Nosheen Iftikhar

The provider is required to have caregivers undergo a background check every 5 years.

“Caregiver #1 and #2 were due for a recheck of the central registry ( CPS ) in March 2026. The record for Caregiver #1 and #2 contained results of a recheck that were dated June 2026, approximately 2 1/2 months overdue.”

Rule 22.1-289.035-A.

The provider is required to have household members undergo a background check every 5 years.

“Household Member #1 was 4 months overdue for a recheck of the central registry ( CPS ).”

Rule 22.1-289.036-A.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening every 2 years.

“On the date of the inspection, Household Member #1 was 5 months overdue for a subsequent TB screening.”

Rule 8VAC20-800-180-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

“Caregiver #3, employed for 14 months, did not complete 16 hours of annual training.”

Rule 8VAC20-800-210-A.

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

“On the date of the inspection, the Supplemental Information page from the previous 2 licensing inspections were posted in public view of the family day home. The Supplemental Information page contains identifying information about children in care.”

Rule 8VAC20-800-50-C.

A childs record shall contain the following information: written authorization for emergency medical care should an emergency occur and the parent cannot be located.

“On the date of the inspection, the record for Child #1, enrolled for 29 days, did not contain written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

Before the childs first day of attendance, parents shall be provided in writing the following: 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 #4, enrolled for almost 2 years, contained an incomplete liability insurance document. On the date of the inspection, the document had not been dated or signed by the parent.”

Rule 8VAC20-800-70-A.

When topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used, the following requirements shall be met: written parent authorization noting any known adverse reactions shall be obtained at least annually.

“The record for Child #4 contained a written parent authorization for an over-the-counter diaper ointment that was dated January 2024. A new authorization had not been obtained annually. The ointment was on-site and Caregiver #1 confirmed it was still being used.”

Rule 8VAC20-800-750-A.

REPEAT VIOLATION: Annually, the provider shall review with the parent the emergency contact information and obtain the parents signed acknowledgement of the review.

“On the date of the inspection, the record for Child #3 and Child #4 did not contain documentation of an annual review.”

Rule 8VAC20-800-780-B.

Annually, the provider shall review with the parent the emergency contact information and obtain the parents signed acknowledgment of the review.

“The record for Child #1, enrolled for more than one year, did not contain documentation of an annual review.”

Rule 8VAC20-800-780-B.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document each review and update in writing.

“On the date of the inspection, an annual review or update had not been completed. The posted emergency plan was dated 01/03/2025.”

Rule 8VAC20-800-800-B.

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

“An emergency evacuation drill was not practiced during the month of August 2025.”

Rule 8VAC20-800-830-A.

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

“Caregiver #1 was due for an updated TB screening in June 2025. On the date of the inspection, a new TB screening had not been performed.”

Rule 8VAC20-800-180-A.

REPEAT VIOLATION The provider shall orient the substitute provider and 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, employed for almost two years, did not contain documentation of orientation.”

Rule 8VAC20-800-200-C.

Each child day program that is licensed shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler and cooler-style drinking fountains, kitchen taps, classroom combination sinks and drinking fountains, and sinks known to be or visibly used for consumption.

“The Family Day Home did not have evidence of creating or submitting a testing plan to the Virginia Department of Health.”

Rule 22.1-289.057-A.

The provider shall orient the substitute provider and 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, employed for more than one year, did not contain documentation of orientation.”

Rule 8VAC20-800-200-C.

Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to the their job responsibilities.

“The record for Caregiver #1 did not contain sixteen hours of annual training for 2024.”

Rule 8VAC20-800-210-A.

A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone.

“The family day home had a cordless telephone, not a landline that operates without electricity.”

Rule 8VAC20-800-330-A.

The family day home shall keep a written record of children in attendance each day.

“Attendance was not recorded Monday - Thursday, the week of the inspection.”

Rule 8VAC20-800-50-A.

REPEAT VIOLATION: The provider shall maintain and up-to-date record at the family day home for each enrolled child. The record shall contain the following information: name, address and telephone number of each custodial parent’s 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; names of persons other than the custodial parents who are authorized to pick up the child; first date of attendance.

“The record for Child #1 did not contain the name, address and phone number of each parents place of employment; the address for emergency contact #1; a second emergency contact; or persons authorized to pick up. The record for Child #2 did not contain the phone number of each parents place of employment.”

Rule 8VAC20-800-60-B.

The provider shall ensure that each caregiver receives training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of their first week of assuming job responsibilities, on an annual basis, and at the time of each plan update.

“The record for Caregiver #1, employed for more than one year, did not contain documentation of emergency procedures training.”

Rule 8VAC20-800-800-C.

Bottles shall be refrigerated and labeled with the child’s full name and the date.

“5 out of 5 bottles did not contain the date. 1 out of 5 bottles did not contain a first or last name.”

Rule 8VAC20-800-960-E.

Based on record review and interview, a person over the age of 18 years living in the home of the licensed family day home provider did not have a criminal history record check.

“Evidence: Household member #1 did not have documentation of a criminal history record check.”

Rule 8VAC20-770-40-D-4.

Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children.

“Evidence: Cleaning agents, disinfectants and deodorizers were stored on top of the washing machine/dryer in the kitchen area. A Swiffer mop with solution was on the floor beside the washer/dryer. 1) A child was observed walking into the kitchen area to go to the bathroom, passing the washer and dryer. Based on the child’s height, the cleaning agents were within reach. 2) The door connecting the bathroom and the kitchen area was left cracked open, making the cleaning agents accessible to children.”

Rule 8VAC20-800-280.

Based on observation, the bathroom did not have paper towels.

“Evidence: The bathroom had a shared hand towel for drying hands, not single use paper towels.”

Rule 8VAC20-800-340-C.

Based on record review and interview, the provider did not maintain and up-to-date record for each enrolled child.

“Evidence: Child #2 (DOE: 11/7/2022, date of physical 8/10/2022) had documentation of a peanut and egg allergy. The provider stated the child has aged out of the allergy but there was no update in the child’s file to support this.”

Rule 8VAC20-800-60-A.

Based on record review, children’s records did not contain complete emergency contact information to include name, address, and telephone number of each custodial parent’s place of employment and/or the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“Evidence: 1) The parents work phone numbers were not provided for child # 2 and #3. 2) Child #3 was missing the second emergency contact (who is not a parent). The emergency contact that was listed did not have the address.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“Evidence: Child # 3 did not have documentation of immunizations by their 7/22/2024 start date.”

Rule 8VAC20-800-90-A.

Based on record review, the family day home did not obtain documentation of additional immunizations, every 6 months, for a child who is not exempt from the immunization requirements and under the age of two years.

“Evidence: Child # 1 (DOB: 4/14/2023, DOE: 10/23/2023) had documentation of immunizations dated 10/16/2023. Documentation of additional immunizations were not provided.”

Rule 8VAC20-800-90-C.

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis(TB) form. Evidence: 1. Caregiver #1’s record did not contain documentation of a subsequent TB screening form. Documentation of Caregiver #1’s TB screening was dated 01/08/2022. 2. Household Member #1’s record did not contain documentation of a subsequent TB screening form. Documentation of Household Member #1’s TB screening form was dated 12/02/2021.”

Rule 8VAC20-800-180-A.

8VAC20-800-230-A

“Based on record review and interview, the provider did not maintain documentation of each caregiver’s annual training. Evidence: 1. Caregiver #2’s record (Date of hire-09/17/2018) did not contain documentation of 16 hours of annual training. 2. Caregiver #2 stated that they completed training, but did not have documentation of the trainings.”

Rule 8VAC20-800-230-A.

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition. Evidence: 1. The smoke detector located in the eating area, was beeping indicating that the battery needed to be changed. 2. The diapering pad had three one inch cuts on diapering pad.”

Rule 8VAC20-800-240-A.

Repeat Violation

“Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children. Evidence: 1. Cleaning agents, disinfectants and deodorizers were stored on in a low unlocked cabinet located in the bathroom.”

Rule 8VAC20-800-280.

Repeat Violation

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #1’s record (Start date-10/23/2023) did not contain documentation of the medical insurance policy number. 2. Child #4’s record (Start date-11/07/2022) did not contain documentation of the annual review of emergency contact information. 3. Child #5’s record (Start date-09/15/2022) did not contain documentation of the annual review of the emergency contact information.”

Rule 8VAC20-800-60-B.

8VAC20-800-920

“Based on observation, the menu for the current one week period was not dated. Evidence: 1. The menu for the current one week period was not dated. The menu was dated for the month of August.”

Rule 8VAC20-800-920.

8VAC20-800-280

“Potentially poisonous substances, materials and supplies were accessible to children. Evidence: 1. In the bathroom, cleaning agents and disinfectants were stored in a low cabinet that was not locked.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #2’s record (Start date05/22/2023) did not contain two parent work addresses, the medical insurance policy number, and written authorization for emergency medical care should an emergency occur and parent cannot be located immediately. 2. Child #4’s record (Start date-01/27/2023) did not contain the name of medical insurance and policy number.”

Rule 8VAC20-800-60-B.

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

“Evidence: 1. Child #1’s record (Start date-11/7/21) did not contain the parent’s work address and phone number, the address for a second emergency contact, and the medical insurance and policy number.”

Rule 8VAC20-800-60-B.

22.1-289.058

“Based on observation and interview, the family day home was not equipped with at least one carbon monoxide detector. Evidence: 1. The family day home was not equipped with at least one carbon monoxide detector. 2. Staff #1 stated that a carbon monoxide detector was purchased, but could not locate it during the time of the inspection.”

Rule 22.1-289.058.

8VAC20-800-320-B

“Based on observation, protective covers were not installed on all unused electrical outlets. Evidence: 1. Two protective covers were missing from electrical outlets.”

Rule 8VAC20-800-320-B.

8VAC20-800-510-A

“Based on observation, a child was not provided an individual crib. Evidence: 1. The cribs were not labeled for individual use. Another child was placed in the crib that was verbally identified as Child #1’s crib.”

Rule 8VAC20-800-510-A.

8VAC20-800-590-B

“Based on observation, an infant who falls asleep in a play space other than his own crib was not moved promptly to his designated sleeping space. Evidence: 1. Child #1 fell asleep in a swing at 10:50am. Child #1 was not removed from the swing until 11:10am.”

Rule 8VAC20-800-590-B.

8VAC20-800-60-B

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #1’s record (Start date-07/11/22) did not contain documentation of a parent’s work address and the medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for a child under the age of two years. Evidence: 1. Child #2’s record (Start date-01/04/21) did not contain documentation of additional immunizations. The last immunization was received on 05/25/21.”

Rule 8VAC20-800-90-C.

8VAC20-800-920

“Based on observation, the menu for the current week was not dated. Evidence: 1. The posted menu did not contain dates for each week of the menu.”

Rule 8VAC20-800-920.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child’s full name and date. Evidence: 1. A total of six bottles in the refrigerated did not contain the children’s full name and date.”

Rule 8VAC20-800-960-E.

8VAC20-800-60-B

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #2’s (Start date-01/10/22) record did not contain the policy number for the medical insurance, results of health examination, and authorization for emergency care.”

Rule 8VAC20-800-60-B.

22VAC40-111-180-A

“Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 22 VAC 40-111-170, 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’s record did not contain documentation of subsequent tuberculosis screening. The last tuberculosis test was expired and dated 10/2/2019.”

Rule 22VAC40-111-180-A.

22VAC40-111-530-F

“Based on observation, soft bedding was used under or around infants. Evidence: 1. Child #2 (6 months old) was inside of a crib with a stuffed toy positioned under their head and a blanket was wrapped around their body.”

Rule 22VAC40-111-530-F.

22VAC40-111-60-B

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #2’s record (Start date-08/30/2021) did not contain the medical insurance policy number.”

Rule 22VAC40-111-60-B.

22VAC40-111-680-A

“Based on observation, caregivers did not wash their hands with liquid soap and warm running water after contact with any body fluids. Evidence: 1. Staff #1 wiped Child #4’s nose with a tissue and did not wash their hands after contact.”

Rule 22VAC40-111-680-A.

Based on record review, the provider did not review the emergency plan at least annually and update the plan as needed. The provider did not document in writing each review and update to the emergency plan.

“Evidence: 1. The Emergency plan was not reviewed and updated in writing. The last time that the Emergency Plan was reviewed and documented was 08/26/2020.”

Rule 22VAC40-111-800-B.