Dinusha Fernando

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

“Two bottles for Child #1 (9 months old) and 3 bottles for Child #3 (10 months old), did not contain the date.”

Rule 8VAC20-800-960-E.

Repeat Violation Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

“The toilet paper holder in the children’s bathroom was not in a safe condition when there were exposed screws coming out of the wall, accessible to children, that was a hazard to the children in care.”

Rule 8VAC20-800-240-A.

Repeat Violation Documentation of additional immunizations is required once every six months for children under the age of two years.

“Child #1, (11 months old), last documented immunization was over 6 months ago and overdue by 3 weeks.”

Rule 8VAC20-800-90-C.

Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

“The bottom of the bathroom door in the children’s play area was not in a safe condition when there was chipping wood present, accessible to children, that was a hazard to the children in care.”

Rule 8VAC20-800-240-A.

Small electrical appliances shall be unplugged unless being used by the caregiver or with children under close supervision.

“There was a water kettle plugged in in the upstairs kitchen and not being used.”

Rule 8VAC20-800-320-A.

Children’s records are required to 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 #3 (enrolled for over 10 months) was missing the addresses of two designated emergency contacts.”

Rule 8VAC20-800-60-B.

The diapering surface shall be nonabsorbent and washable.

“The diapering surface had a cloth covering, not making it a nonabsorbent and washable surface.”

Rule 8VAC20-800-690-D.

Documentation of additional immunizations is required once every six months for children under the age of two years.

“Child #1, (12 months old), last documented immunization was over 7 months ago and overdue by over 1 month. Child #2, (15 months old), last documented immunization was over 7 months ago and overdue by over 1 month.”

Rule 8VAC20-800-90-C.

Sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision.

“Child #2, 2 years old, was observed holding an open safety pin during play time.”

Rule 8VAC20-800-290.

Children’s records are required to 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 #5, enrolled over 2 months, was missing the name, address and telephone number of one emergency contact.”

Rule 8VAC20-800-60-B.

The menu for the current one-week period is required to be dated and list any substituted food.

“The posted menu was dated for the week of January 13, 2025 and was not updated with the food being served.”

Rule 8VAC20-800-920.

The provider is required to obtain a completed criminal history check prior to the assistant’s first day of employment.

“The criminal history check for Assistant #1, who is currently working, was dated six weeks after their first day of employment.”

Rule 22.1-289.035-B-2.

Providers must maintain a record for each caregiver including documentation that two or more references were checked before employment.

“The record for Assistant #2 contained three reference checks. Reference #1 was completed one day after employment, reference #2 was completed 11 days after employment, and reference #3 was completed 12 days after employment.”

Rule 8VAC20-800-120-B.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“The tuberculosis screening for Assistant #2, was completed one day after employment.”

Rule 8VAC20-800-170-A.

Poisonous materials shall be stored in an area inaccessible to children.

“A door was unlocked and slightly open in the children’s play area which led to the laundry room where poisonous cleaning chemicals were on the floor.”

Rule 8VAC20-800-280.

The provider is required to keep small electrical appliances unplugged unless being used.

“An electric kettle was plugged in, but not being used, in the upstairs kitchen.”

Rule 8VAC20-800-320-A.

The provider is required to get written parent authorization noting any known adverse reactions at least annually for topical skin products.

“The topical authorization form for Child #1 expired 11 months ago. The form for Child #3 expired 8 months ago. The form for Child #4 expired 8 months ago. The form for Child #6 expired 1 year, 5 months ago.”

Rule 8VAC20-800-750-A.

The provider is required to obtain documentation of additional immunizations once every six months for children under the age of two years; and once between each child’s fourth and sixth birthdays.

“The immunization record for Child #1 is 9 months overdue and the immunization record for Child #4 is 14 months overdue.”

Rule 8VAC20-800-90-C.

8VAC20-800-120-B

“Based on record review, required records were not kept for each staff person. Evidence: 1. Caregiver #2’s record (Date of hire-10/16/2023) did not contain documentation of age verification and name, address, and phone number of an emergency contact.”

Rule 8VAC20-800-120-B.

8VAC20-800-200-C

“Based on record review, documentation of the orientation was not signed and dated by the provider and assistant. Evidence: 1. Caregiver #2’s record (Date of hire-10/16/2023) did not contain documentation of orientation.”

Rule 8VAC20-800-200-C.

8VAC20-800-60-B

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #3’s record (Start date-09/12/2022) and Child #5’s record (Start date-10/24/2022) did not contain documentation of an annual review of emergency contacts information.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements. Evidence: 1. Child #5’s record (Start date-10/24/2022) did not contain documentation of additional immunizations. The last immunization was taken on 10/2022.”

Rule 8VAC20-800-90-C.

8VAC20-800-210-A

“Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Caregiver #3 did not have documentation of a minimum of sixteen clock hours of training. 2. Caregiver #1 confirmed that Caregiver #3 did not obtain a minimum of sixteen clock hours of annual training.”

Rule 8VAC20-800-210-A.

8VAC20-800-70-A

“Based on record review and interview, parents were not provided in writing the required information before the child’s first date of attendance. Evidence: 1. Child # 1’s record (Start date-9/12/2022) did not contain documentation of policies for the administration of medication. 2. Caregiver #1 stated that the parents were given the information, but did not return the document.”

Rule 8VAC20-800-70-A.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child’s full name and the date. Evidence: 1. Child #2’s bottle was not labeled with the child’s name and the date.”

Rule 8VAC20-800-960-E.