Fouezia Hossain

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

“An updated TB screening for Household Member #1 was not available for review and was overdue by over ten months.”

Rule 8VAC20-800-180-A.

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

“An updated TB screening for Household Member #1 was not available for review and was overdue by ten months.”

Rule 8VAC20-800-180-A.

A child’s record shall contain the required information.

“The record for Child #3 was missing the employment information for one parent and the policy number of the child’s medical insurance. Child #3 has been in care for over seven months. The record for Child #4 was missing the name of the child’s medical insurance. Child #4 has been in care for over four years.”

Rule 8VAC20-800-60-B.

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

“Caregiver #2 changed a child’s diaper and did not wash their hands with soap and water.”

Rule 8VAC20-800-680-A.

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

“Caregiver #2 changed a child’s diaper and did not wash the child’s hands with soap and water.”

Rule 8VAC20-800-680-B.

A first aid kit shall contain at a minimum two triangular bandages.

“The first aid kit did not contain two triangular bandages.”

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

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.

“This information was not available for Child # 3, who has been in care for seven months.”

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 annual review for the emergency plan was overdue by over five months.”

Rule 8VAC20-800-800-B.

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.

“The physical exam for child #1 was received 45 days after the first day of attendance.”

Rule 8VAC20-800-100-A.

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

“Poisonous cleaning agents were discovered in two locations: inside a bathroom cabinet and on a bench in the main play area that were accessible to children.”

Rule 8VAC20-800-280.

Radiators, oil and wood burning stoves, floor furnaces, fireplaces, portable electric heaters, and similar heating devices located in areas accessible to children shall have barriers or screens and be located at least three feet from combustible materials.

“A portable electric heater was in use and accessible to children at the time of the inspection.”

Rule 8VAC20-800-320-E.

Providers must keep a written record of children in attendance each day.

“There were no attendance records on the date of inspection. The provider has no taken written attendance since August 2025.”

Rule 8VAC20-800-50-A.

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 no parent written acknowledgement available for Child #1 who has been in care for over three months.”

Rule 8VAC20-800-70-B.

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.

“Records for child #3 and #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #3 and #4 has been in care for one year and seven months without any annual review.”

Rule 8VAC20-800-780-B.

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

“The immunization record for child # 1 was obtained three months after the first day of attendance.”

Rule 8VAC20-800-90-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.

“Records for children #1, #3, #4, and #5 did not have a current parent’s signature for an annual review of the emergency contact information. All previous signed reviews were dated for more than 1 year ago.”

Rule 8VAC20-800-780-B.

The family day home is required to have staff and adult household members undergo a background check every five years.

“The most recent fingerprint check for Staff #1 was overdue by three months. The most recent fingerprint check for Household Member (HHM) #1 was overdue by three months. The most recent sworn statement for Staff #1 was overdue by four months. The most recent sworn statement for HHM #1 was overdue by four months.”

Rule 22.1-289.035-A.

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

“While a test was completed, the program did not have evidence of submitting these same test results to VDH.”

Rule 22.1-289.057-B.

Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs.

“There was not a mounted gate to prevent direct access to stairs. There were two children in care under two years of age.”

Rule 8VAC20-800-430-A.

Children’s records are required to contain the phone numbers of the two listed emergency contacts.

“The record for Child #5 was missing the phone number for the second emergency contact listed on their Child’s Record. The child was present during the inspection and had been in care for a month.”

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 were no parent acknowledgements available for Child #4 in regard to their Information for Parents form and the Liability Declaration form. Child #4 has been in care for the past seven months.”

Rule 8VAC20-800-70-B.

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 #2 did not have a parent’s signature for a current annual review of the emergency contact information. The last annual review that was documented for Child #2 had been conducted over 13 months ago.”

Rule 8VAC20-800-780-B.

The family day home is required to have all emergency telephone numbers posted.

“The telephone number for poison control and 911 were not posted.”

Rule 8VAC20-800-790.

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.

“This information was not available for Child #5 who has been provided care for the past six months.”

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 documented review by the provider of the family day home’s emergency plan was from over five years ago.”

Rule 8VAC20-800-800-B.

Based on review, 2 of 6 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 (08/09/2024), documentation of a physical examination was not available for review for: Child #5, and Child #6. 2. The start date for both Child #5, and Child #6 was listed as 07/01/2024.”

Rule 8VAC20-800-100-A.

Based on review, 2 of 6 children files indicated that the Provider did not obtain the parent’s written acknowledgement of the receipt of information.

“Evidence - On the date of inspection (08/09/2024) the following documents (with the signature of the child’s parent) were unavailable for review: 1. Information for Parent form for - Child #5, and Child #6 2. Decision to Administer Medication form for - Child #5, and Child #6”

Rule 8VAC20-800-70-B.

Based on review, 1 of 6 children files indicated that prior to a child attending the Family Day Home (FDH), the Provider did not 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.

“Evidence - 1. On the date of inspection (08/09/2024), an initial immunization page for Child #5 was not available for review. 2. The start date for Child #5 was listed as - 07/01/2024,”

Rule 8VAC20-800-90-A.

Based on review, 1 of 6 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 (08/09/2024), the immunization on record for Child #3 was dated - 12/28/2023. 2. Based on the information on file, Child #3 was under the age of two years on the date of inspection.”

Rule 8VAC20-800-90-C.

Based on review, not all of the required drills were recorded as complete.

“Evidence - 1. On the date of inspection (03-07-24), a record of the dates of the practice lockdown drill for the past year was not available. 2. This documentation was left blank on the log board for 2023.”

Rule 8VAC20-790-430-B.

Based on review and interview, the Family Day Home (FDH) did not keep a written record of children in attendance each day.

“Evidence - 1. On the date of inspection (03/07/2024), the Provider did not have a written attendance for the 4 children in care. 2. The Provider stated that she currently did not document this information.”

Rule 8VAC20-800-50-A.

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

“Evidence - 1. On the date of inspection (03/07/2024), the policy name for the medical insurance for Child #1 was not available for review. 2. There was 1 of 2 phone numbers and 0 of 2 addresses documented for the 2 emergency contacts listed for Child #4.”

Rule 8VAC20-800-60-B.

Based on review, 2 of 4 children files indicated that there was not documentation in place to establish whether or not the Family Day Home had liability insurance (of at least $100,000 per occurrence and $300,000 aggregate in force on the FDH operation) as required by ? 22.1-289.050 of the Code of Virginia.

“Evidence - 1. On the date of inspection (03/07/2024) a notice of liability form had not been completed for Child #1 (start date - 07/14/2022), and Child #4 (start date - 10/03/2021). 2. This was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-70-A.

Based on review, 2 of 4 children files indicated that an annual review of each child’s emergency information and contacts was not conducted.

“Evidence - 1. On the date of inspection (03/07/2024), the most recent annual review for Child #1 was conducted on 07/14/2022. 2. The most recent annual review for Child #4 was conducted on 10/03/2021.”

Rule 8VAC20-800-780-B.

Based on review, documentation for the age and identity for 1 of 4 children in care was not established within 7 business days of each child’s first day of attendance.

“Evidence - 1. On the date of inspection (03/07/2024), a proof of identification was not available for review for Child #5. 2. The start date for Child #5 was listed as 05/31/2023.”

Rule 8VAC20-800-80-A.

Based on review, 1 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 (03/07/2024), the immunization documentation on file for Child #2 was dated - 11/14/2022. 2. Based on the information on file, on the date of inspection, Child #2 was under 2 years of age.”

Rule 8VAC20-800-90-C.

Based on review and interview, lockdown procedures were not practiced at least annually.

“Evidence - 1. On the date of inspection (08/23/2023), the posted FDH drill log reflected fire drills and shelter-in-place drills. A lockdown drill was not listed. 2. The Provider stated (during an interview conducted on the date of inspection) that a lockdown drill has not been conducted within the past year.”

Rule 8VAC20-790-430-A-3.

Based on review, 1 of 2 staff files indicated that the Provider did not orient the assistant by the end of their first week of assuming job responsibilities.

“Evidence - 1. On the date of inspection (08/23/2023), a completed and signed orientation training form for Staff #2 was not available for review. 2. The start date for Staff #2 was listed as 08/01/2023.”

Rule 8VAC20-800-200-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 (08/23/2023), Child #5 did not have their policy number available. 2. Child #6 had 1 of 2 emergency contact information listed.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 6 children files indicated that not all of the required documentation was contained within each child’s record.

“Evidence - 1. On the date of inspection (08/23/2023), the following completed documentation was not available for Child #5: Information for Parents form, Medication Administration - Decision to Administer form, Provisions of the Emergency Preparedness and Response Plan form, and the Liability Insurance Declaration form. 2. The Provider had the Child Record, Immunization Page, and Physical on file for Child #5.”

Rule 8VAC20-800-70-A.

Based on review, 4 of 6 children files indicated that the Provider did not obtain an annual acknowledgement of the review of each child’s emergency information.

“Evidence - 1. On the date of inspection (08/23/2023), the following children had acknowledgements older than a year: Child #1 (12/08/21), Child #2 (10/03/21), Child #3 (07/14/22), and Child #4 (11/14/19). 2. This finding was confirmed by the Provider on the date of inspection.”

Rule 8VAC20-800-780-B.

Based on review, 1 of 6 children files indicated that within seven business days of the child’s first day of attendance at the Family Day Home (FDH), the Provider did not obtain from the parent proof of identification for their child.

“Evidence - 1. On the date of inspection (08/23/2023), proof of identification for Child #5 was not available for review. 2. The start date for Child #5 was listed as 05/31/2023.”

Rule 8VAC20-800-80-A.

Based on review, 1 of 6 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 (08/23/2023), an immunization page for Child #6 was dated - 11/14/2022. 2. On the date of inspection, based on the information on file, Child #6 was under two years of age.”

Rule 8VAC20-800-90-C.

Based on review, lockdown procedures were not practiced at least once within 2022.

“Evidence - 1. On the date of inspection (03/07/2023), the posted drill log did not have a lockdown drill recorded for 2022. 2. This was confirmed by the FDH Provider.”

Rule 8VAC20-790-430-A-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 their start date.

“Evidence - 1. On the date of inspection (03/07/2023), documentation of a physical examination was not on file for Child #4. 2. The start date for Child #4 was listed as 11/14/2019.”

Rule 8VAC20-800-100-A.

Based on review, 1 of 4 children files indicated that not all of the required information/documentation was contained within each record.

“Evidence - 1. On the date of inspection (03/07/2023), the medical insurance number for the policy of Child #4 was not available for review. 2. While the policy name was listed, the policy number was not listed for Child #4.”

Rule 8VAC20-800-60-B.

Based on review, shelter-in-place procedures were not practiced a minimum of twice per year.

“Evidence - 1. On the date of inspection (03/07/2023), the posted drill log did not have a recorded shelter-in-place drill recorded for 2022. 2. This finding was confirmed by the FDH Provider.”

Rule 8VAC20-800-830-B.

Based on review, 1 of 4 children files indicated that the FDH did not obtain update documentation (every 6 months) for a child under the age of two years.

“Evidence - 1. On the date of inspection (03/07/2023), the immunization page on file for Child #3 was dated - 07/20/2022. 2. On the date of inspection, Child #3 was under two years of age.”

Rule 8VAC20-800-90-C.

Based on interview, a landline telephone was not installed on site.

“Evidence - 1. A landline phone was not available during the inspection. 2. The Provider stated (during an interview conducted on the date of inspection - 08/24/2022) that installation of a landline is scheduled for this week.”

Rule 8VAC20-800-330-A.

Based on observation, a protective barrier or guardrail was missing for the steps leading down into the child care area.

“Evidence - 1. On the date of inspection, the bottom half of the stairway leading down into the childcare area presents a possible falling hazard. 2. There is currently no guardrail in place that would prevent a child from falling over and on to the floor (for steps 1, 2, 3, and 4 from the bottom).”

Rule 8VAC20-800-430-C.

Based on review, the Family Day Home (FDH) still needs to update the Emergency Preparedness and Response Plan (EP&RP) to reflect the new home.

“Evidence - 1. On the date of inspection (08/24/2022), Part A of the EP&RP needs to be completed. 2. Part B needs to be updated to reflect the new home and the procedures to be taken during a fire drill. Currently the procedures in place still reflect the prior address.”

Rule 8VAC20-800-800-A.

Based on review, 1 of 3 children files indicated that the Family Day Home 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 all children under the age of two years.

“Evidence - 1. On the date of inspection (03/01/2022), the most current immunization page on file for Child #1 was dated - 05/29/2021. 2. Based on the documentation on file, Child #1 was under the age of two years on the date of inspection.”

Rule 8VAC20-800-90-C.