Archana Ghimire

8VAC20-800-280

“Based on observation, potentially poisonous substances were not stored in areas inaccessible to children. Evidence: There were multiple cleaning agents and disinfectants observed in the cabinet under the sink in the children’s bathroom. There was a lock observed hanging on the cabinet handles, unlocked.”

Rule 8VAC20-800-280.

8VAC20-800-830-C

“Based on record review and interview, documentation of emergency evacuation and shelter-in-place drills were not maintained. Evidence: There were no emergency drills documented for May and June of 2024. The provider stated that the drills were practiced but not written down on the drill log.”

Rule 8VAC20-800-830-C.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with each child’s full name and date. Evidence: 1. One bottle assigned to child #4 was not labeled with the date. 2. One bottle assigned to child #5 was not labeled with the date. 3. One unassigned bottle did not contain a name or date.”

Rule 8VAC20-800-960-E.

Based on review and interview, 1 of 10 children files indicated that before a child may attend the Family Day Home (FDH), the Provider did not obtain documentation that the child had been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations).

Rule 8VAC20-800-90-A.

Based on review, 2 of 12 children files indicated that documentation of a physical examination was not available.

“Evidence - 1. On the date of inspection (02/16/2022), documentation of a physical examination was not available for review for Child #5 (start date - 01/04/2022). 2. Documentation of a physical examination was not available for review for Child #7 (start date - 11/10/2021. 3. Both Child #5 and Child #6 were in attendance on the date of inspection.”

Rule 8VAC20-800-100-A.

Based on review, 1 of 3 staff files indicated that a total of 16 hours of annual training was not achieved.

“Evidence - 1. On the date of inspection (02/16/2022), Staff #2 had documented 3.5 hours of annual training. 2. Training documentation was reviewed and contain in the file of Staff #2.”

Rule 8VAC20-800-210-A.

Based on observation, the Provider did not ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver were needed.

“Evidence - 1. On the date of inspection (02/16/2022), a total of 10 children (36 points) with 2 caregivers were observed. 2. The Provider stated that an assistant was out sick for the day.”

Rule 8VAC20-800-570-A.

Based on review, 2 of 12 children files indicated that not all required information was documented within each child’s file.

“Evidence - 1. On the date of inspection (02/16/2022), the doctor’s information was not available for Child #2, and Child #3. 2. For both children “N/A” was inserted.”

Rule 8VAC20-800-60-B.

Based on review, 2 of 12 children files indicated that an immunization page was not available.

“Evidence - 1. On the date of inspection (02/16/2022), an immunization page was not available for review for Child #5 (start date - 01/04/2022). 2. An immunization page was not available for review for Child #6 (start date - 02/07/2022. 3. Both Child #5 and Child #6 were in attendance on the date of inspection.”

Rule 8VAC20-800-90-A.