Amber Iftikhar

Potentially poisonous substances shall be stored in areas inaccessible to children.

“Hand sanitizer (label states to keep out of reach of children) was observed on a shelf in a room used for childcare and was accessible to children.”

Rule 8VAC20-800-280.

The diapering surface shall be nonabsorbent and washable.

“The vinyl changing pad was observed to have numerous tears exposing the absorbent fiber fill.”

Rule 8VAC20-800-690-D.

Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“The record for Child #2 did not contain signed acknowledgement of an annual review of emergency contact information.”

Rule 8VAC20-800-780-B.

8VAC20-800-280

“Potentially poisonous substances, materials and supplies such as cleaning agents, disinfectants, and deodorizers shall be stored in areas inaccessible to children. A large bottle of Dawn Platinum detergent was sitting on the bathroom sink, which was accessible to children. The label on the detergent states “Keep Out of Reach of Children”.”

Rule 8VAC20-800-280.

8VAC20-800-330-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. There was no operable landline available during the inspection.”

Rule 8VAC20-800-330-A.

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care. There were two bottles belonging to child #3 that were not labeled with the child’s full name nor dated.”

Rule 8VAC20-800-960-E.

8VAC20-770-40-D-5

“Household members 14 years of age and older must obtain the results of a central registry search within 30 days of becoming 14 years old. Household Member #2 did not have central registry results during the inspection and had become 14 years old over 9 months ago.”

Rule 8VAC20-770-40-D-5.

22.1-289.036-A

“Based on review of three household members’ records, and interview with the provider, the provider did not update the central registry record report every five years for a household member residing in the home. Evidence: 1. Household Member #2 record did not have an updated central registry search.in the file (expired 10/31/22). 2. Provider acknowledged household member #2 central registry results were expired and she had failed to resend the corrected paperwork.”

Rule 22.1-289.036-A.

8VAC20-800-760-A-1

“Based on observation, the first aid kit did not contain at a minimum antiseptic cleaning solution or pads. Evidence: The first aid kit did not have antiseptic cleaning solution or pads.”

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

8VAC20-800-790

“Based on observation, the provider failed to post the telephone numbers for 911 or local dial number for police, fire and emergency medical responders, the responsible person for emergency back-up care and the regional poison control enter in a visible area close to the telephone. Evidence: 1. Telephone numbers of 911, police, fire or emergency medical responders were not posted. 2. Poison Control number was not posted. 3. The name of responsible emergency back-up care was not posted. 4. Provider acknowledged the numbers were not posted.”

Rule 8VAC20-800-790.

22.1-289.036-A

Rule 22.1-289.036-A.

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1. Two electrical outlets on the left wall did not have protective covers. 2. One electrical outlet on the right wall near the manipulative shelf did not have a protective cover.”

Rule 8VAC20-800-320-B.

8VAC20-800-690-D

“Based on observation and interview, the diapering surface was not sanitized after each use. Evidence: 1. There was no bleach solution available to sanitize the diapering surface. 2. Provider acknowledged there was no bleach solution available to sanitize the diapering surface.”

Rule 8VAC20-800-690-D.

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.Tripping hazard at the entrance of gate leading down the stairs to home entrance. 2.Garden supplies must be kept inaccessible to children 3.Bathroom toilet was not clean 4. Lawnmower was not inaccessible to children”

Rule 8VAC20-800-240-A.

8VAC20-800-250-B

“Based on observation, toys or objects that could be swallowed or present a choking hazard were not kept out of reach of children under the age of three years. Evidence: 1.We observed matchbox cars, small plastic food and other small manipulatives that were less than 1-1/4 inches in diameter or less than two inches in length that were stored in an open container within reach of children under the age of three years. 2.Child #1 is 10 months of age, and is crawling.”

Rule 8VAC20-800-250-B.

8VAC20-800-250-E

“Based on observations, balloons and empty plastic bags large enough for a child’s head to fit inside, were not inaccessible to children under five years of age. Evidence: Deflated balloons were observed through the care area and outdoor area. Inflated balloons were observed through the care area. 2. Plastic bags were observed inside an unlocked drawer in the bathroom cabinet of the care area accessible to children. 3.On the date of inspection, children in care were 10 months to 6 years of age.”

Rule 8VAC20-800-250-E.

8VAC20-800-280

“Based on observations, potentially poisonous substances, cleaning agents, disinfectants, and deodorizers, were not stored away in areas inaccessible to children. Evidence: 1. The drawers of the cabinet under the sink were not locked and the doors had a lock that was not working properly allowing access to the cabinet. The following substances were observed in the cabinet: wrinkle repair cream, body wash, hand lotion, shampoo and conditioner bottles, multipurpose cleaner. 2. A bottle of bubble solution was observed on the bathtub ledge.”

Rule 8VAC20-800-280.

8VAC20-800-760-A-1

“Based on observation, first aid kit did not contain a first aid instruction manual. Evidence: 1.The first aid kit did not contain a first aid instruction manual.”

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

8VAC20-800-790

“Based on observations and interview with the provider, emergency telephone numbers were not posted in a visible area close to the telephone. Evidence: 1. Police, 911, Fire, Emergency Medical Tech and Poison Control numbers were not posted. 2. Provider acknowledged she did not have the telephone numbers posted. .”

Rule 8VAC20-800-790.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations every 6 months for children under the age of 2 years and once between 4-6 years. Evidence: 1 The most recent immunization report in the record for Child #3 (DOB 12/27/18) was 11/25/19. 2.The most recent immunization report in the record for Child #2 (DOB 11/8/15) was 3/11/2016.”

Rule 8VAC20-800-90-C.

8VAC20-800-920

“Based on interview with the provider and documentation review, the menu for meals and snacks provided by the family day home did not meet all requirements. Evidence: 1. Provider stated that lunch for the day was rice, vegetables, banana, and milk or water. 2. Posted menu listed the lunch for today as chicken, rice, mixed vegetables, and fruit. 3. The substitutions were not documented on the menu as required.”

Rule 8VAC20-800-920.

8VAC20-800-180-A

“Based on review of household member records, the provider did not obtain for each household member a current report of tuberculosis screening form every two years from the date of the first screening. Evidence Household member #1 has a report of tuberculosis screening form that expired 4/21.”

Rule 8VAC20-800-180-A.