Nuria Ibrahim

Caregivers who work directly with children shall, annually attend the department’s health and safety update course.

“The health and safety update course was overdue by 3 weeks.”

Rule 8VAC20-790-250-F.

The vendor shall maintain a record of the dates of the practice drills for one year. For vendors offering multiple shifts, the simulated drills shall be divided evenly among the various shifts.

“The record for June, 2026 emergency evacuation drill was not documented.”

Rule 8VAC20-790-430-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.

“Caregiver #1 and Household Member #1 had TB tests that were expired by 3 months.”

Rule 8VAC20-800-180-A.

REPEAT VIOLATION A child’s record shall contain written authorization for emergency medical care.

“Child #1 did not have written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

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

“Child #2 had an annual review that was over due by 3 months.”

Rule 8VAC20-800-780-B.

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

“The plan review documentation was over due by 4 months”

Rule 8VAC20-800-800-B.

Children shall not be allowed to eat or drink while lying down.

“Child # 3 was observed laying down in the crib with a bottle.”

Rule 8VAC20-800-900-B.

8VAC20-800-90-A

“Based on a review of child records, the provider did not ensure they obtained documentation that the child has been adequately immunized. Evidence: Child #1 (start date 9/12/22) did not have immunizations on record during the inspection.”

Rule 8VAC20-800-90-A.

8VAC20-800-60-B

“Based on a review of child records, the provider did not ensure each child’s record contained the required information. Evidence: Child #1 (start date 10/30/2023) did not have a physical exam on record during the inspection. Child #2 had an annual update that expired on 09/07/2023.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children washed their hands at required times. Evidence: Child #3 was observed being put in the high chair for snack time without having their hands washed.”

Rule 8VAC20-800-680-B.

8VAC20-800-180-A

“Based on a review of records, the provider did not obtain for each caregiver a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: Caregiver #1 had a TB screening dated 8/8/2021.”

Rule 8VAC20-800-180-A.

8VAC20-800-340-C

“Based on observation, the provider did not ensure the bathroom had all required supplies. Evidence: The bathroom did not have soap or paper towels.”

Rule 8VAC20-800-340-C.

8VAC20-800-790

“Based on observation, the provider did not ensure required phone numbers were posted in a visible area close to the telephone. Evidence: The provider did not have the required phone numbers posted.”

Rule 8VAC20-800-790.

8VAC20-800-800-A

“Based on a review of documentation, the provider did not have a written emergency preparedness and response plan that had all of the required information. Evidence: The provider did not have an emergency preparedness plan available during the inspection.”

Rule 8VAC20-800-800-A.