Muna Barkhadle

The provider is required to maintain an up-to-date record at the family day home for each enrolled child.

“Child #7 was missing documentation of the Emergency Preparedness Plan, Information for Parents, and Medication Policy.”

Rule 8VAC20-800-60-A.

The Provider is required to maintain an up-to-date record at the family day home for each child enrolled.

“Child #1 was missing the Emergency Preparedness Plan, Proof of Liability insurance and the Medication Policy form. Child #2 was missing the Emergency Preparedness Plan and the Proof of Liability Insurance. Child #3 did not have an annual update of emergency information.”

Rule 8VAC20-800-60-A.

Based on observations, areas outside of the family day home was not maintained in a safe and operable condition.

“Evidence: 1) Multiple tripping hazards were observed on the brick patio area located in the outdoor play area. Several bricks were protruding, creating potential trip hazards. 2) Long broken wires with sharp edges were observed next to the door that provides access to the playground. The wires were accessible to the children.”

Rule 8VAC20-800-240-A.

Based on record review, the provider did not maintain all the required information for 2 out of 5 enrolled children.

“Evidence: 1. Child #1 was missing the address for one of the emergency persons to contact in case a parent cannot be reached. 2. Child #3 was missing documentation of the annual review of the child’s emergency contact information.”

Rule 8VAC20-800-60-B.

Based on caregiver interview and record review, the provider did not document or review the emergency plan at least annually and did not update the plan as needed.

“Evidence: The provider last reviewed and documented the review on 2/20/2019. The provider confirmed that the plan was not updated annually.”

Rule 8VAC20-800-800-B.

Based on a review of children’s records, the provider failed to obtain all required documentation for each child enrolled.

Rule 8VAC20-800-60-B.

Based on a review of children’s records, the provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #1’s record did not contain documentation of a physical by the 30th day of attendance. First day of attendance 2/28/2022.”

Rule 8VAC20-800-100-A.

Based on a review of children’s records, the provider failed to obtain required documentation for each child enrolled.

“Evidence: - Child #2’s record di not contain documentation of the phone number for each custodial parents place of employment. - Child #2’s record does not contain documentation of the names of persons other than parents who are authorized to pick up the child. - Child #2’s record did not contain documentation of the review of the child’s emergency contact information as required by 8VAC20-800-780-B.”

Rule 8VAC20-800-60-B.

Based on a review of household member records, the provider failed to obtain a current Criminal History record check.

“Evidence: Household member#1’s record does not contain documentation of a current Criminal History record check.”

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

Based on review of child records, the provider failed to obtain documentation of a physical exam by or under the director of a physician prior to c child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #1’s record does not contain documentation of a physical examination by the 30th day of attendance. First day of attendance - 09/07/2021”

Rule 8VAC20-800-100-A.

Based on review of staff and household member records, the provider failed to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form in accordance with the requirements, every two years from the date of the first screening.

“Evidence: Household Member #1 and #2’s records do no have documentation of a current Tuberculosis Screening.”

Rule 8VAC20-800-180-A.

Based on a review of caregiver records, caregivers failed to obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: Caregiver #1 and #2’s records did not have documentation of 16 hours of relevant training.”

Rule 8VAC20-800-210-A.

Based on review of caregiver records, the provider failed to ensure that whenever the family day home has a agreed to administer prescription medications or nonprescription medications, the administration shall be performed by a caregiver who has satisfactorily completed a training program for this purpose developed or approved b the Board of Nursing and taught by a registered nurse, licensed practical nurse, doctor of medicine or osteopathic medicine or pharmacist.

“Evidence: Caregiver #1 and Caregiver #2’s records did not have documentation of Medication Administration Training.”

Rule 8VAC20-800-220-A.

Based on a review of children’s records, the provider failed to obtain and maintain all required documents for each child enrolled.

“Evidence: Child #2’s record did not contain documentation of parent’s work address, liability insurance, medication policy. Child #4’s record did not contain documentation of parent’s work phone numbers. Child #5’s record did not contain documentation of the parent agreement or the medication policy.”

Rule 8VAC20-800-60-A.

Based on a review of child records, the provider failed to obtain a written authorization from a parent to administer a medication for a child in care.

“Evidence: Child # 4 has an Auvi-q epinephrine injector at the FDH in case of an emergency due to a food allergy. There is no written authorization.”

Rule 8VAC20-800-700-A.

Based on observation, the provider failed to ensure that the first aid kit contained all required supplies.

“Evidence: The first aid kit was missing a first aid manual.”

Rule 8VAC20-800-760-A.

Based on review of evacuation log, the provider failed to ensure that shelter-in-place procedures will be practiced a minimum of twice per year.

“Evidence: The provider did not have documentation of shelter-in-place practice drill twice a year.”

Rule 8VAC20-800-830-B.

Based on a review of child records, the provider failed to obtain documentation that the child has been adequately immunized according to requirements of 32.1-46 of the Code of Virginia and applicable State Board of Health regulations, by the first day of attendance.

“Evidence: Child #1’s record does not have documentation of immunizations by the first day of attendance. First day of attendance was 09/07/2021.”

Rule 8VAC20-800-90-A.