Uzma Salam

A childs record shall contain the name, address, and telephone number of each custodial parents place of employment.

“The record for Child #1 did not contain complete employment information for each parent.”

Rule 8VAC20-800-60-B.

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 most recent review of the emergency plan was January 2025. A review was not documented for 2026.”

Rule 8VAC20-800-800-B.

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

“On the date of the inspection, the violation notice from the most recent inspection was not posted.”

Rule 22.1-289.011-F.

REPEAT VIOLATION The family day home is required to have caregivers and household members undergo background checks every 5 years.

“On the date of the inspection, Household Member #1 had not completed a subsequent sworn disclosure statement, which was overdue by almost 3 months.”

Rule 22.1-289.036-A.

The provider shall obtain for each caregiver and adult household member a current report of tuberculosis (TB) screening every 2 years from the date of the first screening or more frequently as recommended by a physican or local health department.

“On the date of the inspection, the record for Household Member #1 contained a TB test or screening that was dated January 2024. A subsequent TB was not available to review.”

Rule 8VAC20-800-180-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

“On the date of the inspection, the record for Caregiver #1 documented 12 hours of training for 2025.”

Rule 8VAC20-800-210-A.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. A physician must renew the authorization for medication intended to be administered for more than 10 days.

“Child #2 had documented food allergies that requires the use of a long-term emergency medication intended to be administered for allergen exposure and reaction. On the date of the inspection, the record for Child #2 contained a medication authorization from the childs physician that had been expired since September 2024. The on-site medication had been expired for 23 days.”

Rule 8VAC20-800-700-C.

Annually, the provider shall review with the parent the emergency contact information to ensure it is correct and obtain the parents signed acknowledgement of the review.

“On the date of the inspection, the record for Child #1, enrolled for 18 months, and Child #2, enrolled for more than 2 years, did not contain documentation of an annual review.”

Rule 8VAC20-800-780-B.

COMPLAINT RELATED Mattresses shall be covered with a waterproof material that can be cleaned and sanitized.

“On the date of the inspection, 4 out of 6 crib mattresses had a ripped or torn covering which exposed the inside padding. An infant was observed in 1 of the cribs with the ripped covering.”

Rule 8VAC20-800-530-I. From a complaint.

The family day home is required to have caregivers and household members undergo background checks every 5 years.

“On the date of the inspection, Household Member #1 had not completed a subsequent sworn disclosure statement, which was overdue by 2 months.”

Rule 22.1-289.036-A.

A child’s record shall contain the following information: name, address, and telephone number of each custodial parents place of employment.

“The record for Child #1, enrolled for more than 30 days, did not contain complete employment information for each parent.”

Rule 8VAC20-800-60-B.

REPEAT VIOLATION 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 the Code of Virginia and applicable State Board Regulations.

“The immunization record for Child #1 was dated five days after the first date of attendance.”

Rule 8VAC20-800-90-A.

Every adult living in the family day home shall: authorize the family day home to obtain a copy of the results of a search of the central registry for any founded complaint of child abuse or neglect against him prior to issuance of a license and every five years thereafter.

“Household member #1 had central registry results that were expired for 3 months before a new search request was made.”

Rule 22.1-289.036-B-3.

The physical examination prior to attendance shall have been conducted within: 3 months prior to attendance for children age 7 months through 18 months.

“The physical for Child #2, age 14 months at the time of enrollment, was conducted 5 months prior to attendance.”

Rule 8VAC20-800-100-B.

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, and deodorizers shall be stored away from food in areas inaccessible to children.

“A container of Clorox wipes and Lysol wipes were found underneath the bathroom sink in an unlocked cabinet, making them accessible to children. Clorox wipes were found on the kitchen counter, near the stove top and food prep area.”

Rule 8VAC20-800-280.

A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation.

“The family day home did not have a landline telephone.”

Rule 8VAC20-800-330-A.

Occupied cribs, cots, rest mats, and beds shall be at least 12 inches from each other.

“During the designated rest period, 4 children were observed sleeping in a crib or on a rest mat that was less than 12 inches from each other.”

Rule 8VAC20-800-510-C.

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 the Code of Virginia and applicable State Board of Health Regulations.

“The immunization record for Child #1 was dated 14 days after the first date of attendance.”

Rule 8VAC20-800-90-A.

Based on record review, the provider did not obtain national fingerprint check results for each caregiver prior to employment.

“Evidence: Caregiver #1, date of employment 7/8/2024, had national fingerprint results dated 7/24/2024.”

Rule 22.1-289.035-B-2.

Based on record review, the provider did not obtain documentation of a physical examination within 30 days after the child’s first day of attendance.

“Evidence: Child #1, date of enrollment 9/5/2023, had a physical examination dated 11/22/2023.”

Rule 8VAC20-800-100-A.

Based on observation and interview, areas and furnishings of the family day home were not maintained in a clean, safe, and operable condition.

Rule 8VAC20-800-240-A.

Based on observation and interview, soiled disposable diapers and wipes were not disposed of in a foot operated storage system.

“Evidence: The pedal on the foot operated trashcan was not working to open the lid.”

Rule 8VAC20-800-690-E.

Based on record review, the provider did not obtain documentation that a child had been adequately immunized before attending the family day home.

“Evidence: Child #1, date of enrollment 9/5/2023, had immunizations dated 10/23/2023.”

Rule 8VAC20-800-90-A.

Based on record review, the provider did not ensure that each caregiver at the time of hire has a current report of Tuberculosis Screening.

“Evidence: 1- Staff 1 does not have documentation on file of a current Tuberculosis Screening Report.”

Rule 8VAC20-800-170-A.

Based on record review, 4 of 4 children’s records did not contain all of the required information.

“Evidence: All records reviewed did not contain the first date of attendance.”

Rule 8VAC20-800-60-A.

Based on record review, the provider did not ensure that the emergency evacuation procedures are practiced monthly.

“Evidence: An evacuation drill was not documented to have been conducted June 2022”

Rule 8VAC20-800-830-A.