Le Lam

8VAC20-800-60-B

“Children's records did not contain required information. The records for Child #4 and Child #5 did not contain parent's signed acknowledgment of the receipt of policies for the administration of medication.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided required information in writing. The parents of Child #1were not provided in writing the Provisions of the family day home's emergency preparedness and response plan. Child #1 has been in care for five months.”

8VAC20-800-60-B

“Repeat Violation Based on record review, children's records did not contain required information. Evidence: 1. Child #1's record (Start date-07/22/2024) did not have signed acknowledgement of the receipt of the policies for the administration of medications. 2. Caregiver #1 stated that the parents received the information regarding the policies for the administration of medications, but did not return.”

8VAC20-800-500-E

“Based on observation, and interview, sandboxes were not covered when not in use. Evidence: 1. The sandbox located in the back yard did not have a cover. 2. Caregiver #1 confirmed that the sandbox did not have a cover.”

8VAC20-800-510-A

“Based on observation and interview, children were not provided with an individual cot for resting or napping. Evidence: 1. The children were not provided with an individual cot for resting or napping. The cots were provided, but not labeled for individual use. 2. Caregiver #1 confirmed that the cots were not labeled for individual use.”

22.1-289.011-F

“Based on observation and interview, the provider did not post the current inspection notice in a conspicuous place required by the Superintendent. Evidence: 1. The current inspection notice was not posted in a conspicuous place. 2. Caregiver #1 confirmed that the current inspection notice was not posted.”

8VAC20-800-180-A

“Based on record review and interview, the provider did not obtain for each caregiver a current Tuberculosis(TB) Screening every two years from the date of the first screening. Evidence: 1. Caregiver #2's record did not contain a current Tb screening. Documentation of the last Tb screening was dated 09/14/2021. 2. Caregiver #2 confirmed that a current Tb screening was not conducted.”

8VAC20-800-60-B

“Based on record review, children's records did not contain required information. Evidence: 1. Child #2's record (start date-11/01/2021) did not contain written authorization if a caregiver is to administer prescription or non prescription medication.”

8VAC20-800-60-B

“Based on record review and interview, children's records did not contain required information. Evidence: 1. Child # 1's record (Start date-08/14/2023) did not contain documentation of immunizations. 2. Caregiver #2 confirmed that Child #1's immunization records were obtained before the first date of attendance, but the copy was returned to the parent for proper certification by a physician.”

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that children's hands are washed with liquid soap and warm running water. Evidence: 1. Child #7's (2 years old) hands were not washed with soap and warm running water after diapering.”

8VAC20-800-830-C

“Based on documentation review and interview, documentation was not maintained of emergency evacuation and shelter in place drills. Evidence: 1. At the time of the inspection, documentation of emergency evacuation and shelter in place drills was not available for review. 2. Caregiver #1 stated that documentation for the emergency evacuation and shelter in place drills was maintained, but could not be located at the time of the inspection.”

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. The family day home has a capacity of 12 children. At the time of the inspection, there were a total of 13 children(29pts) observed with two caregivers.”

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 a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1's record (Start date-08/17/2022) did not contain documentation of a physical examination. 2. Caregiver #1 stated that the health examination was obtained from the parents, but was unable to locate it at the time of the inspection.”