Ms. Hirut Yigezu

The provider shall obtain written parental authorization for children’s prescription and nonprescription medications.

“There were four nonprescription medications on site for enrolled children that did not have written parental authorization on file.”

Rule 8VAC20-800-700-A.

Repeat violation

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. There were multiple over the counter pain reliever and cough medications stored in an upper unlocked cabinet in the children’s meal and snack area.”

Rule 8VAC20-800-730-D.

Child-resistant protective covers shall be installed on all unused electrical outlets accessible to children under five years of age.

“There were 11 children present that are under age 5 and two outlets were observed without child-resistant protective covers.”

Rule 8VAC20-800-320-B.

High chairs shall be used according to manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened.

“There were four children ages 10 months, 10 months, 18 months, and 3 years sitting in high chairs eating lunch that did not have their safety straps fastened.”

Rule 8VAC20-800-540-A.

The provider shall ensure children’s records contain all required information.

“Child #6 has been enrolled for seven months and did not have the medical insurance policy number on file.”

Rule 8VAC20-800-60-B.

The provider shall ensure the diapering surface is nonabsorbent and washable.

“The changing pad used for diapering had multiple tears making it absorbent and not able to be adequately cleaned and sanitized.”

Rule 8VAC20-800-690-D.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“There were multiple pain reliever and cough medications stored in an upper unlocked cabinet in the children’s meal and snack area.”

Rule 8VAC20-800-730-D.

The provider shall maintain documentation of the required emergency evacuation and shelter-in-place drills.

“There was no documentation of drills conducted in December 2024 through June 2025.”

Rule 8VAC20-800-830-C.

Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles.

“Three children were observed drinking from bottles and sippy cups while laying down on cots during nap time.”

Rule 8VAC20-800-900-B.

Repeat violation

“Based on record review, the provider did not obtain updated tuberculosis screenings for every adult household member at least every two years. Evidence: Adult Household Member #1’s most recent tuberculosis screening results were dated 4/2/22. Adult Household Member #2’s most recent tuberculosis screening results were dated 4/2/22. Adult Household Member #3’s most recent tuberculosis screening results were dated 9/10/21.”

Rule 8VAC20-800-180-A.

Based on observation, the provider did not ensure that cots, when being used for sleeping or napping by children, had linens consisting of a top and bottom cover.

“Evidence: Four children were observed napping on cots with no bottom cover.”

Rule 8VAC20-800-530-A.

Based on record review, the provider did not ensure children’s records contained documentation of the parent’s annual review of the child’s emergency contact information.

“Evidence: Child #1’s most recent review of emergency contact information was 5/30/22. Child #2’s most recent review of emergency contact information was 3/1/23. Child #3’s most recent review of emergency contact information was 8/4/21. Child #5’s most recent review of emergency contact information was 12/17/21.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not obtain documentation of updated immunizations every 6 months for children under the age of 2 years old.

“Evidence: Child #2 is under the age of 2 years old and the most recent immunizations on file were dated 7/10/23.”

Rule 8VAC20-800-90-C.

Based on record review and provider interview, the provider did not obtain the results of a Virginia Child Abuse and Neglect Central Registry search within 30 days of employment for staff.

“Evidence: Staff #2 (Date of Hire: 6/5/2023) did not have Virginia Child Abuse and Neglect Central Registry search results on file.”

Rule 8VAC20-770-60-C-2.

Based on record review, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #2 (Start Date: 1/9/2023) and Child #5 (Start Date: 1/10/2022) did not have physical examinations on file.”

Rule 8VAC20-800-100-A.

Repeat violation

“Based on record review, the provider did not ensure that assistants’ records contain all required information. Evidence: Staff #3’s record did not contain documentation or orientation training.”

Rule 8VAC20-800-120-B.

Based on record review and provider interview, the provider did not obtain updated tuberculosis screening or test results every two years for each caregiver.

“Evidence: Staff #1’s most recent tuberculosis test results were dated 11/1/2021 and Staff #3’s most recent tuberculosis test results were dated 9/10/2021.”

Rule 8VAC20-800-180-A.

Repeat violation

“Based on interview and documentation review, the provider did not maintain a written record of children in attendance each day. Evidence: There was no attendance maintained for 1/8/24, 1/9/24 or 1/10/24.”

Rule 8VAC20-800-50-A.

Repeat violation

“Based on record review, the provider did not ensure that children’s records contain all required information. Evidence: 1. Child #2 (Start Date: 1/9/2023) and Child #3’s (Start Date 10/22/2023) records were missing the medical insurance policy number. 2. Child #2 and Child #5’s (Start Date: 1/10/2022) records were missing documentation of the provider verifying the proof of age and identity. 3. Child #3’s record was missing immunization records. 4. Child #2 and Child #5’s records were missing physical examinations.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not provide required information in writing prior to children’s first day of attendance.

“Evidence: 1. Child #1 (Start Date: 1/17/2023), Child #2 (Start Date: 1/9/2023), and Child #3 (Start Date: 10/22/2023) did not have documentation on file that parents were provided the family day home’s policies for the administration of medications. 2. Child #5 (Start Date: 1/10/2022) did not have documentation on file that parents were provided the family day homes provision of the emergency preparedness plan or documentation indicating if there is liability insurance in force on the family day home operation.”

Rule 8VAC20-800-70-A.

Repeat violation

“Based on observation of emergency supplies, the provider did not ensure that the first aid kit contains all required items. Evidence: The first aid kit did not contain the required two triangular bandages.”

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

Based on documentation review and provider interview, the provider did not ensure documentation is maintained of shelter-in-place drills.

“Evidence: There was no documentation of shelter-in-place drills having been conducted.”

Rule 8VAC20-800-830-C.

Based on record review, the provider did not obtain documentation the the child has been adequately immunized prior to attending the family day home.

“Evidence: Child #3 (Start Date: 10/22/2023) did not have immunizations on file.”

Rule 8VAC20-800-90-A.

8VAC20-800-120-B

“Based on review, the provider did not ensure that staff records were maintained with the required minimum information. Evidence: reviewed 1 staff record and found that there was no documentation of emergency contact information.”

Rule 8VAC20-800-120-B.

8VAC20-800-280

“Based on observation, the provider did not ensure that potentially poisonous substances was kept inaccessible to children at all times. Evidence: observed that there was 1 large container of Lysol disinfectant on a counter accessible to children and 2 Lysol spray bottles on two high chair trays, accessible to children.”

Rule 8VAC20-800-280.

8VAC20-800-50-A

“Based on the provider interview, the provider did not ensure that an attendance record was maintained each day. Evidence: identified through the provider that she had not maintained a written attendance record for the current day.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on review, the provider did not ensure that children’s records were maintained with the required information. Evidence: reviewed 2 children’s records and found that Child 1 did not have documentation of medical insurance policy numbers.”

Rule 8VAC20-800-60-B.

8VAC20-800-760-A-1

“Based on observation, the provider did not ensure that the first aid kit contained the minimum required items. Evidence: observed that the first aid kit did not have adhesive tape or 2 triangular bandages.”

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

8VAC20-800-920

“Based on review, the provider did not have documentation of the menu’s substituted meals. Evidence: observed that the provider was giving the children spaghetti for lunch, but did not have spaghetti listed on the menu.”

Rule 8VAC20-800-920.

8VAC20-800-100-A

“Based on review, the provider did not ensure that they obtained documentation of a physical exam within 30 days after the first day of care. Evidence: Reviewed 2 children’s records and found that Child 1 did not have documentation of a physical exam, and has been in care for more than 30 days.”

Rule 8VAC20-800-100-A.

8VAC20-800-690-D

“Based on observation, the provider did not ensure that the diapering surface was nonabsorbent. Evidence: observed that the provider had a cloth diaper changing cover and a thin quilt on the diaper changing table, creating an absorbent surface.”

Rule 8VAC20-800-690-D.

8VAC20-800-90-A

“Based on review, the provider did not ensure that they obtained documentation of immunization records before the child attends the family day home. Evidence: Reviewed 2 children’s records and found that Child 1 did not have documentation of an immunization record.”

Rule 8VAC20-800-90-A.

8VAC20-800-50-A

“Based on review, the provider did not ensure that there was a written record of children in attendance each day. Evidence: interviewed the provider and found that she did not have documentation of a written attendance this week.”

Rule 8VAC20-800-50-A.

8VAC20-800-730-D

“Based on observation, the provider did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: observed two containers of liquid Children’s Motrin on a shelf next to the changing table.”

Rule 8VAC20-800-730-D.

8VAC20-800-830-A

“Based on review, the provider did not ensure that emergency evacuation procedures were practiced monthly. Evidence: reviewed the provider’s records and found that the provider’s last documented emergency evacuation drill was dated 10/21/2021”

Rule 8VAC20-800-830-A.

22VAC40-111-110-B

“Based on review, the provider did not ensure that each physical examination report is signed by a licensed physician, their physician’s designee, or an official of a local health department. Evidence: Reviewed 3 children’s records and found that 1 (child 1) did not have documentation of a signed physical examination record.”

Rule 22VAC40-111-110-B.