Esraa Al Khairi

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.

“There were no physical exam record available for Child #3, who has been in care for 71 days.”

Rule 8VAC20-800-100-A.

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for Child #3 was not signed.”

Rule 8VAC20-800-110-B.

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

“The record for Child #2, enrolled for over one month, was missing the address and phone number for emergency contact #2.”

Rule 8VAC20-800-60-B.

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

“A fire drill for October 2025 was not completed.”

Rule 8VAC20-800-830-A.

8VAC20-800-280

“Based on observation of the family day home, potentially poisonous substances were stored in an area accessible to children. Evidence: Bleach bottles were stored on the floor of the bathroom located off the nap room. The door to the bathroom was unlocked.”

Rule 8VAC20-800-280.

8VAC20-800-180-A

“Based on review of staff records, one subsequent TB screening was not obtained. Evidence: Staff #2’s last TB screening was completed in September 2021. A subsequent TB screening is required every 2 years.”

Rule 8VAC20-800-180-A.

8VAC20-800-750-D

“Based on a review of topical ointments, one ointment had expired. Evidence: A topical ointment for Child # 1 had expired in 2020.”

Rule 8VAC20-800-750-D.

8VAC20-800-110-B

“Based on review of child records, immunizations were not signed by a licensed physician or physician designee. Evidence: Child #1 and #3’s immunizations were not signed by a physician or a physician’s designee.”

Rule 8VAC20-800-110-B.

8VAC20-800-250-A

“Based on observation of the family day home, one hanging item was found within reach of children under the age of 5 years. Evidence: Blind cords located in the name room were within reach of children in care.”

Rule 8VAC20-800-250-A.

8VAC20-800-430-D

“Based on observation of the front porch, the protective barrier at the top of the steps was not constructed to prevent a child from falling through. Evidence: The gate located at the top of the steps leading to the side yard did not latch to prevent a child from falling down the steps.”

Rule 8VAC20-800-430-D.

8VAC20-800-50-A

“Based on review of records, one record was not maintained. Evidence: A written record for each child each child in attendance was not maintained.”

Rule 8VAC20-800-50-A.

8VAC20-800-750-A

“Based on observation of the diapering area, Topical ointments were not properly labeled. Evidence: Two topical ointments were found that were not labeled with a child’s name.”

Rule 8VAC20-800-750-A.

8VAC20-800-90-A

“Based on child record review, one child began care before the provided obtained documentation that the child was adequately immunized. Evidence: Child #2 began care on 08/22/2022. Immunizations were signed and dated by the physician on 08/29/2022.”

Rule 8VAC20-800-90-A.

8VAC20-800-250-A

“Based on observation of the nap room, hanging items were found within reach of children under the age of 5 years. Evidence: The cords on the window blinds in the nap room were within reach of children who nap in this room.”

Rule 8VAC20-800-250-A.

8VAC20-800-510-C

“Based on staff statements and observation of the nap room, beds were not at least 12 inches from each other. Evidence: The nap room consisted of 8 beds that were positioned with less than 12 inches apart from each other. 4 beds were observed pushed together with no space in between them.”

Rule 8VAC20-800-510-C.

8VAC20-800-690-D

“Based on observation of the diapering surface, the surface was no longer nonabsorbent. Evidence: The diapering surface located in the main programming area had a crack in the padding and is no longer nonabsorbent.”

Rule 8VAC20-800-690-D.

8VAC20-800-800-B

“Based on review of the provider’s emergency plan, an annual review of the plan was not completed. Evidence: The provider’s emergency plan was written in November 2019. An annual review has never been completed.”

Rule 8VAC20-800-800-B.