Lisa Salih

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #1, who had been in care for over 30 days.”

Rule 8VAC20-800-100-A.

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. The record for Child #1 did not contain documentation of a physical exam. Child #1 has been attending the family day home for over seven months. The record for Child #2 did not contain documentation of a physical exam. Child #2 has been attending the family day home for over one month.”

Rule 8VAC20-800-100-A.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. The record for Child #1 did not contain documentation of immunizations. Child #1 has been attending the family day home for seven months.”

Rule 8VAC20-800-90-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-730-D

“Medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. In the bathroom used by children, a prescription and over the counter medication were sitting on a shelf, out of reach of children.”

Rule 8VAC20-800-730-D.

8VAC20-800-100-A

“The provider shall 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. The record for Child #5 did not contain documentation of a physical examination by or under the direction of a physician. Child #5 has been attending the family day home for six weeks.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. The record for Provider #1 contained documentation of a TB screening obtained 25 months ago.”

Rule 8VAC20-800-180-A.

Repeat violation

“A child’s record shall contain documentation of the review of the child’s emergency contact information as required by 8VAC20-800-780 B. The records for Child #1, Child #2 and Child #4 documented the last review of the children’s emergency contact was over 17 months.”

Rule 8VAC20-800-60-B.

Based on observation and interview, the provider failed to ensure areas and furnishings of the family day home were maintained in a clean, safe and operable condition.

“Evidence: During the inspection, a child was observed sitting in a high chair that was missing the vinyl covering and was visibly worn with discoloration. During an interview with the provider, it was acknowledged that the high chair needed to be discarded.”

Rule 8VAC20-800-240-A.

Based on review of five children’s records, the provider did not obtain at least annually parent confirmation that the required information in the children’s records were up to date.

“Evidence: Child #2 (start date: 6/13/19) and Child #3 (enrolled 9/2/21) did not have documentation of the review of the child’s emergency contact information.”

Rule 8VAC20-800-60-B.

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: The record for Child #2 (start date: 4/28/2021) did not contain a physical examination.”

Rule 8VAC20-800-100-A.

Based on a review of children’s records, 1 out of 5 children’s records did not contain the required information.

“Evidence: The record for Child #1 (doe: 4/5/2023) was missing 1 out of the 2 required emergency contacts and the address of the 1 emergency contact person listed did not include an address.”

Rule 8VAC20-800-60-B.

Based on observation, the provider failed to wash her hands with liquid soap and warm running water after diapering an infant.

“Evidence: During the inspection the provider was observed diapering an infant. The provider did not wash her hands after diapering the infant.”

Rule 8VAC20-800-680-A.

Based on observation the provider failed to ensure that children’s hands are washed with liquid soap and warm running water after diapering.

“Evidence: During the inspection, the provider was observed diapering an 11 month old infant and immediately after diapering the infant, the provider placed the infant in a bouncy seat. The infant’s hands were not washed.”

Rule 8VAC20-800-680-B.

Based on observation, the diapering surface was not cleaned and sanitized after use.

“Evidence: The provider was observed changing the diaper of one infant and did not clean and sanitize the diapering table. The provider placed the blankets of 4 other children on the diapering table immediately after changing the infant. The provider acknowledged during the inspection that the diapering observed was “unsanitary” and that she would wash the blankets on this date.”

Rule 8VAC20-800-690-D.

8VAC20-800-170-A

“Based on documentation review, the provider did not obtain tuberculosis (TB) tests or screenings every two years. Evidence: The provider did not have documentation of a TB test or screening every two years from the date of the first screening. The screening should have been obtained on or before (5/5/2022).”

Rule 8VAC20-800-170-A.

22VAC40-111-100-A

“Based on review of two children’s files, the provider failed to have documentation of a physical within 30 days of enrollment. Evidence: Child 1 (date of enrollment 9/6/2021) and Child 2 (date of enrollment 9/2/2021) did not have documentation of a physical on file.”

Rule 22VAC40-111-100-A.