Dilani Weerasinghe

The provider shall obtain documentation of a physical examination prior to or within 30 days of the first day of a child’s attendance.

“The provider had no documentation of a physical examination for Child A who had been in care for over 4 months.”

Rule 8VAC20-800-100-A.

The provider shall review annually the emergency contact information to ensure the information is correct.

“The provider has no documentation of the emergency contact review for Child B. The last review was over 18 months prior.”

Rule 8VAC20-800-780-B.

Caregivers shall annually attend 16 hours of training to include the department’s health and safety update course.

“Staff A had no documentation of completion of the annual health and safety training.”

Rule 8VAC20-790-250-F.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

The provider shall maintain an up-to-date record for each enrolled child.

“Child D, attending for two weeks, had no record.”

Rule 8VAC20-800-60-A.

The child’s record shall contain completed information.

“Child B had no documentation of a second emergency contact in the record.”

Rule 8VAC20-800-60-B.

Emergency evacuation procedures shall be practiced monthly with all caregivers and children in care.

“There was no documentation for the last two months for emergency evacuation procedures.”

Rule 8VAC20-800-830-A.

Lockdown procedures shall be practiced at least annually.

“Lockdown procedures were not practiced in 2024.”

Rule 8VAC20-790-430-A-3.

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The findings from the most recent inspection, dated 10/28/2024, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

Repeat violation

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. No physical exam records were available for Child #4, who had been in care for over 4 months.”

Rule 8VAC20-800-100-A.

Sharp kitchen utensils and other sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision.

“A large sharp knife, two smaller sharp knives, and a food peeler were found in a kitchen drawer with a broken safety lock, accessible to children in care.”

Rule 8VAC20-800-290.

Small electrical appliances were not unplugged when not being used.

“A toaster, coffee machine, and blender were observed plugged in when not in use.”

Rule 8VAC20-800-320-A.

All flammable and combustible materials such as, but not limited to, matches, lighters, lighter fluid, kerosene, turpentine, oil and grease products, aerosol cans, and alcohol shall be stored in an area inaccessible to children.

“A lighter was found in a kitchen drawer with a broken safety lock, accessible to children in care. Canola oil was found in an unlocked cabinet under the kitchen sink, accessible to children in care.”

Rule 8VAC20-800-320-H.

A child’s record shall contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“Child #3, who has been in care for over a year, is missing the name, address, and telephone number of one designated person to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided required information in writing.

“Child #4 and Child #5 were missing a signature for whether or not there is liability insurance in force on the family day home operation. Child #4 is missing the family day home’s medication policy.”

Rule 8VAC20-800-70-A.

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

“Child #2’s emergency medication was located on the diaper changing table, not locked, and accessible to children in care.”

Rule 8VAC20-800-730-D.

When topical skin products, such as diaper ointment shall be inaccessible to children.

“Child #2’s two topical ointments were located on the diaper changing table, accessible to children in care.”

Rule 8VAC20-800-750-B.

The family day home did not ensure each first aid kit had all the required items.

“Triangular bandages were missing from the first aid kit.”

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

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 Child #1, Child #2, Child #3, and Child #5 did not have a parent’s signature for an annual review of the emergency contact information. Child #1’s last annual review was over five years ago. Child #2’s last annual review was 18 months ago. Child #3’s last annual review was 19 months ago. Child #5’s last annual review was over a year ago.”

Rule 8VAC20-800-780-B.

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

“The last annual review of the emergency plan was dated over five years ago.”

Rule 8VAC20-800-800-B.

The Provider shall obtain documentation of a physical examination prior to the child’s attendance or within 30 days of attendance.

“Child A had no documentation of a physical examination. The child began attendance six months prior.”

Rule 8VAC20-800-100-A.

22.1-289.036-A

Rule 22.1-289.036-A.

8VAC20-800-180-A

“Based on staff and household records review, the provider did not 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 by a physician or the local health department. Evidence: 1. Household member 1 Tuberculosis Screening expired on 9/29/2023. 2. Household member 2 Tuberculosis Screening expired in 3/27/2023.”

Rule 8VAC20-800-180-A.

8VAC20-800-100-A

“Based on children records review, 2 out of 2 records, the provider did not obtain documentation of 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: 1. Child #1 and Child #2 did not have a physical examination in record available for review.”

Rule 8VAC20-800-100-A.

8VAC20-800-100-A

“Based on children records review, 2 out of 2 records, the provider did not obtain documentation of 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: 1. Child #1 and Child #2 did not have a physical examination in record available for review.”

Rule 8VAC20-800-100-A.

8VAC20-800-40-A

“Based on observation, the center did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. The provider’s license capacity is 5 children. On July 14, 2023, the provider had 6 children present at the family day home.”

Rule 8VAC20-800-40-A.