Zahida Babar

8VAC20-800-100-A

“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, who had been in care for over 60 days.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Children’s records are required to contain parental home and employment addresses and phone numbers. The record for Child #1 was missing the employment information and phone number for one parent and parent’s signed acknowledgement of the receipt of the information. The child was present during the inspection and had been in care for a month.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided required information in writing.’ The parents of Child #1 were not provided in writing the following required information: provisions of the family day home’s emergency preparedness and response plan. Children had been in care for 6 months.”

Rule 8VAC20-800-70-A.

8VAC20-800-780-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 Child #1 did not have a parent’s signature for an annual review of the emergency contact information. Child #1 had been in care for over two years without any annual review.”

Rule 8VAC20-800-780-B.

8VAC20-800-100-A

“Based on children records review, 2 out 2 records, the provider did not 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. Evidence: 1. Child #1 and Chidl #2 did not have a physical examination in their record prior to a child’s attendance or within 30 days after the first day of attendance.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“Based on household and staff records review, 2 out 2 records, the provider did not 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. Evidence: 1. Staff 1 Tuberculosis Screening form exoired on 3/15/2024. 2. Household memeber 1 Tuberculosis Screening form expried on 3/22/2024,”

Rule 8VAC20-800-180-A.

Based on record review, the vendor did not keep a hard copy of attendance as it occures.

“Evidence: Attendance was not complete for 07/17/2023 and 07/18/2023.”

Rule 8VAC20-790-180-B.

Based on record review, the caregivers did not complete an annual health and safety update training.

“Evidence: Caregiver A did not complete an annual health and safety update training.”

Rule 8VAC20-790-250-F.

Based on record review, repeat fingerprinting results were not complete for all caregivers.

“Evidence: 1) The fingerprinting results of Caregiver A expired in April of 2023. 2) The fingerprinting results of Caregiver B expired in March 2023”

Rule 22.1-289.036-B-2.

Based on record review, caregivers did not obtain a minimum of 16 hours of annual training.

“Evidence: Caregiver A did not complete any annual training for 2022.”

Rule 8VAC20-800-210-A.

Based on observation, the bathroom did not contain liquid soap.

“Evidence: The bathroom located in the main child care area did not contain liquid hand soap.”

Rule 8VAC20-800-340-C.

Based on record review, a child’s record was missing required information.

“Evidence: The record of Child A was missing the following required information: -Mother’s employer phone number -1 of 2 required emergency contacts”

Rule 8VAC20-800-60-B.

Based on record review, caregivers who work directly with children did not complete the health and safety update.

“Evidence: Caregiver A and B did not complete the health and safety update for 2022.”

Rule 8VAC20-790-250-F.

Based on record review, the vendor did not have a written emergency preparedness plan that addresses caregiver responsibility and home readiness with respect to emergency evacuation, relocation, lockdown, and shelter-in-place procedures.

“Evidence: The emergency plan was missing procedures for lockdown.”

Rule 8VAC20-790-420-A.

Based on record review, the evacuation and relocation procedures were incomplete.

“Evidence: The evacuation procedures were missing procedures to reunite children with the parent.”

Rule 8VAC20-790-420-B-3.

Based on record review, shelter in place procedures were incomplete.

“Evidence: Shelter in place procedures were missing plans to reunite children with the parents.”

Rule 8VAC20-790-420-B-4.

Based on record review, a caregiver did not submit o fingerprinting.

“Evidence: Caregiver A did not have complete fingerprinting results.”

Rule 22.1-289.036-B-2.

Based on record review, the provider did not obtain documentation of a physical examination for each child in attendance.

“Evidence: Children A and B did not have documentation of a physical exam on file.”

Rule 8VAC20-800-100-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: Caregivers A and B did not complete 16 hours of annual training in 2022.”

Rule 8VAC20-800-210-A.

Based on observation, areas of the home were not in operable condition.

“Evidence: The doorbell to the home was not operable at the time of inspection.”

Rule 8VAC20-800-240-A.

Based on observation, potentially poisonous substances were not inaccessible to children.

“Evidence: 1) Two large bags of concrete powder were located in the bathroom in the main childcare area. 2) Insect poison was located on the floor in the kitchen. There is no gate preventing the kitchen from being accessed by the children in care.”

Rule 8VAC20-800-280.

Based on observation, child-resistant protective covers were not installed on all unused electrical outlets and surge protectors.

“Evidence: Two outlets in the main childcare area near the small table and one outlet in the kitchen near the island were unused and not covered with protective covers.”

Rule 8VAC20-800-320-B.

Based on observation, the bathroom was not kept clean and did not contain liquid soap, and paper towels.

“Evidence: 1) The trash in the bathroom was full and spilling over. 2) There was no liquid soap and paper towels located in the bathroom.”

Rule 8VAC20-800-340-C.

Based on record review, the family say home did not keep a written record of children in attendance each day.

“Evidence: The attendance for 01/31/2023 and 02/01/2023 was not complete.”

Rule 8VAC20-800-50-A.

Based on record review, a child’s record was missing required information.

“Evidence: 1) The record of Child A was missing the following required information: Father’s employer phone number, addresses of two emergency contacts, date of enrollment, medical insurance and policy number, authorization for medical care, parental agreement and permission to go off premisses. 2) The record of Child B was missing the following required information: Mother’s employer phone number, the information of 1 of 2 required emergency contacts and permission to go off premisses.”

Rule 8VAC20-800-60-B.

Based on observation, required phone numbers were not posted.

“Evidence: 1) A 911 or local dial number for police, fire, and emergency medical responders were not posted. 2) The number of the responsible person for emergency backup care was not posted.”

Rule 8VAC20-800-790.

Based on record review, emergency evacuation procedures were not practiced monthly .

“Evidence: Evacuation procedures were not practiced in March, June and November of 2022.”

Rule 8VAC20-800-830-A.

Based on record review, the provider did not obtain documentation that the child has been adequately immunized.

“Evidence: Child A did not have a record of immunization on file.”

Rule 8VAC20-800-90-A.

Based on observation, the provider did not have an operable thermometer available to monitor the freezer compartment temperature.

“Evidence: The freezer compartment was missing an operable thermometer.”

Rule 8VAC20-800-940-B.

Based on observation, A child’s hands were not washed at an appropriate time.

“Evidence: A child was given a snack without their hands being washed first.”

Rule 8VAC20-790-390-A.

Based on record review, lockdown procedures were not practiced at least annually.

“Evidence: A lockdown drill was not practiced in 2021.”

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

Based on record review, the provider did not obtain documentation of a physical examination for each child in care.

“Evidence: Children A and B did not have a record of immunization on file.”

Rule 8VAC20-800-100-A.

Based on observation, small electrical appliances were not unplugged while not in use.

“Evidence: A blender was plugged in and not in use while children were in care.”

Rule 8VAC20-800-320-A.

Based on observation, child resistant protective covers were not installed on all unused electrical outlets.

“Evidence: There were two unused outlets on the island in the kitchen that were not covered with protective covers.”

Rule 8VAC20-800-320-B.

Based on observation, children over the age of two had access to stairs with more or more risers.

“Evidence: The stairs from the first level of the house which ascend to the second level were not blocked with a protective barrier.”

Rule 8VAC20-800-430-C.

Based on record review, the family day home did not keep a written record of children in attendance each day.

“Evidence: There were no records of attendance for the entire months of June and July 2022.”

Rule 8VAC20-800-50-A.

Based on observation and interview, the caregiver did not provider direct supervision of each child at all times.

Rule 8VAC20-800-560-A.

Based on record review, a child’s record was missing required information.

“Evidence: 1) The record of Child A was missing the mother’s employer phone number and 2 of 2 required emergency contacts. 2) The records of Children A and B were missing authorization to go off the premises.”

Rule 8VAC20-800-60-B.

Based on observation, the first aid kit was missing required contents.

“Evidence: The first aid kit was missing 2 triangle bandages.”

Rule 8VAC20-800-760-A-1.

Based on observation, the required emergency telephone numbers were not posted.

“Evidence: 911, poison control and the phone number of the emergency backup person were not posted.”

Rule 8VAC20-800-790.

Based on interview, the family day home did not have a written emergency preparedness and response plan.

“Evidence: Caregiver A stated that she didn’t have the plan and asked for a template to be sent to her via email.”

Rule 8VAC20-800-800-A.

Based on record review, the provider did not obtain documentation of immunziation for each child in care.

“Evidence: Child B did not have a record of immunization on file.”

Rule 8VAC20-800-90-A.

Based on observation, the findings of the most recent inspection were not posted.

“Evidence: The findings of the most recent inspection were not posted.”

Rule 8VAC20-820-120-E-2.

22.1-289.035-A

Rule 22.1-289.035-A.

22.1-289.036-A

Rule 22.1-289.036-A.

8VAC20-800-680-B

“Based on observation, the caregiver did not ensure that children’s hands were washed after toileting. Evidence: 1. Child # 1 was observed using the restroom. 2. After using the toilet, Child # 1 did not wash hands, and came out to play with toys.”

Rule 8VAC20-800-680-B.