Sahar Jabeen

Cribs, cots, rest mats, and beds when being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges.

“There were two children observed resting on their mats during naptime and their mats did not have bottom covers.”

Rule 8VAC20-800-530-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 of the emergency plan was 1/13/2025.”

Rule 8VAC20-800-800-B.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“An emergency evacuation drill was not completed for the month of June 2025.”

Rule 8VAC20-800-830-A.

Before a child may attend the family day home, the provider shall 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.

“Child A (enrolled 27 days) did not have immunizations on file.”

Rule 8VAC20-800-90-A.

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents and disinfectants shall be stored away from food in areas inaccessible to children.

“The was a tub of disinfectant wipes Labeled ?Keep out of reach of children? on a low shelf on the diaper changing table, accessible to children.”

Rule 8VAC20-800-280.

Cribs when being used by infants shall have a tight-fitting bottom cover

“Child A (14 months) was observed in a crib that had no covering on the mattress.”

Rule 8VAC20-800-530-A.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child B, enrolled for ten months, was missing one name, address and telephone number for designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-A.

Shelter-in-place procedures shall be practiced a minimum of twice per year.

“Provider did not conduct any shelter-in-place drills from May 2024-May 2025.”

Rule 8VAC20-800-830-B.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening.

“1. Caregiver #1 updated TB screening was due over 1 year ago. 2. Household Member #1 updated TB screening was due over 1 year ago.”

Rule 8VAC20-800-180-A.

Potentially poisonous substances, materials and supplies such as, but not limited to, pesticides shall be stored away from food in areas inaccessible to children.

“In the bathroom, used by the children was an unlocked cabinet with a jug of pesticide accessible to children.”

Rule 8VAC20-800-280.

Child-resistant protective covers must be on all unused electrical outlets and surge protectors accessible to children under five years of age.

“There were two outlets accessible to children that did not have protective covers.”

Rule 8VAC20-800-320-B.

Children under two years of age shall not have access to stairs.

“There was no gate or protective barrier to keep children from climbing down the stairs. There was 1 child in care that was younger than 2 years old.”

Rule 8VAC20-800-430-A.

The family day home shall keep a written record of children in attendance each day.

“There was no daily attendance observed completed on the day of inspection, there were 2 children present.”

Rule 8VAC20-800-50-A.

Soiled disposable diapers and wipes shall be disposed of in a leak-proof or plastic lined storage system that is either foot operated or used in such a way that neither the caregivers hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.

“The trashcan that the provider used to dispose of a soiled diaper, was not foot-operated and did not have a lid.”

Rule 8VAC20-800-690-E.

Medication including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“1. There were 3 bottles of prescribed medications belonging to a household member unlocked on an end table by the couch accessible to children. 2. There is one bottle of medication unlocked on the kitchen counter.”

Rule 8VAC20-800-730-D.

Documentation shall be maintained of emergency evacuation.

“Provider did not provide documentation of completed evacuation drills during inspection.”

Rule 8VAC20-800-830-C.

8VAC20-800-100-A

“REPEAT VIOLATION:Based on a review of four children’s records, the provider did not obtained documentation of a physical examination for all children enrolled within 30 days after the first day of attendance. Evidence: Child B (start date 7/24/2023) did not have documentation of a physical examination in their record.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-A

“REPEAT VIOLATION: Based on a review of three children’s records, the provider did not ensure that all children’s records contained the required information. Child A’s record was missing one emergency contact. Child B’s records were missing medical insurance name and policy number,”

Rule 8VAC20-800-60-A.

8VAC20-800-100-A

“Based on a review of three children’s records, the provider did not obtained documentation of a physical examination for all children enrolled within 30 days after the first day of attendance. Evidence: Child A, child B, and child C’s records did not have documentation of a physical examination. The children’s start date was 7/24/2023.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Based on a review of three children’s records, the provider did not ensure that all children’s records contained the required information. Child A’s record was missing one emergency contact. Child B and C’s records were missing medical insurance name and policy number,”

Rule 8VAC20-800-60-B.

8VAC20-790-250-F

“Based on a review of documentation, the provider did not complete the department’s health and safety updated course. Evidence: The provider did not have documentation of completing the department’s health and safety updated course for 2022.”

Rule 8VAC20-790-250-F.

8VAC20-800-60-A

“Based on a review of documentation, the provider did not ensure that all the children’s records were up-to-date. Evidence: Child A’s record did not have documentation that it was annually reviewed by the parents and up-to-date.”

Rule 8VAC20-800-60-A.