Khalida Kazimi

Poisonous materials shall be stored in an area inaccessible to children.

“Sanitizer labeled “Keep out of reach of children” was on a low windowsill accessible to children.”

Rule 8VAC20-800-280.

The provider shall ensure that a caregiver does not exceed 16 points.

“Caregiver #2 was the only caregiver providing direct supervision to eight children (ages 6 months-3 years), totaling 21 points, for approximately seven minutes.”

Rule 8VAC20-800-570-A.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating.

“Eight children did not wash their hands before eating.”

Rule 8VAC20-800-680-B.

Infants who cannot hold their own bottles shall be picked up and held for bottle feeding. Bottles shall not be propped.

“An infant was observed laying in an infant seat with a bottle propped with a blanket.”

Rule 8VAC20-800-960-B.

Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“Two infants were in care at the time of the inspection, and their bottles were not labeled with the child’s full name or the date.”

Rule 8VAC20-800-960-E.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“In the garage play space, there was no protective cover for an unused extension cord outlet that was accessible to children. At the time of the inspection, six children under the age of five were present in care.”

Rule 8VAC20-800-320-B.

A child’s record shall contain policy number of the child’s medical insurance,

“The record for child #1 was missing the policy number of the child’s medical insurance and has been in care for over three months.”

Rule 8VAC20-800-60-B.

The family day home may administer prescription medication provided the medication is maintained in the original, labeled container; and the caregiver administers drugs only to the child identified on the prescription label.

“Medication stored in the family day home for Child #6 was not in the original labeled container.”

Rule 8VAC20-800-710.

Medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“A caregiver’s medication was found on a low windowsill, which was accessible to children.”

Rule 8VAC20-800-730-D.

Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child.

“This information was not available for child #5 who has been in care for over 14 months.”

Rule 8VAC20-800-80-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 was no documentation of an emergency evacuation for October 2025.”

Rule 8VAC20-800-830-C.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1, Household Member #1 and Household member #2 were not completed and were overdue by two months.”

Rule 8VAC20-800-180-A.

8VAC20-800-700-C

“When an authorization for medication expires, the parents shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications not picked up by the parent within 14 days shall be taken to a pharmacy for proper disposal. Medication for Child #4 was present in the family day home. The authorization for the medication expired eight months ago.”

Rule 8VAC20-800-700-C.

8VAC20-800-710

“The family day home may administer prescription medication provided the medication is maintained in the original, labeled container; and the caregiver administers drugs only to the child identified on the prescription label. Medication stored in the family day home for Child #1 was not in the original labeled container and was not labeled with the child’s name.”

Rule 8VAC20-800-710.

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. The last documented immunization for Child #3, 13 months old, was over 11 months ago.”

Rule 8VAC20-800-90-C.

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #1, who had been in care for 6 months.”

Rule 8VAC20-800-100-A.

8VAC20-800-110-B

“Reports of immunizations shall include the dates immunizations were received and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. The immunizations in the record for Child #1, who has been attending the family day home for 6 months, were not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

8VAC20-800-210-A

“Repeat Violation Caregivers shall obtain a minimum of 16 clock hours of training annually. Documentation of training hours completed in 2024 were not available for review during the inspection for Caregiver #1 and Caregiver #2.”

Rule 8VAC20-800-210-A.

8VAC20-800-60-B

“Children’s records are required to contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. The record for Child #3, who has been in care for over a year, did not contain written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

8VAC20-800-80-A

“Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child. This information was not available for Child #3, who has been in care for over a year.”

Rule 8VAC20-800-80-A.

Based on record review, 1 caregiver did not obtain a minimum of sixteen clock hours of training annually.

“Evidence: 1. The record for Caregiver #1 did not contain documentation of ongoing training.”

Rule 8VAC20-800-210-A.

Based on record review, 1 of 4 children’s records did not contain all required information.

Rule 8VAC20-800-60-B.

Repeat Violation

“Based on observation, medications prescribed to children were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Medication prescribed to Child #3 was located in the child’s backpack. 2, Medication prescribed to Child #4 was located in the child’s basket on an upper shelf of the family day home.”

Rule 8VAC20-800-730-D.

Based on record review, 1 of 2 caregiver records reviewed did not contain all required documentation.

“Evidence: 1. The record for Caregiver #2 did not contain documentation of the name address and telephone number of a person to be notified in an emergency”

Rule 8VAC20-800-120-B.

Based on record review, the provider did not orient the assistant by their first week of assuming job responsibilities.

“Evidence: 1. Caregiver #2 began employment on 01/05/2024. 2. The record for Caregiver #2 did not contain documentation of orientation training.”

Rule 8VAC20-800-200-A.

Based on record review, 1 of 4 children’s records did not contain all required information.

“Evidence: 1. The record for Child #3 did not contain the child’s first date of attendance.”

Rule 8VAC20-800-60-B.

Based on record review, parents were not provided with all required information in writing before the child’s first day of attendance for 2 of 4 children.

“Evidence: 1. Forms providing information regarding medication administration and declaration of liability insurance in the record for Child #3 were not filled out. 2. The medication administration form in the record for Child #4 did not contain the names of caregivers with Medication Administration Training.”

Rule 8VAC20-800-70-A.

Based on observation, medications prescribed to children were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. Medication prescribed to Child #3 was located in the child’s backpack.”

Rule 8VAC20-800-730-D.

Repeat violation

“Based on record review, the provider did not document all required proof of identity information for 3 of 4 children reviewed. Evidence: 1. The documentation of verification of proof of identity for Child #1 and Child #3 did not include the date of review and signature of person viewing the proof of identity document . 2. The documentation of verification of proof of identity for Child #4 did not include the method of verification.”

Rule 8VAC20-800-80-C.

Based on record review, results of the search of the Central Registry were not obtained every five years for 1 caregiver.

“Evidence: 1. The most recent Central Registry search results in the record for Caregiver #1 were dated 01/22/2018.”

Rule 22.1-289.035-A.

Based on observation, soft bedding was used under an infant.

“Evidence: 1.Child #3 was observed sleeping in a crib while using a pillow.”

Rule 8VAC20-800-530-F.

Repeat Violation Based on record review, 2 of 2 children’s records reviewed did not contain all required information.

Rule 8VAC20-800-60-B.

Based on record review, the provider did not obtain the parent’s written acknowledgement of the receipt of all requried information.

“Evidence: 1. The records for Child#1 and 2 did not contain written acknowledgement of the receipt of whether or not there is liability insurance 2. The record for Child #2 did not contain written acknowledgement of the receipt of the provisions of the family day home’s emergency preparedness and response plan;”

Rule 8VAC20-800-70-B.

Based on record review, the provider did not document the method of verification of the child’s age and identity;

“Evidence: 1. The records for Child #1 and 2 did not contain documentation of the date of verification of the child’s age and identity and the signature of person viewing the documentation.”

Rule 8VAC20-800-80-C.

Based on record review, the provider did not review the emergency plan annually.

“Evidence: 1. The most recent documented review of the emergency preparedness plan was dated 07/12/2022.”

Rule 8VAC20-800-800-B.

Based on record review, the family day home did not obtain the results of a fingerprint based criminal history record check every 5 years for 3 of 4 caregiver/household members.

“Evidence: 1. New fingerprint check results were obtained for Caregiver #1 on 6/9/2023, more than 5 years after the previous fingerprint check results dated 2/14/2018. 2. New fingerprint check results were obtained for Household member #1 on 6/9/2023, more than 5 years after the previous fingerprint check results dated 2/14/2018. 3. New fingerprint check results were obtained for Household member #2 on 6/9/2023, more than 5 years after the previous fingerprint check results dated 2/14/2018.”

Rule 22.1-289.036-A.

Based on record review, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance for one child.

“Evidence: 1. The record for Child #2 (start date 12/5/2022) did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

Based on record review, 2 of 4 children’s records reviewed did not contain all required information.

“Evidence: 1. The record for Child #3 did not contain the address for two designated persons to contact in case of an emergency if the parent cannot be reached 2. The record for Child #4 did not contain the address of the place of employment for a second custodial parent. 2. The record for Child #4 did not contain the policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not review the emergency contact information required in the child’s record with the parent annually for 2 of 4 children reviewed.

“Evidence: 1. The most recent review of emergency contact information in the record for Child #1 (start date 8/16/2021) was dated 3/14/22. 2. The most recent review of emergency contact information in the record for Child #4 (start date 2/1/2021) was dated 3/15/2022.”

Rule 8VAC20-800-780-B.

Based on review 2 of 2 staff files indicated that both caregivers did not obtain a minimum of 16 clock hours of annual training in areas relevant to their job responsibilities.

“Evidence- 1. On the date of inspection (08/18/2022) Staff #1 had a total of 11 hours of annual training. 2. On the date of inspection, Staff #2 had a total of 13 hours of annual training. 3. Previous training year ran from 08/18/2021 through 08/19/2022.”

Rule 8VAC20-800-210-A.

Based on review, 1 of 8 children records indicated that not all of the required information was on file.

“Evidence - 1. On the date of inspection (08/18/2022), the policy number for the medical insurance belonging to Child #7 was not available for review. 2. The start date for Child #7 was listed as 04/18/22. While the number was not listed, the policy name was identified.”

Rule 8VAC20-800-60-B.

8VAC20-800-790

“Based on observation, the provider did not have all the required telephone numbers posted in a visible area close to the telephone. Evidence: 1. The provider had the poison control number posted on the wall, but did not have 911 posted or the emergency back up person’s telephone number posted.”

Rule 8VAC20-800-790.

8VAC20-800-800-B

“Based on review, the provider had an emergency plan, but had not completed a review at least annually and did not document in writing each review. Evidence: 1. The provider’s emergency plan was last updated on 7/18/2019.”

Rule 8VAC20-800-800-B.

8VAC20-820-120-E-1

“Based on observation and interview, the most recently issued license was not posted at each public entrance of the facility. Evidence: 1. A license that expired on 8/19/2021 was posted on the provider’s wall. The provider stated she did not receive the most recently issued license.”

Rule 8VAC20-820-120-E-1.

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: 1. The provider had the inspection posted from 1/07/2020, 7/17/2019 and 1/22/2019, but did not have the inspection dated 8/17/2021 posted.”

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