Deba Ehsan

Infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, confined in a confining piece of equipment. The intervening time period between confinements shall be at least one hour.

“Child 1 was confined to a playpen upon arrival to the facility, and then moved to a bouncy seat 40 minutes into the inspection. The child remained in the bouncy seat until the inspector asked that the child be removed for “free movement” a few minutes before the inspector departed.”

Rule 8VAC20-800-600-B.

Shelter-in-place procedures shall be practiced a minimum of twice per year.

“Only 1 shelter-in-place procedure was practiced within the last 12 months. It was conducted on 9/18/25.”

Rule 8VAC20-800-830-B.

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recent inspection report.

“The most recent posted inspection report was dated 12/13/2024 and 5/16/2025 was the last inspection conducted.”

Rule 22.1-289.011-F.

All employees shall undergo a background checks prior to employment and every five years thereafter.

“Staff 2 did not have a subsequent central registry check completed within 5 years of the previous check.”

Rule 22.1-289.035-A.

A child’s record shall contain the following information: parent work contact information, 2 emergency contacts name, address, and telephone number, and medication policy.

“1. Child 2 did not have documentation of second parent’s work information. Child 5 did not have any child work information. 2. Child 2 did not have two emergency contacts and Child 5 only had 1 emergency contact. 3. Child 2 and 5 did not have documentation of a signed medication policy form.”

Rule 8VAC20-800-60-B.

Temperatures shall be maintained at or below 40F in refrigerator compartments and at or below 0F in the freezer compartments.

“The refrigerator temperature was at 50F and the freezer was at 5F.”

Rule 8VAC20-800-940-A.

The provider shall obtain for each caregiver and adult household member a current TB screening, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Caregiver 1’s subsequent TB screening was not completed within 2 years of the previous screening. Last documented screening was on 1/23/23.”

Rule 8VAC20-800-180-A.

Temperatures shall be maintained at or below 40 F in refrigerator compartments.

“The temperature in the refrigerator was 44 F.”

Rule 8VAC20-800-940-A.

The provider shall obtain for each caregiver and adult household member a current TB screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“TB screening for Caregiver 1 was last completed on 10/25/20222.”

Rule 8VAC20-800-180-A.

A child’s record shall contain the following information: medical insurance and policy numbers, and parent/guardian work information.

“1. Child 1 did not have work address and phone number for both parents/guardians. 2. Child 1, 2 and 3 did not have medical insurance policy numbers.”

Rule 8VAC20-800-60-B.

Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent: verification of the identity and age of the child.

“Child 1 has been in care since 10/31/2024 and did not have documentation the that provider obtained verification of the child’s identity and age within seven business days of the child’s first day of attedance.”

Rule 8VAC20-800-80-A.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“The provider did not have documentation that emergency evacuation procedures were practiced in October or November of 2024.”

Rule 8VAC20-800-830-A.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall: list any substitutions.

“The menu listed Cheerios and bananas for breakfast and chicken, noodles, and pears for lunch, but the children at waffles and bananas for breakfast and chicken, rice, veggies and bananas for lunch.”

Rule 8VAC20-800-920.

Based on a review of children’s records, 1 out of 4 children’s records did not have emergency contact information updated annually as required in 8VAC20-800-60 B 2 to ensure the information is correct.

“Evidence: 1. Child #1 (doe: 1/7/2022) had emergency contact information that was last updated on 4/18/2023. It has been more than 1 year since the last update and it is required to be updated annually.”

Rule 8VAC20-800-780-B.

Based on a review of caregiver records, all caregivers did not submit to fingerprinting and provide personal descriptive information described in subdivision B 2 of ? 19.2-392.02.

“Evidence: 1. Caregiver #2’s most recent fingerprints results on file were dated 5/24/2018 and had expired on 5/24/2023.”

Rule 22.1-289.036-B-2.