Sushma Pandey Bista

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“The record for #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #4 has been in in care for over a year.”

Rule 8VAC20-800-780-B.

Within seven business days of the child’s first day of attendance at the home based child care, the provider shall obtain from each parent verification of the identity and age of the child.

“The provider did not obtain verification of the identity and age of Child #5. Child #5 has been in care for 14 days. Caregiver #1 confirmed that verification of age and identity was not obtained within seven business days of the child’s first day of attendance.”

Rule 8VAC20-800-80-A.

Before the child may attend the home based child care, the provider shall obtain documentation that the child has been adequately immunized.

“The record for Child #5 did not have documentation of immunizations. Child #5 has been in care for 14 days and present the day of the inspection. Caregiver #1 confirmed that immunizations were not obtained on the first day attendance.”

Rule 8VAC20-800-90-A.

Providers shall obtain current certification in cardiopulmonary resuscitation(CPR) to he age of the children in care every two years.

“Caregiver #1 did not obtain current certification in CPR. Caregiver #1’s certification expired on 01/25/2026.”

Rule 8VAC20-800-140-B-3.

The provider did not obtain current certification in first aid.

“Caregiver #1 did not obtain current certification in first aid. Caregiver #1’s certification expired on 01/25/2026.”

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

Repeat Violation

“Children’s records shall contain the policy number of the child’s medical insurance. The record for Child #1, in care for two months, did not contain the policy number of the child’s medical insurance. The record for Child #7, in care for five months, did not contain the policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent verification of the identity and age of the child.

“Verification of the identity and age of Child #7, in care for five months, was not obtained from the parent. Caregiver #1 confirmed that verification of the identity and age of Child #7 was not obtained.”

Rule 8VAC20-800-80-A.

A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.

“The substitute provider did not record and sign the time of arrivals and departures for each day that they worked.”

Rule 8VAC20-800-140-D.

Children’s records shall contain the policy number of the medical insurance.

“The record for Child #4 did not contain the policy number of the medical insurance.”

Rule 8VAC20-800-60-B.

Repeat Violation

“The family day home shall obtain documentation of additional immunizations for the child who is not exempt from the immunization requirements once every six months for children under the age of two. Immunization records for Child #4, 18 months old, did not contain additional immunizations once every six months. Documentation of the last immunization was taken when Child #4 was 10 months old and nine months ago.”

Rule 8VAC20-800-90-C.

When meals or snacks are provided by the family day home, them menu for the current one-week period shall be dated.

“The menu for the current one-week period was not dated.”

Rule 8VAC20-800-920.

Repeat Violation

“The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every six months for children under the age of two years. Child #4 did not have additional immunizations once every six months. Documentation of the last immunization record was dated 07/03/2023 when the child was 16 months old. Child #4 has been in care for 21 months.”

Rule 8VAC20-800-90-C.

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 was no physical examination records available for Child #5, who had been in care for six months.”

Rule 8VAC20-800-100-A.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“The records for Children #1 and #4 did not have the parent’s signature for an annual review of the emergency contact information. Child #1 had been in care for over a year. Child #4 had been in care for over a year.”

Rule 8VAC20-800-780-B.

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

“Child #5,17months old, did not have documentation in their record that they had been adequately immunized.”

Rule 8VAC20-800-90-A.

Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition.

“Evidence: 1. In the basement activity room, there was peeling and chipped paint located on each wall.”

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to cleaning agents, disinfectants, deodorizers,plant care chemicals, pesticides, and petroleum distillates were not stored away in areas inaccessible to children. Evidence: 1. A bottle of toilet cleaner was located on the floor of the bathroom and accessible to children.”

Rule 8VAC20-800-280.

8VAC20-800-70-A

Rule 8VAC20-800-70-A.

8VAC20-800-830-C

“Based on documentation review and interview, documentation was not maintained of emergency evacuation drills. Evidence: 1. Documentation of the emergency evacuation drills for the months of November and December were not available for review at the time of the inspection. 2. Caregiver #1 confirmed that the emergency evacuation drill was completed, but could not locate the emergency evacuation log sheet .”

Rule 8VAC20-800-830-C.

8VAC20-800-100-A

“Repeat Violation Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1’s record (Start date-09/05/2023) did not have documentation of a physical examination. 2. Caregiver #1 confirmed that Child #1 did not have a physical examination.”

Rule 8VAC20-800-100-A.

Repeat Violation

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #1’s record (Start date-09/05/2023) did not contain two emergency contacts addresses. 2. Child #6’s record (Start date-07/20/2022) did not contain documentation of the review of the child’s emergency contact information.”

Rule 8VAC20-800-60-B.

8VAC20-800-800-B

“Based on documentation review, the provider did not document the annual review of the emergency plan. Evidence: 1. The emergency preparedness plan for the family day home was not reviewed for the current year. The last review was documented in writing on 04/26/2022.”

Rule 8VAC20-800-800-B.

8VAC20-800-90-A

“Based on record review and interview, the provider did not obtain documentation that the child has been adequately immunized before the first day of attendance. Evidence: 1. Child #1’s record (Start date-09/05/2023) did not contain documentation of immunization records. 2. Caregiver #1 confirmed that Child #1 did not have immunization records before the first day of attendance.”

Rule 8VAC20-800-90-A.

Repeat Violation

“Based on observation, the menu for the current one week period was not dated. Evidence: 1. The menu for the current week was not dated.”

Rule 8VAC20-800-920.

8VAC20-800-60-B

“Based on record review, children’s records did not contain the required information. Evidence: 1. Child #2’s record (Start date-02/23/2022) did not contain documentation of the annual review of the child’s emergency contact information. 2. Child #4’s record (Start date-06/01/2021) did not contain documentation of the annual review of the child’s emergency contact information.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #1’s record (Start date-10//11/2022) did not contain documentation of the Policies of the administration of medications, Provisions of the Emergency Plan, and the Liability Insurance Declaration form.”

Rule 8VAC20-800-70-A.

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician to a child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #4’s record (Start date-07/20/2022) did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #4’s record (Start date-07/20/2022) did not contain documentation of the medical insurance policy number and written authorization for emergency medical care should an emergency occur. 2. Child #5’s record (Start date-10/11/2022) was missing documentation of one name, address and telephone number of an emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review, the parents of one child were not provided the required written information before the child’s first day of attendance. Evidence: 1. Child #5’s record (Start date-10/11/2022) was missing medication administration policies and the provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

8VAC20-800-920

“Based on observation, when meals or snacks are provided by the family day home, the menu for the current one-week period was not dated. Evidence: 1. The posted menu on the parent board was not dated for the current week.”

Rule 8VAC20-800-920.

22.1-289.058

“Based on observation and interview, the family day home was not equipped with at least one carbon monoxide detector. Evidence: 1. There was not a carbon monoxide detector in the family day home. 2. Staff #1 confirmed that the family day home did not contain a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-800-60-B

“Based on documentation review, children’s records did not contain required information. Evidence: 1. Child # 2’s (Start date-11/29/21) record was missing the parent’s signature for written authorization for emergency care. 2. Child #4’s record (Start date-07/27/18) was missing documentation of the review of the child’s emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-760-A-1

“Based on observation, the first aid kit did not contain required supplies. Evidence: 1. The first aid kit was missing adhesive tape, antiseptic cleaner, and tweezers.”

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

8VAC20-800-770

“Based on observation, the family day home did not contain a working battery operated weather band radio. Evidence: 1. The family day home did not have a working battery operated weather band radio. The provider did not have batteries for the weather band radio.”

Rule 8VAC20-800-770.

8VAC20-800-800-A

“Based on documentation review and interview, the family day home did not have a written emergency preparedness and response plan. Evidence: 1. The family day home did not have a written emergency preparedness and response plan. 2. Staff #1 confirmed that the family day home did not have a written emergency preparedness and response plan.”

Rule 8VAC20-800-800-A.

8VAC20-820-120-E-2

“Based on observation and interview, the findings of the most recent inspection of the facility was not posted. Evidence: 1. The findings of the most recent inspection of the facility was not posted. 2. Staff #1 confirmed that the most recent inspection of the facility was not posted.”

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