Shahnaj Sultana

A childs record shall contain the following information: written authorization for emergency medical care should an emergency occur and the parent canot be located.

“The record for Child #1, enrolled for 4 days, did not contain written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

A childs 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.

“The record for Child #1 and Child #2, enrolled for more than 30 days, did not contain two emergency contacts.”

Rule 8VAC20-800-60-B.

The provider shall obtain for each caregiver and adult household member a current report of Tuberculosis (TB) screening every 2 years from the date of the first screening.

“Caregiver #1 and Household Member #1 did not have up to date TB screenings. At the time of the inspection, Caregiver #1 was overdue by 18 days. Household Member #1 was overdue by 12 days.”

Rule 8VAC20-800-180-A.

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

“Household vitamins and medication were found unlocked in the open kitchen pantry, making them accessible to children.”

Rule 8VAC20-800-730-D.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be: dated and list any substituted food.

“The menus posted were not dated. Multiple days on the menus were blank and did not specify meals or snacks that were provided each day children were present.”

Rule 8VAC20-800-920.

A physical examination conducted prior to attendance shall have been within twenty-four months prior to attendance for children six years of age and above.

“The physical examination for Child #1 was completed seven years prior to attendance. The physical examination for Child #2 was completed four years prior to attendance.”

Rule 8VAC20-800-100-B.

REPEAT VIOLATION Potentially poisonous substances shall be stored away from food and in areas inaccessible to children.

“Two large jugs of laundry detergent was found in the kitchen area on the floor underneath the microwave and near containers of food. The kitchen has a gate that was not closed, making the detergent accessible to children.”

Rule 8VAC20-800-280.

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

“The record for Child #1 and #2 had one emergency contact that was not a parent.”

Rule 8VAC20-800-60-B.

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

“The record for Child #1 and #2, enrolled for more than six months, and Child #3, enrolled for one year, did not contain documentation that the policy for administering medication was provided to the parents in writing.”

Rule 8VAC20-800-70-A.

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

“A bottle of cough syrup and vitamins were found unlocked in the open kitchen pantry, making them accessible to children.”

Rule 8VAC20-800-730-D.

Documentation of additional immunizations is required once between the child’s fourth and sixth birthdays.

“The provider did not have documentation of additional immunizations between the fourth and sixth birthdays for Child #1, who is ten years of age.”

Rule 8VAC20-800-90-C.

The family day home is required to obtain a criminal history background check for each household member age 18 years and older.

“Household member #1 did not have a criminal history background check.”

Rule 22.1-289.036-B-2.

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.

“There was no physical exam record available for child #1, who has been in care for over 6 months.”

Rule 8VAC20-800-100-A.

Potentially poisonous substances and supplies such as, but not limited to, cleaning agents, disinfectants, and deodorizers shall be stored in areas inaccessible to children.

“The bathroom cabinet contained cleaning products and was not locked to prevent access by children.”

Rule 8VAC20-800-280.

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

“There was no record on file for Child #3 and Child #4, who have been in care for 2 weeks.”

Rule 8VAC20-800-60-A.

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 #2 had two emergency contacts listed without an address.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided in writing the policies for the administration of medication.

“The providers medication administration certification (MAT) had been expired for 12 months and the Medication Administration - Decision to Administer form had not been updated for 5 out of 5 children.”

Rule 8VAC20-800-70-A.

Before the child’s first day of attendance, parents shall be provided in writing the requirements for the family day home to notify the parent when the child becomes ill and for the parent to inform the family day home within 24 hours or the next business day after the child or any member of the immediate household has developed any reportable communicable disease.

“There was no documentation that parents have been provided the ill child and communicable disease reporting requirements for child #2, who has been in attendance for over 30 days.”

Rule 8VAC20-800-70-A.

Within 7 business days of the child’s first day of attendance at the family day home, the provider shall obtain verification of the identity and age of the child and the name and location of previous day care programs and schools the child has attended.

“There was no verification of identity and age or documentation of previous schools attended on file for child #3 and #4, who had been in attendance for 14 days.”

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 according to the requirements of the Code of Virginia.

“There were no immunization records on file for child #2, who has been in care for over 30 days.”

Rule 8VAC20-800-90-A.

Based on record review and caregiver interview, lockdown procedures were not practiced at least annually.

“Evidence: Caregiver #1 confirmed that lockdown procedures were not practiced in 2023.”

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

Based on record review, the family day home did not keep a written record of children in attendance each day.

“Evidence: The most recent record of attendance was dated 10/25/2023.”

Rule 8VAC20-800-50-A.

Based on record review, the provider did not review with the parent emergency contact information and obtain the parent’s signed acknowledgment of the review for 3 out of 3 children.

“Evidence: 1. The most recent review of Child #1’s emergency contact information was dated 08/01/2020. 2. The most recent review of Child #2’s emergency contact information was dated 10/22/2022. 3. The most recent review of Child #3’s emergency contact information was dated 10/20/2022.”

Rule 8VAC20-800-780-B.

Based on record review, emergency evacuation procedures were not practiced monthly.

“Evidence: The most recent emergency evacuation drill was practiced on 08/17/2023.”

Rule 8VAC20-800-830-A.

Based on record review and caregiver interview, shelter-in-place procedures were not practiced a minimum of twice per year.

“Evidence: Caregiver #1 confirmed that shelter-in-place procedures were not practiced in 2023.”

Rule 8VAC20-800-830-B.

Based on record review, within seven business days of each child’s first day of attendance, the provider did not obtain from the parent verification of the identity and age of the child.

“Evidence: The provider did not obtain verification of identity and age for Child #1.”

Rule 8VAC20-800-80-A.

Based on record review and interview, not all caregivers completed Virginia Preservice Training for Child Care Staff within the first 90 days of employment.

“Evidence: Caregiver #1 stated that Caregiver #2 (start date: 01/03/2022) has not completed Virginia Preservice Training for Child Care Staff.”

Rule 8VAC20-790-250-B.

Based on record review and interview, not all caregivers who work directly with children annually attended the department’s health and safety update course.

“Evidence: 1. Caregiver #1 did not have documentation of the department’s health and safety update course. Caregiver #1 stated that they did not complete the course.”

Rule 8VAC20-790-250-F.

Based on observation and interview, the family day home was not equipped with at least one carbon monoxide detector.

“Evidence: 1. The family day home was not able to produce a carbon monoxide detector during the inspection. 2. The provider stated that they do not have a carbon monoxide detector.”

Rule 22.1-289.058.

Based on observation, areas and furnishings, inside, were not maintained in a clean, safe and operable condition.

“Evidence: 1. There was chipped paint on the TV stand in the living room. 2. There was torn fabric on the sofa in the living room.”

Rule 8VAC20-800-240-A.

Based on observation, potentially poisonous substances, materials and supplies, were not stored away from food in areas inaccessible to children.

Rule 8VAC20-800-280.

Based on record review, the provider did not keep a written record of children in attendance each day.

“Evidence: The last day the family day home recorded attendance was 01/12/2022.”

Rule 8VAC20-800-50-A.

Based on record review, the provider did not obtain the parent’s signed acknowledgement of the review of the emergency contact information for each child.

“Evidence: The parent’s signed acknowledgement of the review of the emergency contact information for Child #1 was dated 08/01/2020.”

Rule 8VAC20-800-780-B.

Based on record review, within seven business days of each child’s first day of attendance, the provider did not obtain from the parent verification of the identity and age of the child.

“Evidence: The provider did not obtain verification of identity and age for Child #2.”

Rule 8VAC20-800-80-A.

Based on record review, the provider did not review the emergency plan at least annually and document in writing each review.

“Evidence: The most recent emergency plan review was dated 10/31/2020.”

Rule 8VAC20-800-800-B.