Elede Abubaker

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #3, employed for more than 5 months, did not have documentation of requesting a child abuse and neglect registry check or a sex offender registry check from a state they currently reside in.”

Rule 22.1-289.035-B-4.

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

“An updated TB screening for Caregiver #1 was not completed and was overdue by over 4 months. An updated TB screening for Caregiver #2 was not completed and was overdue by seven months.”

Rule 8VAC20-800-180-A.

A child’s record shall contain name and policy number of the child’s medical insurance and name address and telephone number of two designated emergency contacts.

“The records for Child #1, #2, #3 and #5 did not have a policy number listed for their medical insurance. Child #2 and #4 only had one designated emergency contact listed.”

Rule 8VAC20-800-60-B.

The provider shall obtain documentation of a 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.

“Child #3 (enrolled for 8 months) did not have documentation of a physical examination in their file.”

Rule 8VAC20-800-100-A.

A child’s record shall contain the name and policy number of the child’s medical insurance, as well as parent’s signed acknowledgement of the receipt of required information.

“The files for Child #2 (enrolled for 3 months) and Child #3 (enrolled for 8 months) did not contain each child’s medical insurance policy number, and the file for child #3 did not contain a signed parent acknowledgement of the receipt of required information.”

Rule 8VAC20-800-60-B.

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

“The parents of Children #2 (enrolled for 3 months), and #3 (enrolled for 8 months) were not provided in writing the following required information: whether or not there is liability insurance, and policies of the administration of medications.”

Rule 8VAC20-800-70-A.

Within seven business days of the child’s first day of attendance, the provider shall obtain verification of the identity and age of the the child, as well as name and location of previous day care programs the child has attended.

“The file for Child #2 (enrolled for 3 months) did not have documentation that the child’s age and identity were verified or the name and location of previous day care programs the child has attended.”

Rule 8VAC20-800-80-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“The file for child #3 did not contain documentation that the child was adequately immunized.”

Rule 8VAC20-800-90-A.

The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“The most recent immunizations for child #1 (age 10 months) was date 4/26/26, and overdue by 16 days.”

Rule 8VAC20-800-90-C.

Every household member must provider a sworn statement of affirmation 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 and whether or not they has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.

“Household Member #1 and #2 did not have a Sworn Statement available for review.”

Rule 22.1-289.036-B-1.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“There was no documentation of tuberculosis screening for Household Member #1 and #2.”

Rule 8VAC20-800-170-A.

Topical products shall not be used beyond the expiration date.

“Three topical diaper ointments were found with expirations dates of 02/2024, 08/2024, and 08/2021.”

Rule 8VAC20-800-750-D.

8VAC20-800-170-B

“Based on review of caregiver records, the family day home did not obtain a tuberculosis (TB) screening from a caregiver, that was completed within the last 30 days before the first day of employment. Evidence Caregiver #1, (first day of employment 3/12/2024) had a TB screening dated 9/5/2023.”

Rule 8VAC20-800-170-B.

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe condition. Evidence The side wall had a piece of wall that was ripped and a quarter size piece of the wall hanging.”

Rule 8VAC20-800-240-A.

8VAC20-800-90-C

“Based on review of 5 children’s records, the family day home did not obtain documentation of additional immunizations every six months for a child under the age of two years. Evidence Child #1 (under the age of two) does not have documentation of updated immunizations every six months. Immunization record in file was dated. 4/2023.”

Rule 8VAC20-800-90-C.

8VAC20-800-100-A

“REPEAT VIOLATION Based on review of children’s records, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. Evidence Children #1, #2, #3 and #4, first day of attendance is over 30 days ago, do not have documentation of a physical examination in their record.”

Rule 8VAC20-800-100-A.

8VAC20-800-570-A

“Based on observation, the provider did not ensure they were in ratio and ensure they do not exceed 16 points. Evidence Upon arrival of the inspector there were 7 children in care for a total of 21 points with only one caregiver.”

Rule 8VAC20-800-570-A.

8VAC20-800-780-B

“Based on review of children’s records, the provider did not annually review with the parent the emergency contact information required to ensure the information is correct, and obtain the parent s signed acknowledgment of the review. Evidence The record for child # 5 does not contain documentation of an annual review with the parents of the emergency contact information.”

Rule 8VAC20-800-780-B.

Based on review of children’s records, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence Child #1 and #2, first day of attendance 12/2/2021, do not have documentation of a physical examination in their record.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

“Based on revie of assistant’s record, the record is not complete. Evidence The record for assistant #1, did not contain verification of age, job title, date of employment, name, address and phone number of an emergency contact and documentation of any health concerns.”

Rule 8VAC20-800-120-B.

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidences Electrical outlet in the kitchen area, by the diapering table and in the play room did not have child-resistant protective covers making them inaccessible to children under the age of five.”

Rule 8VAC20-800-320-B.

Based on observation, the provider did not wash their hands with liquid soap and warm running water after diapering a child.

“Evidence The provider was observed not washing their hands after diapering a child.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, caregiver #1 did not ensure that a child’s hands were washed with liquid soap and warm water after diapering. Evidence Caregiver #1 was observed not ensuring that a child’s hands were washed with liquid soap and warm water after diapering.”

Rule 8VAC20-800-680-B.

8VAC20-800-960-E

“Based on observation, bottles were not refrigerated and labeled with the child’s full name and the date. Evidence Bottles were observed on a high chair, and on the window sill without a child’s full name or date.”

Rule 8VAC20-800-960-E.

8VAC20-800-280

“Based on observation, potentially poisonous materials and supplies were in located in areas accessible to children. Evidence Potentially poisonous cleaning supplies were located in the bathroom the children use and laundry materials were in an unlocked closet making them accessible to the children.”

Rule 8VAC20-800-280.

8VAC20-770-40-D-1-a

“Based on review of household member (HHM), records, one HHM did not have a signed sworn statement before the first day of moving in. HHM did not have a search of central registry before the end of 30 days of moving in. Evidence Household member #2 (date of birth 9/22/1982), moved into the family day home over 30 days ago and does not have a signed sworn statement or search of central registry results on record.”

Rule 8VAC20-770-40-D-1-a.

8VAC20-770-60-B

“Based on review of caregiver records, one does not have a signed sworn statement on record. Evidence Caregiver #1 (date of hire 10/15/22) does not have a signed sworn statement on record.”

Rule 8VAC20-770-60-B.

8VAC20-800-100-A

“Based on review of children’s, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence For child #2 and #3, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-A

“Based on review of caregiver documentation, the provider did not maintain a record for each caregiver. Evidence There is no record for caregiver #1. There is no documentation of name, address, verification of age, date of employment, emergency contact, two reference checks, and tuberculosis screening.”

Rule 8VAC20-800-120-A.

8VAC20-800-140-B-4

“Based on review of the caregiver records, the provider does not have a current certification in first aid. Evidence Provider #1 does not have a current certification in first aid.”

Rule 8VAC20-800-140-B-4.

8VAC20-800-170-A

“Based on review of household member records, the provider did not obtain from each household member prior to moving into the home a current report of tuberculosis screening form. Evidence Household member #2 does not have a current report of tuberculosis screening form on record.”

Rule 8VAC20-800-170-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances, were not stored in areas inaccessible to children. Evidence Potentially poisonous substances (Scrubbing Bubbles), was stored on the counter in the bathroom the children have access to.”

Rule 8VAC20-800-280.

8VAC20-800-430-A

“Based on observation, children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision have access to stairs. Evidence There is no gate blocking the stairs going upstairs, making the stairs accessible to the children.”

Rule 8VAC20-800-430-A.

8VAC20-800-480-D

“Based on observation, equipment is not being used in accordance with the manufacture’s instructions. Evidence The high chairs manufacturers instructions state they shall not be used by children age 3 and above. Child #1 and child #4 (0ver 3 years of age) were observed sitting in the high chairs.”

Rule 8VAC20-800-480-D.

8VAC20-800-50-A

“Based on observation, the family day home did not keep a written record of children in attendance each day. Evidence There was no current written record of children in attendance each day.”

Rule 8VAC20-800-50-A.

8VAC20-800-510-A

“Based on observation, the provider did not provide an individual crib or cot for each child. Evidence The cribs and cots were not identified for individual use.”

Rule 8VAC20-800-510-A.

8VAC20-800-60-B

“Based on review of children’s records, not all records are complete. One child’s record does not contain name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached, medication policy or provider liability insurance policy. Evidence Child #3 does not have an address for emergency contact #1, or any information for contact #2, acknowledgment that the parent was informed of the providers medication policy or the liability insurance policy.”

Rule 8VAC20-800-60-B.

8VAC20-800-600-B

“Based on observation, an infant spent more than 30 minutes of consecutive time during waking hours confined in a confining piece of equipment. Evidence Child #5 was in confined space #1 when inspector arrived, after 35 minutes child #5 was observed in confined space #2. Child #5 was then fed in confined space. After another 30 minutes child #5 was observed still in confined space #2.”

Rule 8VAC20-800-600-B.

8VAC20-800-690-D

“Based on observation and discussion with provider, the diapering surface is not being cleaned and sanitized according to the licensing standards. Evidence The diapering surface is being cleaned with water and wiped with a Clorox wipe after a diaper change. The standards state the surface needs to be sprayed or dipped with a solution of soap and water, patted dry, then sprayed or dipped with a solution of bleach and water and allow to air dry.”

Rule 8VAC20-800-690-D.

8VAC20-800-760-A-1

“Based on observation, the first aid kit did not contain all the required medical supplies. Evidence The first aid kit did not contain adhesive tape, triangular bandages, or first aid instructional manual.”

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

8VAC20-800-780-B

“Based on review of children’s records, the provider did not review with the parent the emergency contact information to ensure it was correct. Evidence The provider did not annually review with the parent the emergency contact information for child #1.”

Rule 8VAC20-800-780-B.

8VAC20-800-90-A

“Based on review of children’s records, the provider did not obtain documentation that the child has been adequately immunized before the child’s first day of attendance. Evidence Child #3, (first day of attendance 9/8/2020) does not have a documentation of being adequately immunized.”

Rule 8VAC20-800-90-A.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with date. Evidence Bottles were labeled with child’s name, but no date was documented.”

Rule 8VAC20-800-960-E.

22.1-289.035-B-2

“Based on review of caregiver records, one did not submit to fingerprinting before their first day of employment. Evidence Caregiver #1 did not submit to fingerprinting before their first day of employment.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on review of caregiver records, one does not have a completed sworn statement. Evidence Caregiver #1 did not complete a sworn statement.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on review of caregiver records, one record did not have a central registry finding within 30 days of employment. Evidence There were no background checks completed for caregiver #1.”

Rule 8VAC20-770-60-C-2.

8VAC20-800-100-A

“Based on review of five children records, five records do not contain documentation of a physical examination within 30 days of their first day of attendance. Evidence The record for child #1 #2, #3, #4 and $5 do not contain a physical examination within 30 days of their first day.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-A

“Based on review of caregiver records, there is no record for one caregiver. Evidence Caregiver #1 did not have a record. There was no record of name, address, job title, date of employment, emergency contact, 2 references, or orientation.”

Rule 8VAC20-800-120-A.

8VAC20-800-170-A

“Based on review of two caregiver records, one did not obtain prior to coming into contact with children a current report of tuberculosis (TB) screening form. Evidence Caregiver #1 did not obtain a current TB screening form prior to her first day of employment.”

Rule 8VAC20-800-170-A.

8VAC20-800-430-B

“Based on observation, an accordion gate is being used as a protective barriers at the stair opening. Evidence At the base of the stairs, an accordion gate was being used at the bottom of the stair opening as a protective barrier.”

Rule 8VAC20-800-430-B.

8VAC20-800-480-D

“Based on observation, when equipment was being used by children is was not being used in accordance with the manufacture’s instructions. Evidence The straps on three high chairs were not secured used when chair was occupied by children.”

Rule 8VAC20-800-480-D.

8VAC20-800-50-A

“Based on review of general recordkeeping, the provider did not have a written record of children in attendance. Evidence There was not written record of children in currently in attendance”

Rule 8VAC20-800-50-A.

8VAC20-800-510-A

“Based on review, cribs and cots were not labeled for individual use. Evidence The cribs and cots were not labeled with child’s name for individual use.”

Rule 8VAC20-800-510-A.

8VAC20-800-60-B

“Based on review of five children records, one does not contain emergency contact information. Evidence The record for child # 3 does not have two emergency contact information.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on interview with provider the diapering surface is not being cleaned and sanitized with a solution of soap and water and sanitized with bleach and water. Evidence The diapering surface is being cleaned with a disinfecting wipes.”

Rule 8VAC20-800-690-D.

8VAC20-800-70-A

“Based on review of five children records, four do not contain the required information. Evidence The record for child #2 did not contain proof of birth documentation The record for child #3 and #4 did not contain proof of liability form The record for child #4 did not contain the emergency procedure form”

Rule 8VAC20-800-70-A.

8VAC20-800-780-A

“Based on review of five children records, one did not have an annual review of emergency contact information. Evidence The record for child # 4 (start date 3/1/21) did not have documentation of parental review of emergency contact information.”

Rule 8VAC20-800-780-A.

8VAC20-800-800-C

“Based on review of the emergency preparedness plan, the plan is not updated on an annual basis. Evidence The emergency preparedness plan has not been updated, the last updated in 12/19.”

Rule 8VAC20-800-800-C.

8VAC20-800-830-A

“Based on review of emergency evacuation procedures, a monthly practice drill was not conducted in March. Evidence A drill was not conducted in March.”

Rule 8VAC20-800-830-A.

8VAC20-800-890

“Based on observation, when food was brought from home, the containers are not labeled with child’s full name and date. Evidence A lunch box and food containers brought from home were not labeled with a child’s name and current date.”

Rule 8VAC20-800-890.

8VAC20-800-90-A

“Based on review of five children records, two do not contain documentation that the child has been adequately immunized. Evidence The record for children # 2 and #3 does not contain documentation of immunization.”

Rule 8VAC20-800-90-A.

8VAC20-800-90-C

“Based on review of five children records, one record for a child under the age of two, does not have documentation of an additional immunization record every six months, which is required until the age of two. Evidence The record for child #4, who is under the age of 2, has an immunization record dated 07/2020. There is no documentation of an updated immunization record every six month.”

Rule 8VAC20-800-90-C.

8VAC20-800-920

“Based on facility review, a current one week menu was not posted. Evidence The provider does not have a menu posted for the current one-week period for the food that is provided.”

Rule 8VAC20-800-920.

8VAC20-820-120-E-2

“Based on observation, the most recent inspection was not posted. Evidence The provider did not have an inspection posted.”

Rule 8VAC20-820-120-E-2.

22VAC40-111-180-A

“Based on review of provider’s record, there is no documentation of a current report of tuberculosis screen form. Evidence: The record for provider #1 contains expired documentation of a report of tuberculosis screen form.”

Rule 22VAC40-111-180-A.

22VAC40-111-210-A

“Based on review of provider’s record there is not documentation of annual training hours. Evidence The record for provider #1 does not have any documentation of completing any annual trainings.”

Rule 22VAC40-111-210-A.

22VAC40-191-40-D-1-c

“Based on review of providers record, a central registry check was not completed before five years since the date of the last central registry check. Evidence The record for provider #1 does not contain documentation of a central registry check before five years since the last one was completed. Central registry check in record expired 10/21/2021.”

Rule 22VAC40-191-40-D-1-c.

63.2-1720.1-B-2

“Based on review of one staff record, the record does not contain documentation of an eligible fingerprint letter before first day of employment. Evidence The record for staff #1 does not contain documentation of an eligible fingerprint before her first day of employment.”

Rule 63.2-1720.1-B-2.