Arpita Lal

The provider is required to obtain for each caregiver a current Report of Tuberculosis Screening form every two years from the date of the first screening.

“Caregiver #1’s most recent Report of Tuberculosis on file was expired.”

Rule 8VAC20-800-180-A.

Caregivers are required to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities, in addition to the first aid and CPR training.

“Caregiver #1, Caregiver #2 and Caregiver #3 did not have any documentation on file to show that they obtained a minimum of sixteen clock hours of training annually for 2025.”

Rule 8VAC20-800-210-A.

A child’s record should contain all of the required information.

“Child #2 was missing documentation of the Emergency preparedness plan, Policy for administering medication and the Liability insurance form. Child #4 was missing documentation of the Emergency preparedness plan and the Liability insurance form.”

Rule 8VAC20-800-60-B.

Assistants’ and substitute providers’ records shall contain the required information.

“Staff #2 was missing documentation of an emergency contact as well as documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-800-120-B.

The provider shall 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.

“Caregiver #2 had a TB screening on file that expired in October 2023.”

Rule 8VAC20-800-180-A.

The provider is required to maintain an up-to-date record at the family day home for each enrolled child.

“Child #2 and Child #3 were missing an annual update of emergency information.”

Rule 8VAC20-800-60-A.

Soiled disposable diapers and wipes are required to be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.

“There was no leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.”

Rule 8VAC20-800-690-E.

A working battery-operated flashlight, a working portable battery-operated weather band radio, and extra batteries are required to be kept in a designated area and be available to caregivers at all times.

“The portable battery-operated weather band radio was not in working condition.”

Rule 8VAC20-800-770.

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

“There was no documentation of practicing monthly evacuation procedures since February of 2025.”

Rule 8VAC20-800-830-A.

Bottles are not to be heated in a microwave oven.

“Caregiver #1 was observed heating a bottle in a microwave during the inspection.”

Rule 8VAC20-800-960-G.

22.1-289.036-B-4

“The provider is required to obtain background checks from any state in which a household member has resided in the preceding five years. Household member #4, who had been residing in the home for more than three months, did not have documentation of a request of a central registry check, criminal history check, or an out of state sex offender registry search from a different state they had resided in outside of Virginia in the preceding five years.”

Rule 22.1-289.036-B-4.

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-A.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #3 was not completed and was overdue by over one month.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“Children’s records are required to contain parental employment phone numbers. The records for Child #3 and #4 were missing the employment phone number for the parents. The children were present during the inspection and had been in care for over four months.”

Rule 8VAC20-800-60-B.

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 children #1 did not have a parent’s signature for an annual review of the emergency contact information. Child #1 was overdue for an annual review for over 15 months.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. There had not been a monthly evacuation drill practiced for over three months.”

Rule 8VAC20-800-830-A.

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

“The children’s play area in the basement had visible damage to the wall.”

Rule 8VAC20-800-240-A.

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, and had been in care for over 18 months without an annual review.”

Rule 8VAC20-800-780-B.

The telephone number for the regional poison control center shall be posted in a visible area close to the telephone.

“The telephone number for the regional poison control center was not posted in the home.”

Rule 8VAC20-800-790.

Based on observation, and confirmed with Provider, documentation of monthly emergency evacuation practices were not kept.

“Evidence: There most recent documentation of emergency evacuation drills was for 10/23/2023.”

Rule 8VAC20-800-830-C.

Based on review of children’s records, the provider did not have the name, address, and telephone number of each custodial parent’s place of employment.

“Evidence: There were no phone numbers of either parent’s place of employment in Child #5’s record.”

Rule 8VAC20-800-60-B.

Based on discussion with Provider, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care.

“Evidence: The most recent record of an emergency evacuation drill was 10/4/2022.”

Rule 8VAC20-800-830-A.

Based on review of emergency response drill records, shelter-in-place procedures were not being practiced a minimum of twice per year.

“Evidence: There was no documentation of shelter-in-place drills being practiced twice per year.”

Rule 8VAC20-800-830-B.

8VAC20-800-180-A

“Based on review of staff records, subsequent TB screenings were not completed every 2 years. Evidence: Staff #1 and Household member #1 last TB screenings were completed in July 2019.”

Rule 8VAC20-800-180-A.

8VAC20-800-780-B

“Based on review of children’s records, an annual review of documentation was not completed. Evidence: An annual review of emergency contacts for Child #1 and #4 since September 2020.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-A

“Based on review of emergency evacuation drills, monthly drills were not completed. Evidence: The last documented evacuation drill occurred in December 2021.”

Rule 8VAC20-800-830-A.