Farhana Abid

The provider shall 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.

“The provider’s emergency plan was not reviewed annually. The update is 13 months past due.”

Rule 8VAC20-800-800-B.

Lockdown procedures shall be practiced at least annually.

“The provider did not have documentation of a completed lockdown drill.”

Rule 8VAC20-790-430-A-3.

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, shall be stored in areas inaccessible to children.

“There was a bottle of hand sanitizer on the sink in the children’s bathroom. There was a second bottle of hand sanitizer in the children’s art room on a desk.”

Rule 8VAC20-800-280.

Sharp kitchen utensils and other sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision.

“A pair of adult scissors was found in the children’s bathroom in an unlocked drawer at the bottom of the bathroom sink. A second pair of scissors was found in the children’s art room on the children’s art table.”

Rule 8VAC20-800-290.

The provider shall obtain for each adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening.

“Household member #2 last documented Tuberculosis screening or test was completed on August 11 2022.”

Rule 8VAC20-800-180-A.

Based on record review, the provider did not ensure all required information was in the child’s record.

“Evidence: Child 1 is missing the address of a second emergency contact.”

Rule 8VAC20-800-60-B.

Based on observation, a caregiver did not wash their hands with liquid soap and warm running water after a diaper change.

“Evidence: Staff 2 changed two children’s diapers but did not wash their hands in between the diaper changes.”

Rule 8VAC20-800-680-A.

Based on observation, children did not wash their hands with soap and water.

“Evidence: After diapering, children did not wash their hands with soap and warm running water.”

Rule 8VAC20-800-680-B.

Based on observation, the diaper changing stations were not cleaned and sanitized after each use and was nonabsorbent.

“Evidence: The diaper changing pad used by the staff member after was not cleaned and sanitized after changing a child’s diaper. The second diaper changing pad available for use had a cloth cover on it.”

Rule 8VAC20-800-690-D.

Based on record review, all background checks for household members were not repeated every five years from the most recent background check.

“Evidence: Household member 1 does not have an updated fingerprint based criminal history record check. It was last conducted on 8/16/2018. Household member 1 also does not have an updated sworn disclosure statement. It was last updated 4/25/2018.”

Rule 22.1-289.036-A.

Based on record review, all staff have not completed 16 hours of required annual training.

“Evidence: Staff 2 has 10 of 16 required hours of training in 2022.”

Rule 8VAC20-800-210-B.

Based on observation, trampolines were in use during the hours children are in care.

“Evidence: There is a small indoor child’s trampoline in the corner of the child care area and children were observed jumping and climbing on it.”

Rule 8VAC20-800-500-F.

Based on record review, the family day home did not ensure menu was dated.

“Evidence: The menu from the week of 9/25/2023 was not dated.”

Rule 8VAC20-800-920.

Based on record review, the applicant did not undergo background checks every five years after the most recent check.

“Evidence: Staff 1 does not have a updated fingerprint based background check. The most recent clearance once last conducted on 5/1/2018.”

Rule 22.1-289.036-A.

Based on interview and record review, the provider did not ensure that arrival and departure was not recorded and signed by the substitute provider.

“Evidence: Provider stated there was no documentation of the arrival and departure of the substitute provider.”

Rule 8VAC20-800-140-D.

Based on observation furnishings in the home were not maintained in a safe condition.

“Evidence: The door knob for the bathroom door was not secured to the door and fell off if touched or pulled on which causes a safety hazard.”

Rule 8VAC20-800-240-A.

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

“Evidence: There was no May 2023 emergency evacuation procedure conducted.”

Rule 8VAC20-800-830-A.

Based on record review, the provider does not have a current CPR certification.

“Evidence: The provider’s CPR expired on 9/13/2022.”

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

Based on record review, the provider does not have a current certification in first aid.

“Evidence: The provider’s first aid expired on 9/13/2022.”

Rule 8VAC20-800-140-B-4.

Based on observation, unused electrical outlets did not have child-resistant protective covers in place.

“Evidence: Two unused electrical outlets located behind a crib utilized by infants did not have child-resistant protective covers in place.”

Rule 8VAC20-800-320-B.

Based on observation and interview, infants’ bottles were not labeled with the child’s full name and date when more than one infant is in care.

“Evidence: Provided stated there are 3 infants in care. There were 3 bottles without a child’s name and date.”

Rule 8VAC20-800-960-E.

Based on record review and interview, all caregivers did not complete Virginia Preservice Training for Child Care Staff.

“Evidence: Staff 1 has not completed Virginia Preservice Training for Child Care Staff.”

Rule 8VAC20-790-250-B.

Based on observation, hazardous materials were into stored away inaccessible to children.

“Evidence: A hand sanitizer was kept in an unlocked drawer in the bathroom utilized by children.”

Rule 8VAC20-800-280.

Based on observation, topical skin products were accessible to children.

“Evidence: Topical skin products such as diaper creams were observed in a basket on a low table accessible to children.”

Rule 8VAC20-800-750-B.

Based on observation, meals and snacks brought from home were not labeled with the child’s name and date.

“Evidence: A child’s lunch box was not labeled with the child’s name or date.”

Rule 8VAC20-800-890.

Based on observation, containers of breastmilk were not labeled with the child’s name.

“Evidence: A container of breastmilk was observed without the child’s name.”

Rule 8VAC20-800-960-E.