not contain documentation that 1 of 2 required references as to character and reputation as well as competency were checked before employment. 2, Staff #3's record did not contain documentation that 2 required references as to character and reputation as well as competency were checked before employment.”

8VAC20-800-770

“Based on review of emergency supplies, a working portable battery-operated weather band radio was not available for review during the inspection. Evidence: The provider was unable to locate the portable battery-operated weather band radio during the inspection.”

8VAC20-800-760-A-1

“Based on review of emergency supplies, the first aid kit was incomplete. Evidence: The first aid kit was missing 1 of 2 required triangular bandages.”

22.1-289.058

“Based on observation and interview, the home's carbon monoxide detector was not working. Evidence: The carbon monoxide detector could not be turned on or tested.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination within 30 days of a child's first day of attendance. Evidence: Child #1's record did not contain documentation of a physical examination. The child first day of attendance was documented as 8/17/2021. Child #2's record did not contain documentation of a physical examination. The child first day of attendance was documented as 3/21/22. Child #3's record did not contain documentation of a physical examination. The child first day of attendance was documented as 1/10/2022.”

8VAC20-800-240-A

“Based on observation and interview, the family day home (FDH) did not maintain all equipment in good repair. Evidence: 1.During the inspection a smoke alarm was tested, one of the two smoke detectors located outside the kitchen area was inoperable during the inspection..”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that a child had been adequately immunized before their first day of attendance. Evidence: Child #2's record does not contain immunization records.”

8VAC20-800-120-B

“Based on record review, staff records did not contain required information. Evidence: 1. Staff #2's record did not contain documentation that 1 of 2 required references as to character and reputation as well as competency were checked before employment. 2, Staff #3's record did not contain documentation that 2 required references as to character and reputation as well as competency were checked before employment.”

8VAC20-800-770

“Based on review of emergency supplies, a working portable battery-operated weather band radio was not available for review during the inspection. Evidence: The provider was unable to locate the portable battery-operated weather band radio during the inspection.”

8VAC20-800-760-A-1

“Based on review of emergency supplies, the first aid kit was incomplete. Evidence: The first aid kit was missing 1 of 2 required triangular bandages.”

22.1-289.058

“Based on observation and interview, the home's carbon monoxide detector was not working. Evidence: The carbon monoxide detector could not be turned on or tested.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination within 30 days of a child's first day of attendance. Evidence: Child #1's record did not contain documentation of a physical examination. The child first day of attendance was documented as 8/17/2021. Child #2's record did not contain documentation of a physical examination. The child first day of attendance was documented as 3/21/22. Child #3's record did not contain documentation of a physical examination. The child first day of attendance was documented as 1/10/2022.”

22VAC40-111-60-B

“Based on record review, children's records did not all contain required information. Evidence: Child #1's record is missing a written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

22VAC40-111-80-A

“Based on record review, documentation of proof of age and identity was not on file for a child within seven business days of the child's first day of attendance. Evidence: Child #1's record is missing documentation that proof of age and identity was verified within seven business days of the child's first day of attendance. The child's first day of attendance was documented as 8/17/2021.”

22VAC40-111-100-A

“Based on record review, the provider did not 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. Evidence: Child #1's record does not contain a physical examination. The child's first day of attendance was documented as 8/17/2021.”

22VAC40-111-60-B

“Based on record review, children's records did not all contain required information. Evidence: Child #1's record is missing a written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

22VAC40-111-80-A

“Based on record review, documentation of proof of age and identity was not on file for a child within seven business days of the child's first day of attendance. Evidence: Child #1's record is missing documentation that proof of age and identity was verified within seven business days of the child's first day of attendance. The child's first day of attendance was documented as 8/17/2021.”

22VAC40-111-100-A

“Based on record review, the provider did not 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. Evidence: Child #1's record does not contain a physical examination. The child's first day of attendance was documented as 8/17/2021.”