Ms. Rubina JanJua

Repeat Violation

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #1 and Child #3 who had been in care for over 90 days.”

Rule 8VAC20-800-100-A.

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

“Child #2 has been enrolled for over one year and did not have a completed physical.”

Rule 8VAC20-800-100-A.

Repeat Violation

“A TB screening is required every two years for each caregiver and adult household member. Household member #2’s TB screening was more than one year overdue.”

Rule 8VAC20-800-180-A.

The provider is required to obtain a current Report of Tuberculosis Screening form every two years from the date of the first screening for each caregiver and adult household member.

“Household member #2’s tuberculosis screening was overdue by 4 months.”

Rule 8VAC20-800-180-A.

A child’s record shall contain all required information.

“Child #1 and child number #2, enrolled over 1 year, did not have signed document for acknowledging the provider’s decision to administer medication.”

Rule 8VAC20-800-60-B.

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

“The most recent tuberculosis screening for household member #1 was more than 6 months overdue.”

Rule 8VAC20-800-180-A.

8VAC20-800-100-A

“Based on the review of three children’s records, the provider did not obtain documentation of a physical examination for all children enrolled within 30 days of their first day of attendance. Evidence: Child #1’s record was missing documentation physical examination..”

Rule 8VAC20-800-100-A.

8VAC20-790-430-A-3

“Based on a review of documentation, the vendor did not ensure that a lockdown drill was conducted annually. Evidence: The provider did not have documentation of an annual lockdown drill.”

Rule 8VAC20-790-430-A-3.

8VAC20-800-180-A

“Based on a review of documentation, the family day home provider did not obtain a subsequent Tuberculosis (TB) screening for each adult household member every two years. Evidence: Household member #1?s most recent tuberculosis screening was dated 6/7/2019.”

Rule 8VAC20-800-180-A.

Based on documentation and provider interview, the provider did not practice lockdown procedures at least annually.

“Evidence: The provider did not have documentation of a lockdown procedure being practiced annually.”

Rule 8VAC20-790-430-A-3.

Based on review of 2 children’s records, the provider did not ensure they had documentation of a physical examination for children in care within 30 days after the first day of attendance.

“Evidence: The file for Child #2 (start date 11/1/2018) did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

Based on review of 3 household records, the provider did not obtain for each Household member a current report of Tuberculosis screening every 2 years from the date of the first screening.

“Evidence: The record for Household member #3 contained a Tuberculosis screening that was last completed on 6/8/2019.”

Rule 8VAC20-800-180-A.

Based on observation, the provider did not ensure that potentially poisonous substances were stored in an area inaccessible to children.

“Evidence: A bottle of bathroom cleaner and a jug of detergent were stored on the floor of the laundry room where the door was open and it was accessible to the children.”

Rule 8VAC20-800-280.

Based on review of the written attendance record and interview with the provider, the provider did not ensure they maintained a written record of children in attendance each day.

“Evidence: 1)During the inspection in was determined there were 2 children present, but the written record reflected there were no children present. 2)The provider stated they had not completed an attendance record since 06/14/2022.”

Rule 8VAC20-800-50-A.

Based on observation and provider interview, the provider did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 2 baskets of medication containing 12 medications were stored on the top of the refrigerator in the kitchen and were not kept in a locked place.”

Rule 8VAC20-800-730-D.

Based on documentation and provider interview, the provider did not practice monthly emergency evacuation drills with the children in care.

“Evidence: The provider provided documentation and stated that there were no emergency evacuation drills completed in July 2022, August 2022, September 2022 or October 2022.”

Rule 8VAC20-800-830-A.

Based on documentation and provider interview, the provider did not practice shelter-in-place procedures a minimum of twice per year.

“Evidence: The provider provided documentation and stated that there were no shelter-in-place procedures practiced since 06/10/2021.”

Rule 8VAC20-800-830-B.

Based on review of 2 child records, the provider did not ensure they obtained documentation of additional immunizations for a child who is not exempt from the immunization requirements once every 6 months for children under the age of two years.

“Evidence: The record for Child #1 (DOB 5/3/2020) did not contain immunizations once every 6 months. The last documentation contained in the record was dated 12/3/2021.”

Rule 8VAC20-800-90-C.

Based on documentation and provider interview, the provider did not have a documentation of a menu for the current one-week period or a menu kept on file for one week.

“Evidence: During the inspection, the provider stated that they did not have a menu ready for the week and could not provide a menu for the previous week.”

Rule 8VAC20-800-920.

8VAC20-800-100-A

“Based on the review of three children’s records, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: Child A, start date 1/29/18, was missing documentation of a physical examination from their record.”

Rule 8VAC20-800-100-A.