Naima Dar

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #2 was not completed and was overdue by over one year.”

Rule 8VAC20-800-180-A.

Information contained in a child’s record shall be privileged and confidential.

“The Supplemental page from the 3/31/2026 inspection was posted on the parent board. The Supplemental page is considered confidential and is not to be posted.”

Rule 8VAC20-800-50-C.

Children’s records are required to contain parental home and employment addresses and phone numbers.

“The record for Child #2 was missing the employment phone number for the both parents.The child was present during the inspection and had been in care for over one year.”

Rule 8VAC20-800-60-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.

“The record for Child #2 did not have a parent’s signature for an annual review of the emergency contact information. Child #2 had been in care for over a year.”

Rule 8VAC20-800-780-B.

Documentation shall be maintained of emergency evacuation.

“The emergency evacuation drill for September was not documented.”

Rule 8VAC20-800-830-C.

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 #1 recently resided out of state. The provider did not request a sex offender search and central registry search for this household member.”

Rule 22.1-289.036-B-4.

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

“Part of the side fence was leaning and had exposed nails. There was a gap between the wood panels large enough for a child to fit through.”

Rule 8VAC20-800-240-A.

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.

“There was no protective cover for one unused outlet that was accessible to children. At the time of the inspection there were three children under five years of age.”

Rule 8VAC20-800-320-B.

An assistant 18 years of age or older who is left alone with children in care shall have a current certification in CPR.

“Assistant #2, whose CPR certificate expired over two years ago, was left alone with children for 10 minutes.”

Rule 8VAC20-800-150-D-1.

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

“Part of the side fence was leaning and had exposed nails. There was a gap between the wood panels large enough for a child to fit through.”

Rule 8VAC20-800-240-A.

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

“Poisonous cleaning chemicals were in an unlocked bathroom cabinet accessible to children.”

Rule 8VAC20-800-280.

When diaper ointment is used written parent authorization shall be obtained at least annually.

“There were no written parent authorizations on file for all diaper ointments.”

Rule 8VAC20-800-750-A.

Repeat Violation 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.

“The record for child #1, #2, and #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #1’s annual review was overdue by 4 months. Child #2 and #4’s annual review were overdue by 3 months.”

Rule 8VAC20-800-780-B.

The following telephone numbers shall be posted in a visible area close to the telephone: 911 or local dial number for police, fire, and emergency medical responders and responsible person for emergency backup care.

“Emergency numbers were not posted.”

Rule 8VAC20-800-790.

The written emergency preparedness and response plan shall include provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents.

“An emergency backup person was not included in the emergency preparedness plan.”

Rule 8VAC20-800-800-A.

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

“The emergency plan was last reviewed on 4/4/2024.”

Rule 8VAC20-800-800-B.

8VAC20-800-100-A

“Providers are required to obtain documentation of a physical examination within 30 days after the first day of attendance. The records for Child #2 and #3 did not contain documentation of a physical examination. The physicals for Child #2 and #3 are one month overdue.”

Rule 8VAC20-800-100-A.

8VAC20-800-40-A

“The provider shall ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. The maximum licensed capacity of the home is 7 and there were 8 children in care during the inspection.”

Rule 8VAC20-800-40-A.

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. The record for child #4 did not have a parent’s signature for an annual review of the emergency contact information. The annual review was overdue by one month.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-A

“Providers are required to practice shelter-in-place procedures a minimum of twice per year. There were no shelter in place drills documented for the year 2024. Caregiver #1 reported completing one shelter in place drill during the year 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-170-B

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. The form shall have been completed within the last 30 days. The tuberculosis screening in the record for Caregiver #3, who had been caring for children for three weeks, was completed 8 months prior to their first day.”

Rule 8VAC20-800-170-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. An emergency evacuation drill was not completed for the month of April 2024.”

Rule 8VAC20-800-830-A.

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 report in the record for Child #1, age 23 months, was over 8 months ago.”

Rule 8VAC20-800-90-C.

Based on record review, the provider did not obtain a sworn statement or affirmation every five years for 2 of 2 household members reviewed.

“Evidence: 1. The most current sworn statement int he record for Household Member #1 was dated 12/21/2018. 2. The most current sworn statement in the record for Household Member #2 was dated 12/21/2018.”

Rule 22.1-289.036-A.

Based on record review, the provider did not obtain the parent’s written acknowledgement of the receipt of information of 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 for 1 of 4 children reviewed.

“Evidence: 1. The notice of liability insurance form in the record for Child #4 was blank.”

Rule 8VAC20-800-70-B.

Based on record review, the provider did not review with the parent the emergency contact information required to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“Evidence: 1. The most recent review of Child #4’s emergency information was dated 1/11/23.”

Rule 8VAC20-800-780-B.

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

“Evidence: 1. The most recent review of the emergency plan was dated 3/3/2023.”

Rule 8VAC20-800-800-B.

Based on record review, 1 of 3 caregiver records did not contain all required information.

“Evidence: 1. The record for Caregiver #2 did not contain the caregiver’s date of employment. 2. The record for Caregiver #2 did not contain 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 obtain a current tuberculosis screening every two years for 1 of 3 caregivers reviewed.

“Evidence: 1. The most recent tuberculosis screening in the record for Caregiver #1 was dated 02/08/2021.”

Rule 8VAC20-800-180-A.

Based on observation, the provider did not ensure the total number of children receiving care at any one time does not exceed the maximum licensed capacity of home.

“Evidence: 1. The family day home is licensed to provide care for 7 children. 2. There were 8 children present during the inspection.”

Rule 8VAC20-800-40-A.

Based on observation, child information was not kept confidential.

“Evidence: 1. The supplemental information page containing confidential information was posted in the Family Day Home.”

Rule 8VAC20-800-50-C.

Based on record review, 1 of 3 children’s records did not contain all required information.

“Evidence: 1. The record for Child #3 did not contain the address of the place of employment for the child’s father. 2. The record for Child #3 did not contain the address of one of two designated persons to contact in case of an emergency if the parent cannot be reached;”

Rule 8VAC20-800-60-B.

Based on record review, 1 of 3 caregiver records reviewed did not contain all required information.

“Evidence: 1. The record for Caregiver #1 did not contain the following: -Verification of age; -Date of employment or volunteering; -Name address and telephone number of a person to be notified in an emergency;”

Rule 8VAC20-800-120-B.

Based on record review, the tuberculosis screening for 2 of 3 caregiver records reviewed were not obtained within 30 days of the first date of employment.

“Evidence: 1. Provider stated Caregiver #1 began employment in February 2023. The documentation of tuberculosis screen/testing in the record for Caregiver #1 was dated 12/21/2022. 2. Caregiver #2 began employment on 1/23/2023. The documentation of tuberculosis screen/testing in the record for Caregiver #2 was dated 6/16/2022.”

Rule 8VAC20-800-170-B.

Based on record review, the provider did not obtain a current report of tuberculosis screening every two years from the date of the first screening for 1 caregiver.

“Evidence: 1. The most current tuberculosis screening in the record for Caregiver #3 was dated 09/28/2020. current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.”

Rule 8VAC20-800-180-A.

Based on record review, 1 of 3 children’s records reviewed did not contain all required information.

“Evidence: The record for Child #1 did not contain the following: - policy number of the child’s medical insurance -address for one of the two designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

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

“Evidence: The most recent review of the emergency plan documented was dated 3/3/2021.”

Rule 8VAC20-800-800-B.

Based on record review, documentation of evacuation drills were not maintained.

“Evidence: 1.The evacuation drill log for the Family Day Home did not contain documentation of evacuation drills practiced for the months of February 2023 and March 2023. 1. Provider stated the drills were completed, but not documented.”

Rule 8VAC20-800-830-C.

8VAC20-800-60-B

“Based on a review of children’s records, it was determined that one record does not contain all required information. Evidence: Child record B does not include documentation indicating that the parent has completed an annual review of the child’s contact information. This record was most recently reviewed by the parent on 7/5/2021.”

Rule 8VAC20-800-60-B.

8VAC20-800-80-C

“Based on a review of children’s records, it was determined that one record does not include documentation indicating that the provider has viewed the child’s original proof of identification. Evidence; Child record C does not include the provider’s documentation to show that the original proof of identification was viewed.”

Rule 8VAC20-800-80-C.

8VAC20-800-900-A

“Based on observations, it was determined that the provider did not prepare snack foods in a manner that helps reduce the risk of choking. Evidence: The Inspector observed the children eating cheese sticks served whole. The cheese sticks were not cut lengthwise in order to help reduce the risk of choking.”

Rule 8VAC20-800-900-A.