Ms. Ritu Bastola

8VAC20-790-170-G

“The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. The written list of children’s allergies, sensitivities, and dietary restrictions was not dated.”

Rule 8VAC20-790-170-G.

8VAC20-800-60-A

“An up to date record for each child enrolled shall be maintained by the provider. There was no written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately in the record of child #3, who was in care during the inspection and had been in care for four months.”

Rule 8VAC20-800-60-A.

8VAC20-800-680-A

“Caregivers shall wash their hands with liquid soap and warm running water before preparing and serving food. Caregiver #2 did not wash their hands before preparing and serving a bottle to child #2.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating. Caregiver #2 gave Child #2 a bottle and the child’s hands were not washed before eating.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-E

“Soiled disposable diapers and wipes shall be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. 1. There was no foot operated storage system for the disposal of soiled diapers. 2. Caregiver #2 went outside and used their hands to open the lid to a trash can and disposed of a soiled diaper.”

Rule 8VAC20-800-690-E.

8VAC20-800-70-A

Rule 8VAC20-800-70-A.

8VAC20-800-870-G

“Tables and high chair trays shall be cleaned after each use. The table used for eating wasn’t cleaned after child #2 sat at the table to eat their bottle.”

Rule 8VAC20-800-870-G.

8VAC20-790-170-G

“The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. Child #1, enrolled for over two months, has a diagnosed food allergy and was not listed on the current list of children’s allergies.”

Rule 8VAC20-790-170-G.

8VAC20-790-190-B-12

“A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #1, enrolled for over two months, has a diagnosed food allergy and there was no written allergy care plan in the child’s file.”

Rule 8VAC20-790-190-B-12.

8VAC20-790-250-D-1

“Staff shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #3, employed for four months, did not have CPR certification.”

Rule 8VAC20-790-250-D-1.

8VAC20-790-250-D-2

“Staff shall have current certification in first aid appropriate to the ages of children in care. Staff #3, employed for four months, did not have a first aid certification.”

Rule 8VAC20-790-250-D-2.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Caregiver #2, employed for seven months, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-3

“The provider must request a search of the central registry prior to the employee’s first day of employment. Caregiver #3, employed for four months, did not have a central registry search requested. Caregiver #2 did not have a search requested until a month after hire.”

Rule 22.1-289.035-B-3.

8VAC20-800-120-B

“Providers must maintain a complete record for each caregiver. The records of caregiver #2, employed for seven months, and caregiver #3, employed for four months, did not contain a second reference for employment. There was no name, address, and phone number of a person to contact in an emergency for caregiver #3.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. The tb screening for caregiver #2 was two months late and the tb screening for caregiver #3 was a week late.”

Rule 8VAC20-800-170-A.

8VAC20-800-240-A

“The provider shall ensure that areas and equipment of the home, inside and outside, are maintained in a clean, safe and operable condition. There was a hole in the wall accessible to children’s fingers.”

Rule 8VAC20-800-240-A.

8VAC20-790-250-F

“Caregivers shall attend the department’s annual health and safety update course. Caregiver #1 did not complete the 2024 health and safety update training, which was due by the end of May 2024.”

Rule 8VAC20-790-250-F.

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 was no physical exam record for child #2, who had been in care for 14 months and child #1, who had been in care for over one month.”

Rule 8VAC20-800-100-A.

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregiver #2 had documentation of 7 hours of training from December 1, 2023 to November 30, 2024.”

Rule 8VAC20-800-210-A.

22.1-289.011-F

“Based on observation and interview, the provider failed to ensure the findings of the most recent inspection were posted in the facility. Evidence: The findings from the most recent inspection conducted 12/14/23 were not posted in the family day home on the date of inspection. Staff #2 confirmed the most recent inspection wasn’t posted.”

Rule 22.1-289.011-F.

8VAC20-800-320-B

“Based on observation, the provider failed to ensure that child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets. Evidence: There was one uncovered outlet in the children’s bathroom.”

Rule 8VAC20-800-320-B.

8VAC20-800-350-E

“Based on observation, the provider failed to ensure that hot water taps available to children were maintained within a range of 105?F to 120?F. Evidence: The hot water temperature in the children’s bathroom was obtained using a digital thermometer. The hot water temperature registered at 69.1?F.”

Rule 8VAC20-800-350-E.

8VAC20-800-60-B

“Based on a review of children’s records, the provider failed to obtain all required information for children’s records. Evidence: 1. The record of child #1 did not contain documentation of the first date of attendance. 2. The record of child #3, enrolled 6/10/24, did not contain documentation of the physical address of one emergency contact person, only the city and zip code were listed.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on observation and interview, the provider failed to ensure the diapering surface to be nonabsorbent. Evidence: The diaper changing pad contained three rips approximately 2 inches long making the changing pad no longer absorbent. Staff #2 confirmed the changing pad was ripped.”

Rule 8VAC20-800-690-D.

8VAC20-800-50-A

“Based on record review, the provider failed to keep a written record of children in attendance each day. Evidence: On December 14, 2023 there were eight children in care. Two children were not signed in on the attendance record.”

Rule 8VAC20-800-50-A.

8VAC20-800-100-A

“Based on review of children’s records on January 24, 2023, the provider failed to obtain a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: The record of child #1, enrolled 5/4/22, contained documentation of a physical exam dated 8/24/22.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

“Based on a review of caregiver records and interview on January 24, 2023, the provider failed to ensure to maintain a complete record for each caregiver as required. Evidence: 1. The record of caregiver #2, hired 12/1/21, did not contain documentation that two or more references as to the character and reputation, as well as, competency were checked prior to employment. The record of caregiver #2 did not contain documentation of orientation being complete. 2. The provider acknowledged the documents were not in the record of caregiver #2.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

Rule 8VAC20-800-170-A.

8VAC20-800-70-B

Rule 8VAC20-800-70-B.

8VAC20-800-90-A

“Based on a review of children’s records on January 24, 2023, the provider failed to obtain documentation that a child had been adequately immunized before the child attended the family day home. Evidence: The record of child #3, enrolled 3/22/21, contained documentation of immunizations dated 4/12/21.”

Rule 8VAC20-800-90-A.

8VAC20-790-250-D-1

“Based on a review of staff records on August 23, 2022, the vendor failed to ensure each staff member had a current certification in cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: The record of staff #1, hired 7/23/21, did not contain documentation of a certification in CPR.”

Rule 8VAC20-790-250-D-1.

8VAC20-790-250-D-2

“Based on a review of staff records on August 23, 2022, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: the record of staff #1, hired 7/23/21, did not contain documentation of a certification in first aid.”

Rule 8VAC20-790-250-D-2.

8VAC20-800-100-A

“Based on a review of children’s records on August 23, 2022, the provider failed to obtain a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: The records of child #1 (enrolled 6/1/20), child #2 (enrolled 10/8/21), and child #3 (enrolled 5/10/21) did not contain documentation of a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-350-E

“Based on observation and measurement on August 23, 2022, the provider failed to ensure that hot water taps available to children were maintained within a range of 105?F to 120?F. Evidence: The hot water temperature in the children’s bathroom was obtained using a digital thermometer. The hot water temperature registered at 131.9?F.”

Rule 8VAC20-800-350-E.

8VAC20-800-60-B

“Based on a review of children’s records on August 23, 2022, the provider failed to obtain all required information for children records. Evidence: The record of child #3 did not contain documentation of the name, address, and phone number of a second designated person to contact in case of an emergency if the parent can’t be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-770

“Based on observation on August 23, 2022, the provider failed to have a working battery-operated weather band radio. Evidence: The weather band radio was not operational.”

Rule 8VAC20-800-770.

8VAC20-800-800-B

“Based on a review of the emergency plan on August 23, 2022, the provider failed to review the emergency plan at least annually and update the plan as needed. Evidence: Documentation of the last review of the emergency plan is dated 1/2/19.”

Rule 8VAC20-800-800-B.

Based on record review, program did not ensure that results from a fingerprint based background check was completed prior to first date of employment.

“Evidence: 1. The date of employment for Staff #3 was 7/23/21. 2. Fingerprint results in the file were dated 7/29/21.”

Rule 22.1-289.035-B-2.