Uzma Ashar

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

“Child #2 (2 years old), last documented immunization was over 12 months ago.”

Rule 8VAC20-800-90-C.

The provider shall notify the parent immediately when the child has a head injury or any serious injury that requires emergency medical or dental treatment.

“On April 24, 2026, Child #4 (3 years old) fell off a child sized couch, hitting their face and causing their nose to bleed. The provider did not immediately notify the parent of the injury.”

Rule 8VAC20-800-650-E. From a complaint.

An injury or accident sustained by a child while at the family day home shall be recorded and include the required information.

“The injury record from April 24, 2026, for Child #4 (3 years old) did not include the date and time when parents were notified, the caregiver and parent signatures or two caregiver signatures; and documentation on how the parent was notified.”

Rule 8VAC20-800-840-B. From a complaint.

The family day home is required to obtain background checks every 5 years for caregivers.

“The most recent central registry check for Caregiver #1 expired and was overdue by 7 days.”

Rule 22.1-289.035-A.

The family day home is required to obtain background checks every 5 years for household members.

“The most recent central registry checks for Household Member #1 and Household Member #2 expired and were overdue by 7 days.”

Rule 22.1-289.036-A.

Information contained in a child’s record shall be privileged and confidential.

“The supplemental page from the most recent inspection on 10/21/2025 containing confidential information was posted on the parent bulletin board.”

Rule 8VAC20-800-50-C.

An up-to-date record for each child enrolled shall be maintained by the provider with the required information.

“The record for Child #4 (enrolled over 5 months) was missing the home address of each parent; the name, address and telephone number for each parent’s place of employment; and the addresses of two emergency contacts.”

Rule 8VAC20-800-60-B.

The provider shall document in the child’s record that they verified the child’s proof of identity.

“The record for Child #4 (enrolled over 5 months) did not contain documentation that the provider verified the child’s proof of identity.”

Rule 8VAC20-800-80-C.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Household Member #1 was not done and overdue by 1 week. An updated TB screening for Household Member #2 was not done and overdue by over 2 weeks.”

Rule 8VAC20-800-180-A.

Small electrical appliances shall be unplugged unless being used by the caregiver.

“The kitchen contained a blender that was plugged in and not in use.”

Rule 8VAC20-800-320-A.

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

“Child #1, 15 months old, last documented immunization was over 7 months ago and overdue by 1 month.”

Rule 8VAC20-800-90-C.

The provider shall maintain documentation of emergency evacuation drills that includes the required information.

“The last documented date of an emergency evacuation drill was on 2/14/25. The provider stated one had been completed for March but had not been documented.”

Rule 8VAC20-800-830-C.

8VAC20-800-240-A

“Based on observation of the backyard, one area of the outside was not maintained in a safe condition. Evidence: 1. A brick sidewalk was found with separated bricks. Several lose bricks were laying on the ground presenting a tripping hazard. 2. One child was found attempting to pick up one of the lose bricks.”

Rule 8VAC20-800-240-A.

8VAC20-800-430-C

“Based on observation of the family day home, children over the age of 2 years had access to stairs without protective barriers. Evidence: The door leading to the basement level was open allowing children access to the stairs leading to the basement.”

Rule 8VAC20-800-430-C.

Based on an interview with staff, a staff failed to immediately call the local department of social services or call the toll free number of the Child Abuse and Neglect Hotline (1-800-552-7096/TDD) whenever there is reason to suspect that a child has been or is being subjected to any kind of child abuse or neglect by any person.

“Evidence: Staff #1 was made aware of a suspected child abuse incident and failed to contact the local department of social services or the Child Abuse and Neglect Hotline.”

Rule 8VAC20-800-860-A.

8VAC20-800-60-B

“Based on a review of child records, 2 out of 4 records reviewed were incomplete. Evidence: 1. Child #2’s record did not contain addresses for 2 emergency contacts and an insurance policy number. 2. Child #3’s record contained 1 of 2 required emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-920

“Based on observation of the family day home, the menu for the current week was not posted. Evidence: The menu currently posted was for the month of January.”

Rule 8VAC20-800-920.

8VAC20-800-240-A

“Based on observation of the provider’s backyard, areas of the yard were not maintained in a safe condition. Evidence: The gate at the top of the steps leading to the basement and the barriers on the side rails are not adequately secured to prevent a hazard.”

Rule 8VAC20-800-240-A.

8VAC20-800-90-A

“Based on child record review, documentation that two children were adequately immunized was not obtained prior to enrollment. Evidence: Child #3 and #4 documented start date was 1/10/2022. Immunizations on file dated 04/2021 does not include a statement that both children have been adequately immunized.”

Rule 8VAC20-800-90-A.

22VAC40-111-60-B

“Based on review of children’s records, one record did not contain all required information. Evidence: Child # 3’s record did not have written authorization for emergency medical care.”

Rule 22VAC40-111-60-B.