Rubina Sadiq

The provider shall obtain documentation of a physical examination under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance.

“The records for Child #1 and #2 did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #4 was not completed and was overdue by over one month.”

Rule 8VAC20-800-180-A.

A child’s record shall contain proof the child’s age and identity.

“The record for Child #1 did not contain verification of who reviewed the child’s age and identity, and when they viewed it.”

Rule 8VAC20-800-60-B.

The provider shall obtain documentation of a physical examination by a physician prior to a child’s attendance or within 30 days after the first day of attendance.

“Child #3 (enrolled for over 1 year) did not have documentation of a physical examination in their recrods.”

Rule 8VAC20-800-100-A.

A child’s record shall contain the name and policy number of the child’s medical insurance.

“Child #1 as missing the policy number of their medical insurance, and Child #2 was missing both the name and the policy number of their medical insurance.”

Rule 8VAC20-800-60-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 signature acknowledging the review.

“The records for Child #1 and Child #3 did not contain documentation that the emergency contact information had been reviewed. Both were overdue for review by over 4 months.”

Rule 8VAC20-800-780-B.

A child’s record shall contain: Name and policy number of the child’s medical insurance, parent’s signed acknowledgement of the receipt of the provider information, and documentation of the annual review of the child’s emergency contact information.

“Child #1 and Child #3 were missing the policy number for their medical insurance. Child #1 was also missing documentation of the annual review of emergency contact information, and a signed acknowledgement of the receipt of the provider information.”

Rule 8VAC20-800-60-B.

8VAC20-800-60-B

“Based on child record review, 2 out of 5 records were incomplete. Evidence: Chiild #1 and 2’s file was missing the start date of care. Child #4’f file was missing two complete emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-A

“Based on child file review, the provider failed to obtain documentation that the child has been adequately immunized before 2 children began attendance. Evidence: Child #1 began care on 10/01/23, immunizations on file were dated 10/03/23. Child #4 began care on 10/02/23, immunizations were dated 10/04/23.”

Rule 8VAC20-800-90-A.

8VAC20-800-90-C

“REPEAT Based on child file review, documentation of additional immunizations were not obtained every six months for 1 child under the age of 2 years. Evidence: Child 5 is under the age of 2 years. The last documented immunizations were date 6/22/23.”

Rule 8VAC20-800-90-C.

8VAC20-800-690-D

“Based on observation of the diapering area, the surface area was no longer nonabsorbent. Evidence: The diaper mat located on the changing table in the bathroom had a crack on the surface exposing the foam stuffing which can not be properly sanitized.”

Rule 8VAC20-800-690-D.

8VAC20-800-90-C

“Based on child record review, documentation of additional immunizations every six months were not obtained for children under the age of 2 years. Evidence: Child #1 is under the age of 2 years. Last documented immunizations were dated 05/22. Child #2 is under the age of 2 years. Last documented immunizations were dated in 09/22.”

Rule 8VAC20-800-90-C.

8VAC20-800-900-A

“Based on observation of morning snack, food was served to children under the age of four years was not in a manner that reduced the risk of choking. Evidence: Three children were under the age of 4 years and were served raw apples that were sliced in quarters.”

Rule 8VAC20-800-900-A.

8VAC20-800-960-E

“Based on observation of the food preparation area, infant bottles were not properly labeled. Evidence: Two infants were present with infant bottles. The bottles were not labeled with each child’s name and date.”

Rule 8VAC20-800-960-E.

8VAC20-800-680-B

“Based on observation, staff did not ensure children’s hands were washed. Evidence: Children began eating morning snack without staff ensuring their hands were washed before eating.”

Rule 8VAC20-800-680-B.

8VAC20-800-90-A

“Based on child record review, documentation that children have been adequately immunized was not obtained. Evidence: 1. Child #1’s immunizations did not include documentation from a physician that the child has been adequately immunized. 2. Child #3 began care on 5/3/2022. Immunizations were not obtained until 5/11/2022. 3.Child #4’s immunizations dated 3/3/2023 did not include documentation from a physician that the child has been adequately immunized.”

Rule 8VAC20-800-90-A.

8VAC20-800-90-C

“Based on child record review, additional immunizations were not obtained. Evidence: Child #3 is under the age of 2 years. Additional immunizations were not obtained every six months. The last documented immunizations on file is dated 5/11/2022.”

Rule 8VAC20-800-90-C.

8VAC20-800-200-A

“Based on staff record review, staff training has not been completed. Evidence: Staff #3 was hired on 1/6/2022. Orientation training which is required within the first week of employment has not been completed. This is repeated and uncorrected from the last inspection.”

Rule 8VAC20-800-200-A.

8VAC20-800-320-A

“Based on observation of the food preparation area, a small appliance not in use was plugged into the outlet. Evidence: A toaster which was not currently in use and located on the counter in the food preparation area was found plugged in.”

Rule 8VAC20-800-320-A.

8VAC20-800-690-D

“Based on observation, the diapering surface located in the bathroom is no longer absorbent. Evidence: The diaper mat used for diapering has cracks in the surface and is no longer absorbent.”

Rule 8VAC20-800-690-D.

8VAC20-800-690-E

“Based on observation, the receptacle used for diaper disposal requires a caregiver’s hand to touch the exterior surface to dispose of a soiled diaper. Evidence: The foot operated receptacle no longer lifts hands free when disposing a diaper.”

Rule 8VAC20-800-690-E.

8VAC20-800-750-B

“Based on observation, one topical ointment was found accessible to children. Evidence: One topical ointment was found in the storage compartment which was hung on a door. The compartment with the ointment was accessible to children.”

Rule 8VAC20-800-750-B.

8VAC20-800-870-G

“Based on observation, a table was not properly cleaned. Evidence: The table used for eating and activities was not washed with soap and water or detergent solution and rinsed with water.”

Rule 8VAC20-800-870-G.

22.1-289.058

“Based on observation of the family day home. A carbon monoxide detector was not found. Evidence: The family day home was built prior to 2015 and is not equipped with a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-800-120-B

“Based on review of staff records, one staff record was incomplete. Evidence: Staff #3’s record did not contain a second reference check.”

Rule 8VAC20-800-120-B.

8VAC20-800-200-A

“Based on review of staff record and staff statement, orientation training was not completed within 7 days of hire. Evidence: Staff #3 was hired on 1/6/2022. Staff #3 has not received orientation training.”

Rule 8VAC20-800-200-A.

8VAC20-800-240-A

“Based on observation of the family day home, furnishings were not maintained in a safe manner. Evidence: The cribs onsite had peeling paint on the side rails.”

Rule 8VAC20-800-240-A.

8VAC20-800-800-C

“Based on review of staff records and staff statement, the provider did not ensure that one caregiver received training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of his first week. Evidence: Staff #3 was hired on 1/6/2022. Staff #3 has not received training in emergency procedures for the family day home.”

Rule 8VAC20-800-800-C.