Inspection · 2023-11-28

Based on review, 6 of 7 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

Evidence -
1. On the date of inspection (11/28/2023), the following children did not have documentation of a physical examination available for review: Child #1* (start date - 06/08/12), Child #2* (start date - 08/22/14), Child #3* (start date - 12/27/18), Child #5 (start date - 09/11/20), Child #6 (start date - 03/08/22), and Child #7 (start date - 01/19/23).
2. Repeated violations were indicated with an * for an inspection previously conducted on 05/18/2023.

Based on interview, the Family Day Home (FDH) did not keep a written record of the children who were in attendance for each day.

Evidence -
1. The Provider stated (during an interview conducted on the date of inspection - 11/28/2023) that he currently does not keep this documentation.
2. The Provider asked the Licensing Inspector for a copy of an attendance sheet on the date of inspection.

Based on review, 5 of 7 children files indicated that not all of the required information was contained within each child's record.

Evidence -
On the date of inspection (11/28/2023), the following information was not available for review:
1. The Child's home address - Child #6 (start date: 03/08/2022)
2. The Parent's home address - Child #6
3. The Parent's work Information - Child #6
4. The Child's Doctor's address and phone number - Child #6
5 - The Child's Insurance information - Child #5*, #6
6 Signed Emergency Medical Authorization by the Child's Parent - Child #1*, #2*, #3*, and #6 (not signed)
*repeat violation from an inspection conducted 05/18/2023.

Based on review, 3 of 7 children files indicated that not all of the required documentation has been completed.

Evidence -
On the date of inspection (11/28/2023), the following documents were not complete:
1. Medication Administration - Decision to Administer (missing page 2) for - Child #1*, Child #2*, and Child #3*
2. Information for Parents (missing page 2) for - Child #1*, Child #2*, and Child #3*
* repeat violation from an inspection conducted previously on 05/18/2023

Based on review, 6 of 7 children files indicated that a review of the parent's emergency contact information (required in 8VAC20-800-60 B 2) to ensure that the information is correct, was not conducted on an annual basis.

Evidence -
1. On the date of inspection (11/28/2023), the following were observed to be the last parent signed acknowledgments on file: Child #1 (dated - 04/12/22), Child #2 (10/20/22), Child #3 (10/20/22), Child #4 (01/21/22), Child #5 (09/17/20), and Child #6 (03/08/22).
2. This information is based on the signature line at the bottom of each child's record.

Based on review, 1 of 7 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section), once every six months for children under the age of two years.

Evidence -
1. On the date of inspection (11/28/2023), the most current immunization page on file for Child #6 was dated - 03/29/2023.
2. Based on other documentation on file, Child #6 was under two years of age on the date of inspection.