Marghalai Beria

8VAC20-800-50-A

“The family day home shall keep a written record of children in attendance each day. The attendance record at 11:10am showed 9 children preset there were 11 children present.”

8VAC20-800-80-C

“The provider shall document in the child's record the method of verification of the child's age and identity. The provider did not document the method of verification of the child's age and identity for child #3..”

8VAC20-800-570-A

“The provider shall ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed. The point total was 35 and there were 2 caregivers, which exceeded 16 points per caregiver.”

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. The record for child #4, who has been in care for over 60 days, did not have a physical exam.”

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized for a child who is not exempt from the immunization. The record for child #2,who was in attendance, did not have immunization record.”

8VAC20-800-430-B

“Accordion expansion gates shall not be used as protective barriers at stair openings. Bottom of indoor stairs had accordion expansion gate as protective barrier.”

8VAC20-800-80-C

“The provider shall document in the child's record, the method of verification of the child's age and identity. The provider did not document the method of verification of the child's age and identity for child #1, who has been in care for six months.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There was no physical exam records available for Child #1, # who has been in care for over 6 months.”

8VAC20-800-60-B

“A child's record shall contain name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached and names of persons other than the custodial parents who are authorized to pick up the child and 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. Child #1's record did not have required information for a second person to contact in case of an emergency, names of persons other than the custodial parents who are authorized to pick up the child or 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. Child #2 and Child #4's record did not have 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;”

8VAC20-800-750-A

“Based on record review and interview, the provider did not have written parent authorization for topical skin products noting any known adverse reactions obtained at least annually. Evidence: Parent authorizations for topical skin products expired for Child #2-5/2024, Child #3-2021 and Child #4-2/2024.”

8VAC20-800-800-B

“Based on observation and interview, the provider did not document a review of the emergency plan at least annually. Evidence: Date of emergency plan 7/2022, no annual review documented.”

8VAC20-800-960-E

“Based on observation, refrigerated bottles were not labeled with the date, with more than one infant is in care. Evidence: Three infant bottles in the refrigerator were not dated.”

8VAC20-800-750-A

“Based on observation, when topical skin products were used, not all requirements were met. Evidence: There were three bottles of sunscreen that were not labeled with the child's name.”

8VAC20-800-60-B

“Based on record review, children's records did not all contain required information. Evidence: Child #3's record was missing a written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

8VAC20-800-60-B

“Based on record review and interview, children's records did not all contain required information. Evidence: Child #5's record is missing the child's medical insurance policy number.”