Asia Ashraf

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for Child #1 and #4 were not signed.”

Rule 8VAC20-800-110-B.

Assistants’ and substitute providers’ records shall contain name, address, and telephone number of a person to be notified in an emergency.

“The record for assistant #1 was missing an emergency contact and has been employed for six months.”

Rule 8VAC20-800-120-B.

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

“Poisonous cleaning materials were found in a children’s bathroom, on a storage container near a changing table, and on a small table in the nap room, all of which were accessible to children.”

Rule 8VAC20-800-280.

A caregiver shall provide direct care and supervision of each child at all times.

“During the inspection, an 11-month-old child was observed alone in a dimly lit nap room with the door closed, sitting in an infant swing and drinking a bottle.”

Rule 8VAC20-800-560-A.

High chairs, infant carrier seats, or feeding tables with safety waist and crotch straps fastened according to the manufacturer’s instructions shall be used for children under 12 months of age who are not held while being fed.

“During the inspection, an 11-month-old child was observed alone in a dimly lit nap room, sitting in an infant swing while drinking a bottle.”

Rule 8VAC20-800-960-C.

Providers must obtain fingerprinint results prior to employee’s first day of employment.

“Assistant #2’s (employed for six months) fingerprint results were 5 months overdue.”

Rule 22.1-289.035-B-2.

Assistant records shall contain the following: emergency contact, including name. address, and phone number, documentation of two references prior to employment, date of employment, and documentation of education.

“Assistant caregiver # 2’s record was missing an emergency contact and two references. Assistant caregiver #3’s record was missing date of employment and documentation of education.”

Rule 8VAC20-800-120-B.

The provider shall orient assistants by the end of their first week of assuming job responsibilities.

“Assistant caregiver #2 provided care for children for 6 months without receiving orientation. Assistant caregiver #3 provided care for children without receiving orientation.”

Rule 8VAC20-800-200-A.

Documentation of orientation shall be signed and dated by the provider and assistant.

“There was no documentation of orientation for assistant caregiver #2 and assistant caregiver #3.”

Rule 8VAC20-800-200-C.

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

“Poisonous cleaning chemicals were accessible to children in a kitchen cabinet below the sink.”

Rule 8VAC20-800-280.

Small electrical appliances shall be unplugged unless being used by the caregiver.

“An electric water kettle was plugged into an outlet on the kitchen counter while children were present in the living area. The kitchen and living room are part of an open floor concept, allowing children to access the area.”

Rule 8VAC20-800-320-A.

Child-resistant protective covers shall be installed on all unused electrical outlet.

“1 electrical outlet did not have a protective cover on the side of the kitchen island and accessible to children.”

Rule 8VAC20-800-320-B.

Child records shall contain the following information: address and telephone number of each custodial parents place of employment and child’s medical insurance policy number.

“Child # 3’s record was missing one parent’s work address. Child #5’s record was missing both parents work address and phone number. Child # 6’s record was missing the medical insurance policy number.”

Rule 8VAC20-800-60-A.

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

“Two bottles were not labeled with child’s full name and date.”

Rule 8VAC20-800-960-E.

The program is required to submit results of potable water testing to VDH.

“The program did not have evidence of submitting test results to VDH.”

Rule 22.1-289.057-B.

A person (living in the home) 14 years of age and older must have a search of the central registry ( CPS check) and make the information available for regulatory purposes.

“Household Member #3 did not have a CPS check available for review. This report is 10 months overdue.”

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

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

“An updated TB screening for Caregiver #1 was not completed and was overdue by one month.”

Rule 8VAC20-800-180-A.

Based on review, 2 of 6 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (04/17/2024), two completed emergency contacts were not available for Child #3. 2. The addresses for the two emergency contacts listed for Child #6 were not available.”

Rule 8VAC20-800-60-B.

Based on review, 2 of 6 children files indicated that not all of the required documentation was on file at the Family Day Home (FDH).

“Evidence - 1. On the date of inspection (04/17/2024), the Medication Administration - Decision to Administer form was not available for: Child #5, and Child #6. 2. The listed start dates were: Child #5 (02/05/24), and Child #6 (02/05/24)”

Rule 8VAC20-800-70-A.

Based on review, 1 of 3 household records indicated that the FDH does not have a copy of a fingerprint (check and provide personal descriptive information described in subdivision B 2 of ? 19.2-392.02) within 1 month of their 18th birthday.

“Evidence - 1. On the date of inspection (11/29/2023), the fingerprint check on file for Household Member #2 was not available for review. 2. Based on information on file, the Provider had obtained an FBI check and did not follow the process as indicated on childcare.virginia.gov”

Rule 22.1-289.036-B-2.

Based on review, 1 of 1 staff files; and 1 of 3 household records indicated that the FDH does not have an updated (within the past 5 years) copy of the results of a search of the central registry ( CPS check) maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him.

“Evidence - 1. On the date of inspection (11/29/2023), the CPS check on file for Staff #1 was dated - 09/10/2018, 2. The CPS check on file for Household Member #1 was dated - 09/10/2018.”

Rule 22.1-289.036-B-3.

Based on review, 1 of 4 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection (11/29/2023), documentation of a physical examination was not available for review for Child #4. 2. The start date for Child #4 was listed as 06/13/2023. Child #4 was in attendance on the date of inspection.”

Rule 8VAC20-800-100-A.

Based on review, 2 of 4 children records indicated that not all of the required information was contained within each child’s file.

“Evidence - On the date of inspection (11/29/2023), the following documentation was not available for review: 1. The addresses for the two emergency contacts listed for Child #3. 2. The Authorization for Emergency Medical care (found on page 2 of the Child’s Record) for Child #2*. This same information was cited during an inspection previously conducted on 05/03/2023.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 4 children files indicated that not all of the required documentation was contained within each child’s file.

“Evidence - 1. On the date of inspection (11/29/2023), page 2 of the Medication Administration - Decision to Administer form for Child #1 was not available for review. This page contains a signature by the parent that the provided information was reviewed. 2. Instead, on the back of page 1 was copied the Information for Parents form.”

Rule 8VAC20-800-70-A.

Based on review, 2 of 4 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations (for a child who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (11/29/2023) the following children did not have an updated immunization page on file: Child #2 (immunization page on file, dated - 04/24/23), and Child #3 (immunization page on file, dated - 05/02/23). 2. On the date of inspection, based on information on file, both children were under the age of two years.”

Rule 8VAC20-800-90-C.

Based on review, 1 child’s file did not contain all of the required information with their file.

“Evidence - 1. On the date of inspection (05/03/2023), the following information was not available for Child #2: Action for the listed allergy; and an authorization by the child’s parent for emergency care. 2. The start date for Child #2 was listed as 08/15/2022.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 3 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (11/16/2022), the following information was not available for review for Child #3 - The action to be taken for the listed allergy, the policy number for the listed medical insurance policy, and a written authorization for emergency medical care. 2. The start date for Child #3 was listed as 08/15/22. Child #3 was in attendance on the date of inspection.”

Rule 8VAC20-800-60-B.

Based on observation, crib bumper pads were observed being used on (1) one crib within the Family Day Home (FDH).

“Evidence - 1. On the date of inspection (06/14/2022), a crib intended for the use by Child #2, was observed to have a bumper pad installed. 2. Child #2 was in care on the date of inspection.”

Rule 8VAC20-800-520-E.

Based on review, the Provider did not document in writing the annual review of the Emergency Preparedness and Response Plan (EP&RP) for the Family Day Home (FDH).

“Evidence - 1. The FDH’s EP&RP plan was observed posted on the parent bulletin board in the main area where child care is provided. 2. The last review documented in writing was dated - 11/07/2019.”

Rule 8VAC20-800-800-B.