Saima Naheed

Attendance records shall be maintained in the home and made accessible to the departments representative for 5 years after termination of services or separation from employment.

“The family day home did not have documentation of childrens attendance prior to January 2026.”

Rule 8VAC20-790-180-D.

A childs record shall contain the following: name and policy number of the childs medical insurance; name, address, and telephone number of each parents place of employment.

“The record for Child #1, #2, and #3 did not contain the policy number for medical insurance. The record for Child #3 did not contain a work phone number one parent.”

Rule 8VAC20-800-60-B.

The family day home shall obtain documentation of additional immunizations every six months for children under the age of two years.

“The record for Child #1 did not contain documentation of immunizations every six months while under the age of two. The immunization record on file was dated more than one year ago.”

Rule 8VAC20-800-90-C.

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.

“The record for Child #1, enrolled for more than 30 days, did not have documentation of a physical examination.”

Rule 8VAC20-800-100-A.

A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation.

“The family day home did not have a landline telephone.”

Rule 8VAC20-800-330-A.

REPEAT VIOLATION When meals or snacks are provided by the family day home, the menu for the current one-week period shall: be dated.

“The posted menu was not dated.”

Rule 8VAC20-800-920.

Based on record review, the provider did not obtain for each adult household member a current report of tuberculosis (TB) screening every two years from the date of the first screening.

“Evidence: Household member #1 had a TB screening that expired 8/12/2024. At the time of the inspection, there was no documentation of an updated TB.”

Rule 8VAC20-800-180-A.

Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children.

“Evidence: The door to the laundry room was observed to be open, with various cleaning and household substances on the floor or low shelving units. These substances include but are not limited to bottles of laundry of detergent, WD-40, windshield washer fluid and other car maintenance fluids.”

Rule 8VAC20-800-280.

Based on observation, medication for caregivers and household members was not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Household prescription and over the counter medications were observed in an open bin on the kitchen counter while two children were making smoothies. The bin did not have a lid or safe locking method, which made the contents accessible to children.”

Rule 8VAC20-800-730-D.

Based on record review and interview, the provider did not obtain verification of the identity and age of the child from the parent within 7 business days of the child’s first day of attendance at the family day home.

“Evidence: Child #1, enrollment date 8/19/2024, did not have documentation of proof of age and identity. The provider stated the parent does not have a birth certificate for the child and is trying to obtain one.”

Rule 8VAC20-800-80-A.

Based on observation, a menu for the current one-week period was not dated or posted in an area accessible to parents

“Evidence: There was a menu on the refrigerator in the upstairs kitchen, but it was not dated and accessible to parents.”

Rule 8VAC20-800-920.

22.1-289.011-F

“Based on observations made, the most recently issued inspection findings (Violation Notice) were not posted. Evidence: The Violation Notice from the 9/22/23 inspection was not posted in the home. The Inspection Summary from the subsidy inspection was posted.”

Rule 22.1-289.011-F.

Based on records reviewed, 4 of 6 children’s records did not include documentation of the parents annual review of emergency information.

“Evidence: 1. Child #1 - The parents last signature on the enrollment form was 2/10/23. 2. Child #2 - The parents last signature on the enrollment form was 2/5/23. 3. Child #4 - The parents last signature on the enrollment form was January 2023. 4. Child #5 - The parents last signature on the enrollment form was January 2023.”

Rule 8VAC20-800-780-B.

8VAC20-800-620-A

“Based on records reviewed, the licensee failed to ensure that written information about a child’s special needs was in writing and on-file. Evidence: The record for Child # 5 did not include written documentation from a physician or other professional who has evaluated and/or treated the child that includes recommendations and instructions for care, activities, special treatment, and other health considerations.”

Rule 8VAC20-800-620-A.

8VAC20-800-70-A

“Based on records reviewed, the licensee failed to ensure that parents were provided required information in writing prior to their first day of attendance. Evidence: In 3 of 6 child records the Information for Parents Form was not completed fully and did not include all of the required information. The parent(s) signed an incomplete or blank form. Child #4, #5, and #6.”

Rule 8VAC20-800-70-A.

8VAC20-800-800-B

“Based on records reviewed, the licensee failed to ensure there was documentation that the emergency plan was reviewed annually. Evidence: The emergency plan was dated as last reviewed in 2019.”

Rule 8VAC20-800-800-B.

Based on records reviewed, it was determined that 3 of 5 children’s records did not have documentation of a physical exam on-file within the 1st 30-days of attendance.

“Evidence: 1. Child #1 ? No physical exam on-file. The child began attending on 9/28/21. 2. Child #2 ? No physical exam on-file. The child began attending on 10/18/21. 3. Child #3 ? No physical exam on-file. The child began attending on 8/23/22.”

Rule 8VAC20-800-100-A.

8VAC20-800-50-A

“Based on records reviewed, it was determined that a record of daily attendance has not been maintained. Evidence: Attendance records for the period of 9/15/22-2/5/23 were missing and the provider indicated that she was unsure of the whereabouts.”

Rule 8VAC20-800-50-A.

Based on records reviewed, it was determined that 3 of 5 children’s records did not have documentation of required information.

“Evidence: 1. Child #1 ? Parents have not signed the liability insurance form. 2. Child #4 ? 1 of 2 emergency contacts listed. 3. Child #5 ? 1 of 2 emergency contacts listed.”

Rule 8VAC20-800-60-B.

Based on records reviewed, it was determined that 2 of 5 children’s records did not include an annual review of emergency contacts signed by parents.

“Evidence: 1. Child #1 ? Parents have not signed the file to indicate emergency contact information has been reviewed since the child enrolled 9/28/21. 2. Child #2 - Parents have not signed the file to indicate emergency contact information has been reviewed since the child enrolled 10/18/21.”

Rule 8VAC20-800-780-B.

Based on records reviewed, it was determined that 3 of 3 children’s records did not include a physical exam within the first 30-days of enrollment.

“Evidence: 1. Child #1 ? There was no physical exam on-file. The child began attending 9/28/21. 2. Child #2 - There was no physical exam on-file. The child began attending 10/18/21. 3. Child #3 - There was no physical exam on-file. The child began attending 8/23/22.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Based on records reviewed, it was determined that 3 of 3 children’s records did not include required information. Evidence: The records for Child #1, #2, and #3 did not include a signed liability form.”

Rule 8VAC20-800-60-B.

Based on records reviewed, it was determined that 2 of 2 children’s record did not include required information in writing prior to the child’s first day of attendance:

“Evidence: 1. The records for Child #10 + #11 did not include information for parents listed in this regulation section: Operating hours, holidays, fees and payments, check-in and out procedures, medication policy, liability insurance, general daily schedule, discipline policy, provisions of the emergency preparedness plan, and termination policy. 2. While these forms were signed by parents, the forms and information were left blank by the provider.”

Rule 8VAC20-800-70-A.