Omayma Eltayeb

Providers and substitute providers shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“Provider A’s and substitute provider B’s CPR certifications were overdue by two months.”

Rule 8VAC20-800-140-B-3.

Providers and substitute providers shall have current certification in first aid.

“Provider A’s and substitute provider B’s first aid certifications were overdue by two months.”

Rule 8VAC20-800-140-B-4.

Assistants’ records must contain documentation that two or more references as to character and reputation as well as competency were checked before employment.

“There was no documentation of two references for caregiver #4 who has been caring for children for over two months.”

Rule 8VAC20-800-120-B.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregivers #1 and #2 did not obtain any training hours in 2025. Caregiver #3 was missing 9.5 annual training hours for 2025.”

Rule 8VAC20-800-210-A.

Repeat violation:

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment for assistants. Caregiver 4, who has been actively working at the center for eight months, did not have any completed reference verifications on file.”

Rule 8VAC20-800-120-B.

The provider must receive the results of the national fingerprint check prior to the caregiver’s first day of employment.

“Caregiver D’s results of the national fingerprint check was received fifteen days after employment.”

Rule 22.1-289.035-B-2.

The provider must request a search of the central registry prior to the employee’s first day of employment.

“Caregiver D, who had been employed for three months, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

REPEAT VIOLATION Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Caregiver B, who has been actively working at the center for two years and two months, did not have one of two completed reference verifications on file. Caregiver D, who has been actively working at the center for three months, did not have any completed reference verifications on file.”

Rule 8VAC20-800-120-B.

Based on record review and interview, staff records were incomplete.

“Evidence: Documentation of two reference checks were missing for Staff #2 who started in December 2022.”

Rule 8VAC20-800-120-B.

Based on record review, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care.

“Evidence: The last evacuation drill occurred on 02/05/2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-210-A

“Based on staff record review, 16 hours of annual training was not obtained. Evidence: Staff #1 received only 2 hours of annual training in the past year. Staff #2 received only 8 hours of annual training during the past year.”

Rule 8VAC20-800-210-A.

8VAC20-800-240-A

“Based on observation of the family day home, one area of the home was not maintained in a safe condition. Evidence: Wooden bookshelves that were approximately 3 feet in height were relocated to the main programming space and were not maintained to prevent a child from pulling the furniture down on themselves.”

Rule 8VAC20-800-240-A.

8VAC20-800-320-B

“Based on observation of the family day home, child resistant protective covers were not install on all unused electrical outlets. Evidence: An outlet located in the spare bedroom in the basement did not have protective covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-830-A

“Repeat Violation Based on review of the provider’s documented evacuation drills, monthly drills were not completed. Evidence: The last evacuation drill occurred on 03/28/2023.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Based on review of the provider’s emergency drill documentation, shelter in place procedures were not practiced a minimum of twice a year. Evidence: The last documented shelter in place drill was dated in September 2022.”

Rule 8VAC20-800-830-B.

8VAC20-800-280

“Based on observation of the family day home, cleaning agents were accessible to children. Evidence: The closet near the bathroom had cleaning agents stored on a shelf which was accessible to the children in care.”

Rule 8VAC20-800-280.

8VAC20-800-690-D

“Based on observation of the diapering area, a nonabsorbent surface was not maintained. Evidence: The diaper surface was covered with cloth material which allows for absorbency and prevents the surface from being properly sanitized. This remain uncorrected from the inspection in December.”

Rule 8VAC20-800-690-D.

8VAC20-800-90-C

“Based on review of children’s records, additional immunizations were not obtained for two children under the age of 2 years. Evidence: Child #1 and #5 are under the age of 2 years. The most recent immunizations for Child #1 was dated 09/08/2022 and 10/06/2022 for Child #5.”

Rule 8VAC20-800-90-C.

22.1-289.035-B-2

“Based on review of recordation background checks were not obtained as required. Evidence: 1. Staff #2 began employment on 12/12/2022 results of a criminal record check has not been obtained. .”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on review of recordation, background checks were not obtained as required. Evidence: Staff #2 start date was 12/12/2022, A Sworn Statement or affirmation was not obtained prior to the staff’s first day.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-A

“Based on review of staff records, one record was not maintained. Evidence: A record was not found for Staff #2.”

Rule 8VAC20-800-120-A.

8VAC20-800-120-B

“Based on review of staff records, records were incomplete. Evidence: The following information was not obtained for Staff #2 who started on 12/12/2022: Two references, age verification, address, emergency contact, date of employment, job title, background checks and experience/education,”

Rule 8VAC20-800-120-B.

8VAC20-800-280

“Based on observation of the programming space, a hazardous substance was accessible to children. Evidence: A sanitizing product was found on a shelf on the right side of the door leading to the crib room.”

Rule 8VAC20-800-280.

8VAC20-800-290

“Based on observation of the programming space, sharp objects were accessible to children in care. Evidence: A pair of adult scissors and a box of tacks were found inside drawers located to the right of the sink in the main programming room.”

Rule 8VAC20-800-290.

8VAC20-800-680-A

“Based on observation of diapering procedures, hand washing did not occur. Evidence: 1. Staff #2 failed to wash their hands after diapering a child. 2. Staff #2 was observed wearing the same gloves used to diaper a child and proceeded to open the exterior door of the home to dispose of a diaper. 3. Staff #2 was observed changing another child’s diaper without washing hands and changing gloves worn to diaper another child.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation of diapering procedures, staff failed to ensure children’s hands were washed. Evidence: Staff #2 did not ensure that Child #2 and child #8’s hands were washed after diaper changing.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“The diapering surface used was not non-absorbent. Evidence: 1. Staff #2 was observed changing a child’s diaper. The diapering surface used was made of cloth. A barrier from the child and the cloth was not found. 2. Staff #2 failed to clean and sanitize the diaper surface between two children’s diaper changes.”

Rule 8VAC20-800-690-D.

8VAC20-800-830-A

“Based on review of the family day home’s evacuation drills, monthly drills were not conducted. Evidence: An evacuation drill was not conducted during the months of September and November 2022. This is a repeated issue from the March 2022 inspection.”

Rule 8VAC20-800-830-A.

8VAC20-820-120-E-2

“Based on observation of the family day home, the findings of the most recent inspection was not found Evidence: The March 2022 inspection findings were not maintained in the family day home.”

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

8VAC20-800-100-A

“Based on child record review, documentation of a physical exam was not obtained prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: Child #1 began care on 01/03/2022. A physical exam was not on file for this child.”

Rule 8VAC20-800-100-A.

8VAC20-800-830-A

“Based on review of the Provider’s emergency evacuation record, The emergency evacuation procedures was not practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: The most recent evacuation drill was conducted in July 2021.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Based on review of the Provider’s emergency response drills, Shelter-in-place procedures was not practiced a minimum of twice per year. Evidence: No Shelter in place drills were completed in 2021.”

Rule 8VAC20-800-830-B.

8VAC20-800-90-A

“Based on child record review, one child record was determined incomplete. Evidence: Child #1 began care on 01/03/2022. No record of immunizations were found.”

Rule 8VAC20-800-90-A.