Zulekha Yusuf

Background checks must be conducted every 5 years.

“One caregiver, #2, does not have a subsequent Central registry check done. The last check was done over 5 years ago.”

Rule 22.1-289.035-A.

8VAC20-800-110-B

“Immunization reports for children shall be signed by a licensed physician, designee, or official of a local health department. Immunizations obtained for Child #2 did not contain a physician’s signature.”

Rule 8VAC20-800-110-B.

8VAC20-800-80-A

“Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs. The date the proof of identity information was viewed was not available for Child #1, in care for 4 months, Child #2, in care for one month, and Child #4, in care for 3 months.”

Rule 8VAC20-800-80-A.

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years. Additional immunizations for Child #4 were overdue by 3 months. Child #4 has been attending the family day home for 8 months and is under the age of 2 years.”

Rule 8VAC20-800-90-C.

8VAC20-800-60-B

“Providers are required to keep a separate record for each child enrolled that contains all of the required information. The record for Child #1 was missing the policy number of the child’s medical insurance. The child was present during the inspection and had been in care for one month.”

Rule 8VAC20-800-60-B.

8VAC20-800-750-A

“When topical skin products are used, the product shall be in the original container and, if provided by the parent, labeled with the child’s name. A topical skin product provided by the parent for Child #4 was not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

Based on record review, the provider did not document all required information for 4 of 5 children’s records reviewed.

“Evidence: 1. The records for Child #2, 3, 4, and 5 did not contain the date the proof of identity document was viewed.”

Rule 8VAC20-800-80-C.

Based on record review, 1 of 3 children’s records did not contain all required information.

“Evidence: 1. The record for Child #3 did not contain the phone number of a second required designated persons to contact in case of an emergency if the parent cannot be reached”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not review with the parent the emergency contact information required to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review annually.

“Evidence: 1. The most recent review of the emergency contact information signed by parents in the record for Child #2 was dated 8/1/2022. 2. The most recent review of the emergency contact information signed by parents in the record for Child #3 was dated 8/3/2022.”

Rule 8VAC20-800-780-B.

Based on record review, the family home did not obtain documentation of additional immunizations for one child under the age of 2 years.

“Evidence: 1. The most recent documentation of immunizations in the record for Child #2 (age 15 months) were dated 09/25/2022.”

Rule 8VAC20-800-90-C.

22.1-289.058

“Based on interview, the family day home provider did not have at least one carbon monoxide detector. Evidence: 1. The provider stated she did not have a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-800-320-I

“Based on interview, the provider did not have a fire extinguisher. Evidence: 1. The provider stated she did not have a fire extinguisher.”

Rule 8VAC20-800-320-I.

8VAC20-800-60-B

“Based on review of children’s records, one child’s record did not contain all required information. Evidence: 1. Child #2’s (start date 10/04/2022) record was missing the medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-790

“Based on observation, the provider did not post all required telephone numbers in a visible area close to the telephone. Evidence: 1. The provider had the regional poison control center number and 911, but did not have the responsible person for emergency backups posted.”

Rule 8VAC20-800-790.

8VAC20-800-880

“Based on review of the menu, the family day home did not follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. Monday lunch menu: Chicken, peas, noodle soup, milk. 2. Tuesday lunch menu: Rice, Veg. mix, apple and milk. 3. Wednesday lunch menu: Macaroni, peas, blueberries milk. 4. Thursday lunch menu: Chicken Noodle, apple, milk 5. Friday lunch menu: Mac n Cheese, banana and milk.”

Rule 8VAC20-800-880.

8VAC20-800-480-B

“Based on observation, the Provider did not ensure equipment used by a child would be appropriate to the age, size, ability, and interest of the child. Evidence: 1. A toddler was observed being rocked in an bouncy seat that is only appropriate for infant use. 2. The Provider stated that they use the seat to help get the child to sleep.”

Rule 8VAC20-800-480-B.

8VAC20-800-540-B

“Based on observation, it was determined an infant walker was used in the home. Evidence: 1. The Inspector observed the walker in the room with the young toddlers and infants. 2. The Provider stated that she has the wheels locked when in use.”

Rule 8VAC20-800-540-B.

8VAC20-820-120-E-2

“Based on record review and observation, it was determined the Provider did not have the findings of the most recent inspection posted. Evidence: 1. The last Inspection resulted in no violations but the Inspection was not up on the board. 2. The Provider stated she had the license and the most recent inspection upstairs with the files because she had an interview with a perspective family just the other day.”

Rule 8VAC20-820-120-E-2.