Uzma Sheikh

The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“The vendor did not have a record of daily attendance with dates or arrival and departure notation.”

Rule 8VAC20-790-180-B.

The provider shall maintain written documentation of each caregiver’s annual training.

“The provider did not maintain written documentation of each caregiver’s annual training for 2025.”

Rule 8VAC20-800-230-A.

A child’s record shall contain all required information.

“Child #1’s record did not contain first date of attendance, authorization for medical care, policy number of medical insurance or verification of child’s proof of age and identity.”

Rule 8VAC20-800-60-B.

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

“Child #1, 24 months old, last documented immunization was over 6 months ago.”

Rule 8VAC20-800-90-C.

Based on record review, caregivers did not attend the department’s health and safety update course.

“Evidence; Staff #1 and Staff #2 did not complete the department’s health and safety update course.”

Rule 8VAC20-790-250-F.

8VAC20-790-180-B

“Based on documentation and interview, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. Attendance sheet did not have times of arrival and departure of children 2. Vendor stated she was not aware of this requirement.”

Rule 8VAC20-790-180-B.

8VAC20-800-60-B

“Based on record review, the provider did not have all required information in child’s record. Evidence: Child #3’s record di not have written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately or written objection to provision of medical treatment on religious or other grounds.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-C

“Based on record review and interview, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization; once every six months for children under the age of two years. Evidence: Child #2 DOB 4/2022, date of last immunization 1/2024.”

Rule 8VAC20-800-90-C.

8VAC20-790-250-F

“Based on record review and interview, caregivers who work directly with children did not complete the department’s health and safety annual update course in 2023. Evidence: 1. Staff training documentation did not include annual health and safety training. 2. Caregivers reported they were not aware that they had to complete it and stated, they had not completed the training.”

Rule 8VAC20-790-250-F.

8VAC20-800-60-B

“REPEAT Based on record review, children’s records did not contain all required information. Evidence: Child #1 and Child #4 are missing signed written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

Rule 8VAC20-800-60-B.

8VAC20-800-750-A

“Based on record review and caregiver interview, child’s record did not contain written parent authorization noting any known adverse reactions for diaper ointment used. Evidence: Child #4 missing written parent authorization for diaper ointment that caregiver stated, she has used on the child.”

Rule 8VAC20-800-750-A.

8VAC20-800-90-C

“Based on record review the provider did not have documentation of additional immunizations for a child who is not exempt from the immunization requirements, once every six months for children under the age of two years. Evidence: Child #3s (22 months old) record last immunizations on file 8/23/2023.”

Rule 8VAC20-800-90-C.

Based on record review, not all household member records had an updated tuberculosis (TB) screening.

“Evidence: Household member #2’s record contains a TB screening that was last updated on 8/11/2021.”

Rule 8VAC20-800-180-A.

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

“Evidence: Child #1’s record is missing a signed written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

Rule 8VAC20-800-60-B.

Based on record review and interview, not all children’s records had document in the child’s record that their proof of age and identity was verified.

“Evidence: Child #1 and Child #5’s records did not have documentation to verify that their proof of age and identity was verified.”

Rule 8VAC20-800-80-C.

Based on record review, the family day home did not conduct repeat background checks every 5 years as required.

“Evidence: 1. Staff #1’s record contains a Fingerprint record that was last updated on 2/7/2018. 2. Household member #1’s record contains a Fingerprint record that was last updated on 2/7/2018. 3. Household member #2’s record contains a Fingerprint record that was last updated on 2/23/2018.”

Rule 22.1-289.036-A.

Based on record review, one staff record does not contain documentation of orientation.

“Evidence: Staff #2’s (DOH: 11/12/2022) record did not contain documentation of orientation. The provider could not locate the documentation during the inspection, but reported that orientation was completed.”

Rule 8VAC20-800-200-A.

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

“Evidence: Child #3’s record does not contain the child’s medical insurance policy name and number. Child #5’s record does not contain a signed written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

Rule 8VAC20-800-60-B.

Based on review of emergency drills, emergency evacuation drills were not practiced monthly.

“Evidence: A completed fire drill for the month of March 2023 was not documented on the evacuation drill log.”

Rule 8VAC20-800-830-A.

Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: 1.Child #1’s record contains an immunization record that was last updated on 9/13/2021. 2.Child #3’s record contains an immunization record that was last updated on 12/18/2020. 3.Child #5’s record contains an immunization record that was last updated on 4/15/2021.”

Rule 8VAC20-800-90-C.

Based on observation and interview, the provider did not ensure that the current posted menu was dated for the current one-week period.

“Evidence: The menu posted was not dated.”

Rule 8VAC20-800-920.

Based on a review of caregiver records, 1 out of 3 caregivers did not complete the Virginia Preservice Training within the first 90 days of employment.

“Evidence: 1. Caregiver #3 (doh: 11/1/2021) did not have documentation of completing the Virginia Preservice Training on file at the time of the inspection.”

Rule 8VAC20-790-250-B.

Based on a review of caregiver records, 3 out of 3 caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“1. Caregiver #1 only had 2 of the 16 required annual training hours documented. 2. Cargiver #2 had 0 of the 16 required annual training hours documented. 3. Caregiver #3 had 0 of the 16 required annual training hours documented.”

Rule 8VAC20-800-210-A.

Based on observation, a child was not provided with an individual cot for resting or napping.

“Evidence: 1. Upon arrival to the family day home, Child #1 was observed sleeping on the floor with no cot or rest mat.”

Rule 8VAC20-800-510-A.

Based on a review of children’s records, 2 out of 4 children’s records did not contain the required information.

“Evidence: 1. Child #1 was missing documentation of the Emergency Medical authorization and the Emergency Preparedness Plan during the time of the inspection. 2. Child #2 was missing documentation of the Emergency Medical authorization, physical, and immunizations during the time of the inspection.”

Rule 8VAC20-800-60-B.

Based on observation, a working battery-operated weather band radio was not available to caregivers at all times.

“Evidence: 1. The battery-operated weather band radio was not in working order during the time of the inspection.”

Rule 8VAC20-800-770.

Based on a review of records, the Provider did not review the emergency plan at least annually and document in writing each review.

“Evidence: 1. The emergency preparedness plan was last reviewed on 1/27/2019, according to documentation reviewed during the time of the inspection.”

Rule 8VAC20-800-800-B.

Based on a review of caregiver and household member records, 1 out of 2 caregivers and 2 out of 2 household members did not have a subsequent central registry background check after five years.

“Evidence: 1. Caregiver #1’s central registry background check was dated 5/17/2016. 2. Household Member #1’s central registry background check was dated 5/17/2016. 3. Household Member #2’s central registry background check was dated 5/17/2016.”

Rule 63.2-1720.1-A.