Zeinab Salem

Within the first 90 days of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education.

“Caregiver #3 has been providing care for 8 months and does not have documentation of completing Preservice Training.”

Rule 8VAC20-790-250-B.

8VAC20-800-120-B

“Provider did not obtain an address or an emergency contact for Caregiver #2 who was hired eight months ago.”

Rule 8VAC20-800-120-B.

8VAC20-800-200-A

“The provider must orient assistants by the end of their first week of assuming job responsibilities. Caregiver #2 has been providing care for 8 weeks and does not have documentation of receiving orientation. Caregiver #3 has been providing care for 8 months and does not have documentation of receiving orientation.”

Rule 8VAC20-800-200-A.

The provider shall ensure that each caregiver receives training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of his first week of assuming job responsibilities, on an annual basis, and at the time of each plan update.

“Caregiver #2 has been providing care for 8 weeks and does not have documentation of emergency evacuation training. Caregiver #3 has been providing care for 8 months and does not have documentation of emergency evacuation training.”

Rule 8VAC20-800-800-C.

8VAC20-800-120-B

“Provider did not obtain an address or an emergency contact for Caregiver #2 who was hired eight weeks ago.”

Rule 8VAC20-800-120-B.

8VAC20-800-180-A

“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 one month.”

Rule 8VAC20-800-180-A.

8VAC20-800-200-A

“The provider must orient assistants by the end of their first week of assuming job responsibilities. Caregiver #2 provided care for children for nine weeks without receiving orientation.”

Rule 8VAC20-800-200-A.

When topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used written parent authorization shall be obtained at least annually.

“Child #5 and #6 did not have written parent authorization for diaper ointment and lotion.”

Rule 8VAC20-800-750-A.

The following emergency supplies shall be in the family day home: adhesive tape, gauze pads, thermometer, triangle bandages and first aid manual.

“The first aid kit did not include adhesive tape, gauze pads, thermometer, triangle bandages and first aid manual.”

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

The provider shall ensure that each caregiver receives training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of his first week of assuming job responsibilities.

“Caregiver #2 provided care for children for nine weeks without receiving emergency evacuation training.”

Rule 8VAC20-800-800-C.

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The most recent Inspection Summary and Violation Notice was not posted in the family day home.”

Rule 22.1-289.011-F.

Hanging items including window blind or curtain cords, appliance cords, and ropes shall be out of reach of children under five years of age.

“Hanging cords were within reach of children in the crib room. There were a total of 8 children present during the inspection all under the age of 5 years.”

Rule 8VAC20-800-250-A.

Repeat 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.

“An outlet located in the crib room did not have child resistant protective covers. There were a total of 8 children all under the age of 8 present during the inspection.”

Rule 8VAC20-800-320-B.

When topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used, they must be labeled with the child’s name.

“One topical ointment was not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

The following emergency supplies shall be in the family day home: adhesive tape and gauze pads.

“The first aid kit did not include adhesive tape and gauze pads.”

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

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.

“Records for children #3 and #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #3had b and Child #4 have been in care for over a year.”

Rule 8VAC20-800-780-B.

The provider shall review the emergency plan at least annually and update the plan as needed.

“The emergency plan has not been updated for 2 years.”

Rule 8VAC20-800-800-B.

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

“Child #5 had been in care for one week before documentation of immunizations were obtained.”

Rule 8VAC20-800-90-A.

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

“Child #4, 16 months old, last documented immunization was 12 months ago.”

Rule 8VAC20-800-90-C.

8VAC20-800-320-B

“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. There were four outlets without child-resistant protective covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-510-C

“Occupied cribs, cots, rest mats, and beds shall be at least 12 inches apart from each other. Four occupied cribs were lined up end to end touching each other.”

Rule 8VAC20-800-510-C.

8VAC20-800-540-A

“Infant high chairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened. Child #3 was sitting in an infant high chair without the safety strap used or securely fastened.”

Rule 8VAC20-800-540-A.

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in 8V AC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review. The record for child #2 has not has an annual review for over 16 months.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-C

“Documentation shall be maintained of monthly emergency evacuation drills. The family day home did not have documentation of an emergency evacuation drill being conducted in August, September or October, 2024.”

Rule 8VAC20-800-830-C.

8VAC20-800-90-C

“REPEAT VIOLATION The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements every six months for children under the age of two. Child #1 has not had a updated immunization record for over six months.”

Rule 8VAC20-800-90-C.

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care. Bottles were not labeled with the child’s full name and the date when more than one infant was in care.”

Rule 8VAC20-800-960-E.

Based on review, 3 of 9 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (06/05/2024), the following child was without 2 emergency contacts with complete information: Child #2 2. The following children were missing the policy number for the listed medical insurance policy name on file: Child #2, Child # 5, and Child #9.”

Rule 8VAC20-800-60-B.

Based on review, 3 of 9 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children (who were not exempt from the immunization requirements according to subsection B of this section) once every six months for those under the age of two years.

“Evidence - On the date of inspection (06/05/2024), the following children did not have a current immunization page on file: 1. Child #4 (current immunization page on file - 09/29/2023) 2. Child #6 (current immunization page on file - 07/14/2023) 3. Child #9 (current immunization page on file - 10/13/2023)”

Rule 8VAC20-800-90-C.

Based on review, 3 of 10 children files indicated that not all of the required information was contained within each child’s file.

“Evidence - On the date of inspection (12/14/2023), the following information was not available for review: 1. The insurance policy number for: Child #2, and Child #5. 2. The information for at least 2 emergency contacts: Child #8 (had 1 of 2 listed).”

Rule 8VAC20-800-60-B.

Based on review, 3 of 10 children files indicated that the documentation of the annual review of each child’s emergency contact information was not conducted for this year.

“Evidence - 1. On the date of inspection (12/14/2024), the following children had annual reviews greater than one year from their last dated review: Child #2 (last reviewed - 09/30/2022); Child #4 (last reviewed - 12/04/2022); and Child #5 (last reviewed - 05/22/2022). 2. This information was also confirmed by the Provider on the date of inspection.”

Rule 8VAC20-800-780-B.

Based on review, 3 of 9 children files indicated that not all of the required information/documentation was contained within each child’s record.

“Evidence - 1. On the date of inspection (05/17/2023) the following children did not have the policy number for the listed child’s medical insurance: Child #5 (start date - 09/21/2022), Child #7 (start date - 03/29/2021), and Child #9 (start date - 07/18/2022). 2. The following child did not have an action to be taken for the listed allergy: Child #7.”

Rule 8VAC20-800-60-B.

Based on review, 3 of 9 children files indicated that annually, the Provider did not review with the parent the emergency contact information (required in 8 VAC 20-800-60.B.2) to ensure the information is correct, and obtained the parent’s signed acknowledgment of this review.

“Evidence - 1. On the date of inspection (05/17/2023), the following children did not have their emergency information reviewed within the past year: Child #1 (last review dated - 02/15/2022), Child #2 (last review dated - 02/28/2021), and Child #3 (last review dated - 05/10/2022). 2. This review was confirmed on the date of inspection by the FDH Provider.”

Rule 8VAC20-800-780-B.

Based on review and interview, 1 of 3 Household records indicated that not all adult household members had a search of the central registry ( CPS check) within 30 days of residing in the home.

“Evidence - 1. On the date of inspection (12/05/2022), a CPS check for Household Member #3 was not available for review. 2. The Provider stated (during an interview conducted on the date of inspection) that this adult Household Member moved into the home within the past year (more than 30 days).”

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

Base on review, 1 of 9 children files indicated that not all of the required information was on file.

“Evidence - 1. On the date of inspection (12/06/2022), both the action for the listed allergy, and the policy number for the listed insurance policy for Child #8 were not available for review. 2. The start date for Child #8 was listed as 03/29/2021.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 9 children files indicated that the Provider did not obtain the parent’s written acknowledgement of the receipt of the information provided to them prior to the start of their child in care.

“Evidence - 1. On the date of inspection (12/05/2022), the Family Day Home (FDH) Policy for the Administration of Medication form for Child #7 was not signed by the child’s parent. 2. The start date for Child #7 was listed as 11/15/2021.”

Rule 8VAC20-800-70-B.

Based on review, 1 of 9 children files indicated that a review with the parent of the emergency contact information (required in 8VAC20-800-60 B 2) to ensure the information is correct had not been conducted within the past year.

“Evidence - 1. On the date of inspection (12/05/2022), it was determined that the last signed review of the emergency information for Child #2 was dated - 02/28/2021. 2. This signature and date appeared at the bottom of the Child’s Record form for Child #2. Obtain the parent’s signed acknowledgment of the review.”

Rule 8VAC20-800-780-B.

Based on review, 1 of 9 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (12/05/2022), the most current immunization documentation on file for Child #7 was dated - 05/23/2022. This documentation would have needed to be updated by 11/23/2022. 2. Based on information on file, on the date of inspection, Child #7 was under the age of two years.”

Rule 8VAC20-800-90-C.

Based on review, 2 of 10 children files reviewed indicated that the Provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attandance.

“Evidence - 1. On the date of inspection (05/03/2022), the following children did not have documentation of a physical for review: Child #8 (start date - 12/07/2020), and Child #9 (start date - 08/01/2021). 2. Both Child #8 and Child #9 were in attendance on the date of inspection.”

Rule 8VAC20-800-100-A.

Based on review, 3 of 10 children files did not contain all of the required information.

“Evidence - 1. On the date of inspection (05/03/2022), the information was listed for only 1 of 2 emergency contacts. 2. The following children had only 1 emergency contact listed: Child #1, Child #5, and Child #9.”

Rule 8VAC20-800-60-B.

Based on review, 2 of 10 children files reviewed did not have a signature and date of the annual review of emergency information documented by each child’s parent within the past year.

“Evidence - 1. On the date of inspection (05/03/2022), the following are the last documented reviews: for Child #5 (dated - 05/26/2020), and for Child #6 (dated - 01/12/2021). 2. These dates were observed on the bottom of each child’s record.”

Rule 8VAC20-800-780-B.

Based on review, the Provider did not maintain documentation of the monthly emergency evacuation drill (fire drill).

“Evidence- 1. Documentation of the monthly fire drill for April of 2022 was not recorded on the drill log. 2. The Provider stated (during an interview conducted on the date of inspection - 05/03/2022) that a fire drill was conducted in April, but was not recorded on log.”

Rule 8VAC20-800-830-C.

Based on review, 2 of 10 children files indicated that the Family Day Home (FDH) did not obtain additional immunizations for children (who were not exempt from the immunization requirements according to subsection B of this section) once every 6 months for children under 2 years of age.

“Evidence - 1. On the date of inspection (05/03/2022), both Child #2 (immunization page dated - 10/17/2021), and Child #8 (immunization page dated - 02/11/2021) were observed on site. 2. Based on information on file, both Child #2 and Child #8 were under 2 years of age on the date of inspection.”

Rule 8VAC20-800-90-C.

Based on review, 3 of 11 children files indicated that 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. On the date of inspection (12/17/2021), documentation of a physical examination was not available for review for the following children: Child #1 (start date - 10/21/2019), Child #8 (start date - 03/29/2021), and Child #10 (start date - 01/31/2021). 2. Child #1, Child #8, and Child #10 were all in attendance on the date of inspection.”

Rule 8VAC20-800-100-A.

Based on review, 2 of 11 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (12/17/2021), the following children had listed 1 of 2 emergency contacts: Child #4, and Child #7. 2. This was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-60-B.

Based on review, 2 of 11 children files indicated that annually, the provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“Evidence - 1. On the date of inspection (12/17/2021), the following children did not have an updated review, signed and dated by the child’s parent: Child #1 (signed, but no date listed), and Child #7 (most current review signed and dated - 05/26/2020). 2. The Provider confirmed this finding on the date of inspection.”

Rule 8VAC20-800-780-B.

Based on observation, the provider did not document in writing each review of the emergency preparedness and response plan (EP&RP) at least on an annual basis.

“Evidence - 1. The last review documented for the Family Day Home (FDH) EP&RP was dated - 11/20/2020. 2. The EP&RP was posted on the main bulletin board in the lower right hand corner.”

Rule 8VAC20-800-800-B.