Noor Arman

Repeat violation

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. At the time of the inspection, the findings from the most recent inspection, dated 4/8/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

Repeat violation

“The family day home must request a search of the central registry prior to the employee’s first day of employment. Caregiver #3, who had been employed for 2 months, did not have a central registry search requested. Caregiver #3 was working with children at the time of the inspection.”

Rule 22.1-289.035-B-3.

Infant walkers shall not be used.

“At the time of the inspection, it was observed that an infant walker was located outside in the outdoor area.”

Rule 8VAC20-800-540-B.

Repeat violation

Rule 8VAC20-800-60-B.

Repeat violation

“Before the child’s first day of attendance, parents shall be provided required information in writing. The parents of Child #3, who had been in care for over 18 months, were not provided in writing the following required information: whether or not there is liability insurance in force on the family day home operation, the family day home’s emergency preparedness and response plan, and the policies for the administration of medications.”

Rule 8VAC20-800-70-A.

Repeat violation

Rule 8VAC20-800-80-A.

Repeat violation

“Documentation shall be maintained of emergency evacuation drills. At the time of the inspection, there was no documentation of emergency evacuation drills for May 2026. The Provider stated they did not document the drill.”

Rule 8VAC20-800-830-C.

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

“At the time of the inspection, the license was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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

“There was no sworn statement for Caregiver #3, who was working with children at the time of the inspection.”

Rule 22.1-289.035-B-1.

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

“Caregiver #3 did not have a central registry search requested. Caregiver #3 was working with children at the time of the inspection.”

Rule 22.1-289.035-B-3.

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

“There was no tuberculosis screening for Caregiver #3, who was working with children at the time of the inspection.”

Rule 8VAC20-790-170-A.

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

“An updated TB screening for Caregiver #1 has not been completed and is overdue by 8 days.”

Rule 8VAC20-790-180-A.

Providers must maintain a record for each caregiver.

“There was no record for Caregiver 3, who was working with children at the time of the inspection.”

Rule 8VAC20-800-120-B.

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

“Two bottles of air freshener spray were inside a drawer accessible to the children.”

Rule 8VAC20-800-280.

Repeat violation

“Equipment used by children shall be assembled, maintained, and used in accordance with the manufacturer’s instructions. At the time of the inspection, an infant was observed in a playpen standing on top of an outdoor seat cushion. The manufacturer’s instructions for the playpen state to use only the mattress pad provided.”

Rule 8VAC20-800-480-D.

Repeat violation

“Children’s records are required to contain all required information. The record for Child #2, who had been in care for over 7 months, is missing two emergency contact addresses and two parental employment phone numbers. The record for Child #4, who had been in care for over three months, is missing the policy number for the child’s medical insurance. The child’s record also documents an allergy, but does not include the actions to take in an emergency situation.”

Rule 8VAC20-800-60-B.

Caregivers shall wash their hands with liquid soap and warm running water after diapering a child.

“At the time of the inspection, Caregiver #3 did not wash their hands with liquid soap and warm running water after diapering Child #5.”

Rule 8VAC20-800-680-A.

Repeat violation

“Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after diapering. At the time of the inspection, Caregiver #3 did not ensure that Child #5?s hands were washed with liquid soap and warm running water after diapering.”

Rule 8VAC20-800-680-B.

The diapering surface shall be cleaned and sanitized after each use.

“At the time of the inspection, Caregiver #3 did not clean and sanitize the diaper surface after diapering Child #5.”

Rule 8VAC20-800-690-D.

Repeat violation

“Before the child’s first day of attendance, parents shall be provided required information in writing. The parents of Child #3, who had been in care for over 16 months, were not provided in writing the following required information: whether or not there is liability insurance in force on the family day home operation, the family day home’s emergency preparedness and response plan, and the policies for the administration of medications.”

Rule 8VAC20-800-70-A.

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

“The records for Child #3 did not have a parent’s signature for an annual review of the emergency contact information. Child #3 had been in care for 16 months without any annual review.”

Rule 8VAC20-800-780-B.

Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent: Name and location of previous day care programs and schools the child has attended.

“Child #1, who had been in care for over 11 months, is missing the name and location of previous day care programs and schools the child has attended. Child #2, who had been in care for over 7 months, is missing the name and location of previous day care programs and schools the child has attended. Child #4, who had been in care for over 3 months, is missing the name and location of previous day care programs and schools the child has attended.”

Rule 8VAC20-800-80-A.

Documentation shall be maintained of emergency evacuation drills.

“At the time of the inspection, there was no documentation of emergency evacuation drills for November 2025 - December 2025, and January 2026-March 2026.”

Rule 8VAC20-800-830-C.

Repeat violation

“The menu for the current one-week period shall be dated. At the time of the inspection, the menu for the current one-week period was not dated.”

Rule 8VAC20-800-920.

Temperatures shall be maintained at or below 40?F in refrigerator compartments.

“At the time of the inspection, the temperature in the refrigerator that stored children’s food was at 50 degrees Fahrenheit.”

Rule 8VAC20-800-940-A.

Repeat violation

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #2, who had been in care for over eight months.”

Rule 8VAC20-800-100-A.

Equipment used by children shall be assembled, maintained, and used in accordance with the manufacturer’s instructions.

“At the time of the inspection, a child was observed in a playpen lying on top of an outdoor seat cushion. The manufacturer’s instructions for the playpen state to use only the mattress pad provided.”

Rule 8VAC20-800-480-D.

Children’s records are required to contain parental home and employment addresses and phone numbers.

“The record for Child #2, who had been in care for over eight months, was missing two emergency contact addresses. The record for Child #3, who had been in care for over two months, was missing two emergency contact addresses and two parental employment phone numbers.”

Rule 8VAC20-800-60-B.

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

“At the time of the inspection, five children were observed eating snacks without washing their with liquid soap and warm running water before eating.”

Rule 8VAC20-800-680-B.

Repeat violation

Rule 8VAC20-800-70-A.

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

“Child #2, who had been in care for over eight months, did not have documentation from the parent verification of the identity and age of the child. Child #1, who had been in care for over six months, did not have documentation of the child’s name and location of previous day care programs. Child #3, who had been in care for over two months, did not have documentation of the child’s name and location of previous day care programs.”

Rule 8VAC20-800-80-A.

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 last annual review of the emergency plan was dated over six months ago.”

Rule 8VAC20-800-800-B.

The menu for the current one-week period shall be dated.

“At the time of the inspection, the menu for the current one-week period was not dated.”

Rule 8VAC20-800-920.

The physical examination received shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“The physical exam record available for Child #1 was missing a physician’s signature.”

Rule 8VAC20-800-110-B.

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

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

Rule 8VAC20-800-180-A.

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

“The parents of Child #2 were not provided in writing the following required information: whether or not there is liability insurance in force on the family day home operation, provisions of the family day home’s emergency preparedness and response plan, and medication policy. Child #2 had been in care for three months.”

Rule 8VAC20-800-70-A.

The provider shall 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 #1 did not have documentation of a physical examination and has been in care for 106 days.”

Rule 8VAC20-800-100-A.

An infant who falls asleep in a play space other than his own crib, shall be moved promptly to his designated sleeping space if the safety or comfort of the infant is in question

“Child #2 was observed sleeping in an infant bouncy seat that per the manufactures instructions is not recommended for sleeping.”

Rule 8VAC20-800-590-B.

22.1-289.036-A

“Based on review of household member (HHM), all HHM did not complete a Sworn Statement or affirmation every five years. Evidence HHM#1 did not sign a new Sworn Statement or affirmation every five years. The current signed Sworn Statement in their record expired 5/18/2024.”

Rule 22.1-289.036-A.

8VAC20-800-60-B

“REPEAT VIOLATION Based on review of five children’s, not all records were complete. Evidence The record for child #3 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-B

“REPEAT VIOLATION Based on review of 5 children’s records, the provider did not annually review the child’s record with the parent. Evidence The last parental review of child #1’s record was documented as 8/3/2022.”

Rule 8VAC20-800-780-B.

8VAC20-800-90-C

“Based on review of 5 children’s records, the family day home did not obtain documentation of additional immunizations for a child under the age of two, every six months. Evidence Child #2, under the age of 2, first day of attendance 12/6/2023, last immunization update 4/10/2023.”

Rule 8VAC20-800-90-C.

8VAC20-800-920

“REPEAT VIOLATION Based on observation, snack were provided by the family day home and the menu for the current week period did not list substituted food. Evidence There were two menus posted that each listed different items being served to the children. Snack being served during the inspection was strawberries, which was not listed on either posted menu.”

Rule 8VAC20-800-920.

Repeat Violation: Based on observation a required posted document by the Superintendent was not posted in a conspicuous place on the licensed premises.

“Evidence The last licensing inspection for the Family Day Home was not posted.”

Rule 22.1-289.011-F.

22.1-289.035-B-4

“Repeat Violation: Based on review of three caregiver records, the family day home did not obtain a copy of the results of a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: Caregiver #2 has lived outside the state of Virginia within the preceding five years in New York. There was no documentation of the results of a search of the child abuse and neglect registry from the state of New York.”

Rule 22.1-289.035-B-4.

8VAC20-800-280

“Based on observations, the provider did not ensure potentially poisonous substances, materials and supplies were stored away from food in areas inaccessible to children. Evidence Clorox bleach and disinfectant wipes were in a low cabinet under the kitchen sink that was accessible to children.”

Rule 8VAC20-800-280.

8VAC20-800-290

“Based on observation, the provider did not ensure sharp kitchen utensils and other sharp objects were inaccessible to children. Evidence Four knives were located in a drawer in the kitchen that was accessible to children.”

Rule 8VAC20-800-290.

8VAC20-800-320-A

“Based on observation, the provider did not ensure all small electrical appliances such as, but not limited to, curling irons, toasters, blenders, can openers, and irons were unplugged when not in use. Evidence In the kitchen a tea pot and toaster were plugged in and not being used by the caregiver or with children under close supervision.”

Rule 8VAC20-800-320-A.

8VAC20-800-320-H

“Based on observation, the provider did not ensure all flammable and combustible materials were stored in an area inaccessible to children. Evidence A lit candle and lighter were located on the kitchen counter that was accessible to children.”

Rule 8VAC20-800-320-H.

8VAC20-800-340-C

“Based on observation, the provider did not ensure the bathroom contained toilet paper. Evidence The bathroom the children use did not have toilet paper available.”

Rule 8VAC20-800-340-C.

8VAC20-800-540-A

“Based on observation, the provider did not ensure a safety strap was used and securely fastened while the high chair was in use. Evidence Child #1 was not strapped in the high chair during the snack time.”

Rule 8VAC20-800-540-A.

8VAC20-800-540-B

“Based on observation, provider did not ensure Infant walkers were not used. Evidence Child #1 was observed being placed in a walker with wheels.”

Rule 8VAC20-800-540-B.

8VAC20-800-750-B

“Based on observation, the provider did not ensure topical skin products were inaccessible to children. Evidence Topical skin products and cosmetics were accessible to children in cabinet located under the bathroom sink.”

Rule 8VAC20-800-750-B.

8VAC20-800-830-C

“Based on review of emergency evacuation procedures, the provider did not have documentation of all monthly emergency evacuation drills. Evidence There was no documentation of an emergency evacuation drill for May 2024.”

Rule 8VAC20-800-830-C.

8VAC20-800-920

“Based on observation the posted menu did not reflect substituted food served. Evidence The menu posted did not reflect what was served to the children for lunch.”

Rule 8VAC20-800-920.

8VAC20-800-960-E

“Based on observation, the provider did not ensure children’s bottles were refrigerated and labeled. Evidence Two bottles located on the kitchen counter were not labeled with child’s name and date.”

Rule 8VAC20-800-960-E.

22.1-289.011-F

“Based on observation the license required by the Superintendent was not posted in a conspicuous place on the licensed premises. Evidence The current license for the Family Day Home was not posted.”

Rule 22.1-289.011-F.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-800-120-B

“Based on review of caregiver records, not all records contain the required information. Evidence The record for caregiver #1 does not contain emergency contact information.”

Rule 8VAC20-800-120-B.

8VAC20-800-210-A

“Based on review of caregiver records, one caregiver did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence Caregiver #1 did obtain a minimum of sixteen clock hours of training annually.”

Rule 8VAC20-800-210-A.

8VAC20-800-50-A

“REPEAT VIOLATION Based on review of daily attendance records, the family day home did not keep a written record of children in attendance each day. Evidence The attendance sheet available was dated April 4, 2024, with four children listed. On April 17, 2024 there was no attendance sheet with 9 children present.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“REPEAT VIOLATION Based on review of 5 children’s records, 1 did not contain the required information. Evidence The record for child #3 did not contain the name, address and phone number for one emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-760-A-1

“Based on review of emergency supplies, the first aid kit did not contain the required items. Evidence The first aid kit was missing tweezers and two triangular bandages.”

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

8VAC20-800-780-B

“REPEAT VIOLATION Based on review of 5 children’s records, annually, the provider did not review with the parent the emergency contact information. Evidence The emergency contact information for child #2 and #4 were not reviewed annually with the parent.”

Rule 8VAC20-800-780-B.

8VAC20-800-800-B

“Based on review of the emergency plan, the provider did not review at least annually and update the plan as needed. The provider did not document in writing each review annually. Evidence The emergency plan was last updated 2/13/2023.”

Rule 8VAC20-800-800-B.

8VAC20-800-90-C

“Based on review of 5 children’s records, the family day home did not obtain documentation of additional immunizations for a child under the age of two, every six months. Evidence Child #1, under the age of 2, first day of attendance 8/21/2022, last immunization update 6/2022. Child #2, under the age of 2, first day of attendance 6/28/2022, last immunization update 10/06/2023.”

Rule 8VAC20-800-90-C.

8VAC20-800-200-B

“Based on interview with caregiver, the orientation the caregiver received did not cover emergency plans. Evidence Caregiver #1 who was alone with the children did not know the emergency plan should an emergency occur.”

Rule 8VAC20-800-200-B.

8VAC20-800-50-A

“Based on observation and review of daily written record of children in attendance, the family day home did not keep an accurate record of children in attendance. Evidence The daily written record of children in attendance on November 15, 2024 recorded 4 children in attendance. The actual number of children in attendance was 6.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on review of children’s records, not all records contained the required information. Evidence The record for child #1 does not contain the addresses for two emergency contacts. The record for child #2 and #6 does not contain the address for one emergency contact. The record for child #2 and #6 does not contain permission for emergency medical treatment.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-A

“Based on observation, caregiver did not wash their hands with liquid soap and warm running water before and after handling food and after completing a diaper change. Evidence Caregiver #1 was observed not washing their hands before or after serving lunch and after completing a diaper change.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation caregiver did not ensure that children’s hands are washed with liquid soap and warm running water before eating lunch and after a diaper change. Evidence Children were observed using a hand wipe to clean their hands before lunch. Children were observed not having their hands washed after a diaper change.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned and sanitized after each diaper change. Evidence Caregiver #1 was observed not cleaning and sanitizing the diapering surface after each diaper change.”

Rule 8VAC20-800-690-D.

8VAC20-800-750-A

“Based on observation the requirements for using topical skin products were not met. Evidence Two diaper creams were not labeled with a child’s name. Child #6 did not have written authorization from a parent to use a diaper cream.”

Rule 8VAC20-800-750-A.

8VAC20-800-780-B

“Based on review of children’s records, the provider did not review with the parent annually the child’s record. Evidence The record for child #1 and #4 did not have documentation of an annual parental review of their record.”

Rule 8VAC20-800-780-B.

8VAC20-800-80-B

“The provider did not verify the identity and age of a child by viewing the proof of identity. Evidence The record for child #5 does not contain documentation that the provider verified the identity and age of a child by viewing the proof of identity.”

Rule 8VAC20-800-80-B.

8VAC20-800-80-C

“The provider did not document in the child’s record that they verified the child’s proof of identity. Evidence The record for child #2, #7 and #6 does not have documentation that the provider verified the child’s proof of identity.”

Rule 8VAC20-800-80-C.

8VAC20-800-830-A

“Based on review of emergency procedures, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care. Evidence An emergency evacuation drill was not conducted in the months of September and October 2023.”

Rule 8VAC20-800-830-A.

8VAC20-800-880

“Based on observation the family day homes did not follow the most recent, age appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence The lunch that was served on November 15, 2023 did not meet the age appropriate nutritional requirements. Lunch consisted of white rice, yogurt and a fruit. No vegetable or protein was provided.”

Rule 8VAC20-800-880.

8VAC20-800-920

“Based on observation a weekly menu was not posted. Evidence A current menu was not available for review. The menu posted was for the month of September.”

Rule 8VAC20-800-920.

8VAC20-800-100-A

“Based on review children’s records, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. Evidence Child #2 who has been care for more than 30 days (start date 9/1/2021), does not have documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-100-A

“Based on review children’s records, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. Evidence Child #2 who has been care for more than 30 days (start date 9/1/2021), does not have documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

“Based on review of caregiver records, two records were incomplete. Evidence Caregivers #1and #2 do not have documentation of two references being checked before first day of employment. Caregivers #1 and #2 do not have documentation of emergency contact or personal health information.”

Rule 8VAC20-800-120-B.

8VAC20-800-240-A

“Based on observation areas of the family day home were not maintained in a clean, safe condition. Evidence Peeling and chipped paint was observed in the area the children play in.”

Rule 8VAC20-800-240-A.

8VAC20-800-680-A

“Based on observation caregivers did not wash their hands with liquid soap and warm running water after diapering. Evidence Staff #2 did not wash their hands after a diaper change.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, caregivers did not endure that children’s hands were washed with liquid soap and warm running water after a diaper change. Evidence Staff #2 did not ensure a child’s hands were washed after a diaper change.”

Rule 8VAC20-800-680-B.

8VAC20-800-780-B

“Based on review of children’s records, the provider did not conduct an parental annual review of emergency contact information. Evidence A parental review of emergency contact information was not documented for child #2 and #3. Last update for child #2 was 9/1/2021 and for child #3 was 10/27/2021.”

Rule 8VAC20-800-780-B.

8VAC20-800-90-A

“Based on review of children’s records, one child under the age of two, does not have documentation that the child has been adequate immunized every six months. Evidence Child #1, who is under the age of two, does not have documentation of updated immunizations every six months. Last update was 6/28/2022.”

Rule 8VAC20-800-90-A.

8VAC20-800-120-B

“Based on review of caregiver records, one record did not contain all the required documentation. The record for caregiver #1 did not contain emergency contact information, health information and is missing one reference check.”

Rule 8VAC20-800-120-B.

8VAC20-800-200-A

“Based on review of caregiver records, the provider did not orient the assistant caregiver by the end of their first week of assuming job responsibilities. Evidence Caregiver #1, (first day of employment 2/6/2023), did receive orientation by the end of their first week of assuming job responsibilities.”

Rule 8VAC20-800-200-A.

8VAC20-800-540-A

“Based on observation, high chairs are not being used according to the manufacturer’s instructions. Evidence A child over the age of three was observed in a high chair that according to their manufacturer’s instructions is not to be used for a child three years and older.”

Rule 8VAC20-800-540-A.

8VAC20-800-60-A

“Based on review of children’s records, the provider did not maintain up to date records for each enrolled child. Evidence The record for child #1 (first day of attendance 2/6/2023) does not contain an enrollment form.”

Rule 8VAC20-800-60-A.

8VAC20-800-60-B

“Based on review of children’s records, not all records contained the required information. Evidence The record of child #1 did not contain information for two emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on review of children’s records, before the child’s first day of attendance, the parents were not provided in writing the family day homes policies and procedures. Evidence The parents of child #1 did not receive a copy of the family day homes policies and procedures.”

Rule 8VAC20-800-70-A.

8VAC20-800-800-B

“Based on review of emergency procedures, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence The provider last updated the emergency plan 9/14/2019.”

Rule 8VAC20-800-800-B.

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

“Evidence Child #1 (first day of attendance 2/6/2023), does not have documentation that they have been adequately immunized.”

Rule 8VAC20-800-90-A.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child’s full name and the date. Evidence Bottles were not labeled with the child’s full name and the date. Some bottles had the child’s first name, but last names and dates were not observed.”

Rule 8VAC20-800-960-E.

8VAC20-800-120-B

“Based on review of caregiver records, one does not contain all of the required documentation. Evidence The record for caregiver #1 did not contain documentation that at least two references were checked.”

Rule 8VAC20-800-120-B.

8VAC20-800-780-B

“Based on review of children’s records, the provider did not annually review emergency contacts for all records. Evidence The provider did not annually review the emergency contact information with the parent for the record for child #1.”

Rule 8VAC20-800-780-B.

8VAC20-800-900-B

“Based on observation, children were allowed to drink while walking around. Evidence Three children were observed walking around while drinking from their cups.”

Rule 8VAC20-800-900-B.

22.1-289.058

“Based on observation, the family day home was not equipped with at least one carbon monoxide detector. Evidence The family day home was not equipped with a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-770-60-C-2

“Based on review of 2 caregiver records one does not have a central registry finding within 30 days of employment. Evidence Caregiver #1 (date of hire 2/1/22) does not have a central registry finding within 30 days of employment.”

Rule 8VAC20-770-60-C-2.

8VAC20-800-100-A

“Based on review of 6 children’s records, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. Evidence Child #1, #2, #4 and #5 do not have documentation in their record of a physical examination prior to their child’s attendance or within 30 days after their first day of attendance.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

“Based on review of caregiver records, one record does not contain the required information. Evidence The record for caregiver #1 does not contain emergency contact information. The record for caregiver #1 does not contain documentation that two or more references were checked.”

Rule 8VAC20-800-120-B.

8VAC20-800-140-B-3

“Based on review of caregiver records, one caregiver does not have a current certification in cardiopulmonary resuscitation (CPR). Evidence Caregiver #2 does not have a current certification in CPR. The certificate in the record expired 3/17/2021.”

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

8VAC20-800-140-B-4

“Based on review of caregiver records, one does not contain a current certification in first aid. Evidence Caregiver #2 does not have a current certification in first aid. The certification on record expired 3/17/2021.”

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

8VAC20-800-210-A

“Based on review of caregiver records, one caregiver did not obtain a minimum of sixteen clock hours of training annually in areas relevant to the job responsibilities. Evidence Caregiver #2 does not have any documentation of annual training hours.”

Rule 8VAC20-800-210-A.

8VAC20-800-220-A

“Based on review of records, the provider has agreed to administer prescription and non prescription medication without having someone trained in Medical Administration (MAT). Evidence On the medical administration form in the children’s records it states the provider will administer prescription and non prescription medications. Provider is not trained in MAT.”

Rule 8VAC20-800-220-A.

8VAC20-800-50-A

“Based on review of daily attendance, the provider is not keeping a written record of all children in attendance each day. Evidence The daily attendance sheet is not complete. There is no record of all children in attendance each day. Current record lists only a few children each day.”

Rule 8VAC20-800-50-A.

8VAC20-800-510-A

“Based on observation cribs and cots are not labeled for individual use. Evidence Cots and cribs were not labeled for individual use.”

Rule 8VAC20-800-510-A.

8VAC20-800-60-B

“Based on review of 6 children’s records, 3 do not contain emergency contact information. Evidence The records for children # 1, #2, and #3 do not contain any emergency contact information.”

Rule 8VAC20-800-60-B.

8VAC20-800-600-B

“Based on observation, an infant spent more than 30 minutes of consecutive time during waking hours, confined to a piece of equipment. Evidence Child #4 was in a swing for 58 consecutive minutes.”

Rule 8VAC20-800-600-B.

8VAC20-800-690-D

“Based on observation, the diapering surface is not being cleaned and sanitized after each diapering. Evidence The diapering surface was cleaned with soap and water the day of the inspection. A bottle of bleach and water was not available and not used after a diaper change. The diapering surface must be cleaned with a solution of soap and water and patted dry with a single use towel, then sanitized with a solution of bleach and water and allow to air dry.”

Rule 8VAC20-800-690-D.

8VAC20-800-70-A

“Based on review of 6 children’s records, 2 did not contain the policies for the administration of medications. Evidence There was no documentation on the administration of medications for child #4 and #6.”

Rule 8VAC20-800-70-A.

8VAC20-800-780-B

“Based on review of 6 children’s records, the provider did not annually review with the parent the emergency contact information to ensure the information is correct for 2 records. Evidence The emergency contact information for child #3 and #6 was not annually reviewed with the parent to ensure the information is correct.”

Rule 8VAC20-800-780-B.

8VAC20-800-800-B

“Based on review of the emergency plan, it is not being reviewed at least annually and updated annually. Documentation of each review and updates must be noted on the plan. Evidence The emergency plan has not been reviewed and updated annually. The last review was completed 9/14/2019.”

Rule 8VAC20-800-800-B.

8VAC20-800-90-A

“Based on review of 6 children’s records, the provider did not obtain documentation that the child has been adequately immunized before their first day of attendance. Evidence Child # 3 and #4 do not have documentation that they have been adequately immunized before their first day of attendance.”

Rule 8VAC20-800-90-A.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child’s full name and the date. Evidence Four bottles were observed on the counter without the child’s full name or date.”

Rule 8VAC20-800-960-E.

22.1-289.035-B-2

“Based on review of eligible fingerprint letters for two caregivers, one did not submit to fingerprinting. Evidence Staff #1 (DOH 2/14/22) did not submit to fingerprinting.”

Rule 22.1-289.035-B-2.

22.1-289.058

“Based on review of physical plant and discussion with provider the home is not equipped with at least one carbon monoxide detector. Evidence The home does not have any carbon monoxide detectors.”

Rule 22.1-289.058.

8VAC20-770-60-B

“Based on review of two staff records, one current caregiver does not have a signed sworn statement. Evidence The record for staff #1 (DOH 2/14/22) does not contain a signed sworn statement.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-B

“Based on review of staff records, there is no record for staff #1. Evidence The provider did not maintain a record for staff #1. There was no documentation of staff #1’s emergency contact, current health, name address and phone number. There is no documentation of her age or 2 reference checks.”

Rule 8VAC20-800-120-B.

8VAC20-800-180-A

“Based on review of household member records, the provider did not obtain a current report of tuberculosis screening form every two years from the date of the first screening for household member #1, Evidence The record for household member #1 does not contain a current report of tuberculosis screening form, the form in the record expired 03/2021,”

Rule 8VAC20-800-180-A.

8VAC20-800-200-C

“Based on review of two staff records, one does not contain documentation of the orientation for the assistant provider. Evidence There is no documentation of orientation for staff #1.”

Rule 8VAC20-800-200-C.

8VAC20-800-690-D

“Based on a discussion with provider the diapering surface is not being cleaned and sanitized after each use, using the two step procedure required by licensing. Evidence Diapering surface is being cleaned with a bleach or sanitizing wipe after each use. The procedure required by licensing include spraying the surface with a solution of soap and water, pat dry, spray with a solution of bleach and watch and allow to air dry. First you clean the surface then you sanitize the surface.”

Rule 8VAC20-800-690-D.

8VAC20-800-90-A

“Based on review of three children’s records, the provider did not obtain documentation that was dated within the past year that the child has been adequately immunized. Evidence The immunization record for child #1 ( 5 years old) was dated more than one year old on their first day of attendance.”

Rule 8VAC20-800-90-A.