Fareeha Shaharyar

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

“The record for Child #1 did not contain a physical examination. The child was present on the day of the inspection and has been in care for two months.”

Rule 8VAC20-800-100-A.

8VAC20-800-50-C

“Information contained in a child’s record shall be privileged and confidential. The Supplemental page of the most recent inspection report was posted. This page contains confidential information.”

Rule 8VAC20-800-50-C.

8VAC20-800-60-B

“*REPEAT VIOLATION* An up to date record for each child enrolled shall be maintained by the provider. The records for Child #1 and Child #2 did not contain the first date of attendance.”

Rule 8VAC20-800-60-B.

8VAC20-800-800-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 emergency plan review was dated 02/03/2011. An update was overdue by 15 years.”

Rule 8VAC20-800-800-B.

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. A second shelter-in-place was not conducted for the year 2025.”

Rule 8VAC20-800-830-B.

An up to date record for each child enrolled shall be maintained by the provider.

“The work phone number for both parents was missing from Child #4’s record.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided required information in writing.’

“The parents of Child #3 were not provided in writing the following required information: whether or not there is liability insurance in force on the family day home operation. Child #3 had been in care for four years.”

Rule 8VAC20-800-70-A.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“Record for Child #2 did not have a parent’s signature for an annual review of the emergency contact information.”

Rule 8VAC20-800-780-B.

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

“An updated tuberculosis screen for caregiver #1 was not completed and was overdue by two weeks.”

Rule 8VAC20-800-180-A.

8VAC20-800-780-B

Rule 8VAC20-800-780-B.

Based on observation, each child did not have an individual crib.

“Evidence: At the start of inspection, Child 1 was observed in a brown crib in the common play area. Child 1 was taken out of the crib for a feeding. Later on, Child 2 was then placed in the brown crib with a bottle.”

Rule 8VAC20-800-510-A.

Based on observation, an infant was observed drinking while lying down.

“Evidence: Child 2 was placed in a crib to drink a bottle.”

Rule 8VAC20-800-900-B.

Based on observation, cleaning agents were stored in an area accessible to children.

“Evidence: In the bathroom utilized by children, cleaning products were stored in an unlocked lower cabinet.”

Rule 8VAC20-800-280.

Based on observation, mattresses were not covered with a waterproof material that can be cleaned and sanitized.

“Evidence: In the sleeping room, four crib mattresses were found to be ripped and torn exposing the interior of the mattresses and could not be cleaned and sanitized.”

Rule 8VAC20-800-530-I.

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

“Evidence: Child 1 and 2 are missing a second emergency contact.”

Rule 8VAC20-800-60-B.

Based on observation, the provider did not ensure the diapering surface was nonabsorbent.

“Evidence: The diaper changing pad in the common area was torn exposing the inner fabric and lining of the pad and could not be cleaned and sanitized.”

Rule 8VAC20-800-690-D.

Based on record review, a repeat background check was not completed for a staff member every five years.

“Evidence: Caregiver 1 did not have a repeat check conducted every five years. Central registry background check was last conducted on 06/26/2016.”

Rule 22.1-289.035-A.

Based on record review and interview, caregivers did not obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: The caregivers did not obtain any hours of training annually. The provider confirmed all staff members have not completed the required hours of training.”

Rule 8VAC20-800-210-A.

Based on observation and interview, the provider exceeded the maximum licensed capacity of the home.

“Evidence: 1) At 10:00am, there were 13 children in care. At 10:15am, a child was picked up by a parent and there were 12 children in care. 2) Provider confirmed there were 13 children in case for approximately 20 minutes.”

Rule 8VAC20-800-40-A.

Based on interview, rest mats do not have linens consisting a top cover and bottom cover.

“Evidence: Provider stated children lay on rest mats without a top or bottom cover during nap time.”

Rule 8VAC20-800-530-A.

Based on observation, an infant spent more than 30 minutes of consecutive time during waking hours in a confining piece of equipment.

“Evidence: 1) Child 1 was observed in a sit ‘n play from 10:00am to 10:50am. 2) Child 2 was observed in a booster seat at 10:00am, moved to a high chair at 10:35am, and moved to another booster seat at 10:55am. At 11:10am, Child 2 was removed from the chair and moved to the floor to play. Child 2 was in a confining piece of equipment for a total of 55 minutes.”

Rule 8VAC20-800-600-B.