Mahera Wakilpoor

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

“An updated TB screening for Caregiver #2 was not completed and was overdue by ten months.”

Rule 8VAC20-800-180-A.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after toileting or diapering.

“Child #5’s hands were not washed with soap and water after diapering.”

Rule 8VAC20-800-680-B.

The diapering surface shall be nonabsorbent and washable.

“Both diaper pads in the family day home had torn surfaces.”

Rule 8VAC20-800-690-D.

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

“The monthly emergency evacuation procedure was overdue by one month.”

Rule 8VAC20-800-830-A.

For assistants and substitute providers records must contain documentation that two or more references as to character and reputation as well as competency were checked before employment.

“One of two reference checks for Caregiver #3 was checked thirteen days after employment.”

Rule 8VAC20-800-120-B.

REPEAT VIOLATION: A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #2 was not completed and was overdue by 150 days.”

Rule 8VAC20-800-180-A.

Annually, the provider must 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, #4 and #5 did not have a parent’s signature for an annual review of the emergency contact information. Children #2 and #5’s were outdated by four months. Child #3’s was outdated by six months and Child #4’s by eight days.”

Rule 8VAC20-800-780-B.

The provider must maintain documentation of the current rabies vaccination for pets or animals present at the home.

“Pet A’s vaccination record is overdue by one year and eleven months. Pet B’s vaccination record is overdue by one year and nine months.”

Rule 8VAC20-800-460-D.

The diapering surface must be nonabsorbent and washable.

“The diaper changing pad had a one inch tear.”

Rule 8VAC20-800-690-D.

Based on record review, the provider did not obtain a five year repeat background check for adults living in the family day home.

“Evidence: Household member #1’s last criminal background check was completed in August 2019.”

Rule 22.1-289.036-A.

Based on observation and interview, the family day home was not equipped with at least one carbon monoxide detector.

“Evidence: The provider confirmed that they do not have a carbon monoxide detector installed in the family day home.”

Rule 22.1-289.058.

The provider did not obtain for each adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the last screening.

“Evidence: Household member #1’s last TB Screening form was completed in July 2022.”

Rule 8VAC20-800-180-A.

Areas and furnishing of the family day home, inside and outside, were not maintained in a clean, safe and operable condition.

“Evidence: 1. Four cribs had peeling paint on their top railings. 2. Two out of four cribs had an IKEA label indicating they were manufactured in 2010, which does not comply with federal safety standards for family day homes.”

Rule 8VAC20-800-240-A.

Based on observation, topical skin products were used beyond the expiration date of the product.

“Evidence: 1. Child #2’s Aquaphor ointment expired in July 2021. 2. Child #2’s Aquaphor diaper cream expired in June 2024. 3. Child #1’s Aquaphor diaper cream expired in May 2024.”

Rule 8VAC20-800-750-D.

8VAC20-800-120-A

“Based on record review and interview with the provider, the provider did not maintain a record for each caregiver. Evidence: 1) At the time of entrance, the inspector met Caregiver #3 who was directing circle time with the children. Upon inquiring about Caregiver #3’s record, the provider stated that they did not have a record for them.”

Rule 8VAC20-800-120-A.

8VAC20-800-210-A

“Based on record review, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1) According to documentation in their records, Caregiver #1 and Caregiver #2 did not complete all of the required sixteen clock hours of annual training during the 2022 year. Caregiver #1 had completed 3 hours of training and Caregiver #2 completed 1.5 hours during 2022.”

Rule 8VAC20-800-210-A.