Ms. Sarah Gerome

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. There was no documentation of a physical examination for child #3, who was in care during the inspection and had been in care for over a year.”

22.1-289.036-A

“The licensee is required to complete a sworn statement every five years. The most recent sworn statement for staff #1 expired a week ago.”

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for child #3, who was in care during the inspection and had been in care for over a year.”

8VAC20-800-60-A

“Based on a review of children records, the provider failed to obtain all required information in the children's records. Evidence: 1. Child #2's file did not contain the first day of attendance, and a complete address for one of the emergency contacts listed. 2. Child #3's record did not contain the first date of attendance, and if the child had any chronic physical problems, pertinent developmental information, and any special accommodations needed. 3. Child #4's file did not contain the name and of policy number of the child's medical insurance, information on allergies and intolerances to food, medication or any other substance, and information on any chronic physical problems, pertinent developmental information, and special accommodations needed.”

8VAC20-800-320-G

“Based on review of the chimney inspection, the provider failed to ensure that the chimney shall be inspected annually. Evidence: 1.The last documented chimney inspection was completed on 11/17/2022. 2. The provider verified that a new inspection had not been scheduled or completed.”

22VAC40-111-100-A

“Based on review of children records, the provider failed to obtain documentation of a physical exam within 30 days of first day of attendance. Evidence: 1. There was no documentation of a physical exam on file for Child #4. The first day of attendance for Child #4 was 09/07/2021. 3. The provider verified that there was no documentation of a physical exam on file for Child #4, and the first date of attendance for Child #4.”

22VAC40-111-90-A

“Based on review of children records, the center failed to ensure that immunizations were on file before the first day of attendance. Evidence: 1. There were no immunizations on file for Child #4. Child #4's first day of attendance was 09/07/2021. 2. The provider verified that there was no documentation of immunizations on file, and the first day of attendance for Child #4.”