Amina Saeed

The provider is required to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“The Provider and 3 household members all had Tuberculosis screenings that have expired.”

Rule 8VAC20-800-180-A.

Based on a review of records, the Provider did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: 1. The Provider only had documentation of 13.5 clock hours of training annually in areas relevant to their job responsibility for the 2023 year. The requirement is a minimum of 16 clock hours annually.”

Rule 8VAC20-800-210-A.

Based on observation, a safety strap was not used and securely fastened when high chairs were occupied by children.

“Evidence: 1. Upon arrival to the family day home, the 2 children in attendance were observed sitting in high chairs and both children did not have the safety strap securely fastened while occupying the high chairs.”

Rule 8VAC20-800-540-A.

Based on observation, infant seats were not used according to the manufacturer’s instructions and when occupied by a child.

“Evidence: 1. Two infants were observed sleeping in bouncy chairs. The bouncy chairs are not made to be used for sleeping purposes according to the manufacturer’s instructions.”

Rule 8VAC20-800-540-A.

Based on a review of children’s records, the family day home did not obtain documentation of additional immunizations for 3 out of 5 children.

“Evidence: 1. Child #3’s (dob: 4/10/2021) last immunizations on file at the time of the inspection were dated 4/19/2022. 2. Child #1’s (dob: 5/21/2021) last immunizations on file at the time of the inspection were dated 8/26/2022. 3. Child #5’s (dob: 1/29/2022) last immunizations on file at the time of the inspection were dated 7/29/2022.”

Rule 8VAC20-800-90-C.

Based on a review of child records, the Provider did not maintain an up-to-date record for each enrolled child.

“Evidence: 1. Child #1’s last annual update of emergency information was dated 7/14/2022. 2. Child #3’s last annual update of emergency information was dated 4/10/2022,”

Rule 8VAC20-800-60-A.

Based on a review of household member records, 1 out of 3 adult household members did not have a current Report of Tuberculosis Screening for two years from the date of the first screening.

“Evidence: 1. Household member #2’s most recent Report of Tuberculosis Screening on file at the time of the inspection was dated 6/13/2020.”

Rule 8VAC20-800-180-A.

Based on observation, all equipment used by children was not used in accordance with the manufacturer’s instructions.

“1. Child #2 (11 mos.) was observed sleeping in the car seat. The car seat was not being used in accordance with the manufacturer’s instructions.”

Rule 8VAC20-800-480-D.

Based on observation, soft bedding was used around infants.

“Evidence: 1. Child #2 (11 mos.) was observed sleeping in a car seat with fuzzy blanket around the infant.”

Rule 8VAC20-800-530-F.

Based on a review of children’s records, 1 out of 4 children’s records reviewed did not contain the required information.

“Evidence: 1. Child #2 (doe: 8/22/2022) was missing the name, phone number, and address of 1 out of 2 required emergency contacts.”

Rule 8VAC20-800-60-B.

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

“Evidence: 1. Peeling paint was observed on the wall by the entrance to the main daycare space and on the wall by the highchairs.”

Rule 8VAC20-800-240-A.

Based on observation, infant carrier seats, swings, strollers, feeding or activity tables, and high chairs were not used according to the manufacturer’s instructions and when occupied by a child, a safety strap was not used and securely fastened.

“Evidence: 1. Child #1 was placed into a high chair that had the safety straps removed. The child was not securely fastened.”

Rule 8VAC20-800-540-A.