Hayat Khalifa

REPEAT VIOLATION, SYSTEMIC DEFICIENCY Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver 2, employed for 4 days, did not have a completed criminal background check.”

Rule 22.1-289.035-B-2.

REPEAT VIOLATION, SYSTEMIC DEFICIENCY The provider is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Caregiver #2, employed for four days, did not have documentation of requesting a central registry check from one state.”

Rule 22.1-289.035-B-4.

REPEAT VIOLATION, SYSTEMIC DEFICIENCY Assistants’ and substitute providers’ records shall contain the name, address, and telephone number of a person to be notified in an emergency.

“Caregiver 2’s record was missing the name, address, and telephone number for a person to be notified in an emergency.”

Rule 8VAC20-800-120-B.

REPEAT VIOLATION, SYSTEMIC DEFICIENCY Providers must obtain a current tuberculosis (TB) screening from a caregiver at the time of hire and prior to coming into contact with children documenting the absence of tuberculosis in a communicable form.

“There was no TB screening documenting the absence of TB for Caregiver 2, employed for four days, and caring for children at the time of the inspection.”

Rule 8VAC20-800-170-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for household member B was not completed and was overdue by thirty days.”

Rule 8VAC20-800-180-A.

The family day home is required to have caregivers undergo a background check every five years.

“The most recent central registry check for caregiver #1 was overdue by five months.”

Rule 22.1-289.035-A.

The family day home is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The sworn statement for Caregiver #1 was not completed and overdue by three days. The sworn statement for Caregiver #2 was dated one day after their first day of employment. Both caregivers were currently working at the family day home.”

Rule 22.1-289.035-B-1.

Family Day Home providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver #2 and Caregiver #3, who have been employed for three days, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

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

“Caregiver #1 and Caregiver #2, who have been employed for three days, did not have a central registry search requested. Both were working with children.”

Rule 22.1-289.035-B-3.

The family day home provider is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Caregiver #3, employed for three days, did not have documentation of requesting a central registry check and sex offender registry check from one state.”

Rule 22.1-289.035-B-4.

The family day home is required to have household members undergo a background check every five years.

“The most recent central registry checks for household members #1 and #2 were overdue by five months.”

Rule 22.1-289.036-A.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“There were no tuberculosis screenings for Caregiver #2 and #3, who have been caring for children for three days.”

Rule 8VAC20-790-170-A.

Assistants’ and substitute providers’ records must contain documentation that two or more references as to character and reputation as well as competency were checked before employment. Records must also contain the name, address, and telephone number of a person to be notified in an emergency.

“Caregiver #2 and #3’s records did not have emergency contact information or documentation of two or more references.”

Rule 8VAC20-800-120-B.

The provider is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The provider did not request a search of the child abuse and neglect registry from one state for Staff #2, who has been employed for more than 4 months and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

The tuberculosis (TB) screening form must have been completed within 30 days of hire and be signed by a physician, physicians’ designee, or an official of the local health department.

“Staff #2’s TB screening form was completed 157 days prior to the hire date.”

Rule 8VAC20-800-170-B.

The provider is required to obtain a competed sworn statement from adults living in the family day home every five years.

“The most recent sworn statement for Household Member #3 was overdue by twenty six days.”

Rule 22.1-289.036-A.

Based on documentation, the provider did not maintain annual documentation of the inspection of wood burning fireplaces and associated chimneys to verify that the devices are properly installed, maintained, and cleaned as needed.

“Evidence: 1. The most recent fireplace inspection report on file was dated 2/19/2018. 2. The provider maintained invoice receipts.”

Rule 8VAC20-800-320-G.

Based on record review, the provider did not maintain documentation of the current rabies vaccination for their pets.

“Evidence: 1. Pet #1’s rabies vaccination expired in August of 2023. 1. Pet #2’s rabies vaccination expired in March of 2023.”

Rule 8VAC20-800-460-D.

Based on observation, the provider had a diaper ointment beyond the expiration date of the product.

“Evidence: Child #2’s Destin diaper ointment expired as of April 2024.”

Rule 8VAC20-800-750-D.

Based on observation, refrigerated bottles of milk were not labeled with the child’s full name and the date.

“Evidence: Child#1 had 3 bottles of milk that were not labeled with their name or date.”

Rule 8VAC20-800-960-E.

Based on observation, the family day home did not have all required emergency supplies.

“Evidence: 1. The first aid kit did not contain tape.”

Rule 8VAC20-800-760-A.

Based on record review, the provider did not obtain a sworn state or affirmation every five years for 1 of 3 household members .

“Evidence: 1. The most current sworn statement for Household Member #3 was dated 09/02/2018”

Rule 22.1-289.036-A.

Based on record review, 2 of 3 caregiver records reviewed did not contain all required information.

“Evidence: 1. The records for Caregiver #2 (start date 2/6/2024) and Caregiver #3 (start date 2/15/2024) did not contain documentation of verification of age. 2. The record for Caregiver #2 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-800-120-B.

Based on record review, the provider did not obtain documentation a child has been adequately immunized before the child may attend the family day home for 1 of 5 children’s records reviewed.

“Evidence: 1. Child #4 began attending the family day home on 09/20/2023. The immunizations in the record for Child #4 were dated 09/22/2023.”

Rule 8VAC20-800-90-A.

Based on record review, the family day home did not obtain documentation of additional immunizations every 6 months for one child.

“Evidence: 1. Child #2 began attending the family day home on 09/05/2023. The most current documentation of immunizations in the record for Child #2 were dated 08/25/2023.”

Rule 8VAC20-800-90-C.

8VAC20-800-530-A

“Based on the review of the cribs, the provider does not have fitted sheets on the mattresses. Evidence: The provider has removed the sheets because the children take the sheets off during nap time. Currently non of the cribs have sheets.”

Rule 8VAC20-800-530-A.

8VAC20-800-100-A

“Based on record review, the provider did not 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. Evidence: 1) The record for Child #2 (start date 03/04/2021) did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-320-G

“Based on documentation review, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) The most recent fireplace inspection was dated 10/26/2019.”

Rule 8VAC20-800-320-G.

8VAC20-800-70-A

“Based on record review, parents were not provided in writing required information from the family day home, before the child’s first day of attendance. Evidence: 1) The record for Child #3 (start date 09/27/2021) did not contain documentation of the parents being provided with the provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

8VAC20-800-70-A

“Based on a review of children records and provider interview, the parents have not been provided in writing before the child’s first day of attendance the provisions of the family day home’s emergency preparedness plan. Evidence: Child #1, date of first attendance 1/10/2022 does not have a record of the provisions of the family day home’s emergency preparedness plan. The provider said she did not receive the form back from the parent.”

Rule 8VAC20-800-70-A.

8VAC20-800-750-A

“Based on observation, record review and provider interview, the provider has not obtained written parental authorization for applying diaper ointment and the provider has not labeled the diaper ointment s with the child’s name. Evidence: Diaper ointment was observed above the changing area for child #1, 2,and 3. The diaper ointments were not labeled with the child’s name and there was no parental authorization on file. The provider said she was using the diaper ointments for all three children but did not have authorizations from the parents.”

Rule 8VAC20-800-750-A.