Laura Baltz

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. ' Child #2, 15 months old, last documented immunization was over 6 months ago. Child #4, 2 years 1 month old, last documented immunization was over 8 months ago. Child #5, 20 months old, last documented immunization was over 8 months ago.”

8VAC20-800-530-F

“Based on observations, the provider did not ensure no soft bedding of any kind shall be used under or around infants including, but no limited to pillows, quilts, comforters, sheepskins, or stuffed toys. Evidence: 1. During the inspection, an infant was observed sleeping in a crib with a blanket. 2. The provider acknowledged the blanket in the child’s sleep space.”

8VAC20-800-70-B

“Based on a review of five child records and interview, the provider did not ensure to obtain the parent's written acknowledgement of receipt of information required to be provided to parents in writing prior to the first date of attendance for one child as required. Evidence: 1. The record of child #1 (date of attendance: 11/28/23) did not contain the parent's signature on the liability, information for parents, provisions for emergency response and medication policies. 2. The provider stated the policies and procedures were reviewed with the parents but the parent did not sign the forms.”

8VAC20-800-210-A

“Based on a review of caregiver records and interview, the provider did not ensure that one caregiver obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. The record of caregiver #2 (date of employment: 02/1991) did not contain record of the required annual training. 2. The provider acknowledged that the record did not contain documentation of annual training.”

8VAC20-800-800-B

“Based on record review and interview, the provider did not ensure to annually review the emergency preparedness plan and document the review in writing. Evidence: 1. The emergency plan's last review date was documented on 7/8/2020. 2. The provider acknowledged that the plan was not reviewed and documented in 2021.”