Salma Nab

SYSTEMIC DEFICIENCY 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, enrolled for almost 5 months, did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

The provider shall obtain for each caregiver a current report of tuberculosis (TB) screening every two years from the date of the first screening.

“The subsequent TB screening for Caregiver #1 was obtained 36 days overdue.”

Rule 8VAC20-800-180-A.

Information contained in a childs record shall be privileged and confidential. The provider shall not distribute or release information in a childs record.

“The Supplemental Information page from the previous inspection was posted on the parent board. This page contains identifying information about children in care.”

Rule 8VAC20-800-50-C.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY A childs record shall contain the name, address, and phone number of each parents place of employment; name, address, and phone number of two designated persons to contact in case of an emergency if the parent cannot be reached; and policy number of the childs medical insurance.

“The record for Child #3, enrolled for 3 weeks, did not contain complete employment information for each parent, an address for the second emergency contact, or the policy number of the childs medical insurance.”

Rule 8VAC20-800-60-B.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY Before the childs first day of attendance, parents shall be provided required information in writing and the provider shall obtain the parents written acknowledgement of the receipt of information.

“The parents of Child #1, enrolled for almost 5 months, Child #2, enrolled for almost 7 months, and Child #3, enrolled for 3 weeks were not provided with all required information.”

Rule 8VAC20-800-70-A.

REPEAT VIOLATION: Emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“A practice evacuation drill was not documented in the providers emergency drill log for April 2026.”

Rule 8VAC20-800-830-A.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia and applicable State Board of Health regulations.

“The record for Child #1, enrolled for almost 5 months, did not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

Furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

“A crib assigned to Child #5, age 14 months, was observed to be unstable and duck taped in 3 different locations to cover missing bolts.”

Rule 8VAC20-800-240-A.

SYSTEMIC DEFICIENCY A childs record shall contain the name, address, and telephone number of each parents place of employment; name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; policy number of the childs medical insurance.

“On the date of the inspection, the record for Child #1, enrolled for 5 months, did not contain the policy number of the childs medical insurance. The record for Child #2, enrolled for 3 months, did not contain the work phone number and address for either parent or a second emergency contact.”

Rule 8VAC20-800-60-B.

SYSTEMIC DEFICIENCY Before the childs first day of attendance, parents shall be provided required information in writing and the provider shall obtain the parents written acknowledgement of the receipt of information.

“On the date of the inspection, the record for Child #1, enrolled for 5 months, and Child #2, enrolled for 3 months, did not contain documentation of liability insurance. The record for Child #4, enrolled for 7 months, did not contain provisions of the family day homes emergency preparedness plan.”

Rule 8VAC20-800-70-A.

Annually, the provider shall review with the parent the emergency contact information to ensure it is correct and obtain the parents signed acknowledgement of the review.

“On the date of the inspection, the record for Child # 3 was signed by the parent in 2024. An annual review had not been documented.”

Rule 8VAC20-800-780-B.

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

“On the date of the inspection, evacuation drills had not been documented for 2026. The provider stated drills were not practiced during winter months because it was too cold.”

Rule 8VAC20-800-830-A.

Documentation of emergency evacuation and shelter-in-place drills shall be maintained for one year. Documentation shall include identity of person conducting the drill, date and time, method used for notification, number of children and caregivers participating, conditions simulated, and problems encountered. Documentation shall include weather conditions for evacuation drills.

“On the date of the inspection, the family day home did not have documentation of emergency drills completed prior to January 2026.”

Rule 8VAC20-800-830-C.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia and applicable State Board of Health regulations.

“The record for Child #1 contained an immunization record dated 7 days after first date of attendance.”

Rule 8VAC20-800-90-A.

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

“The record for Child #2, enrolled for more than 30 days, did not contain a physical examination.”

Rule 8VAC20-800-100-A.

Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

“In the infant sleeping area, 7 out of 7 cribs had a thick layer of dust around the base of the frame where the mattresses sit. Multiple cribs had white droplets that had dried around the base of the frame.”

Rule 8VAC20-800-240-A.

REPEAT VIOLATION A childs record shall contain the name, address, and telphone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for Child #1, enrolled for more than 30 days, was missing the address for one emergency contact.”

Rule 8VAC20-800-60-B.

REPEAT VIOLATION Before the childs first day of attendance, parents shall be provided required information in writing.

“The parents of Child #2, enrolled for more than 30 days, were not provided in writing the following required information: provisions of the family day homes emergency preparedness plan, decision to aminister medication policy, and whether or not there is liability insurance as required by the Code of Virginia. At the time of the inspection, the record for Child #2 contained forms used to notify parents but they were blank.”

Rule 8VAC20-800-70-A.

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 last documented review of the emergency preparedness plan was dated 2023. A review was not documented for 2024. The 2025 review was completed with the Licensing Inspector during the inspection.”

Rule 8VAC20-800-800-B.

The provider shall orient the assistant by the end of their first week of assuming job responsibilities. Documentation of the orientation shall be signed and dated by the provider and assistant.

“The record for Caregiver #1, who has been working for over three months, did not contain documentation of orientation.”

Rule 8VAC20-800-200-C.

Occupied cribs, cots, rest mats, and beds shall be at least 12 inches from each other.

“During nap time, two occupied cribs were observed to be less than 12 inches from each other.”

Rule 8VAC20-800-510-C.

Cribs, cots, rest mats, and beds when being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges.

“During nap time, 4 out of 5 children were observed sleeping without a bottom cover.”

Rule 8VAC20-800-530-A.

A child’s record shall contain the name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for Child #2, enrolled for almost two months, was missing an address for one emergency contact.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided, in writing, whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation as required by the Code of Virginia.

“The record for Child #1, enrolled for three weeks, did not have documentation of liability of insurance.”

Rule 8VAC20-800-70-A.

Based on record review, the physical examination prior to attendance was not conducted within 3 months for a child age 7 months through 18 months.

“Evidence: Child #5 has a date of birth of 4/12/2022 and a date of enrollment as 9/25/2023, making them 17 months of age at the time of attendance. The physical provided was conducted on 1/12/2023, 8 months prior to attendance.”

Rule 8VAC20-800-100-B.

REPEAT VIOLATION Based on record review, caregivers records did not contain all required information.

“Evidence: 1) The records for caregivers #2 and #3 did not have verification of age. 2) The records for caregivers #2 and #3 did not have documentation of date of employment.”

Rule 8VAC20-800-120-B.

REPEAT VIOLATION Based on record review, the provider did not obtain a current report of Tuberculosis (TB) screening for each caregiver.

“Evidence: 1) Caregiver #2 did not have documentation of a TB screening or test on file. 2) Caregiver #3 had a TB expiration of 2/4/2023; however, a new TB screening was not obtained until 7/18/2023.”

Rule 8VAC20-800-180-A.

Based on record review, the provider did not maintain written documentation of each caregivers applicable orientation and annual training.

“Evidence: 1) Caregiver #1 did not have documentation of 16 hours of annual training for 2023. 2) Caregivers #2 and #3 had orientation that was not dated.”

Rule 8VAC20-800-230-A.

Based on observation, furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition.

Rule 8VAC20-800-240-A.

Based on observation, potentially poisonous substances such as cleaning agents, insect repellents, and sunscreen were not stored away from food in areas inaccessible to children.

“Evidence: A bottle of Lysol, insect repellent, and sunscreen was on the shelf next to child #1’s bottle.”

Rule 8VAC20-800-280.

Based on observation and interview, the climbing portions of indoor slides over 18 inches high were used over bare floor.

“Evidence: An indoor slide, approximately 36 inches high, was observed being used over bare floor.”

Rule 8VAC20-800-490.

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

“Evidence: The provider stated they had not kept a written record of attendance since June of the current year.”

Rule 8VAC20-800-50-A.

Based on observation, cribs did not have a tight-fitting bottom cover.

“Evidence: Child #1 was observed sleeping in a crib with a sheet that was too large and bunching in the center. Child #2 was observed awake in a crib with a sheet that was too small and had come partially off the mattress.”

Rule 8VAC20-800-530-B.

Based on observation and interview, topical skin products such as sunscreen, diaper ointment, and insect repellent did not meet the requirements of obtaining written parent authorization noting any known adverse reactions and labeling with the child’s name.

“Evidence: 1) 7 out of 14 diaper creams/ointments were not labeled with a child’s name. 2) 14 out of 14 diaper creams/ointments did not have written parent authorization. 3) 3 out of 8 sunscreens and insect repellents were not labeled with a child’s name. 4) 8 out of 8 sunscreens and insect repellents did not have written parent authorization.”

Rule 8VAC20-800-750-A.

Based on record review, the provider did not obtain the names and locations of the previous child care programs and schools the child has attended.

“Evidence: Child #4, date of enrollment 7/25/2022, and Child #5, date of enrollment 9/25/2023, did not have documentation of previous child care programs attended.”

Rule 8VAC20-800-80-C.

REPEAT VIOLATION Based on record review and interview, emergency evacuation procedures were not practiced monthly with all caregivers and children in care.

“Evidence: A monthly emergency evacuation drill was not conducted in April, May, June, July, or August of the current year.”

Rule 8VAC20-800-800-A.

REPEAT VIOLATION Based on observation, food from home was not clearly labeled in a way that identifies the owner.

“Evidence: 2 out of 7 lunchboxes were not labeled with a child’s name.”

Rule 8VAC20-800-890.

Based on observation and interview, a menu for the current one-week period was not posted.

“Evidence: The provider had meals posted for the current day but it was not dated.”

Rule 8VAC20-800-920.

8VAC20-800-120-B

“Based on review of caregiver records, not all records are complete. Evidence The records for staff #1 and #2 do not contain documentation of verification of the caregiver’s age.”

Rule 8VAC20-800-120-B.

8VAC20-800-180-A

“Based on review of caregiver records, the provider did not obtain from each caregiver a current report of tuberculosis (TB) screening form every two years from the date of the first screening. Evidence The TB screening form for staff #2 expired on 2/4/2023.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-A

“REPEAT VIOLATION Based on review of children’s records, the provider did not maintain an up-to-date record for each enrolled child. Evidence The record for child #1 does not contain emergency contact information, authorization to apply topicals or documentation of information for parents including policies and procedures for the family day home. The record for child #2 does not contain documentation of information for parents including policies and procedures for the family day home. The record for child #3 does not contain information for a second emergency contact.”

Rule 8VAC20-800-60-A.

8VAC20-800-830-A

“Based on review of emergency procedures, emergency procedures are not being practiced monthly with all caregivers and children in care. Evidence An monthly emergency evacuation drill was not conducted in October, November, December or January.”

Rule 8VAC20-800-830-A.

8VAC20-800-890

“Based on observation, when food is brought from the child’s home, it is not clearly labeled to easily identify the owner. Evidence When food is brought from home it is not clearly labeled to identify the owner. There were food pouches, a banana and some food containers not labeled.”

Rule 8VAC20-800-890.

8VAC20-800-90-C

“Based on review of caregiver records, the family day home did not obtain documentation of additional immunizations for a child who is under the age of two every six months. Evidence Child #2 (under the age of two), does not have documentation of an updated immunization record every six months. Immunization documentation in record is dated 4/12/2023.”

Rule 8VAC20-800-90-C.

8VAC20-800-960-C

“Based on observation, a highchair with a safety waist and crotch strap was not fastened according to the manufacturer’s instructions. Evidence Child # 1 was placed in a highchair that did not have a safety waist and crotch strap.”

Rule 8VAC20-800-960-C.

8VAC20-800-960-E

“Based on observation, bottles in the refrigerator were not labeled with the child’s full name and the date. Evidence Bottles located in the refrigerator were labeled with the chilld’s full name and date.”

Rule 8VAC20-800-960-E.

8VAC20-800-210-B

“Based on review of the caregiver records, the required annual 16 hours of job related training was not completed. Evidence Caregiver #1 does not have any annual job related ltraining hours completed. Caregiver #2 has 6 hours of annual job related training hours completed.”

Rule 8VAC20-800-210-B.

8VAC20-800-60-B

“Based on review of children’s records, the family day home did not maintain a complete record for each enrolled child. Evidence The record for child #1 was incomplete. The written authorization for emergency medical care should an emergency occur and the parent cannot be located was not in the record.”

Rule 8VAC20-800-60-B.

8VAC20-800-750-A

“Based on review of children’s records, the family day home did not obtain written parent authorization noting any known adverse reactions when topical skin products may be used. Evidence Child #1 has a diaper cream with no written parent authorization.”

Rule 8VAC20-800-750-A.

8VAC20-800-100-A

“Based on review of children’s records, the provider did not obtain a physical before a child’s thirtieth day of attendance Evidence The provider did not obtain a physical for child #1 and #2 before their thirtieth day of attendance.”

Rule 8VAC20-800-100-A.

8VAC20-800-170-A

“Based on review of caregiver records, the provider did not obtain documentation of a tuberculosis (TB) screening before their first day of employment. Evidence The provider did not obtain a TB screening for caregiver #1 before her first day of employment, 3/23.”

Rule 8VAC20-800-170-A.

8VAC20-800-60-B

“Based on review of children’s records, the provider did not obtain emergency contact information before the child’s first day of attendance. Evidence The provider did not obtain emergency contact information including name, address and phone before child #1, #2 and #3?s first day of attendance.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on observation, the diapering surface is not nonabsorbent. Evidence The diapering surface is torn and ripped making it nonabsorbent.”

Rule 8VAC20-800-690-D.

8VAC20-800-780-B

“Based on review of children’s records, annually the provider did not review the child’s emergency contact with a parent. Evidence The provider did not annually review the emergency contact information for child #1 with a parent.”

Rule 8VAC20-800-780-B.

8VAC20-800-890

“Based on observation, when food was brought from home, the container was not clearly labeled to identify the owner. Evidence Food was brought from home and not labeled to identify the owner.”

Rule 8VAC20-800-890.

8VAC20-800-90-C

“Based on review of children’s records, the provider did not obtain an immunization record every six months for children under the age of two. Evidence The provider did not obtain an immunization record for child #2, who is under the age of two, every six months.”

Rule 8VAC20-800-90-C.

8VAC20-800-920

“Based on observation, the posted menu did not list when substituted food was served. Evidence The posted menu was not updated to list the change in good being served for lunch.”

Rule 8VAC20-800-920.

22.1-289.058

“Based on observation, the family day home, built before 2015, was not equipped with at least one carbon monoxide detector. Evidence The family day home did not have a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-800-280

“Based on observation, potentially poisonous substances were accessible to children. Evidence Bleach and cleaning supplies were accessible to children in an unlocked closet in the hallway.”

Rule 8VAC20-800-280.

8VAC20-800-50-A

“Based on observation, the family day home did not have a written record of children in attendance each day. Evidence A written record of children in attendance each day was not available.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-750-A

“Based on observation, not all topical skin products were labeled with the child’s name. Evidence Diaper creams located by the diaper changing table were not all labeled with the child’s name.”

Rule 8VAC20-800-750-A.

8VAC20-800-800-A

“Based on review of emergency procedures, the family day home does not have a written emergency preparedness and response plan. Evidence There wasn’t a written emergency preparedness and response plan available for review.”

Rule 8VAC20-800-800-A.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the current date. Evidence Bottles were labeled with the child’s name, but not date was on the bottles.”

Rule 8VAC20-800-960-E.

8VAC20-800-120-B

“Based on review of the assistant provider record, one reference check was not completed Evidence The record for provider #1 did not contain documentation that two reference checks were completed. There is only one reference check in their record.”

Rule 8VAC20-800-120-B.

8VAC20-800-240-A

“Based on observation, areas of the family day home, inside and outside, are not being maintained in a clean, safe, and operable condition. Evidence Located along the walls inside the family day home, peeling wall paper and paint was observed Located in the backyard of the family day home a broken piece of a toy and a small electric ride on toy that was broken missing a piece were observed”

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances, such as cleaning agents were not stored in areas inaccessible to children. Evidence Cleaning supplies that are labeled “keep our of reach of children” were observed on the floor in a backroom that the door was unlocked and open making them accessible to children.”

Rule 8VAC20-800-280.

8VAC20-800-320-B

“Based on observations, child-resistant protective covers were not installed on all unused electrical outlets. Evidence The unused electrical outlets located behind the child swing did not have child resistant protective covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-510-A

“Based on observation, not all cribs were labeled for individual use. Evidence Not all cribs were labeled with a child’s name for individual use.”

Rule 8VAC20-800-510-A.

8VAC20-800-540-A

“Based on observation a swing was not being used according to the manufacturer’s instructions when occupied by a child. Evidence When the inspector arrived a child over the age of one year was occupying a swing. They were too big for the swing and there was no strap available on the swing seat.”

Rule 8VAC20-800-540-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-890

“Based on observation, food brought from home were not labeled with a child’s name or date. Evidence Two cans of infant formula, two cans of infant snacks, and one container of infant food were not labeled with child’s name or date. Staff confirmed this food was brought from the child’s home.”

Rule 8VAC20-800-890.

8VAC20-800-90-A

“Based on review of 9 children’s records, 3 records for children under the age of did not obtain documentation that the child has been adequately immunized every six months. Evidence The record for child #1, #2 and #3 who are under the age of two do not contain documentation of an immunization record every six months.”

Rule 8VAC20-800-90-A.

8VAC20-800-920

“Based on observation the current menu did not list the substituted lunch being served during the inspection. Evidence Listed on the posted menu for lunch was hot dogs and beans for the day. The lunch being served was macaroni and cheese.”

Rule 8VAC20-800-920.

8VAC20-800-960-E

“Based on observation not all bottles located in the refrigerator were not labeled with the child’s full name and current date. Evidence Five bottles located in the refrigerator were not labeled with a child’s name or current date.”

Rule 8VAC20-800-960-E.

8VAC20-820-120-E-2

“Based on observation, the most recent inspection of the facility was not posted. Evidence The most recent inspection report was not posted”

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