Beenish Javaid

The provider shall obtain documentation of a physical examination prior to or within 30 days after the first day of attendance.

“Child B and C had no documentation of physical examinations in the records.”

Rule 8VAC20-800-100-A.

The provider shall ensure compliance with the terms of the current license issued by the department.

“The provider was not in compliance with the terms of the issued license. There were eleven children in care. The license was issued for nine children.”

Rule 8VAC20-800-30-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“Child B and C had no documentation of immunizations.”

Rule 8VAC20-800-90-A.

The immunizations received shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“The immunization record available for Child #1 was missing a physician’s signature, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

Areas of the family day home inside shall be maintained in a safe condition.

“A wall next to the bathroom and a wall next to the entrance door have areas of chipped paint.”

Rule 8VAC20-800-240-A.

Poisonous materials shall be stored in an area inaccessible to children.

“A box of toilet cleaner was inside a tub in a bathroom that children use. A container of air freshener was located in a blue storage box labeled “cleaning supplies” at the bottom of the diaper table.”

Rule 8VAC20-800-280.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“A surge protector located on the floor next to the television is missing two protective covers. An outlet above the bathroom sink was missing a protective cover.”

Rule 8VAC20-800-320-B.

The provider shall maintain documentation of the current rabies vaccination.

“Pet #1 and Pet #2?s rabies vaccinations have been expired for over four months.”

Rule 8VAC20-800-460-D.

Assistants’ and substitute providers’ records shall contain the following: Documentation of the education and training as required by 8VAC20-800-230.

“Verification of education and programmatic experience was not available for review for Caregiver B.”

Rule 8VAC20-800-120-B.

Providers shall have a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“The CPR certification for Caregiver A expired approximately 2 weeks ago.”

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

Based on record review, documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: Caregiver #2 is missing 1 out of 2 references.”

Rule 8VAC20-800-120-B.

Based on record review and interview, the provider failed to obtain updated tuberculosis (TB) tests or screenings for each household member every two years.

“Evidence: Household Member #1’s tuberculosis test was dated 5/11/2022 and expired on 5/11/2024.”

Rule 8VAC20-800-180-A.

Based on record review and interview, the emergency evacuation procedures were not practiced monthly.

“Evidence: There was no emergency evacuation drill in May 2024.”

Rule 8VAC20-800-830-A.

Based on record review and interview, not all required documentation was posted.

“Evidence: 1. The findings of the most recent inspection (06/14/2023) of the family day home was not posted. 2. The family day home’s most recent license, issued on July 27, 2023, was not posted.”

Rule 22.1-289.011-F.

Based on record review and interview, 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: There was no documentation of a physical examination completed by or under the direction of a physician prior to or within 30 days of Child #2’s first day of attendance. 2. The start date for Child #2 is 6/20/2023.”

Rule 8VAC20-800-100-A.

Based on observation and inteview, the provider did not ensure that a caregiver does not exceed 16 points.

“Evidence: 1. The inspector arrived at the home at approximately 8:28 am and observed 8 children for a total of 20 points with Caregiver #1. 2. Caregiver #1 was alone with the children until Caregiver #2 arrived at approximately 9:04 am.”

Rule 8VAC20-800-570-A.

Based on record review and interview, the provider did not review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“Evidence: The last annual review of the emergency plan was dated 11/3/2022.”

Rule 8VAC20-800-800-B.

Based on record review and interview, before a child’s first day of attendance, the provider did not obtain documentation that a child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“Evidence: There was no documentation that Child #2 had been adequately immunized prior to their first day of attendance, as required by Virginia Code ? 32.1-46 A. 2. The start date for Child #2 is 6/20/2023.”

Rule 8VAC20-800-90-A.

Based on record review and interview, one of four background checks was not repeated every five years.

“Evidence: 1. The most recent criminal history result on file for Caregiver #1 is dated 2/6/2018 and expired on 2/6/2023.”

Rule 22.1-289.035-A.

Based on observation and interview, areas of the family day home outside were not maintained in a clean, safe, and operable condition.

“Evidence: 4 out of 8 wooden deck posts in the outdoor play area have areas of chipped paint.”

Rule 8VAC20-800-240-A.

Based on record review and interview, the provider failed to annually review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review.

“Evidence: 1. Child #1’s last annual emergency contact review was on 5/31/2022. 2. Child #2’s last annual emergency contact review was on 5/31/2022. 3. Child #3’s last annual emergency contact review was on 5/31/2022.”

Rule 8VAC20-800-780-B.

Based on record review and interview, the provider failed to obtain proof of identity within 7 days.

“Evidence: Child #5 does not have signed documentation of viewing the proof of identity for the child.”

Rule 8VAC20-800-80-A.

Based on record review and interview, the Provider failed to obtain a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years

“Evidence: 1. There was no documentation of an out-of-state child abuse and neglect search request by the end of the 30th day of employment for Caregiver #2. 2. There was no documentation of an out-of-state criminal history name check prior to the 1st day of employment for Caregiver #2.”

Rule 22.1-289.035-B-4.

Based on observation, areas and furnishings of the family day home outside were not maintained in a clean, safe, and operable condition.

“Evidence: In the outdoor area, 4 out of 8 wooden deck posts had areas of chipped paint.”

Rule 8VAC20-800-240-A.

Based on observation, potentially poisonous substances and materials were not stored away in an area inaccessible to children.

“Evidence: In a bathroom, a container of sanitizer wipes, window cleaner, and toilet cleaner was located in a cabinet below the sink accessible to children.”

Rule 8VAC20-800-280.

Based on record review and interview, the Provider did not review the emergency plan at least annually and update the plan as needed.

“Evidence: The emergency plan was last reviewed on 11/12/2019.”

Rule 8VAC20-800-800-B.

Based on record review and interview, the menu was not dated for the current one-week period.

“Evidence: During the inspection on 11/2/2022, the menu posted was dated for the week of 5/31/2022.”

Rule 8VAC20-800-920.

Based on record review and interview, the Family Day Home did not obtain Fingerprint results for staff members prior to their first day of employment.

“Evidence: The records for Staff #2 and Staff #3 (DOH: 4/20/2022) did not contain Fingerprint results.”

Rule 22.1-289.035-B-2.

Based on record review, the Family Day Home did not ensure that a sworn disclosure or affirmation form was completed within 30 days of a person in the home becoming 18 years old.

“Evidence: HH #1’s file contains a sworn disclosure or affirmation form that was completed on 4/20/2022. The form was not completed within 30 days of the person becoming 18 years old.”

Rule 8VAC20-770-40-D-4-a.

Based on record review and interview, the Family Day Home did not obtain a Central Registry report for a staff member within 30 days of employment.

“Evidence: Staff #3’s record did not contain Central Registry results. The staff member was hired on 4/20/2022.”

Rule 8VAC20-770-60-C-2.

Based on record review and interview, the provider did not obtain a current report of Tuberculosis (TB) for a caregiver prior to coming into contact with children.

“Evidence: Staff #3’s (DOH: 4/20/2022) record does not contain documentation of a TB screening or test.”

Rule 8VAC20-800-170-A.

Based on observation and interview, the family day home (FDH) did not maintain all equipment in good repair.

“Evidence: 1.During the inspection a smoke alarm was observed disconnected from the base of the alarm unit. 2. There was a working smoke alarm observed on the same level of the home, in the napping room.”

Rule 8VAC20-800-240-A.

Based on observation, cleaning material were not stored in areas inaccessible to children.

“Evidence: 1. In the bathroom located in the daycare area, 2 containers of Pure Bright bleach, 1 container of Ajax and 2 containers of Clorox bleach were stored in the cabinet under the sink. 2. The child safety lock that was placed on the cabinet door, does not work.”

Rule 8VAC20-800-280.

Based on emergency supplies review and interview with the provider, it was determined that a landline telephone, excluding a cordless or cell phone, was not available for review during the inspection.

“Evidence: On the date of inspection, a landline phone was not available for review.”

Rule 8VAC20-800-330-A.

Based on observation of the children and record review, it was determined that the Provider exceeded the 16 points per caregiver required by the standards.

“Evidence: The Provider was alone with 8 children from 8:50am to 9:24am. Records were reviewed and it was determined that the ages of children in care and the 8 children totaled 18 points.”

Rule 8VAC20-800-570-A.

Based on record review, the provider did not obtain additional immunization records once every six months for children under the age of two years.

“Evidence: 1. Child #1’s record contains documentation of immunization records that were last updated on 8/20/2021. 2. Child #2’s record contains documentation of immunization records that were last updated on 4/24/2020.”

Rule 8VAC20-800-90-C.