Marietta Parham

8VAC20-800-60-B

A child?s record shall contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Child # 2?s record contained one emergency contact at the time of inspection.

8VAC20-800-530-F

No soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys. A stuffed toy and blanket was observed in the infant crib for child #1, age 9 months. Caregiver confirmed the use of the soft materials during nap time.

8VAC20-790-250-F

Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department's health and safety update course. The health and safety update course for caregiver #1 and caregiver #2 was overdue by 23 days.

8VAC20-800-100-A

The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Child #2, enrolled for seven weeks, did not have a physical on file at the time of inspection.

8VAC20-800-70-B

The provider shall obtain the parent's written acknowledgement of the receipt of the information in this section. Child #2, enrolled for seven weeks, did not have written acknowledgement of the receipt of the provisions of the family day home's emergency preparedness and response plan in the record at the time of inspection.

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. Child #2, enrolled for seven weeks, did not have immunizations on file at the time of inspection.

8VAC20-790-190-B-12

A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #5, who has been enrolled for six months, has a food allergy and did not have a written care plan in their file.

8VAC20-800-100-A

The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There was no physical exam records available for Child #5, who had been in care for six months.

8VAC20-800-180-A

A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 and Caregiver #2 was not completed and was overdue by 11 months.

8VAC20-800-90-C

Documentation of additional immunizations is required once every six months for children under the age of two years. ' Child #3, 21 months old, did not have additional documented immunization on record every six months.