Anupama Prasai

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

“An updated TB screening for Caregiver #1 and Household Member #2 were not completed and were overdue by one month.”

Rule 8VAC20-800-180-A.

Children’s records are required to contain 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 was missing name, address and telephone number for one of two required emergency contacts. The child was present during the inspection and had been in care for one month.”

Rule 8VAC20-800-60-B.

A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times.

“The battery-operated radio could not be turned on and there were no extra batteries in the home.”

Rule 8VAC20-800-770.

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

“Caregiver #1 stated that there were no evacuation procedures practiced in April 2026, May 2026 or June 2026.”

Rule 8VAC20-800-830-A.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“One unused electrical outlet was not covered with a child-resistant protective cover and was accessible to children under five years of age in the play room.”

Rule 8VAC20-800-320-B.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be given to parents or posted or placed in an area accessible to parents.

“A menu was not given to parents or posted or placed in an area accessible to parent. The children were eating lunch at the time of inspection and Caregiver #1 confirmed that a menu had not been posted or given to parents.”

Rule 8VAC20-800-920.

Equipment used by children shall be used in accordance with the manufacturer’s instructions.

“Child #1 (age: 15 months), was observed sleeping in an Infant to Toddler Rocker for approximately thirty two minutes. The manufactures instructions for the Infant to Toddler Rocker indicate that this product is not safe for sleep and if the baby falls asleep, the baby shall be removed as soon as possible.”

Rule 8VAC20-800-480-D.

8VAC20-800-210-A

“Based on observation and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually. Evidence: 1. Caregiver #1’s record, did not contain documentation of annual training. 2. Caregiver #1 acknowledged that they have not completed sixteen clock hours of annual training.”

Rule 8VAC20-800-210-A.

8VAC20-800-250-E

“Based on observation and interview, empty plastic bags large enough for a child’s head to fit inside were not inaccessible to children under five years of age. Evidence: 1. Empty plastic bags were located near the diaper changing pad, within reach of children. 2. Caregiver #1 acknowledged the empty plastic bags located near the diaper changing pad.”

Rule 8VAC20-800-250-E.

22.1-289.036-B-2

“Based on record review, the family day home did not ensure that all caregivers have the result of a fingerprint based national criminal history search every five years. Evidence: 1. The record for caregiver #1 did not contain documentation of a current fingerprint based national criminal history search. The most recent fingerprint based national criminal history search results were dated 08/23/2018.”

Rule 22.1-289.036-B-2.

8VAC20-770-40-D-4

“Based on record review, the family day home did not ensure that all household members have the result of a Central Registry search. Evidence: 1. The record for household member #2 did not contain documentation of a current Central Registry search request.”

Rule 8VAC20-770-40-D-4.

8VAC20-800-100-A

“Based on observation, the provider did not 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. Evidence: 1. Child #7 (date of enrollment: 10/10/2023) record did not contain documentation of a physical examination. 2. Caregiver #1 confirmed that Child #7?s record did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-170-A

“Based on observation, the provider did not obtain from each adult household member prior to coming into contact with children a current Report of Tuberculosis (TB) Screening form. Evidence: 1. Household member #2’s record did not contain documentation of a tuberculosis screening form.”

Rule 8VAC20-800-170-A.

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver, a current Report of Tuberculosis (TB) Screening form, every two years from the date of the first screening. Evidence: 1. Caregiver #1’s record had a tuberculosis screening form dated 11/04/2021.”

Rule 8VAC20-800-180-A.

Repeat violation

“Based on observation, the provider did not ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents and disinfectants were stored in areas inaccessible to children. Evidence: 1. One bottle of cleaning spray was located on the back lower shelf in the bathtub.”

Rule 8VAC20-800-280.

Repeat violation

“Based on observation, child resistant protective covers were not installed on all unused electrical outlets. Evidence: 1. One unused electrical outlet located in the downstairs kitchen was not covered with a protective cover. 2. One unused electrical outlet located in the childcare bathroom was not covered with a protective cover.”

Rule 8VAC20-800-320-B.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1. Child #5’s (date of enrollment: 03/29/2023) and Child #6’s (date of enrollment: 03/20/2023) records did not contain documentation of an annual review of the child’s emergency contact information. 2. Child #2’s record did not contain documentation of one emergency contacts address. 3. Child #7’s record did not contain documentation of one parent’s phone number.”

Rule 8VAC20-800-60-B.

8VAC20-800-760-A

“Based on observation the provider did not ensure that the first aid kit contains all required items. Evidence: 1. The first aid kit did not contain adhesive tape. 2. The first aid kit did not contain antiseptic cleaner.”

Rule 8VAC20-800-760-A.

8VAC20-800-90-C

“Based on record review, the provider did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements. Evidence: 1. Child #7 (age: 22 months) last immunization on record is dated 08/04/2023. 2. Caregiver #1 confirmed that Child #7?s record did not contain documentation of additional immunizations.”

Rule 8VAC20-800-90-C.

Based on observation, the provider did not ensure that cleaning agents were stored in a manner that is inaccessible to children.

“Evidence: A cleaning solution of bleach and water was located on top of the back of the toilet in the restroom the children use.”

Rule 8VAC20-800-280.

Based on observation, the provider did not ensure that child resistant protective covers are installed on all unused electrical outlets.

“Evidence: There is an uncovered outlet in the main child care space.”

Rule 8VAC20-800-320-B.

Based on record review, the provider did not ensure that the emergency plan was reviewed at least annually.

“Evidence: The emergency preparedness plan that is posted in the family day home was last dated 10/31/2016. The provider was unable to located a more recent one.”

Rule 8VAC20-800-800-B.

Based on observation, the provider did not ensure that emergency evacuation procedures were practiced monthly.

“Evidence: The last documented evacuation drill was dated June 2023.”

Rule 8VAC20-800-830-A.

Based on record review, the provider did not obtain documentation that a child has been adequately immunized prior to the first date of attendance.

“Evidence: Child #1 was observed to be in care, but an immunization document was no located.”

Rule 8VAC20-800-90-A.

Based on record review, the provider did not ensure that all persons living in the home 18 years of age and older have all of the required background searches completed

“Evidence: Household member 1 record did not contain documentation of a Sworn Statement or Affirmation. The record also did not contain documentation that a criminal record check was conducted.”

Rule 8VAC20-770-40-D-4-a.

Based on direct observation, the provider did not ensure that a working batter operated weather band radio was functional.

“Evidence: When tested, the weather radio would not turn on. The batteries in the radio were corroded.”

Rule 8VAC20-800-770.

Based on record review, the provider failed to ensure that a household member had a background search completed every five years from the date of the initial search.

“Evidence: Household member 1 did not have a repeat search of the central registry conducted. The previous search was conducted February 16 2018.”

Rule 22.1-289.036-A.

Based on record review, the provider did not maintain an up-to-date record of all children in care.

“Evidence: Child #1 did not have a record on file. The provider stated that she provided the paperwork to the family, but they had not returned it yet.”

Rule 8VAC20-800-60-A.