Ms. Lina Kobrosli

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

“An updated TB screening for Household Member A was not completed and was overdue by three months.”

Rule 8VAC20-800-180-A.

When occupied, infant swings are required to be used according to the manufacturer’s instructions and a safety strap shall be used and securely fastened.

“Child A (Age: 14 months) was observed in a high chair without the safety strap securely fastened.”

Rule 8VAC20-800-540-A.

Topical skin products are required to be kept inaccessible to children.

“Two topical skin products were sitting in a basket on the floor below the changing table, accessible to children in care.”

Rule 8VAC20-800-750-B.

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

“Caregiver A, who had been employed for five months, did not have a central registry search requested. Caregiver A was observed alone with children until the provider came downstairs to the daycare area.”

Rule 22.1-289.035-B-3.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-A.

Provider’s must obtain a record for each caregiver.

“The record for caregiver A who has been employed for five months did not have documentation on file to include the following: Name, address, verification of age, job title, date of employment, and the name address and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-800-120-B.

The provider shall maintain written documentation of each caregiver’s orientation training.

“The record for Caregiver A who has been employed for five months did not have documentation of receiving orientation training.”

Rule 8VAC20-800-230-A.

Prescription and nonprescription medication shall be given to a child a child only with written authorization from a parent.

“Child A who has been enrolled for four months does not have a written authorization form from a parent to accompany the child’s emergency medication that was observed in the family day home.”

Rule 8VAC20-800-700-A.

22.1-289.035-B-3

“Based on review of two staff records it was determined that not all records contained documentation of a central registry check within the first thirty days of employment. Evidence: There was no central registry check on file for staff A (start date: 01/17/2023).”

Rule 22.1-289.035-B-3.

8VAC20-800-430-B

“Based on observation it was determined that pressure mounted gates were not prohibited from use in the family day home. Evidence: A pressure mounted gate was observed at the base of the stairs leading to the upstairs portion of the family day home.”

Rule 8VAC20-800-430-B.

8VAC20-800-690-D

“Based on observation of the child care area it was determined that not all procedures for diapering were followed. Evidence: The changing pad had two rips on the surface making the changing pad no longer nonabsorbent.”

Rule 8VAC20-800-690-D.

8VAC20-800-790

“Based on observation and interview it was determined that not all required telephone numbers were posted in a visible area. Evidence: The telephone number for the emergency back up person and the telephone number for emergency services were not posted in a visible area.”

Rule 8VAC20-800-790.

8VAC20-800-430-A

“Based on observation of the family day home it was determined that stairs were accessible to children under two years old. Evidence: The gate at the bottom of the stairs was unlocked and open. The provider was caring for children ranging in age from 5 months - 3 years old.”

Rule 8VAC20-800-430-A.

8VAC20-800-570-A

Rule 8VAC20-800-570-A. From a complaint.

8VAC20-800-560-A

Rule 8VAC20-800-560-A.

22.1-289.036-A

“Based on review of records, the provider did not ensure that checks of the central registry were completed every five years from the date of the last check. Evidence: The most recent central registry check on record for the provider was dated 12/19/17. The most recent central registry check on record for Household Member A was dated 12/14/17.”

Rule 22.1-289.036-A.

8VAC20-800-100-A

“Based on review of six child records, the provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance for all children. Evidence: 1. The record for Child A, with a start date of 11/8/2021, did not contain documentation of a physical. 2. The record for Child B, with a start date of 8/6/2018, did not contain documentation of a physical.”

Rule 8VAC20-800-100-A.

8VAC20-800-90-A

“Based on review of six child records, the provider did not obtain documentation that a child had been adequately immunized before attending the family day home. Evidence: The immunizations on record for Child A, with a start date of 11/8/2021, were dated 2/2/2022.”

Rule 8VAC20-800-90-A.

8VAC20-800-90-A

“Based on review of three child records and interview with the provider, the provider did not obtain documentation that a child had been adequately immunized before attending the family day home. Evidence: The record for Child A, with a start date of 8/23/21, contained documentation of immunizations that was obtained on 1/20/22. There were no immunizations on record for the child prior to the document obtained 1/20/22.”

Rule 8VAC20-800-90-A.