Ms. Sharon Gregory

8VAC20-800-780-B

“The provider is required to annually review with enrolled children's parents the information is correct and obtain the parent's signed acknowledgement of the review. The records for child #1, child #3 and child #4 did not contain the parent's signed acknowledgement of a review of the emergency information in the past 12 months. This annual documentation is overdue by more than 3 years for child #1, more than 2 years for child #3 and more than 3 years for child #4.”

8VAC20-800-180-A

“The provider is required to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. The TB screening for caregiver #1 was overdue by 11 days.”

8VAC20-800-180-A

“Based on review, facility did not ensure 1 of 2 caregivers has an updated negative TB test screening ever 2 years. Evidence: The record for caregiver #2 has a most recent TB test dated 3/7/2022 which is more than 2 years old.”

8VAC20-800-830-B

“Based on review and interview, provider did not ensure shelter-in-place procedures are practiced a minimum of twice per year. Evidence: There was documentation of one shelter-in-place drill in 2023. Provider confirmed a second drill was not conducted.”

8VAC20-800-60-B

“Based on review, provider did not ensure 3 of 5 children's records have documentation of required information. Evidence: The following was found during record review: 1. The record for child #1 (start date 9/20/2022) did not have a complete address for one of the emergency contacts. 2. The record for child #2 (start date date 6/17/2019) had a most recent review of information in 2021. 3. The record for child #5 (start date 9/8/2020) did not have father's employment address, father's employment phone number, insurance plan number and a most recent review of information in 2021.”

8VAC20-800-340-C

“Based on observation, provider did not ensure bathroom has required supplies. Evidence: There was not paper towels in the hall bathroom used by children.”

8VAC20-800-100-A

“Based on review, provider did not ensure 1 of 3 children’s records has a physical examination prior to the child’s attendance or within 30 days after the first date of attendance. Evidence: The record for child #2 (start date 9-20-2022) did not have a physical exam.”

63.2-1721.1-A

“Based on review, provider did not ensure required background checks are updated every five years. Evidence: Caregiver #1 and Household Member #1 had a most recent Central Registry Check completed October 28, 20216. The Central Registry Checks were not updated every five years.”

22VAC40-111-60-B

“Based on review, provider did not ensure 1 of 2 children's records has documentation of required information. Evidence: The record for child #1 (start date November 1, 2021) did not have parents' employment addresses and the address for the second emergency contact.”