Ruwani Ranatunga

22.1-289.035-B-3

“The provider must request a search of the central registry prior to the employee's first day of employment. Caregiver #2, who had been employed for less than one week, did not have a central registry search requested.”

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. A review of the emergency plan was overdue by one week.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver #2, who had been employed for less than one week, did not have a completed national criminal background check.”

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening for Caregiver 2, who has been caring for children for less than one week.”

8VAC20-800-120-B

“Providers must maintain a record for each caregiver that contains all required information. The record for Caregiver #2 did not contain the following: Verification of age, name address and telephone number of a person to be notified in an emergency, documentation that two or more references as to character and reputation as well as competency were checked before employment. Caregiver #2 was present during inspection and has been employed for less than one week.”

8VAC20-800-60-B

“The provider shall maintain an up-to-date record at the family day home for each enrolled child that contains all required information. The record for Child #3 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. Child #3 was present and has been in care for one and a half years. The record for Child #4 did not contain name, address and telephone number of each custodial parent's place of employment; name, office address and telephone number of the child's physician; name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; the name and policy number of the child's medical insurance; parent's signed acknowledgement of the receipt of the information required, and first and last dates of attendance. Child #4 was enrolled and received care at the family day home previously, but was described as a temporary enrollment and will not be returning. Required documentation was not obtained prior to Child #4 receiving care as is required.”

8VAC20-800-750-D

“When topical skin products are used, the product shall not be used beyond the expiration date of the product. Diaper ointment for Child #1 and Child #6 have been expired for 8 months.”

8VAC20-800-750-A

“When topical skin products such as sunscreen, diaper ointment and lotion are used, the provider must obtain written parent authorization noting any known adverse reactions at least annually. The record for Child #1 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #1. Child #1 was present for the inspection and has been attending the family day home for 5 days. The record for Child #2 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #2. Child #2 was present for the inspection and has been attending the family day home for 5 months. The record for Child #3 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #3. Child #3 has been attending the family day home for two years. The record for Child #4 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #4. Child #4 was present for the inspection and has been attending the family day home for more than one year. The record for Child #5 did not contain written parent authorization for diaper ointment maintained at the family day home for Child #5. Child #5 was present for the inspection and has been attending the family day home for more than one year.”

8VAC20-800-760-A

“First aid kits shall be in the family day home, accessible to outdoor play areas, on field trips, in vehicles used for transportation and wherever children are in care, and contain all required components. The first aid kit was missing antiseptic cleaning solution or pads.”

8VAC20-800-800-B

“Providers are required to review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. The last documented review of the emergency plan was completed 14 months ago.”

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. Documentation of immunizations for Child #2 were obtained 10 days after the child's first day.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided required information in writing. The parents of Child #2 were not provided in writing the following required information: whether or not there is liability insurance in force on the family day home operation, and provisions of the family day home’s emergency preparedness and response plan. Child #2 had been in care for five months.”

22.1-289.036-B-3

“Based on record review, the family day home did not obtain a copy of the results of a search of the central registry for 1 of 2 household members. Evidence: 1. The record for Household Member #1 did not contain documentation of the result of a search of the central registry.”

8VAC20-800-60-A

“Based on record review, 1 of 5 children's records reviewed did not contain all required documentation. Evidence: 1. The record for Child #5 did not contain documentation of the name, address and telephone number for one of two designated persons to contact in case of an emergency if the parent cannot be reached”

8VAC20-800-750-A

“Based on observation and record review, topical skin products did not meet all requirements. Evidence: 1. The authorization to administer topical skin products for Child #1 expired on 5/23/2024 2. The authorization to administer topical skin products for Child #2 expired on 5/25/2024 3. The authorization to administer topical skin products for Child #3 expired on 5/1/2024 4. A topical skin product was observed labeled with Child #5's name. The record for Child #5 did not contain authorization to administer the topical skin product provided.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain for 1 of 5 children reviewed, documentation that the child has been adequately immunized. Evidence: 1. Child #4 began attending the family day home on 6/24/2024 2. The immunizations in the record for Child #4 were dated 8/2/2024”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that a child has been adequately immunized before the first date of attendance for 1 child. Evidence: 1. Child #2 began attending the family day home on 4/22/2024. 2. The immunizations in the record for Child #2 were dated 4/23/2024.”

8VAC20-800-710

“Based on record review, caregivers do not have training required in order to administer prescription medication. Evidence: 1. Child #5 is prescribed emergency medication that is stored at the Family Day Home. 2. There were no caregivers present at the family day home who have received the medication administration training and certification required in order to administer the specific medication prescribed to the child.”

8VAC20-800-60-B

“Based on record review, 1 of 4 children's records reviewed did not contain all required information. Evidence: 1. The record for child #2 did not contain documentation of the policy number of the child's medical insurance”

8VAC20-800-730-D

“Based on observation and caregiver interview, medication was not kept in a locked place. Evidence: 1. Children's medication was observed in an unlocked bag. 2. A Caregiver reported the bag containing children's medication is kept on a shelf and is not in a locked container.”

8VAC20-800-800-B

“Based on record review, the provider did not review the emergency plan annually. Evidence: 1. The most recent review of the emergency plan was documented on 6/16/2022”

8VAC20-800-180-A

“Based on a review of caregiver records, it was determined the provider did not obtain for each caregiver a current Report of Tuberculosis Screening form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening. Evidence: The TB Health Screening for caregiver C expired on 12/12/21.”

8VAC20-800-700-A

“Based on a review of children's medications, it was determined that one prescription medication was on site without all required documentation. Evidence: One child's long term prescription medication was on site without written authorization from the parent.”