Najma Shah

Information contained in a child’s record shall be privileged and confidential.

“The supplemental page of the most current inspection report was posted in the HBCC. The supplemental page contains confidential information and should not be posted.”

Rule 8VAC20-800-50-C.

A child’s record shall contain the name and policy number of the child’s medical insurance.

“The record for Child #1 did not contain the name and policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

Annually, the provider shall 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.

“The review of information in the records for Child #3 and Child #4 was overdue by two months.”

Rule 8VAC20-800-780-B.

8VAC20-800-100-A

“Based on record review, the provider did not ensure that each child have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1) The physical examination report in the record for Child #3 (start date 02/01/2024) was dated 03/13/2024.”

Rule 8VAC20-800-100-A.

8VAC20-800-320-G

“Based on documentation review, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) The most recent fireplace inspection was dated 05/13/2023.”

Rule 8VAC20-800-320-G.

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the child attend the family day home. Evidence: 1) The immunization report in the record for Child #3 (start date 02/01/2024) was dated 03/13/2024.”

Rule 8VAC20-800-90-A.

Based on observation, unused electrical outlets did not have child- resistant protective covers.

“Evidence: 1) In the bathroom of the care area, there was one unused outlet with no protective cover on the left wall next to the sink.”

Rule 8VAC20-800-320-B.

Based on children’s record review, the provider did not obtain, annually, a signed acknowledgement of emergency contact information review.

“Evidence: The record for Child #1 did not have a signed acknowledgment that emergency contact information was reviewed. The most recent information review documented in the record was dated 04/28/22.”

Rule 8VAC20-800-780-B.

Based on observation and interview with the provider, food brought from home was not clearly labeled in a way that identifies the owner.

“Evidence: On the date of inspection, three containers of food were observed in the family day home’s refrigerator. These containers were not labeled with the name of the child. Upon interview, the provider identified the containers with the owner’s name.”

Rule 8VAC20-800-890.

8VAC20-800-730-D

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) On the date of inspection, a prescription medication for Child #1 was observed inside a cabinet on the entrance area of the care area. Although the medication was located in an area that was hard to reach by children, it was not locked as required.”

Rule 8VAC20-800-730-D.

8VAC20-800-800-B

“Based upon review of the emergency preparedness plan and provider interview, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1. The most recent review of the Emergency Preparedness Plan documented by the provider was dated 08/20/2021.”

Rule 8VAC20-800-800-B.

8VAC20-800-250-E

“Based on observation, the provider did not ensure that empty plastic bags large enough for a child’s head to fit inside were inaccessible to children under five years of age. Evidence: 1) In the bathroom of the care area there was a container storing empty “grocery” plastic bags. This container was located on a lower shelf of an open storage shelving unit.”

Rule 8VAC20-800-250-E.

8VAC20-800-280

Rule 8VAC20-800-280.

8VAC20-800-320-B

“Based on observation and interview with the provider, child-resistant protective covers were not installed on three unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: 1) One electrical outlet behind the book shelf to the right of the reading area and two electrical outlets behind the cabinet to the left of the reading area did not have protective covers. 2) The provider confirmed that these electrical outlets did not have protective covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-320-G

“Based on documentation review, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) The most recent fireplace inspection was dated 08/18/2020.”

Rule 8VAC20-800-320-G.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1) The record for Child #3 did not contain the policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.