Huda Abdulekader

22.1-289.035-A

“The home based child care provider must obtain results of a subsequent VA central registry search (CRS) for each employee, every five years. The provider’s most recent CRS was obtained over five years ago.”

Rule 22.1-289.035-A.

8VAC20-800-170-A

“The provider shall obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis (TB) Screening form. Caregiver #1 has been employed at the home based child care program for three days. The provider did not obtain documentation of the TB screening for Caregiver #1 to this date.”

Rule 8VAC20-800-170-A.

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations for a child under the age of two years, every six months. Child #1 and Child #2 are under the age of 2 years. Their most recent immunization was dated November 2025. Child #3 is under the age of two years. Their most recent immunization was dated May 2025.”

Rule 8VAC20-800-90-C.

8VAC20-800-180-A

“The provider shall obtain for each adult household member a current Report of Tuberculosis (TB) Screening form, every two years from the date of the first screening. The TB screenings for household member # 1 and household member # 2 were not obtained every two years, and were not current.”

Rule 8VAC20-800-180-A.

8VAC20-790-250-B

“Within the first 90 days of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Caregiver #1 has been employed for 5 months and has not yet completed the Preservice training.”

Rule 8VAC20-790-250-B.

8VAC20-800-170-A

“The provider did not obtain a current report of Tuberculosis (TB) Screening for each adult household member. Household Member #1 reached the age of 18 years two months ago. The provider did not obtain a TB screening for Household Member #1 to this date.”

Rule 8VAC20-800-170-A.

8VAC20-800-60-B

“A child’s record was not complete. Child #1 ‘s record did not review and obtain documentation of verification of the proof of identity.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“The diapering surface was not non-absorbent. The diaper pad had a tear exposing the foam inside.”

Rule 8VAC20-800-690-D.

8VAC20-800-170-B

“The tuberculosis (TB) screening for a an employee shall have been completed within the last 30 days prior to the first day of employment. Caregiver # 1’s TB screening was completed over a year prior to the first day of employment.”

Rule 8VAC20-800-170-B.

22.1-289.035-B-1

“The provider must obtain a sworn disclosure statement (SDS) from an employee prior to the first date of employment. Caregiver # 1 has been employed for 1 month and 2 weeks. The provider did not obtain Caregiver # 1’s SDS to this date.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-3

“The provider must submit a Central Registry Search (CRS) for a new employee prior to the first day of employment. Additionally the new employee must work under the supervision of another caregiver with complete background checks. The provider stated that a CRS request has not been submitted for Caregiver # 1 who has been employed for 1 month and 2 weeks. Caregiver # 1 was observed directly supervising children alone during this inspection.”

Rule 22.1-289.035-B-3.

8VAC20-800-120-A

“The provider shall maintain a record for each caregiver. The provider did not maintain a record for Caregiver # 1.”

Rule 8VAC20-800-120-A.

8VAC20-800-150-B

“An assistant under the age of 18 years of age shall always work under the direct supervision of the provider. Caregiver # 1 was observed directly supervising 6 children alone from 12:06 pm to 12:20pm. Caregiver # 1 is under the age of 18 years.”

Rule 8VAC20-800-150-B.

8VAC20-800-690-E

“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 caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. A soiled diaper was seen sitting in the lower shelf of the diaper changing table.”

Rule 8VAC20-800-690-E.

8VAC20-800-100-A

“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. Child # 1 has been in attendance for over two months. Child # 2 has been in attendance for over one month. Documentation of a physical exam has not been obtained for the children to this date.”

Rule 8VAC20-800-100-A.

8VAC20-800-110-B

“Children’s immunization records shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. Child # 1’s immunization records were not signed and dated by a physician.”

Rule 8VAC20-800-110-B.

8VAC20-800-690-E

“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 caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. After changing a diaper, the provider placed the soiled diaper on a packet of wipes sitting next to the diaper changing table.”

Rule 8VAC20-800-690-E.

22.1-289.036-B-2

“Based on staff interview, the family day home did not obtain results of a fingerprint based criminal record check ( CRC ) for an adult household member. Evidence: The provider stated that she did not complete the CRC for Household Member # 1 when they turned 18 years old.”

Rule 22.1-289.036-B-2.

8VAC20-770-40-D-4

“Based on staff interview, the family day home did not obtain a Sworn Disclosure Statement (SDS) for an adult household member. Evidence: The provider stated that she did not have Household Member # 1 complete a SDS when they turned 18 years old.”

Rule 8VAC20-770-40-D-4.

8VAC20-800-170-A

“Based on staff interview, the provider did not obtain from each adult household member a current Report of Tuberculosis (TB) Screening. Evidence: The provider stated that she did not have a current TB screening for Household Member # 1.”

Rule 8VAC20-800-170-A.

8VAC20-800-750-A

“Based on observation and records review, the provider did not obtain written authorization from parents for children’s topical skin products. Evidence: Written authorizations were not obtained for Child # 1, Child # 2 and Child # 3’s topical skin ointments that include moisturizer and diaper rash cream.”

Rule 8VAC20-800-750-A.

8VAC20-800-800-B

“Based on record review, the emergency plan was not reviewed and updated annually. Evidence: The emergency plan was last updated on 9/1/21.”

Rule 8VAC20-800-800-B.

8VAC20-800-60-B

“Based on records review, children’s records did not contain complete information. Evidence: 1. Child # 1’s record was missing the annual update. 2. Child # 2’s record was missing the information for persons authorized to pick up and one emergency contact information.”

Rule 8VAC20-800-60-B.

8VAC20-800-60-B

“Based on records review, a child’s record did not contain complete information. Evidence: Child # 2’s record was missing the family day home’s medication administration policy.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-A

“Based on observation, caregivers did not wash their hands with liquid soap and warm running water before serving food, and before feeding or helping children with feeding. Evidence: Caregiver # 1 did not wash her hands before preparing and serving food for three children in care.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that children’s hands were washed before eating. Evidence: 1. Caregiver # 1 did not ensure that hands were washed for three children in care before they started eating. 2. Child # 1 was observed engaged in free play with toys prior to eating.”

Rule 8VAC20-800-680-B.

22VAC40-111-100-A

“Based on record review, the provider did not obtain documentation of a physical exam for a child in care within 30 days of enrollment. Evidence: Child # 2’s first day of enrollment was 10/5/21. Documentation of a physical exam for Child # 2’s was not obtained within 30 days, and was unavailable for review.”

Rule 22VAC40-111-100-A.

22VAC40-111-430-B

“Based on observation, an accordion expansion gate was used as protective barrier at stair opening. Evidence: An accordion expansion gate was used as a barrier on the deck where the stairs led to the lower level of the backyard.”

Rule 22VAC40-111-430-B.

22VAC40-111-60-B

“Based on records review, the provider did not maintain up to date and complete records for children in care. Evidence: Child # 1’s record was missing the following: the liability insurance form, the medication administration policy form and the provisions for emergency form.”

Rule 22VAC40-111-60-B.