Amena Sultana

The family day home is required to keep a written record of children in attendance each day.

“There was no documentation of attendance being taken since 7/24/2026.”

Rule 8VAC20-800-50-A.

The provider is required to 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.

“Child #2 did not have documentation of a physical examination on file at the time of the inspection. Child #2 had been enrolled for over one year.”

Rule 8VAC20-800-100-A.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Caregiver #1 had a TB screening on file that was expired. Household member #1 had a TB screening on file that was expired.”

Rule 8VAC20-800-180-A.

The family day home is required to keep a written record of children in attendance each day.

“There was no documentation of attendance on the date of the inspection. There was no documentation of written attendance for the months of April and May 2025.”

Rule 8VAC20-800-50-A.

The Provider is required to maintain an up-to-date record at the family day home for each child enrolled.

“Child #3 and Child #4 did not have documentation of an annual update of emergency information in the child’s record.”

Rule 8VAC20-800-60-A.

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

“There was no documentation of emergency evacuation drills being practiced for the months of April and May 2025.”

Rule 8VAC20-800-830-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. Multiple pieces of the plastic play house in the backyard (outside play area) were broken and on the ground. The broken plastic edges were sharp. 2. The covering over a storage area was broken and had sharp edges.”

Rule 8VAC20-800-240-A.

8VAC20-800-90-A

Rule 8VAC20-800-90-A.

Based on a review of children’s records, the Provider did not review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct and obtain the parent’s signed acknowledgment of the review.

“Evidence: 1. Child #1 (doe: 3/21/2022) last had their emergency contact information reviewed on 11/10/2022. 2. Child #2 (doe: 2/27/2023) last had their emergency contact information reviewed on 2/27/2023.”

Rule 8VAC20-800-780-B.

Based on a review of caregiver and household member records, all caregivers and household members did not submit to fingerprinting as required.

“Evidence: 1. Household member #1 did not have documentation of fingerprints results on file at the time of the inspection. 2. Caregiver #1 did not have documentation of fingerprints results on file at the time of the inspection.”

Rule 22.1-289.035-B-2.

Based on a review of caregiver and household member records, the provider did not obtain documentation for all 5 year repeat background checks.

“Evidence: 1. Household Member #1’s record did not have documentation of an updated sworn statement (expired 8/1/2023) and an updated central registry results (expired 8/17/2023) 4. Caregiver #1’s record did not have documentation of an updated sworn statement (expired 8/1/2023) and an updated central registry results (expired 8/17/2023).”

Rule 22.1-289.036-A.

Based on a review of children’s records, 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 for 1 out of 4 children.

“Evidence: 1. Child #1 (doe: 1/2/2024) did not have documentation of a physical examination on file at the time of the inspection.”

Rule 8VAC20-800-100-A.

Based on a review of children’s records, 1 out of 4 children’s records did not contain the required information.

“Evidence: 1. Child #1 was missing Emergency Medical Care Authorization form and the Provisions of the Emergency Preparedness Plan form. 2. Child #2, Child #3, and Child #4 were missing Emergency Medical Care Authorization form and the Child record form which includes information regarding parent’s contact and emergency contacts.”

Rule 8VAC20-800-60-B.

Based on observation, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care.

“Evidence: 1. There was no documentation that a monthly evacuation drill was practiced for the month of February.”

Rule 8VAC20-800-830-A.

Based on a review of children’s records, the provider failed to 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: Child #2’s record does not contain documentation of a physical examination by the 30th day of attendance. First day of attendance 09.06.2022.”

Rule 8VAC20-800-100-A.

Based on a review of children’s records, the provider failed to obtain all required documentation for each child enrolled.

Rule 8VAC20-800-60-B.

Based on a review of records and discussion with the provider, the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care.

“Evidence: The provider did not have documentation of an emergency evacuation drill monthly. There was no drill for December 2022.”

Rule 8VAC20-800-830-A.

Based on a review of children records, the provider failed to 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: Child #1’s record did not contain documentation of a physical examination by the 30th day of attendance. First day of attendance 03/21/2022. Child #2’s record did not contain documentation of a physical examination by the 30th day of attendance. First day of attendance 07/12/2021. Child #3’s record did not contain documentation of a physical examination by the 30th day of attendance. First day of attendance 11/01/2021.”

Rule 8VAC20-800-100-A.

Based on a review of children records, the provider failed to obtain all required documentation for each child enrolled in the family day home.

“Evidence: Child #2’s record does not have documentation of the names of person other than the custodial parents who are authorized to pick up children.”

Rule 8VAC20-800-60-B.

Based on review of child records, the provider failed to obtain documentation of a physical examination by the 30th day of attendance.

“Evidence: Child #1, Child #2 and Child #3’s records do not contain documentation of physical examinations by the 30th day of attendance. Child #1’s first day of attendance - 02/17/2020, Child #2’s first day of attendance - 07/21/2021 and Child #3’s first day of attendance - 03/21/2022.”

Rule 8VAC20-800-100-A.

Based on a review of caregiver records, the provider failed to obtain a minimum of 16 clock hours of training annually.

“Evidence: The provider did not obtain 16 hours of training annually.”

Rule 8VAC20-800-210-B.

Based on observation, the provider failed to keep a written record of children in attendance each day.

“Evidence: The provider did not have documentation of attendance records for children present each day.”

Rule 8VAC20-800-50-A.

Based on a review of child records, the provider failed to obtain and/or maintain all required documentation for each child enrolled.

“Evidence: Child #1’s record does not contain documentation of work phone numbers for parents. Child #2s record does not contain documentation of parents work phone numbers. Child #2’s record does not contain documentation of a doctors address and phone number. Child #3’s record does not contain documentation of the names of persons other than parents, authorized to pick up the child. Child #3’s record does not contain documentation of written authorization for emergency medical care.”

Rule 8VAC20-800-60-A.

8VAC20-800-70-A

“Based on a review of child records, before the first day of attendance, the provider failed to provide provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

Based on observation, the provider failed, when parent provided topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used, to ensure that the products are labeled with the child’s name.

“Evidence: There was a tube of Butt Paste that provider stated was brought in by the parent and it was not labeled.”

Rule 8VAC20-800-750-A.

Based on observation, the provider failed to ensure that the first aid kit contained all required supplies.

“Evidence: The first aid kit was missing, tweezers, adhesive tape and two triangular bandages.”

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

Based on observation, the provider di not have a working battery operated radio.

“Evidence: The radio did not have batteries.”

Rule 8VAC20-800-770.

8VAC20-800-80-B

“Based on review of child records, the provider failed to verify the identity and age of a child by reviewing one of the approved for identification.”

Rule 8VAC20-800-80-B.

Based on a review of evacuation logs, the provider failed to practice evacuation procedures each month.

“Evidence: The provider failed to conduct a practice evacuation drill for April 2022.”

Rule 8VAC20-800-830-A.

Based on a review of child records, the provider failed to obtain documentation of immunizations on the first day of attendance.

“Evidence: Child #1, #2 and #3’s record do not contain documentation of immunizations on the first day of attendance. Child #1’s first day of attendance - 02/17/2020, Child #2’s first day of attendance - 07/21/2021 and Child #3’s first day of attendance - 03/21/2022.”

Rule 8VAC20-800-90-A.