Balqees Bano

Repeat violation

“The provider shall maintain an individual record for each child enrolled in care. The record shall include the name, address, and phone number of two emergency contact person’s if a parent cannot be reached, and children’s health insurance policy number. The record for Child 2, enrolled for six months, did not contain one of the two required emergency contacts. The record for Child 3, enrolled for one month did not contain the child’s health insurance policy number.”

Rule 8VAC20-800-60-B.

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

“The records of Child 1, Child 2, and Child 3, did not contain documentation that parents were provided the following information in writing: Check in/check out procedures, the general daily schedule, whether a pet is present in the home, whether the provider uses “time out” as a form of discipline, and termination policies.”

Rule 8VAC20-800-70-A.

8VAC20-800-80-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. This information was not available for Child 2 who has been enrolled for six months.”

Rule 8VAC20-800-80-A.

Immunization reports shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“Immunization report for child #2 was not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

Assistants’ and substitute providers’ records shall contain all required information. verification of age, job title, date of employment and documentation of education and training as required.

“The records for caregivers #2 and #3 did not have verification of age, job title, date of employment and documentation of education and training as required.”

Rule 8VAC20-800-120-B.

The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

“Caregiver #2 has been providing care for children over a year, caregiver #2 has been providing care for at least a week.”

Rule 8VAC20-800-200-A.

Annually, the provider shall obtain the parent’s signed acknowledgment of the review of the required emergency contact information.

“Child #1 date of last review was 1/28/2025 and child #3 date of last review was 1/7/2024.”

Rule 8VAC20-800-780-B.

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

“The date of last review of emergency plan was 1/22/2025.”

Rule 8VAC20-800-800-B.

Household members 14 years of age and older shall request a the results of a Virginia child protective services central registry check within seven days of reaching 14 years of age.

“Household Member #3’s record did not have documentation of request for search of Virginia child protective central registry being submitted within seven days of turning 14 years of age. Results were obtained nine months after household member turned 14 years of age..”

Rule 8VAC20-821-170-B.

The provider is required to have a sworn statement or affirmation background check for caregivers and adult household members, over the age 18, every five years.

“Sworn statements for caregivers #1 and #2 and household member #1 are overdue by 90 days.”

Rule 22.1-289.036-B-1.

8VAC20-800-100-A

“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 was no physical exam record available for Child #1, who had been in care for over a year.”

Rule 8VAC20-800-100-A.

REPEAT VIOLATION 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.

“Record for child #1, did not have a parent’s signature for annual review of the emergency contact information. Child #1 has been in care for over a year.”

Rule 8VAC20-800-780-B.

8VAC20-790-180-B

“Based on observation and interview, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The vendor could not provide written hard copy of daily attendance to the inspector.”

Rule 8VAC20-790-180-B.

22.1-289.011-F

“Based on observation and interview, a required document was not posted on the premises. Evidence: No inspection notice was posted on the premises.”

Rule 22.1-289.011-F.

8VAC20-800-60-B

“Based on record review and interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child, containing all required information. Evidence: Child #3’s record did not have name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on observation, the diapering surface was not nonabsorbent and washable. Evidence: there was a tear in the surface of the diaper pad, approximately 1 1/2 inches.”

Rule 8VAC20-800-690-D.

8VAC20-800-780-B

“Based on record review, the provider did not annually review with the parent the emergency contact information required to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review. Evidence: Child #1 1st day 6/8/2023, no documentation or parent’s signature to acknowledge annual review of emergency information.”

Rule 8VAC20-800-780-B.

8VAC20-800-800-A

“REPEAT Based on document review and interview, the provider did not review the emergency plan at least annually and update the plan as needed. The provider did not document in writing each review and update to the emergency plan. Evidence: No documentation that emergency preparation/response plan was reviewed annually available at inspection.”

Rule 8VAC20-800-800-A.

8VAC20-800-830-A

“Based on document review, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: No documentation of evacuation drills available at inspection.”

Rule 8VAC20-800-830-A.

8VAC20-800-90-C

“REPEAT Based on record review and interview, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every six months for children under the age of two years. Evidence Child #1 (16 months old) DOL immunization 7/3/2023.”

Rule 8VAC20-800-90-C.

8VAC20-790-250-D-1

“Based on record review, substitute provider did not have current CPR certification issued within the past two years. Evidence: 1. Caregiver #2 was observed caring for children while provider was not present from approximately 10:05am-10:09am.”

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

8VAC20-790-430-A-3

“Based on document review, the provider did not have documentation that a lockdown drill was practiced at least once a year. Evidence: No record available of 2023 practice lockdown drill.”

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

8VAC20-800-140-B-4

“Based on record review, substitute provider did not have current first aid certification issued within the past two years. Evidence: 1. Caregiver #2 who provides substitute care did not have current first aid on file. 2. The substitute provider was observed caring for children while provider was not present from approximately 10:05-10:09.”

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

8VAC20-800-800-B

“Based on file review, the provider did not have document in writing each review and update to the emergency preparedness and response plan. Evidence: Plan last dated 2020.”

Rule 8VAC20-800-800-B.

8VAC20-800-90-A

“Based on record review, the family day home did not obtain documentation that the child has been adequately immunized, prior to attending. Evidence: Child#1?s first day 6/8/23 and immunization record is dated 7/12/23.”

Rule 8VAC20-800-90-A.

8VAC20-800-90-C

“Based on record review, family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements, once every six months for children under the age of two years. Evidence: Child#1, (10 months old) date of last immunizations in file was 7/2023.”

Rule 8VAC20-800-90-C.

Based on observation, a pressure mounted gate is being used as protective barrier at a stair opening.

“Evidence: An uninstalled pressure mounted gate is being used as protective barrier for the outside deck steps.”

Rule 8VAC20-800-430-B.

Based on interview and documentation review, the family day home did not keep a written record of children in attendance.

“Evidence: The attendance sheet showed that attendance was last recorded on 1/24/2023”

Rule 8VAC20-800-50-A.

Based on record review, children’s records did not all contain required information.

“Evidence: Child #5’s record does not contain the house number and street name for one emergency contact.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not obtain a central registry check within 30 day of a person in the home becoming 14 years old.

“Evidence: Household member #3’s record does not contain central registry results.”

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

Based on observation and interview, emergency supplies were not in working condition.

“Evidence: The battery-operated flashlight and the battery-operated weather band radio were not in working condition.”

Rule 8VAC20-800-770.

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

“Evidence: Child #1’s record contains immunization records that were last updated on 2/2/2022. Child #2’s record contains immunization records that were last updated on 9/23/2019. Child #4’s record contains immunization records that were last updated on 1/14/2022.”

Rule 8VAC20-800-90-C.

Based on observation and interview, bottles were not labeled with the child’s full name and the date.

“Evidence: Two bottles of milk were observed in the refrigerator not labeled with the date or the child’s name as required when there are more than two infants in care.”

Rule 8VAC20-800-960-E.

Based on observation, areas and furnishings of the family day home, were not maintained in a safe, and operable condition.

“Evidence: In the programming area, an area of 3 inches in diameter of peeling paint was observed next to the door that leads to the second floor.”

Rule 8VAC20-800-240-A.

Based on observations, there was a deodorizer stored in an area accessible to children.

“Evidence: A can of deodorizer spray was observed accessible to children, in the programming area sitting on top of the children’s kitchen set.”

Rule 8VAC20-800-280.

Based on observation and interview, a pressure mounted gate was used as a protective barrier at a stair opening.

“Evening. The provider confirmed that a gate that was leaning next to the stairs that lead to the home’s deck is used as a protective barrier when the children play outside.”

Rule 8VAC20-800-430-B.

Based on record review, children’s records did not all contain required information.

“Evidence: Child #1’s record is missing the mother’s work phone number, the medical insurance policy number and one emergency contact. Child #2’s record is missing the mother’s work phone number.”

Rule 8VAC20-800-60-B.