Monica Summerville

8VAC20-800-60-B

“Children's records are required to contain documentation of the parent's signed acknowledgment of review of the child's emergency contact information. Child C did not have documentation of the annual review since enrollment. This is overdue by 2 months.”

8VAC20-800-60-B

“Children's records are required to contain documentation of the parent's signed acknowledgment of review of the child's emergency contact information. Child C did not have documentation of the annual review since enrollment. This is overdue by 2 months.”

8VAC20-800-780-B

“Annually, the provider will review with the parent the emergency contact information to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Child #4 had no documentation of an annual review and has been in care for 13 months.”

8VAC20-800-60-B

“Children's records are required to contain two addresses and phone numbers for 2 emergency contacts, the name, office address and telephone number of the child's physician, and the name and policy number of the child's medical insurance. The record for Child #1 was missing the address for the second emergency contact. The child was present during the inspection and had been in care for a year. The record for child #4 was missing all physician information, and medical insurance information. The child was present during the inspection and had been in care for 13 months.”

8VAC20-800-780-B

“Annually, the provider will review with the parent the emergency contact information to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Child #4 had no documentation of an annual review and has been in care for 13 months.”

8VAC20-800-60-B

“Children's records are required to contain two addresses and phone numbers for 2 emergency contacts, the name, office address and telephone number of the child's physician, and the name and policy number of the child's medical insurance. The record for Child #1 was missing the address for the second emergency contact. The child was present during the inspection and had been in care for a year. The record for child #4 was missing all physician information, and medical insurance information. The child was present during the inspection and had been in care for 13 months.”

8VAC20-800-170-A

“Based on review of household member (HHM) records, each HHM did not obtain a report of tuberculosis screening when turning 18 years of age. Evidence HHM #1 turned 18 and has not obtained a report of tuberculosis screening.”

22.1-289.036-B-1

“Based on review of household member (HHM), when a HHM turned 18 years of age a sworn statement of affirmation was not signed. Evidence HHM #1 turned 18 and has not submitted a signed sworn statement.”

8VAC20-800-780-B

“Based on review of children's records, the provider did not annually review the child's record with the parent to ensure all information is updated and correct. Evidence The record for child #1 and #2 was not reviewed annually with the parent. The last update for child #1 was 11/7/22. The last update for child #2 was 8/22/22”