Azeb Idris

8VAC20-800-170-A

“The provider shall obtain from each adult household member, a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Household Member #1’s record does not contain documentation of a negative screening result.”

Rule 8VAC20-800-170-A.

8VAC20-800-60-B

“A child’s record shall contain the name and policy number of the child’s medical insurance. Child #5’s record did not contain the medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review. Child #3’s annual review was overdue by 2 days. Child #4’s annual review was overdue by 5 months. Child #7’s annual review was overdue by 2 months. Child #9’s annual review was overdue by 6 months.”

Rule 8VAC20-800-780-B.

8VAC20-800-570-A

“The provider shall ensure that a caregiver does not exceed 16 points. At approximately 10:40 AM there were 11 children in care for a total of 35 points. There were two caregivers present exceeding 16 point s per caregiver.”

Rule 8VAC20-800-570-A.

8VAC20-800-100-A

“Repeat Violation Systemic Deficiency 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. Child #3’s record did not contain documentation of a completed physical. The documentation was overdue by 10 weeks.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

“Assistants’ and substitute providers’ records shall contain the following: documentation of age verification. Caregiver B’s record had no verification of age documented.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-B

“The provider shall obtain from each caregiver at the time of hire, and shall have been completed within the last 30 days. Caregiver B’s screening result was more than 30 days old at the time of employment.”

Rule 8VAC20-800-170-B.

8VAC20-800-180-A

“The provider shall obtain for each caregiver a current Report of Tuberculosis Screening form, every two years. Caregiver A did not obtain a subsequent TB screening within two years. The results are overdue by two months.”

Rule 8VAC20-800-180-A.

8VAC20-800-50-A

“The family day home shall keep a written record of children in attendance each day. The attendance sheet available for review indicated 7 children were present; however, there were 9 children in care.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“A child’s record shall contain all required information. Four child records were reviewed. Missing information included: Child #2: Parent work information, 2nd emergency contact’s address, medical insurance name and policy number. Child #3: Parent work information, actions to take in an emergency situation for an allergy, Medical insurance name and policy number. Child #4: Parent work information, medical insurance name and policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Child #3’s immunization record was overdue by 3 months.”

Rule 8VAC20-800-90-A.

8VAC20-800-100-A

“Repeat Violation 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. Child #1’s record did not contain documentation of a completed physical. The child has been enrolled for 31 months.”

Rule 8VAC20-800-100-A.

The provider shall obtain documentation of a physical examination within 30 days after the first day of attendance.

“Child #1’s record did not contain documentation of a physical examination. The child has been enrolled for 26 months.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

“Based on a review of caregiver records, one record did not contain documentation of 2an emergency contact. Evidence: Caregiver B’s record had no emergency contact listed.”

Rule 8VAC20-800-120-B.

8VAC20-800-200-A

“Based on a review of caregiver records, one record did not contain documentation of orientation. Evidence: Caregiver B’s record did not have any documentation of orientation available for review.”

Rule 8VAC20-800-200-A.

8VAC20-800-540-A

“Based on observation, multiple high chairs in use during the inspection were not securely fastened. Evidence: 3 children did not have the safety strap buckled while they were seated in high chairs.”

Rule 8VAC20-800-540-A.

8VAC20-800-60-A

“Based on a review of records, child records were not maintained up-to-date. Evidence: Child #7’s record was dated 5/8/22. Child# 8’s record was dated 2/1/22.”

Rule 8VAC20-800-60-A.

8VAC20-800-90-C

“Based on a review of records, one child record did not contain documentation of updated immunizations. Evidence: Child #6’s record did not contain an updated immunization record.”

Rule 8VAC20-800-90-C.

22.1-289.058

“Based on interview, the provider’s home was not equipped with at least one carbon monoxide detector. Evidence: 1. The provider stated that they did not have a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-800-50-A

“Based on observation, staff and children’s records were not kept confidentially. Evidence: 1. The supplemental page from the 10/07/2022 inspection was posted on the parent’s bulletin board. This page is considered confidential.”

Rule 8VAC20-800-50-A.

8VAC20-800-760-A-1

“Based on observation, the provider’s first aid kit did not contain the required items. Evidence: 1. The provider’s first aid kit was missing one triangular bandage and the first aid instructional manual.”

Rule 8VAC20-800-760-A-1.

8VAC20-800-200-A

“Based on record review, it was determined the Provider did not document that orientation was provided to the two caregivers by the end of the first week assuming job responsibilities. Evidence: 1. The Provider has two caregivers present ( one started in August and one started in September) and neither file contains Orientation training.”

Rule 8VAC20-800-200-A.

8VAC20-800-240-A

“Based on observation, it was determined that an area inside was not maintained in an operable condition. Evidence: 1. A bathroom cabinet door was not securely attached to the cabinet.”

Rule 8VAC20-800-240-A.

8VAC20-800-50-A

“Based on record review, it was determined the Provider did not keep a written record of children in attendance each day. Evidence: 1. There was no written record of attendance for the week October 3-October 7, 2022.”

Rule 8VAC20-800-50-A.

8VAC20-800-500-E

“Based on observation, it was determined the out door sandbox was not covered when not in use. Evidence: 1. Upon arrival into home, the Inspector walked past the sandbox in the yard and was greeted at the door by staff and children who were insde. 2. The sandbox was uncovered.”

Rule 8VAC20-800-500-E.

8VAC20-800-680-A

“Based on observation, it was determined a caregiver did not wash their hands after changing a diaper.”

Rule 8VAC20-800-680-A.

8VAC20-800-120-B

“Based on records review, an assistant’s record did not include documentation of two reference checks. Evidence: 1. Caregiver # 3’s first day of employment was 3/22/22. 2. Caregiver # 3’s record did not include two complete reference checks.”

Rule 8VAC20-800-120-B.

8VAC20-800-240-A

“Based on observation, areas and furnishings inside the family day were not maintained in a safe and operable condition. Evidence: 1. The wall with the mural behind the children’s high chairs had a large part with peeling paint exposing the drywall. 2. The red storage shelf next to the diaper changing are has a hole creating a rough surface and some splintering.”

Rule 8VAC20-800-240-A.

8VAC20-800-50-A

“Based on records review, the provider did not maintain a written record of children in attendance each day. Evidence: Written documentation of children’s attendance was not completed for 3/18/22.”

Rule 8VAC20-800-50-A.

8VAC20-800-570-A

“Based on observation, the provider did not maintain the point system by ensuring that an additional caregiver was present. Evidence: 1. At 10:40 am, there were 11 children (33 points) with the provider and Caregiver # 1. 2. The provider stated that Caregiver # 2 had come to work but had to leave as she was not feeling well. 3. In the meantime the provider arranged for Caregiver # 3 to come and help in the family day home. 4. Caregiver # 3 arrived at 11:55 am.”

Rule 8VAC20-800-570-A.

8VAC20-800-690-D

“Based on observation, the diapering surface was not non-absorbent. Evidence: The diaper pad had several tears on top and on the sides, making it an absorbent surface.”

Rule 8VAC20-800-690-D.

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical exam for children in care within 30 days of enrollment. Evidence: 1. Child # 1’s first day of enrollment was 8/17/21. 2. Child # 1’s documentation of a physical exam was not obtained and unavailable for review during the inspection.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“Based on record review, the provider did not obtain results of a Tuberculosis (TB) screening every two years for all caregivers. Evidence: 1. Caregiver # 1’s previous TB screening was dated 10/20/18, and expired on 10/20/20. 2. Caregiver # 1’s most recent TB screening was dated 7/8/21, nine months after the previous one expired.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“Based on records review, children’s records did not contain complete information. Evidence: 1. Child # 1’s record was missing the parent’s work information. 2. Child # 2’s record was missing the medical insurance policy number. 3. Child # 3’s record was missing the persons authorized to pick up.”

Rule 8VAC20-800-60-B.