Maliha Mahmood

Children’s records are required to contain parental employment addresses and phone numbers.

“The record for Child #4 (enrolled 3 weeks) was missing the employment phone number for one parent.”

Rule 8VAC20-800-60-B.

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.

“Records for Children #2, #3 and #5 (all in care over one year) did not have a parent’s signature for an annual review of the emergency contact information.”

Rule 8VAC20-800-780-B.

Documentation of additional immunizations is required once every six months for children under the age of two years.

“Child #3 (18 months old), last documented immunization was over 16 months ago.”

Rule 8VAC20-800-90-C.

Based on observation and interview, the provider did not ensure sharp kitchen utensils and other sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision.

“Evidence: A box cutter was kept in an unlocked drawer accessible to children in care.”

Rule 8VAC20-800-290.

Based on observation, small electrical appliances were not unplugged when not being used.

“Evidence: A toaster oven, toaster, and electric kettle were plugged in while not in use.”

Rule 8VAC20-800-320-A.

Based on observation and interview, the provider did not ensure all flammable and combustible materials such as, but not limited to, matches, lighters, lighter fluid, kerosene, turpentine, oil and grease products, aerosol cans, and alcohol shall be stored in an area inaccessible to children.

“Evidence: A lighter was kept in an unlocked drawer accessible to children in care.”

Rule 8VAC20-800-320-H.

Based on record review and staff interview, not all required documentation was posted.

“Evidence: The findings of the most recent inspection (04/04/2023) of the home was not posted.”

Rule 22.1-289.011-F.

Based on record review and interview, the provider did not obtain all information required for a child’s record.

“Evidence: Child #4 and Child #5 are missing a second emergency contact.”

Rule 8VAC20-800-60-B.

Based on record review and staff 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 #3’s last annual emergency contact review was on 8/19/2022.”

Rule 8VAC20-800-780-B.

Based on record review and interview, the family day home did not obtain the results of an out-of-state central registry check for all states caregivers have resided in within the previous five years.

“Evidence: Caregiver #4’s record did not contain a central registry check results from a state they have listed as residing in within the previous five years.”

Rule 22.1-289.035-B-4.

Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the basement kitchen, there was household medication located in an unlocked drawer accessible to children.”

Rule 8VAC20-800-730-D.

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

“Evidence: Child #1 emergency contact information was last reviewed on 8/16/2021.”

Rule 8VAC20-800-780-B.

8VAC20-800-320-G

“Based on record review, wood burning fireplaces and associated chimneys were not inspected annually by a knowledgeable inspector to verify the devices are properly installed, maintained and cleaned as needed. Evidence: The fireplace and chimney were last inspected on 4/2/2021.”

Rule 8VAC20-800-320-G.

8VAC20-800-540-B

“Based on observation and provider statement, infant walkers were used by the family day home. Evidence: An infant walker was observed at the family day home on the date of inspection. The provider stated that it is used by at least one child enrolled in the program.”

Rule 8VAC20-800-540-B.

8VAC20-800-60-B

“Based on record review, not all children’s record contained all required information. Evidence: 1. Child 1?s record did not contain the child’s health insurance policy number. 2. Child 1, 2, 3?s record did not contain a current and up-to-date written authorization for the caregiver to administer medications.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on observation, the diapering surface was not non absorbent. Evidence: The diaper changing pad was covered with an absorbent fabric cover.”

Rule 8VAC20-800-690-D.

8VAC20-800-750-A

“Based on observation, written parental authorization for topical skin products that note any adverse reactions were not present for any topical ointment present on the date of inspection. Evidence: There were no written parental authorizations observed on the date of inspection. Various topical ointments for children were observed in the family day home on the date of inspection.”

Rule 8VAC20-800-750-A.

8VAC20-800-900-A

“Based on observation, the family day home did not assist to prevent choking by serving foods considered to be choking hazards that was not prepared before serving in a manner that will reduce the risk of choking. Evidence: On the date of inspection, the lunch served to some of the children under the age of 4 consisted of whole hotdogs that were not cut lengthwise to prevent choking.”

Rule 8VAC20-800-900-A.

8VAC20-800-920

“Based on documentation and observation, the posted menu did not list substituted food. Evidence: On the date of inspection, the posted menu listed: Lentils, brown rice, bell peppers, broccoli, and milk for lunch. The lunch that was served consisted of: Hotdog, bun, cucumbers, and milk.”

Rule 8VAC20-800-920.