Badria Masumi

When topical skin products such as diaper ointment are used, written parent authorization noting any known adverse reactions shall be obtained at least annually.

“There was not written parent authorization for diaper ointments used on child #2.”

Rule 8VAC20-800-750-A.

REPEAT VIOLATION Household members 14 years of age and older must obtain the results of a central registry search within 30 days of turning 14 years old.

“Household Member #2 did not have central registry results during the inspection and turned 14years old, over ten months ago. Central registry search was submitted 9/1/2025.”

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

Before attendance, documentation of immunizations is to be obtained for each child, unless the parent submits an affidavit to the family day home on the current form approved by the Virginia Department of Health.

“There was no documentation of immunizations or an affidavit exempting child from immunizations for child #2, who was in care during the inspection and had been in care for six months.”

Rule 8VAC20-800-90-A.

Documentation of additional immunizations is required once every six months for children under the age of two years. ’

“Child #1, who turned two years old while in care, last documented immunization was over 12 months ago.”

Rule 8VAC20-800-90-C.

All caregivers shall have current certification in cardiopulmonary resuscitation (CPR). The training shall include an in-person competency demonstration.

“Caregivers #1, #2 and #3 CPR certification training did not include in-person competency demonstration.”

Rule 8VAC20-790-250-D-1.

Household members 14 years of age and older must obtain the results of a central registry search within 30 days of turning 14 years old.

“Household Member #1 did not have central registry results during the inspection and has been residing in the home for 45 days. Household member turned 14years old, over three months ago.”

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

Providers shall have current certification in CPR, as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current fist aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

“The provider’s current CPR certifications was not from an approved agency.”

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

Providers shall have current certification in first aid, as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current fist aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

“The provider’s current first aid certification was not from an approved agency.”

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

Assistants shall have current certification in CPR, as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current fist aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

“The assistants’ current CPR certifications were not from an approved agency.”

Rule 8VAC20-800-150-D-1.

Assistants are required to have current certification in first aid, as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current fist aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department.

“The assistants’ current first aid certifications were not from an approved agency.”

Rule 8VAC20-800-150-D-2.

REPEAT VIOLATION 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 #2 was missing the name, address and telephone number of a second designated persons to contact in case of an emergency, if the parent cannot be reached. The child was present during the inspection and had been in care for a month.”

Rule 8VAC20-800-60-B.

The telephone numbers for the responsible person for emergency backup care shall be posted in a visible area close to the telephone.

“The phone number for emergency backup person was not posted.”

Rule 8VAC20-800-790.

Caregivers who work directly with children shall annually attend the department’s health and safety update course.

“Caregivers #1 and #2 files did not contain certificates of completing the departments 2023 or 2024 health safety course.”

Rule 8VAC20-790-250-F.

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregiver #2 did not have documentation of trainings in the past 12 months.”

Rule 8VAC20-800-210-A.

Children’s records are required to written authorization if a caregiver is to administer prescription or nonprescription medication. Children’s records are required to contain 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 #2 was missing parental authorization to administer prescription medications that were on site. The record for child #1 was missing name, address and telephone number of two designated persons to contact in case of emergency and the parents cannot be reached.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There was not parent acknowledgement available for child #1 who has been in care for two months.”

Rule 8VAC20-800-70-B.

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for child #3, who has been in care for over a week.”

Rule 8VAC20-800-90-A.

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. ‘Child #2, 15 months old, last documented immunization was over 9 months ago.”

Rule 8VAC20-800-90-C.

8VAC20-790-180-B

“Based on attendance record review, the provider/vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care. Evidence: Attendance record lists children’s name daily and not date/time of arrival and departure.”

Rule 8VAC20-790-180-B.

8VAC20-800-150-D-1

“Based on record review, provider’s assistants are not currently certified in CPR. Evidence: Caregivers 2 and 3 have title of Assistant and are left alone with children, only completed CPR online (8/2023 and 3/2023) and did not complete required in person skills testing.”

Rule 8VAC20-800-150-D-1.

8VAC20-800-150-D-2

“Based on record review, Assistants are not currently certified in First Aid. Evidence: Caregivers 2 and 3, whose titles are Assistant, and are left alone with children, only completed online portion of First Aid (8/2023 and 3/2023).”

Rule 8VAC20-800-150-D-2.

8VAC20-800-760-A-1

“Based on observation, the first aid kit did not contain all minimum required materials. Evidence: First Aid kit did not contain First Aid instructional manual.”

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

8VAC20-800-80-C

“Based on record review, the provider did not document in the child’s record, the method of verification of the child’s age and identity. Evidence: 4:4 children’s records did not have date or name of person verifying child’s identity.”

Rule 8VAC20-800-80-C.

8VAC20-800-800-B

“Based on observation and interview, the provider did not review the emergency plan at least annually or document in writing each review. Evidence: 1. Emergency preparedness plan dated 2019 did not have review dates. 2. Provider stated they were unaware of needing to review even if no changes or updates were made.”

Rule 8VAC20-800-800-B.

Based on observation, the vendor did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions.

“Evidence: The written allergy list did not include the name of each child that has been diagnosed with a food allergy.”

Rule 8VAC20-790-170-G.

Based on record review and interview, a written care plan was not obtained for children with a diagnosed food allergy.

“Evidence: The records for Child #1, Child #2 and Child #3 did not contain a written food allergy care plan including instruction from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

Rule 8VAC20-790-190-B-12.

Based on record review the provider did not have a current certification in cardiopulmonary resuscitation (CPR) issued within the past two years.

“Evidence: Staff #1 did not have a current CPR certification, the certification on file expired on 1/9/2023.”

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

Based on observation, cleaning materials were not stored in areas inaccessible to children.

“Evidence: In the bathroom used by the children, a container of Lysol disinfecting wipes was observed in the cabinet under the sink.”

Rule 8VAC20-800-280.

Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for a child under two years.

“Evidence: Child #3’s record contains an immunization record that was last updated on 6/6/2022.”

Rule 8VAC20-800-90-C.

Based on observation and interview, the provider did not post the findings of the most recent inspection of the facility.

“Evidence: The findings of the most recent inspection was not posted in a conspicuous location.”

Rule 8VAC20-820-120-E-2.

Based on record review, out-of-state child abuse and neglect registry results were not on-file for each staff member.

“Evidence: Staff #3’s record does not contain out-of-state abuse and neglect registry results.”

Rule 22.1-289.035-B-4.

Based on record review, the provider did not ensure that each person in the home becoming 18 years old completes a sworn statement or affirmation.

“Evidence: Household member#3’s record does not contain a completed Sworn Disclosure or Affirmation form.”

Rule 8VAC20-770-40-D-4-a.

Based on record review, the provider did not obtain from each adult household member a current Report of Tuberculosis (TB) Screening form documenting the absence of tuberculosis in a communicable form.

“Evidence: Household member#3’s record does not contain TB screening or test results.”

Rule 8VAC20-800-170-A.

Based on record review, the provider did not obtain for each household member a current Report of Tuberculosis (TB) Screening form, every two years from the date of the last screening.

“Evidence: Household member #4’s record, contains TB screening/test results that were last completed on 2/25/2019.”

Rule 8VAC20-800-180-A.

Based on observation, suffocation hazards were not inaccessible to children under five years of age.

“Evidence: Four inflated latex balloons, which present a suffocation hazard, were observed in the programming area accessible to children under five years of age.”

Rule 8VAC20-800-250-E.

Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age.

“Evidence: A total of 8 electrical outlets were observed without a protective cover in the programming area.”

Rule 8VAC20-800-320-B.

Based on observation, the diapering surface was observed to not be nonabsorbent.

“Evidence: There was a small tear on the surface of the diapering mat, therefore, is no longer considered nonabsorbent.”

Rule 8VAC20-800-690-D.

Based on observation, diaper ointments provided by parents were not labeled with the children’s names.

“Evidence: A tube of Aquaphor and a tube of Zinc ointment provided by parents were not labeled with the children’s names.”

Rule 8VAC20-800-750-A.

Based on review of emergency supplies, a working flashlight and weather band radio were not kept in a designated area and were available for review during the inspection.

“Evidence: A working battery-operated flashlight and a working battery-operated weather-band radio were not kept in a designated area and were available to caregivers during the inspection.”

Rule 8VAC20-800-770.