Misty Carbonara

8VAC20-800-430-A

“Accordion expansion gates and pressure mounted gates shall not be used as protective barriers at stair openings. There was a pressure mounted gate used as a protective barrier at the stair openings from the backyard up to the deck.”

8VAC20-800-60-B

“Based on record review and interview, the provider did not have the required information for each enrolled child. Evidence: Child #4 did not have results of a health examination as required.”

8VAC20-800-460-D

“Based on records review and interview, the provider did not obtain documentation of the current rabies vaccination. Evidence: Pet #2 did not have current rabies vaccination.”

8VAC20-800-100-A

“Based on records 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: Child #4 (start date 8/16/2021) did not have documentation of a physical examination in the file.”

8VAC20-800-170-A

“Based on review of household member records, a TB screening was not obtained for 1 household member. Evidence: Household member #1 is over the age of 18 years. A TB screening has not been completed.”

8VAC20-800-710

“Based on review of medication onsite. One medication found that requires additional medication administration training and was not maintained in the original pharmacy labeled container. Evidence: 1. An emergency medication did not have a pharmacy label that includes the child's name. 2. An emergency medication requires additional training to administer AuviQ epinephrine. The additional training was not obtained by the Provider.”

8VAC20-800-240-A

“Based on observation of the program area, one area was not maintained in a safe condition. Evidence: Tall bookshelves located in the large play area and accessible to children in care are not stationary to prevent them from tipping over.”