Subinita Chowdhuri

Child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“Electrical outlet int he bathroom used by children did not have a protective cover.”

Rule 8VAC20-800-320-B.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be provided to parents.

“The menu posted was for the previous week of 5/18-5/22.”

Rule 8VAC20-800-920.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“The provider’s emergency drill log had no documentation of a drill being completed in December 2024.”

Rule 8VAC20-800-830-C.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall: Be given to parents or posted or placed in an area accessible to parents.

“The menu posted in the childcare space was dated 5/12 to 5/16.”

Rule 8VAC20-800-920.

Menus for the current one-week period shall be dated, posted, and kept on file for one week.

“The provider had a posted menu dated 11/4-11/8/2024, and not the week of 11/11 - 11/15/2024, or the current week of 11/18-11/22/2024.”

Rule 8VAC20-800-920.

8VAC20-800-60-B

“Based on review, the facility did not ensure that children’s records were maintained with the minimum required information. Evidence: reviewed 5 children’s records and found that Child 1, 2, 4, and 5 did not have documentation of the parent’s annual review of information. Child 1’s last review was dated 1/31/22, Child 2’s last review was dated 1/5/2023, Child 4’s last review was dated 1/30/22, and Child 5’s last review was dated 5/4/2022.”

Rule 8VAC20-800-60-B.

8VAC20-800-920

“Based on provider’s interview and review of posted documents, the provider did not ensure that the menu was dated, provided to parents, listed substitutes, and is kept on file for one week. Evidence: identified through the provider’s statements that they did not create a menu for the current week/month.”

Rule 8VAC20-800-920.

8VAC20-800-940-B

“Based on observation, the provider did not ensure that they had an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: the provider did not have a thermometer available to monitor the temperature in the freezer compartment.”

Rule 8VAC20-800-940-B.

Based on record review, not all immunization reports were signed by a licensed physician, the physician’s designed, or an official of a local health department.

“Evidence: Child #1’s record contains an immunization record that was not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

Based on observation and interview, the provider did not ensure there was an operable landline telephone, excluding a cordless or cell phone during the family day home’s hours of operation.

“Evidence: The provider had a landline phone number, however, the non-cordless telephone available during the inspection was not in working condition.”

Rule 8VAC20-800-330-A.

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

“Evidence: Child #3’s record was missing the parents’ work phone number.”

Rule 8VAC20-800-60-B.

Based on record review, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements.

“Evidence: Child #1’s record contains documentation of immunization records that were last updated on 3/15/2021.”

Rule 8VAC20-800-90-C.

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

“Evidence: The menu posted was dated February, 2020.”

Rule 8VAC20-800-920.

Based on observation and interviews, there wasn’t a carbon monoxide detector in the Family Day Home.

“Evidence: The Provider did not have a carbon monoxide detector in the Family Day Home.”

Rule 22.1-289.058.

Based on review of emergency supplies, the home’s first aid kit was incomplete.

“Evidence: The first aid kit was missing one triangular bandage.”

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

Based on record review, 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: Child #1’s record did not contain documentation of a physical examination. The child’s first day of attendance was documented as 8/30/2021.”

Rule 22VAC40-111-100-A.

Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis (TB) Screening form, every two years from the date of the last screening.

“Evidence: Caregiver #1’s record contains a TB screening form that was last updated on 2/12/2019. Household member #1’s record contains a TB screening form that was last updated on 2/8/2019.”

Rule 22VAC40-111-180-A.

Based on documentation review, shelter-in-place drills were not practiced twice per year.

“Evidence: Documentation of shelter-in-place drills practiced was not available for review.”

Rule 22VAC40-111-830-B.