Claudia Robles Arias

8VAC20-800-140-B-3

Providers and substitute providers shall have current certification in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Caregiver #1 did not have a current CPR and first aid certification. The record contained certifications that expired over one month ago.

8VAC20-790-170-G

The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. The vendor had an undated allergy list posted in plain sight on the refrigerator.

8VAC20-790-190-B-12

The vendor shall obtain 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 #2, enrolled for three days, has diagnosed food allergies. The vendor did not have a written care plan from the child's physician.

8VAC20-790-250-F

Caregivers who work directly with children shall annually complete the department's health and safety update course. Caregiver #1 completed their annual health and safety update over five months late.

8VAC20-800-60-B

Children's records are to be maintained by the provider and contain the required information. The record of child #5, enrolled for three days, was missing the policy number of the child's medical insurance.

8VAC20-790-180-B

REPEAT VIOLATION The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Four children were not signed out on the written attendance record on 10/15/2024.

8VAC20-800-170-B

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. The form shall have been completed within the last 30 days and be signed by a physician, physicians' designee, or an official of the local health department. The record of caregiver #2 contained a TB screening dated 12/15/2023.