Shahida Awan

Caregivers shall wash their hands with liquid soap and warm running water after diapering.

“Caregiver #2 was observed changing a child’s diaper and did not wash their hands afterwards before changing another child’s diaper.”

Rule 8VAC20-800-680-A.

Soiled disposable diapers and wipes are required to be disposed 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.

“Caregiver #2 was placing soiled diapers and wipes directly into a plastic bag on the floor that the caregiver had to touch and open to place the soiled diapers and wipes inside. The plastic bag was observed to be open at the top.”

Rule 8VAC20-800-690-E.

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.

“Household Member #1 had a TB screening that expired over one month ago.”

Rule 8VAC20-800-180-A.

Infant high chairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened.

“An infant was observed in a high chair during the time of the inspection and the safety strap was not securely fastened.”

Rule 8VAC20-800-540-A.

Based on observation, a working portable battery-operated weather band radio, and extra batteries were not available to caregivers at all times.

“Evidence: 1. The portable battery-operated weather band radio was not working and there were no extra batteries available at the time of the inspection.”

Rule 8VAC20-800-770.

Based on observation, linens were not assigned for individual use.

“Evidence: 1. There were linens in 5 cribs that were not assigned for individual use at the time of the inspection.”

Rule 8VAC20-800-530-C.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child’s full name and the date, if more than one infant is in care. Evidence: 1. 4 bottles were observed without the name/date on them and there were 2 infants in care at the time of the inspection.”

Rule 8VAC20-800-960-E.

Based on a review of caregiver records, 1 out of 3 caregivers did not submit to fingerprinting as described in subdivision B 2 of ? 19.2-392.02.

“Evidence: 1. Caregiver #2 (doh: 12/12/2022) had fingerprints results on file that were dated 1/24/2023 at the time of the inspection.”

Rule 22.1-289.036-B-2.

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

“Evidence: 1. There was no documentation of the required 16 hours of annual training for the Provider.”

Rule 8VAC20-800-210-A.

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. 3 out of 3 wooden cribs in the family day home were observed to have brown peeling paint.”

Rule 8VAC20-800-240-A.

Based on observation, soft bedding was used around infants.

“Evidence: 1. Child #1 (dob: 2/14/2023) was observed sleeping in a car seat with two loose blankets around the infant.”

Rule 8VAC20-800-530-F.

Based on a review of Assistants’ records, all assistants did not provide a sworn statement or affirmation.

“Evidence: 1. Assistant #1 (doh: 1/31/2023) did not have a sworn statement on file at the time of the inspection.”

Rule 22.1-289.036-B-1. From a complaint.

Based on a review of assistants’ records, all records did not contain the required information.

“Evidence: 1. Assistant #1 (doh: 1/31/2023) did not have documentation of 2 of 2 required references of character and reputation prior to employment. 2. Assisant #1 did not have documentation of an emergency contact on file during the time of the inspection.”

Rule 8VAC20-800-120-B. From a complaint.

Based on a review of children’s records, 3 out of 3 records did not contain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. Child #1 (doe: 3/7/2022) did not have documentation of a physical examination on file during the inspection. 2. Child #2 (doe: 3/7/2022) did not have documentation of a physical examination on file during the inspection. 3. Child #3 (doe: 3/1/2022) did not have documentation of a physical examination on file during the inspection.”

Rule 8VAC20-800-100-A.

Based on observation and caregiver interview, a written record of children in attendance each day was not kept.

“Evidence: 1. The Provider stated that she has not kept a written record of children in attendance daily and there was on attendance sheet on site during the inspection.”

Rule 8VAC20-800-50-A.

Based on a review of children’s records, 3 out of 3 records were incomplete.

Rule 8VAC20-800-70-A.

Based on Provider interview, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care.

“Evidence: 1. The Provider stated that monthly evacuation drills were not practiced in March 2022 while the children were in care.”

Rule 8VAC20-800-830-A.

Based on a review of children’s records, 1 out of 3 records did not contain documentation that the child has been adequately immunized.

“Evidence: 1. Child #3 (doe: 3/7/2022) did not have a record of immunizations on file during the inspection.”

Rule 8VAC20-800-90-A.