Amania Naseer

REPEAT VIOLATION Before the child’s first day of attendance, parents must be provided required information in writing.

“The parents of child #2 was not provided in writing the provisions of the home-based child care’s emergency preparedness and response plan. The child had been in care for over ten months.”

Rule 8VAC20-800-70-A.

When meals or snacks are provided by the home-based child care, the menu for the current one-week period shall be dated, given to parents or posted or placed in an area accessible to parents, list any substituted food, and be kept on file one week at the family day home.

“The provider did not have a menu posted at the home-based child care during the inspection and documentation of the menus were not kept on file for one week.”

Rule 8VAC20-800-920.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #2 was not complete and was overdue by four months.”

Rule 8VAC20-800-180-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 #1 was missing the address for one emergency contact. The child was present during the inspection and had been in care for 19 months.”

Rule 8VAC20-800-60-B.

The diapering surface must be nonabsorbent and washable.

“The family day home’s diaper pad had two tears.”

Rule 8VAC20-800-690-D.

Before the child’s first day of attendance, parents must be provided required information in writing.

“The parents of child #2 was not provided in writing the provisions of the family day home’s emergency preparedness and response plan. The child had been in care for five months.”

Rule 8VAC20-800-70-A.

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

“The provider was overdue for an emergency evacuation drill by one month.”

Rule 8VAC20-800-830-A.

Repeat violation

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 2/04/2025, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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

“The record for child #4 did not have a parent signature for an annual review of the emergency contact information and was overdue by seven months.”

Rule 8VAC20-800-780-B.

REPEAT VIOLATION: When meals or snacks are provided by the family day home, the menu for the current one-week period must be dated, given to parents or posted or placed in an area accessible to parents, list any substitute food, and be kept on file for one week at the family day home.

“The menu was not provided or posted for parents and no menus were kept on file for review.”

Rule 8VAC20-800-920.

REPEAT VIOLATION: The vendor must maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“At 10:39 a.m. on 2/4/2025, there were seven children present but no attendance sheet was available to document the arrival of each child on the attendance record.”

Rule 8VAC20-790-180-B.

REPEAT VIOLATION: Caregivers are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Caregiver 1, who is working with children, has not yet completed this course which is overdue by four years and one month.”

Rule 8VAC20-790-250-B.

REPEAT VIOLATION: All caregivers must complete the department’s annual health and safety update course.

“Caregiver 3’s health and safety update course is overdue by four years and seven months.”

Rule 8VAC20-790-250-F.

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

“The findings from the most recent inspection, dated 8/21/2024, was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

The provider is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The sworn statement for Caregiver 2, who had been employed for one month, did not have a completed sworn statement in the file.”

Rule 22.1-289.035-B-1.

The provider must request a search of the central registry prior to the employee’s first day of employment.

“Caregiver 2, who had been employed for one month, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

Repeat violation:

“The provider is required to have assistant caregivers and household members undergo a background check every five years. The most recent central registry check for Household Members A and B were overdue by a eight months.”

Rule 22.1-289.036-A.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

Providers must maintain a record for each caregiver.

“There was no record for Caregiver 2 who has been caring for children for one month.”

Rule 8VAC20-800-120-A.

REPEAT VIOLATION: Documentation of at least two references to character, reputation, and competency are to be checked prior to employment.

“Caregiver 1, who has been actively working at the center for the past four years and three months, and Caregiver 2, who has been actively working at the center for one month, did not have any completed reference verifications on file.”

Rule 8VAC20-800-120-B.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hires and each adult household member prior to coming into contact with children.

“The tuberculosis screening for Caregiver 2, was obtained 28 days after employment. There was no tuberculosis screening completed for Household Member C.”

Rule 8VAC20-800-170-A.

REPEAT VIOLATION: A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Household Members B was not completed and was overdue by one year and two months.”

Rule 8VAC20-800-180-A.

The provider must maintain written documentation of each caregiver receiving orientation training.

“The provider does not have documentation of providing orientation training to Caregiver 1, employed for four years and three months, and Caregiver 2, employed for one month.”

Rule 8VAC20-800-230-A.

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

“A coffee grinder and a blender were plugged in while not in use.”

Rule 8VAC20-800-320-A.

When meals or snacks are provided by the family day home, the menu for the current one-week period must be dated, given to parents or posted or placed in an area accessible to parents, list any substituted food, and be kept on file one week at the family day home.

“The menu was not provided or posted for parents and no menus were kept on file for review.”

Rule 8VAC20-800-920.

Based on record review, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: The last documented hard copy record of daily attendance was taken on August 8th 2024.”

Rule 8VAC20-790-180-B.

Based on record review, all caregivers did not complete the 10 hour Virginia Preservice Training for Child Care Staff.

“Evidence: Caregiver #2, employed since October 2020, has not completed the required 10 hour VA Preservice training course.”

Rule 8VAC20-790-250-B.

Based on record review, all caregivers did not complete the annual health and safety update course.

“Evidence: Caregiver #1’s last documented training of the health and safety course was taken in June 2019.”

Rule 8VAC20-790-250-F.

Repeat violation

Rule 22.1-289.036-A.

Based on record review, the assistant’s records were incomplete.

“Evidence: Caregiver #2 was missing documentation that two or more references as to character, reputation and competency were checked before employment in October 2020.”

Rule 8VAC20-800-120-B.

Based on record review, the provider did not obtain verification of age that assistants are 16 years of age or older.

“Evidence: Caregiver #2 was missing age verification documentation.”

Rule 8VAC20-800-150-A.

Repeat violation:

“Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening. Evidence: Household member #1 and Household member #2’s TB screening forms expired in November 2023.”

Rule 8VAC20-800-180-A.

Based on record review, the provider did not orient the assistant by the end of their first week of assuming job responsibilities.

“Evidence: Caregiver #2 was missing documentation of receiving orientation by the end of their first week of employment in October 2020.”

Rule 8VAC20-800-200-A.

Based on record review, all caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: Caregiver #2 has no documentation of receiving the required annual training since employment in October of 2020.”

Rule 8VAC20-800-210-A.

Based on observation, cribs were not provided for children from birth through 12 months of age who are not developmentally ready to sleep on a cot, rest mat, or bed.

“Evidence: 1. Provider had two children enrolled who were 4 months and 3 months old. 2. Provider only had one crib at the family day home. 3. Provider confirmed that 1 of 2 infants sleep on a mat for naps.”

Rule 8VAC20-800-520-A.

Based on record review, parents were not provided in writing the required information prior to the child’s first day of attendance.

“Evidence: 1. Child #2 and Child # 3 both started attending the program in early August 2024. 2. Child #2 and #3 were missing documentation that parents were provided all the required information of this section including liability insurance declaration, policies for administration of medication, and provisions of the emergency plan.”

Rule 8VAC20-800-70-A.

Based on record review, the provider did not obtain proof of age and identity for the child within seven business days of the child’s first day of attendance.

“Evidence: 1. Child #2 and Child #3 started attending the program in early August 2024. 2. Child #2 and #3 were missing verification of the identity and age.”

Rule 8VAC20-800-80-A.

Repeat violation:

“Based on record review and interview, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: The last documented drill was conducted in April 2024.”

Rule 8VAC20-800-830-A.

Based on record review, the provider did not obtain documentation that the child has been adequately immunized before a child may attend the family day home.

“Evidence: Child #3 enrolled in early August 2024 has no documentation of immunization records.”

Rule 8VAC20-800-90-A.

Based on observation, infant milk bottles were not labeled with the child’s full name and the date.

“Evidence: Child #2 and Child #3’s infant milk bottles were not dated.”

Rule 8VAC20-800-960-E.

Based on record review, the provider did not ensure that all household members and staff members undergo background searches every five years since the date of the first search.

“Evidence: Staff #1 last documented fingerprint criminal record check was conducted December 18 2018. Household Member #1- Sworn statement check was last documented April 30, 2019 and the last documented Central Registry Search was conducted May 14 2019 Household Member #2 - Sworn Statement check was last documented May 1 2019 and the last documented Central Registry Search was conducted May 14 2019”

Rule 22.1-289.036-A.

Based on record review, the provider did not ensure that each caregiver and adult household member has a report of Tuberculosis screening every two years from the date of the first screening.

“Evidence: Household member #1 and Household Member #2 had documentation of an initial tuberculosis screening dated May 1, 2019.”

Rule 8VAC20-800-180-A.

Based on observation and interview, the provider did not ensure that emergency evacuation drills are practiced monthly.

“Evidence: The last documented drill was conducted April 2024.”

Rule 8VAC20-800-830-A.

Based on observation, the provider did not ensure that certain documents related to the terms of the license are required to be posted on the premises of each facility

“Evidence: The most recent license was not posted in the home.”

Rule 8VAC20-820-120-A-1.

Based on document review, the provider did not ensure emergency evacuation procedures be practiced monthly.

“Evidence: The last documented date of evacuation drills was dated April 2022.”

Rule 8VAC20-800-830-A.

Based on record review, 1 of 2 staffing records reviewed, did not contain a report of Tuberculosis Screening form every two years from the date of first screening.

“Evidence: On September 20, 2021 Staff #1 record contained a Report of Tuberculosis screening dated 9/6/2019.”

Rule 8VAC20-800-180-A.