Ms. Neelam Abbas

The provider shall obtain updated background checks completed every 5 years for all household members.

“Adult Household Member #3’s updated central registry search results were overdue by two days.”

Rule 22.1-289.036-A.

The provider shall obtain updated tuberculosis (TB) screening results every two years for all adult household members.

“Adult Household Member #2’s updated TB screening results were overdue by one month. Adult Household Member #3’s updated TB screening results were overdue by four months.”

Rule 8VAC20-800-180-A.

Repeat Violation

“Children’s records must contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. Child #2 has attended the program for over three years and did not have written authorization for the provider to seek emergency medical care for the child if necessary.”

Rule 8VAC20-800-60-B.

Children’s records are required to contain 2 emergency contacts, parent’s signed acknowledgement of the receipt of required information, and information on allergies and actions to take in an emergency situation.

“The records for Child #3 and Child #4, both in care over two weeks, was missing the second emergency contact and the parents signed acknowledgement of the receipt of required information. The record for Child #1, in care for over two years, was missing information on allergies and actions to take in an emergency situation.”

Rule 8VAC20-800-60-B.

The provider shall maintain documentation of the required monthly emergency evacuation drills.

“There was no documentation of emergency evacuation drills for the months of September 2024, October 2024, November 2024, December 2024, and January 2025.”

Rule 8VAC20-800-830-C.

Based on record review, the provider did not obtain updated tuberculosis screening results from all adult household members at least every two years.

“Evidence: Adult Household Member #2’s most recent tuberculosis screening was completed 6/3/2022.”

Rule 8VAC20-800-180-A.

Based on observation, the provider did not ensure potentially poisonous substances, such as cleaning agents, were stored in areas inaccessible to children.

“Evidence: 4 containers of Clorox bleach wipes were observed stored in a child’s cubby on the lower level, within reach of children.”

Rule 8VAC20-800-280.

Based on record review, the provider did not ensure that children’s records contained all required information.

“Evidence: Child #1, Child #3, and Child #4 were missing the signed authorization from the parents granting the provider permission to seek emergency medical care if necessary. Child #5’s record was missing the medical insurance policy number.”

Rule 8VAC20-800-60-B.

Repeat violation

“Based on observation and a review of documentation, the provider did not ensure all topical skin product requirements were met. Evidence: There were three diaper ointments that were not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

Based on documentation review, the provider did not ensure that the emergency preparedness plan is reviewed at least annually and documentation is maintained in writing of each review.

“Evidence: The most recent review of the emergency preparedness plan was completed 8/1/2021.”

Rule 8VAC20-800-800-B.

8VAC20-800-320-A

“Based on observation and interview, the provider failed to ensure that small electrical appliances were unplugged while not in use. Evidence: there was a Keurig coffee maker sitting on the kitchen counter plugged in and the provider stated that it was not in use.”

Rule 8VAC20-800-320-A.

8VAC20-800-460-C

“Based on review of documentation, and an interview with the provider, not all pets were vaccinated as required. Evidence: The last documented rabies shot for the cat, ?Tiger,? was dated: 3/31/20.”

Rule 8VAC20-800-460-C.

8VAC20-800-530-B

“Based on observation, not all cribs in use had tight fitting sheets. Evidence: four cribs had loose sheets. One of the four cribs was being used by an infant in care, according to the provider. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

Rule 8VAC20-800-530-B.

8VAC20-800-540-A

“Based on observation, not all infant seats and high chairs/feeding tables were used according to the manufacturer’s instructions when occupied by a child, using a safety strap that is securely fastened. Evidence: two children were observed seated in a low high chair/feeding table and were not strapped in. One infant was placed in a bouncy chair and was not strapped in.”

Rule 8VAC20-800-540-A.

8VAC20-800-60-A

“Based on review of six child records, not all records contained all required information. Evidence: the records for child #2, child #3 and child #4 were missing written authorization for emergency medical care. The record for child #2 was missing proof of the child’s age and identity.”

Rule 8VAC20-800-60-A.

8VAC20-800-680-A

“Based on observation, it was determined that not all caregivers washed their hands with liquid soap and warm running water before feeding or helping children with feeding. Evidence: A caregiver was observed feeding an infant a bottle and the caregiver did not wash their hands beforehand.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, it was determined that not all caregivers washed the children’s hands with liquid soap and warm running water before eating. Evidence: A caregiver was observed feeding an infant a bottle and the caregiver did not wash the infant’s hands beforehand.”

Rule 8VAC20-800-680-B.

8VAC20-800-750-A

“Based on observation, and a review of documentation, the provider did not ensure all topical skin product requirements were met. Evidence: There were five diaper ointments that were not labeled with the child’s name and the written parent authorization forms did not have complete information as required.”

Rule 8VAC20-800-750-A.

8VAC20-800-880

“Based on observation, the provider did not ensure that the provided snack followed the most recent age-appropriate requirements of the USDA. Evidence: the children were given apples and juice for their morning snack. A snack is required to have foods from two different food groups.”

Rule 8VAC20-800-880.

8VAC20-800-960-B

“Based on observation, the provider failed to ensure that infants who cannot hold their own bottles are picked up and held for bottle feeding. Evidence: A caregiver was observed holding a bottle to feed a six-month old infant who was seated in an infant bouncy chair.”

Rule 8VAC20-800-960-B.

8VAC20-800-510-A

“Based on observation, and an interview with the provider, not all children were provided an individual crib for resting/napping. Evidence: There was no crib assigned or available for a one-month old infant observed in care and a seven-month old (another child was using their crib.)”

Rule 8VAC20-800-510-A.

8VAC20-800-530-F

“Based on observation, the provider failed to ensure that no soft bedding of any kind was used under or around infants including, but not limited to pillows, quilts and comforters. Evidence: there was a blanket hanging on the side of two different cribs that each had an infant resting/sleeping inside.”

Rule 8VAC20-800-530-F.

8VAC20-800-560-A

“Based on observation, the provider failed to provide direct supervision of each child by monitoring each sleeping infant. Evidence: three infants were observed sleeping in rooms with doors closed. These infants were not in sight and hearing of the provider; the provider did not use a baby monitor; and the provider did not conduct an in-person observation of each sleeping infant at least once every 15 minutes as required.”

Rule 8VAC20-800-560-A.

8VAC20-800-900-B

“Based on observation, the provider failed to ensure that children are not allowed to drink while lying down. Evidence: An infant was observed lying in a crib with a bottle of milk.”

Rule 8VAC20-800-900-B.

8VAC20-800-240-A

“Based on observation, not all furnishings of the family day home were maintained in a safe condition. Evidence: there is peeling and chipped paint on both the brown and yellow cribs.”

Rule 8VAC20-800-240-A.

8VAC20-800-250-A

“Based on observation, the provider failed to ensure that hanging/strangulation hazards were out of reach of children under five years of age. Evidence: a 21 month old child was observed sleeping with a pacifier attached to a ribbon. A sound machine placed in a crib had a hanging cord accessible to children under five years of age in and outside of the crib.”

Rule 8VAC20-800-250-A.

8VAC20-800-250-C

“Based on observation, the provider failed to ensure items tied across the top of the crib, or toys hung from the sides were removed when the child begins to push up on hands and knees or is five months of age, whichever occurs first. Evidence: a five month old infant was placed to sleep in a crib where there was a mobile hanging from the top and two toys hanging on the side of the crib.”

Rule 8VAC20-800-250-C.

8VAC20-800-320-A

“Based on observation and interview, the provider failed to ensure that small electrical appliances were unplugged while not in use. Evidence: there were several appliances sitting on the kitchen counter plugged in, and the appliances were not in use.”

Rule 8VAC20-800-320-A.

8VAC20-800-510-A

“Based on observation, and an interview with the provider, not all children were provided an individual crib for resting/napping. Evidence: five cribs were observed and the provider identified the five children each crib was assigned to. There was no crib assigned or available for an 11-month old infant observed in care.”

Rule 8VAC20-800-510-A.

8VAC20-800-530-F

“Based on observation, the provider failed to ensure that no soft bedding of any kind was used under or around infants including, but not limited to pillows, quilts and comforters. Evidence: there were multiple blankets in the crib and hanging on the sides of a crib where a five month old infant was placed to sleep. A pillow and two blankets were observed in and hanging on the side of a second crib. A third crib had multiple blankets in the crib.”

Rule 8VAC20-800-530-F.