Marwa Abdelbaki

The Provider is required to obtain a completed sworn statement for each adult household member.

“At the time of the inspection, there was no sworn statement for Household Member #1, who is currently living in the home.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check for each adult household member.

“Household Member #1 did not have a completed national criminal background check at the time of the inspection.”

Rule 22.1-289.035-B-2.

Providers must obtain a current tuberculosis screening from each adult household member.

“At the time of the inspection, there was no tuberculosis screening for household member #1.”

Rule 8VAC20-790-170-A.

Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“At the time of the inspection, the physical examination and immunizations were not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

Providers shall have current certification in cardiopulmonary resuscitation (CPR).

“At the time of the inspection, the Provider’s CPR certification had expired two days earlier, and there was no one else on site with a current CPR certification.”

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

Providers shall have current certification in first aid.

“At the time of the inspection, the Provider’s first aid certification had expired two days earlier, and There was no one else on site with a current first aid certification.”

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

Repeat violation

“Areas and furnishings of the family day home, inside, shall be maintained in a safe. At the time of the inspection, the baseboard at the entrance of the children’s bathroom was missing, the bathroom door had peeling paint, and the rest mat under the children’s table had peeling edges.”

Rule 8VAC20-800-240-A.

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

“The parents of Children #1, #2, #3, #4, and #5 were not provided in writing the following required information: Requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.”

Rule 8VAC20-800-70-A.

Children’s records are required to contain the name and policy number of the child’s medical insurance.

“At the time of the inspection, the record for Child #2, who had been in care for four months, was missing the name and the policy number of the child’s medical insurance. At the time of the inspection, the record for Child #4, who had been in care for eight months, was missing the policy number of the child’s medical insurance.”

Rule 8VAC20-800-780-B.

Within seven business days of the child’s first day of attendance, the provider shall obtain the name and location of previous day care programs.

“At the time of the inspection, the name and location of the previous day care program was not available for Child #2 and Child #3.”

Rule 8VAC20-800-80-A.

Repeat violation

“Documentation shall be maintained for emergency evacuation drills. At the time of the inspection, the April, May, and June evacuation drills were not documented for 2026.”

Rule 8VAC20-800-830-C.

The program is required to submit to the Virginia Department of Health (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.

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

“An exposed drainage pipe approximately 3.5 inches in diameter was observed in the concrete landing of the family day home entrance.”

Rule 8VAC20-800-240-A.

Potentially poisonous substances, shall be stored in areas inaccessible to children.

“Caregiver 3 was observed using disinfecting wipes on children’s hands and forearms. The product label states is should be kept out of the reach of children.”

Rule 8VAC20-800-280.

Infant activity 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.

“An infant was observed in a low child seat without the safety strap fastened.”

Rule 8VAC20-800-540-A.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating.

“Caregiver 3 was observed wiping children’s hands with a disinfectant wipe prior to eating in lieu of handwashing.”

Rule 8VAC20-800-680-B.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The annual review of the emergency preparedness plan is overdue by 51 days.”

Rule 8VAC20-800-800-B.

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 until the child turns two.

“1. Updated immunizations for Child 1 (aged 29 months) were due nine months ago. 2. Updated immunizations for Child 2 (aged 30 months) were due thirteen months ago.”

Rule 8VAC20-800-90-C.

Substitute providers’ records shall also contain documentation of the time of arrivals and departures as required by 8VAC20-800-140 D.

“On the date of inspection a there was no documentation of the substitute provider’s hours of operating as a substitute provider.”

Rule 8VAC20-800-120-C.

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

“landscaping fabric was observed under the outdoor play structure posing a tripping hazard.”

Rule 8VAC20-800-240-A.

The family day home shall keep a written record of children in attendance each day.

“The attendance for the family day home was not completed for the date of inspection.”

Rule 8VAC20-800-50-A.

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

“The annual review for Child 2 is overdue by 140 days.”

Rule 8VAC20-800-780-B.

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

“During the inspection no documented evacuation drill practices for 2025 could be located.”

Rule 8VAC20-800-830-A.

The family day home shall obtain documentation of additional immunizations, for a child who is not exempt from the immunization requirements, every six months until the age of two.

“Child 2’s immunizations are overdue by eighteen months. Child 3’s immunizations are overdue by eleven months.”

Rule 8VAC20-800-90-C.

8VAC20-800-50-C

“Information contained in a child’s record shall be privileged and confidential. The supplemental page from the previous licensing inspection was posted in the facility. The page contains identifying information about children.”

Rule 8VAC20-800-50-C.

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements. Children 1, 2, and 4’s records did not contain documentation of additional immunizations every six months as required for children under the age of 2.”

Rule 8VAC20-800-90-C.

8VAC20-770-60-B

“Based on record review, the family day home failed to obtain a sworn statement or disclosure at the time of hire for one staff member. Evidence: Caregiver 2, hired in November 2023, did not have a sworn statement completed until February 19, 2024.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-B

“Based on record review, caregiver records did not contain all required information. Evidence: Caregiver 2’s record did not contain the name, address, and phone number of a person to contact in an emergency.”

Rule 8VAC20-800-120-B.

8VAC20-800-800-B

“Based on record review, the provider failed to review the emergency plan at least annually and update the plan as needed. Evidence: The emergency plan was last reviewed on June 20, 2022.”

Rule 8VAC20-800-800-B.

8VAC20-800-100-A

“REPEAT VIOLATION Based on record review, 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. Evidence: Child 3’s record did not contain 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.”

Rule 8VAC20-800-100-A.

8VAC20-800-210-A

“Based on record review, one caregiver did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Caregiver 2’s record contained documentation of five completed continuing training hours.”

Rule 8VAC20-800-210-A.

8VAC20-800-50-C

“Based on observation, children’s records were not treated confidentially. Evidence: The supplemental page of the most recent licensing inspection dated 3/6/23, was posted on the bulletin board in the family day home. The page contains information about deficiencies in children’s records and identifies them by name.”

Rule 8VAC20-800-50-C.

8VAC20-800-60-B

“REPEAT VIOLATION Based on record review, children’s records did not contain all required information. Evidence: The record for Child 2 did not contain the child’s health insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-A

“REPEAT VIOLATION Based on record review, the provider failed to 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 prior to the child’s attendance. Evidence: Child 3’s record did not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-800-90-C

“Based on record review, the provider failed to 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. Evidence: Child 1 and Child 4’s records did not contain documentation that they had received updated immunizations every six months for children under the age of two years.”

Rule 8VAC20-800-90-C.

8VAC20-800-100-A

“Based on record review, 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. Evidence: Child 4’s record did not contain documentation of a physical examination by or under the direction of a physician.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-C

“Based on record review and provider statement, there was no record to document the time of arrivals and departures of the substitute provider as required by 8VAC20-800-140 D . Evidence: At the beginning of the inspection the substitute provider was the sole provider of childcare on the premises. There was no documentation for this date to establish the amount of time the substitute provider was assuming the role of primary caregiver in the provider’s absence. The provider stated that they do not use a form to document this occurance.”

Rule 8VAC20-800-120-C.

8VAC20-800-320-I

“Based on observation, the family day home did not have an operational smoke detector on the date of inspection. Evidence: The smoke detector in the family day home was beeping during the inspection, indicating that the batteries need replacing.”

Rule 8VAC20-800-320-I.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: Child 2’s record did not contain the child’s health insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review, the provider did not inform parents, in writing, of all required information. Evidence: 1. Child 1’s record did not contain documentation that the parents have been informed of whether the provider carries liability insurance. 2. Child 2’s record did not contain documentation that the parents have been informed of the emergency response plan of the family day home.”

Rule 8VAC20-800-70-A.

8VAC20-800-730-D

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: There was an bottle of Acetaminophen was observed on a shelf in the downstairs pantry.”

Rule 8VAC20-800-730-D.

8VAC20-770-40-D-5-a

“Based on record review and provider statement, one child living in the home did not have the results of a central registry check within 30 days of turning 14 years old. Evidence: The record for Household Member 3 did not have the results of a central registry check.”

Rule 8VAC20-770-40-D-5-a.

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on outlets accessible to children under five years of age. Evidence: 1. Two outlets located behind a crib were observed without protective covers. 2. An outlet in nap room was observed without a protective cover. 3. An outlet in the bathroom used by children was observed without a protective cover.”

Rule 8VAC20-800-320-B.

8VAC20-800-320-I

“Based on observation, there were obvious fire hazards present in the child care area. Evidence; The smoke detector on the lower level was not operational on the date of inspection.”

Rule 8VAC20-800-320-I.

8VAC20-800-60-B

“Based on record review, two of four children’s records did not contain all required information. Evidence: 1. Child 2’s record did not contain documentation the place or phone number of the father’s employer; nor did it contain the street addresses for two emergency contacts. 2. Child 4’s record did not contain documentation of the place or phone number of either parent’s employer”

Rule 8VAC20-800-60-B.

8VAC20-800-770

“Based on observation, the family day home did not have a working battery-operated weather band radio. Evidence: The weather band radio was not operational on the date of inspection.”

Rule 8VAC20-800-770.

8VAC20-770-40-D-1-a

“Based on record review, one staff member did not have the results of a central registry check on file within 30 days of assuming job responsibilities. Evidence: Adult 1 did not have the results of a central registry check on file. The background check was submitted in the required time frame, but the results have not been received and documented follow up with the agency was not available for review on the date of inspection.”

Rule 8VAC20-770-40-D-1-a.

8VAC20-800-170-A

“Based on record review, the provider did not obtain, at the time of hire, a negative Tuberculosis screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: Adult 1’s record did not contain the results of a negative Tuberculosis screening.”

Rule 8VAC20-800-170-A.

8VAC20-800-60-B

“Based on record review, one of two children’s records did not contain all required information. Evidence: Child 1’s record did not contain addresses for two persons to contact in the event that parents cannot be reached.”

Rule 8VAC20-800-60-B.