Frishta Rahim

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.

“Documentation of a physical examination by or under the care of a physician was not obtained for Child #4.”

Rule 8VAC20-800-100-A.

The provider shall obtain for each adult household member, a current Report of Tuberculosis Screening form, every two years from the date of the first screening.

“The Tuberculosis Screening for Household Member #2 was expired five years prior.”

Rule 8VAC20-800-180-A.

When topical skin products such as diaper ointment are used, written parent authorization noting any known adverse reactions shall be obtained.

“One diaper ointment product was provided for the caregiver to use on Child #3, but written authorization noting any adverse reactions was not obtained.”

Rule 8VAC20-800-750-A.

The telephone numbers for police, fire, emergency medical responders, the responsible person for emergency backup care, and the regional poison control center shall be posted in a visible area close to the telephone.

“On the day of the inspection, no emergency telephone numbers were posted in a visible area close to the telephone.”

Rule 8VAC20-800-790.

The provider shall document in the child’s record, the method of verification of the child’s age and identity.

“The record for Child #1 and Child #6 did not contain documentation of the method of verification of the child’s age and identity.”

Rule 8VAC20-800-80-C.

Each child day program that is licensed pursuant to this chapter that serves preschool-age children shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler-style and cooler-style drinking fountains, kitchen taps, classroom sinks and drinking fountains, and sinks known to be or visibly used for consumption. Testing to be completed no later than 1/1/25.

“There was no evidence that the provider has a completed water testing, developed a water testing plan or communicated an alternative water-use plan.”

Rule 22.1-289.057-A.

Information contained in a child’s record shall be privileged and confidential. The provider shall not distribute or release information in a child’s record to any unauthorized person without the written consent of the child’s parent.

“The supplemental information pages of the previous 2 inspection reports were posted in the daycare for viewing and contained confidential information.”

Rule 8VAC20-800-50-C.

Within the first 90 days of employment all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education (10 hour course).

“Caregiver #3 was hired 5/1/24 and the course was completed 8/2/25.”

Rule 8VAC20-790-250-B.

All caregivers shall have within the first 90-days of employment a CPR certification.

“Caregiver #3 was hired 5/1/24 and there was no documentation of a CPR certification.”

Rule 8VAC20-790-250-D-1.

All caregivers shall have within the first 90-days of employment a First Aid certification.

“Caregiver #3 was hired 5/1/24 and there was no documentation of a First Aid certification.”

Rule 8VAC20-790-250-D-2.

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

“The findings from the most recent inspection, 1/22/25, were not posted.”

Rule 22.1-289.011-F.

Caregivers shall have a completed central registry search (CRS) prior to the start of employment.

“There was no documentation of a completed CRS for caregiver #4.”

Rule 22.1-289.035-B-3.

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 documentation of a physical exam for Child #7.”

Rule 8VAC20-800-100-A.

Repeat violation and systemic deficiency. Assistant caregivers records shall include documentation of 2 or more refence checks completed prior to employment.

“There was no documentation of 1 of 2 written reference checks for Caregiver #3.”

Rule 8VAC20-800-120-B.

Substitute providers shall record and sign the time of arrivals and departures on each day that they worked.

“There was no documentation of the substitute provider’s work hours during the provider’s absence.”

Rule 8VAC20-800-130.

Providers and substitute providers shall have current CPR certification.

“Caregiver #4, working as the substitute provider, did not have a current CPR certification.”

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

Providers and substitute providers shall have current First Aid (FA) certification.

“Caregiver #4, working as the substitute provider, did not have a current FA certification”

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

Repeat violation. In addition to satisfactory completion of First Aid/CPR training, caregivers shall obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

“There was 1.5 hours of annual training documented for Caregiver #2 for the period of 5/1/24-4/30/25.”

Rule 8VAC20-800-210-A.

In addition to satisfactory completion of First Aid/CPR training, caregivers shall obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

“There was 1.5 hours of training documented for caregiver #3 for the period of 5/1/24-4/30/25.”

Rule 8VAC20-800-210-A.

The provider shall ensure that each caregiver does not exceed 16 points (staff-to-child ratios):

“For a period of 21 minutes, child-to-staff ratios/points were not maintained today. At 10:35am, Child #5 arrived for care, making the points total 33. Caregivers #2 and #3 were present at the time. Caregiver #4, the substitute provider, arrived to the daycare at 10:56am.”

Rule 8VAC20-800-570-A.

The family day home shall obtain documentation of additional immunizations every 6 months for children until 2 years old.

“The immunizations for Child #3 were documented as completed January 2025 when the child was 5 months old. The immunizations for Child #12 were documented as completed May 2024 when the child was 11 months old.”

Rule 8VAC20-800-90-C.

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.

“There was no documentation that Caregiver #3 completed the Virginia Preservice Training course.”

Rule 8VAC20-790-250-B.

Caregivers who work directly with children shall, in addition to preservice and orientation training shall annually attend the department’s health and safety update course.

“There was no documentation that Caregivers #1 and #2 completed the department’s health and safety course title Virginia Health and Safety.”

Rule 8VAC20-790-250-F.

Repeat violation. Assistant caregivers records shall include documentation of 2 or more reference checks completed prior to employment.

“The documentation for 1 of 2 written reference checks did not include the results of the reference check and the signature of who completed the check for Caregiver #3.”

Rule 8VAC20-800-120-B.

The provider shall obtain from each caregiver and adult household member a current TB screening/test with it documenting the absence of TB in a communicable form.

“There was no documentation of a TB screening/test for Household Member #2.”

Rule 8VAC20-800-170-A.

In addition to satisfactory completion of First Aid/CPR, caregivers shall obtain a minimum of 16 hours of training annually in areas relevant to their job responsibilities.

“There was documentation of 13 hours of annual training for Caregiver #2.”

Rule 8VAC20-800-210-A.

A child’s record shall contain the following information: name, address and phone number of 2 designated persons to contact in case of an emergency if the parent cannot be reached; name and policy number of the child’s medical insurance; and written authorization for emergency medical care.

“The record for Child #5 did not include documentation of the required information listed above.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided in writing the following information: check-in and check-out procedures; requirement for paid caregivers to report suspected child abuse and neglect according to 63.2-1509 of the Code of VA; custodial parent’s right to be admitted to the family day home as required by 22.1-289.054 of the Code of VA; amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the children and the name of the those individuals; address of the website of the department (VDOE) and a statement that a copy of this chapter and additional information may be obtained there.

“1. These policies/procedures were not documented on enrollment paperwork given to parents or on the daycare website. 2. Child #5-In addition to the policies/procedures listed above this child’s record did not include the medication policy, emergency plan and liability insurance statement.”

Rule 8VAC20-800-70-A.

Annually, the provider shall review with the parent the emergency contact information to ensure information is correct and obtain the parent’s signed acknowledgment of the review.

“There was no documentation that Child #12’s parents had reviewed the emergency contact information since enrollment in October 2023.”

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 according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“There was no documentation of immunizations on-file for Child #3 at the time of inspection. Post-inspection immunizations, signed by the physician on 1/22/25, were submitted.”

Rule 8VAC20-800-90-A.

Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“3 infant bottles were observed in the refrigerator without being labeled with the child’s name and date, as were 2 additional bottles being fed to infants.”

Rule 8VAC20-800-960-E.

22.1-289.011-F

“Based on observations made, the findings from the most recent inspection were not posted. Evidence: The violation notice from the 1/25/24 inspection was not posted.”

Rule 22.1-289.011-F.

8VAC20-770-60-B

“Based on records reviewed and interview conducted, 1 of 8 children’s records did not include required health/medical information. Evidence: The record for Child #12 did not include actions to take in an emergency situation due the child’s allergies. The provider reported the child no longer has the documented allergies however, there is no documentation that allergies no longer exist.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-B

“Based on records reviewed, documentation of reference checks were not on-file for a caregiver recently hired. Evidence: There was no documentation of reference checks completed for Caregiver #3 who began employment in May 2024.”

Rule 8VAC20-800-120-B.

22.1-289.035-B-2

“Based on records reviewed, the criminal record check on-file for a caregiver was insufficient. Evidence: The criminal record check for Caregiver #3 that was completed in October 2023 was done so with the incorrect legal name.”

Rule 22.1-289.035-B-2.

8VAC20-800-120-B

“Based on records reviewed, documentation of reference checks were not on-file for a caregiver recently hired. Evidence: There was no documentation of reference checks completed for Caregiver #3 who began employment in October 2023.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Based on records reviewed, 1 of 3 household members have not obtained an initial TB screening. Evidence: There was no documentation of a TB screening for household members #2.”

Rule 8VAC20-800-170-A.

Based on records reviewed, caregivers did not obtain a minimum of 16 hours of annual training.

“Evidence: 1. Caregiver #1 - 13 of 16 hours was documented. 2. Caregiver #2 - 10 of 16 hours was documented.”

Rule 8VAC20-800-210-A.

8VAC20-800-60-B

“Based on records reviewed, 1 of 9 children’s records did not include required health/medical information. Evidence: The record for Child #12 did not include actions to take in an emergency situation due to the child’s allergies.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-B

“Based on records reviewed, 6 of 9 children’s records did not include documentation that parents had reviewed the emergency information annually. Evidence: More than 1 year has passed for Child #1, #2, #3, #4, #8 and #9.”

Rule 8VAC20-800-780-B.

Based on records reviewed, the provider failed to ensure that 5 of 9 child records included documentation of a physical exam within the first 30-days of attendance.

Rule 8VAC20-800-100-A.

8VAC20-800-540-A

“Based on observations made, caregivers failed to ensure that safety straps were in use when children were sitting at the activity table for lunch. Evidence: The safety straps were not fastened for 4 of 7 children sitting in the activity table seats. The safety straps were unfastened and hanging out of the bucket seats.”

Rule 8VAC20-800-540-A.