Amtul Yousaf

Based on observation and interview, the Family Day Home (FDH) does not have a caregiver who has completed the Medication Administration Training (MAT) in order to safely perform medication administration practices (listed in 8VAC20-800-710) whenever the FDH has agreed to administer prescription medications or nonprescription medications.

“Evidence - 1. On the date of inspection (06/04/2024) it was determined that medication to be administered for Child #6 (on an as needed basis) was observed on site. The start date for Child #6 was listed as 06/03/2024. 2. The Provider stated that neither her nor her assistants were MAT certified. 3. This non-compliance also contradicts the signed Decision to Administer Medication form (dated - 06/03/2024) that states, “I (or other caregivers) will not administer any medication (prescription or non-prescription).”

Rule 8VAC20-800-220-A.

Based on review, 1 of 8 children files indicated that not all of the required information / documentation was contained within each child’s record.

“Evidence - 1. On the date of inspection (06/04/24), a written authorization for emergency medical care was not available for Child #2. 2. This section of the child’s record form for Child #2 was left blank.”

Rule 8VAC20-800-60-B.

Based on review, 3 of 8 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children (who were not exempt from the immunization requirements according to subsection B) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection the following immunization pages were observed - For Child #1 (dated - 10/27/22), for Child #2 (dated - 10/25/22), and for Child #6 (dated - 11/09/22). 2. Child #1, #2, and #6 were all under the age of two years on the date of inspection.”

Rule 8VAC20-800-90-C.

Based on observation, not all of the required information was labeled on a bottle that was refrigerated on-site within the FDH.

“Evidence - 1. On the date of inspection (05/30/23), one bottle being stored within the FDH refrigerator was labeled with the name of Child #8, but was missing today’s date. 2. This was confirmed by the Provider. All other bottles were observed with both the name and date labeled on them.”

Rule 8VAC20-800-960-E.

Based on review, 1 of 8 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from immunization requirements according to subsection B of this section) once every six months for children under two years of age.

“Evidence - 1. On the date of inspection (06/22/2022), the current immunization page on file for Child #5 was dated - 08/09/2021. 2. On the date of inspection, based on information on file, Child #5 was under the age of 2 years.”

Rule 8VAC20-800-90-C.

Based on review and interview, 1 of 5 children files indicated that not all of the required documentation was contained within each child’s file.

“Evidence - 1. On the date of inspection (12/10/2021), the Policy for the Administration of Medications form was not available for review for Child # 3. 2. The Provider stated (during an interview conducted on the date of inspection) that all forms were given to the parent of Child #3 to complete and has yet to be returned.”

Rule 8VAC20-800-60-B.

Based on observation, the documentation of past emergency evacuation drills (fire drills) were not documented.

“Evidence - 1. On the date of inspection (12/10/2021), fire drills for the months of October, November, and December 2021 were not documented on the posted drill log. 2. The Provider confirmed on the date of inspection that these drills were conducted, but were not recorded on the posted drill log.”

Rule 8VAC20-800-830-C.