Neethu Girija Vallabhan

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. The immunization record for child #1, did not have adequate immunizations prior to start date.”

22.1-289.011-F

“The licenseshall be posted in a conspicuous place on the licensed premises. The current license was not posted.”

8VAC20-800-180-A

“The provider shall obtain for each caregiver a current Report of Tuberculosis Screening form, every two years from the date of the first screening. 1. Caregivers #1 did not have documentation of current Report of Tuberculosis Screening form signed by a physician, physicians' designee, or an official of the local health department, every two years from the date of the first screening. 2. The provider did not obtain current Report of Tuberculosis Screening form for caregiver #2 every two years from the date of the first screening”

8VAC20-800-90-A

“Based on record review and interview, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations, before child attended. Evidence: 1. Child #3 first day or attendance 11/29/2023, immunization documentation received after 12/11/2023 immunizations received. 2. Provider acknowledged they were aware immunization documentation was received after child's first day.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain for an adult household member a current Report of Tuberculosis Screening form, every two years from the date of the last screening. Evidence: HH #1's record contains a Report of Tuberculosis Screening form that expired on 10/25/2023.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain immunization documentation for each child in care to verify that they have been adequately immunized prior to their first day of attendance. Evidence: Child #1's record did not contain immunization documentation. The child's first day of attendance was documented as 6/5/2023.”

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #5's record contains an immunization record that was last updated on 5/16/2022.”

8VAC20-800-60-B

“Based on record review, children's records did not all contain required information. Evidence: Child #4's record was missing the name of the child's medical insurance.”

8VAC20-800-750-A

“Based on observation, provider did not adhere to requirements for using topical skin products. Evidence: 1. 1 of 2 topical skin products were not labeled with the child's name. 2. 2 of 2 did not have written authorizations for use of topical skin products.”

8VAC20-800-60-B

“Based on record review, 2 out of 4 children's records were missing information. Evidence: The records of child # 1 and child # 3 were missing the medical insurance policy number.”

8VAC20-800-120-A

“Based on record review and interview, staff records were missing two references. Evidence: Staff #3 record is missing documentation that two or more references as to character and reputation as well as competency were checked before employment. Employment date of staff #3 was 6/6/2022.”

8VAC20-800-60-B

“Based on record review, a child's record did not include a signed authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. Evidence: Child #1's file contains a written authorization for emergency medical care that has not been signed by the parent.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days of a child's first day of attendance. Evidence: Child #2's record did not contain a physical examination.”

8VAC20-800-340-C

“Based on observation and interview, the bathroom did not have paper towels. Evidence: There were no paper towels available to the children in the bathroom located in the daycare area.”