Dawa Bhuti

Equipment used by children shall be assembled, maintained, and used in accordance with the manufacturer’s instructions.

“At the time of the inspection, Child #3 was observed lying on top of a cushioned blanket. The manufacturer’s instructions on the playpen state to use only the mattress pad provided.”

Rule 8VAC20-790-480-D.

A playpen used shall not contain any pillows or filled comforters, and shall not be used for a designated sleeping area.

“At the time of the inspection, Child #3 was observed sleeping in a playpen. A blanket was in the playpen, rolled up like a pillow above the child’s head.”

Rule 8VAC20-800-550.

Children shall not be allowed to eat or drink while walking.

“At the time of the inspection, Child #2 was observed walking around while eating.”

Rule 8VAC20-800-900-B.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregivers #1 and #2 obtained five training hours in 2024.”

Rule 8VAC20-800-210-A.

All flammable and combustible materials, such as oil and grease products, shall be stored in an area inaccessible to children.

“Olive oil was stored on the floor of the kitchen closet, accessible to children.”

Rule 8VAC20-800-320-H.

Medication for caregivers shall be kept in a locked place using a safe locking method that prevents access by children.

“Caregiver #1?s prescription medication was stored in an unlocked closet in the kitchen.”

Rule 8VAC20-800-730-D.

When topical skin products such as diaper ointment are used, the product shall be labeled with the child’s name.

“Child #1?s diaper cream was not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

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 last annual review of the emergency plan was overdue by five months.”

Rule 8VAC20-800-800-B.

When food is brought from home, the food container shall be clearly labeled in a way that identifies the owner.

“Child #1?s dry formula container was not labeled in a way that identifies the owner. Child #2?s four bottles were not labeled in a way that identifies the owner. Child #3 `s food containers were not labeled in a way that identifies the owner.”

Rule 8VAC20-800-890.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

The required annual health and safety update training has not been completed.

“Caregiver #1 and #2 did not complete the annual health and safety updated training for 2024.”

Rule 8VAC20-790-250-A.

Accordion expansion gates and pressure mounted gates shall not be used as protective barriers at stair openings.

“A pressure-mounted gate was observed at the top of the stairway opening leading to the third floor.”

Rule 8VAC20-790-430-B.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets accessible to children under five years of age.

“There were two outlets that were uncovered and accessible to children under five years old.”

Rule 8VAC20-800-320-B.

Repeat violation

“Based on record review, the provider did not obtain updated tuberculosis (TB) tests or screenings for each caregiver every two years. Evidence: Caregiver #1’s tuberculosis test expired on 7/18/2024.”

Rule 8VAC20-800-180-A.

Based on observation and interview, the provider did not ensure that child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“Evidence: There is an electrical outlet on the wall that does not have a protective cover above the couch in the downstairs playroom.”

Rule 8VAC20-800-320-B.

Based on record review and interview, not all children’s records contain general written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home.

“Evidence: 1. Child #1, Child #2, and Child #3’s records did not contain general written permission for walking. 2. Caregiver #1 stated that they walk the children to a neighborhood playground.”

Rule 8VAC20-800-980-A.

Based on record review and interview, background checks were not repeated every five years.

“Evidence: 1. The most recent criminal history result on file for Caregiver #1 is dated 5/15/2018 and expired on 5/15/2023. 2. The most recent criminal history result on file for Caregiver #2 is dated 5/31/2018 and expired on 5/31/2023.”

Rule 22.1-289.035-A.

Based on record review and interview, the provider failed to obtain updated tuberculosis (TB) tests or screenings for each household member every two years.

“Evidence: The chest x-ray for Caregiver #2’s TB test was dated 7/28/2020 and expired on 7/28/2022.”

Rule 8VAC20-800-180-A.

Based on observation and interview, areas inside the family day home were not maintained in a safe condition.

“Evidence: There was peeling paint on the left side of the wall under a window in a room used by children.”

Rule 8VAC20-800-240-A.

Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review.

“Evidence: Child #1’s last annual emergency contact review was on 6/30/2022. Child #2’s last annual emergency contact review was on 5/10/2022. Child #3’s last annual emergency contact review was on 1/27/2022.”

Rule 8VAC20-800-780-B.

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

“Evidence: There was no emergency evacuation drill in February 2023.”

Rule 8VAC20-800-830-A.

Based on observation, furnishings inside of the family day home were not maintained in a safe condition.

“Evidence: In a room utilized by children, an arm of a sofa was torn, exposing the padding, and wood underneath.”

Rule 8VAC20-800-240-A.

Based on observation and interview, the provider failed to post on the premises the most recent issued license.

“Evidence: The family day home’s most recent license, issued on September 3, 2022, was not posted.”

Rule 8VAC20-820-120-E-1.

Based on record review and interview, the provider failed to ensure that caregivers who work directly with children shall annually attend the department’s health and safety update course.

“Evidence: 1. The record for Caregiver #1 and #2 did not contain documentation of the annual 3-hour updated subsidy training course. 2. Caregiver #1 and #2 confirmed they did not complete the annual 3-hour updated subsidy training course.”

Rule 8VAC20-790-250-F.

Based on record review and interview, the provider did not ensure caregivers working directly with children obtain a minimum of sixteen clock hours of training annually.

“Evidence: 1. The record for caregiver #1 did not contain documentation of the 16 hours of required annual training for the 2021-2022 year.”

Rule 8VAC20-800-210-A.

Based on observation, furnishings inside of the family day home were not maintained in a safe condition.

“Evidence: In a room utilized by children, an arm of a sofa was torn, exposing the padding, and wood underneath.”

Rule 8VAC20-800-240-A.

Based on observation, not all small electrical appliances were unplugged while not in use.

“Evidence: A toaster and coffee machine was plugged in and unattended in the kitchen area.”

Rule 8VAC20-800-320-A.

Based on observation, a pressure mounted gate was used as protective barrier at a stair opening.

“Evidence: A pressure mounted gate was used as a protective barrier for a set of stairs located near the kitchen area.”

Rule 8VAC20-800-430-B.

Based on record review, 2 of 3 child records reviewed did not have all the required documentation.

“Evidence: 1. Child #2 had missing telephone numbers of two designated persons to contact in case of an emergency if the parent cannot be reached. 2. Child # 2 and Child #3 were missing names of persons other than the custodial parents who are authorized to pick up the child.”

Rule 8VAC20-800-60-B.

Based on record review and interview, the provider did not review the emergency plan at least annually and update the plan as needed.

“Evidence: The emergency plan was last reviewed on 2/20/2021”

Rule 8VAC20-800-800-B.

Based on observation and interview, the Family Day Home did not have at least one carbon monoxide detector.

“Evidence: There wasn’t a carbon monoxide detector in the home during the inspection.”

Rule 22.1-289.058.

Based on record review, children’s records did not all contain required information.

“Evidence: Child #1’s record was missing the child’s medical policy number and 2 required emergency contacts.”

Rule 8VAC20-800-60-B.