Nadia Khan

A child’s record shall contain emergency information including the name and policy number of the child’s medical insurance.

“For Child #1 the policy number for the listed named insurance on file was not available for review.”

Rule 8VAC20-800-60-B.

Documentation of additional immunizations is required once every six months for children under the age of two years.

“Child #3’s (18 months old) documented immunization page on file was 2 months past due.”

Rule 8VAC20-800-90-C.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There were no parent acknowledgement available for Child #4 (who was provided care in February and March 2026. The FDH’s Medication Administration ? Decision to Administer form was not available for Child #4.”

Rule 8VAC20-800-70-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.

“Records for children #1, and #7 did not have a parent’s signature for an annual review of the emergency contact information. Child #1, and #7 last documented reviews were from over (13) thirteen months ago.”

Rule 8VAC20-800-780-B.

Within the first 90 days of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education.

“Staff #2 did not have a certificate of completion for the 10-hour Virginia Preservice Training. Staff #2 has been employed with the Family Day Home (FDH) for the past 9 months.”

Rule 8VAC20-790-250-B.

All caregivers shall have within 90 days of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“The current CPR certification for Staff #2 has expired.”

Rule 8VAC20-790-250-D-1.

All caregivers shall have within 90 days of employment a current certification in first aid appropriate to the ages of children in care.

“The current first aid certification for Staff #2 has expired.”

Rule 8VAC20-790-250-D-2.

Assistants’ records shall contain the documentation that two or more references as to character and reputation as well as competency were checked before employment.

“There was only 1 reference documented for Staff #2. Staff #2 was on site during the inspection, and has been employed for the past 9 months.”

Rule 8VAC20-800-120-B.

Children’s records are required to contain Information on allergies and actions to take in an emergency situation;

“The record for Child #7 was missing the action to be taken for the allergy that was listed. The child was not present during the inspection and had been in care for 4 years.”

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 #4 did not have a parent’s current signature for an annual review of the emergency contact information. Child #4 had been in care for over a year. The documented review on file expired two months ago.”

Rule 8VAC20-800-780-B.

22.1-289.035-B-2

“Based on revie of caregiver records, not all caregiver’s submitted to fingerprinting before their first day of employment. Evidence Caregiver #2, first day of employment 7/15/2024, has not submitted to fingerprinting and does not have documentation of an eligible letter of employment.”

Rule 22.1-289.035-B-2.

Based on review of household member (HHM) records, not all household members provided a sworn statement disclosing whether they have ever been convicted of or is the subject of any pending criminal charges for any offense within or outside the Commonwealth.

“Evidence HHM #1 does not have documentation of a sworn statement.”

Rule 22.1-289.036-B-1.

22.1-289.036-B-2

“Based on review of household member (HHM) records, not all HHM submitted to fingerprinting and provide a letter of eligibility employment. Evidence HHM #1 has not submitted to fingerprinting or have documentation of an eligible fingerprint.”

Rule 22.1-289.036-B-2.

8VAC20-770-40-D-5

“Based on review of household member (HHM) records, when a HHM turned 14 years of age they did not submit to a search of the central registry. Evidence HHM #2 (age 15) has not submitted to a search of the central registry.”

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

8VAC20-800-170-A

“Based on review of household member (HHM), an adult HHM did not obtain a current report of tuberculosis screening documenting the absence of tuberculosis in a communicable form. Evidence HHM #1, over the age of 18, does not have documentation of a tuberculosis screening documenting the absence of tuberculosis in a communicable form.”

Rule 8VAC20-800-170-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances were accessible to children. Evidence Located in a basket under the changing table potentially poisonous substances, including baby powder, petroleum jelly, and diaper creams were accessible cream.”

Rule 8VAC20-800-280.

8VAC20-800-920

“REPEAT VIOLATION Based on observation, meals and snacks are provided, a menu for the current one-week period must be available. Evidence A menu was not available for review.”

Rule 8VAC20-800-920.

8VAC20-800-180-A

“Based on a review of caregiver records, the provider did not ensure the Tuberculosis Screening form was completed every two years from the date of the first screening. Evidence: Caregiver #1 had a Tuberculosis form dated 8/12/2021.”

Rule 8VAC20-800-180-A.

8VAC20-800-180-A

“Based on a review of caregiver and adult household member files, 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 #1 had a TB test dated 11/21/2020.”

Rule 8VAC20-800-180-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances, such as cleaning agents, were not stored away from areas inaccessible to children. Evidence: During a walk through of the child care area there was a tub of Clorox wipes located on a lower shelf of a rolling cart by the steps.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

“Based on a review of child files, the children’s records did not contain all of the required information. Evidence: 1 of 4 child files checked only had one emergency contact listed.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-B

“Based on a review of child files, annually, the provider did not get the update for emergency contacts. Evidence: 1 of 4 child files reviewed did not have documentation of an annual update.”

Rule 8VAC20-800-780-B.

22.1-289.058

“Based on observation and provider interview, the program did not have a carbon monoxide detector. Evidence: There was not a carbon monoxide detector available during the inspection and the provider confirmed that she did not have a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-800-920

“Based on observation and provider interview, there was not a menu available. Evidence: There was no menu available during the inspection. The provider confirmed she did not have a menu written out for the week.”

Rule 8VAC20-800-920.