Valley Health Child Care Center

8VAC20-780-150-B

“Documentation of a physical examination and immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The documentation of the physical examination and immunization record for Child #9 was not signed.”

8VAC20-780-130-E

“Based on review of records and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #3?s date of birth was 08/22/2022. The date of the last immunization on file was 05/23/2023. Staff #11 confirmed that the center had not obtain documentation of additional immunization within the last six months. 2. Child #10?s date of birth was 10/24/2022. The date of the last immunization on file was 01/13/2023. Staff #11 confirmed that the center had not obtain documentation of additional immunization within the last six months.”

8VAC20-780-520-A

“Based on observation and interview, the center kept over-the-counter skin products past their expiration date. Evidence: 1. In the Adventure 2?s classroom, there was one container of Up and Up Brand Diaper Rash Paste labeled for Child #6 which had an expiration date of 1/2023. Staff #2 confirmed that the medication was expired. 2. In the Adventure 2?s classroom, there was one container of Desitin Multipurpose Ointment which had expired. Staff #2 confirmed that the medication was expired. 2. In the Adventure 2?s classrooms, there was Benadryl labelled for Child #10 which had and expiration date of 4/2023. Staff #2 confirmed that the medication was expired. 3. In the Pathfinder 2 classroom, there was Babyganics Sunscreen (SPF 50+) which was labelled for center use that had an expiration date of 09/2022. Staff #12 confirmed that the medication was expired.”

8VAC20-780-380-A

“Based on observation and interview, the center failed to ensure that there was a daily schedule posted for toddlers and preschoolers. Evidence: 1. In the Pathfinders 2 classroom, there was no daily schedule posted. Staff #11 and #12 confirmed there was no daily schedule posted and that the age of the children were 19 months to 2 years old. 2. In the Trailblazers 2 classroom, there was no daily schedule posted. Staff #13 confirmed that there was no daily schedule posted and that the ages of the children were four to five years old. 3. In the Creators 3 classroom, there was no daily schedule posted. Staff #14 confirmed that there was no daily schedule posted and that the ages of the children were three to four years old.”

8VAC20-780-130-E

“Based on review of records and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #8?s birthdate is 02/07/2021. Child #8?s start date was 05/04/2021. The vaccinations on file were dated 04/30/2021, 03/11/2022 and 06/20/2022. 2. Staff #10 confirmed that the center did not obtain documentation of additional immunization once every six months for Child #8.”