Serkalem Nirayo

The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance.

“Child #4, 17 months, did not have documentation of a physical examination in the record. Child #4 has been in care 7 months.”

Rule 8VAC20-800-100-A.

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

“Caregiver #1 did not have documentation of a subsequent TB screening in the record. The TB screening was overdue by 6 months. Household Member #1 did not have documentation of a subsequent TB screening in the record. The TB screening was overdue by two months.”

Rule 8VAC20-800-180-A.

Before the child’s first day of attendance, parents shall be provided in writing whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation.

“The records for Child #2, Child #3, and Child #4 did not have documentation in the record of whether or not there is liability insurance on the family day home operation.”

Rule 8VAC20-800-70-A.

Children’s records are required to contain the policy number of the child’s medical insurance.

“The records for Child #3 and Child #4 were missing the policy number of the children’s medical insurance. The children were not present during the inspection and have been in care for 19 days.”

Rule 8VAC20-800-60-B.

Repeat Violation

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Records for Child #1 and Child #2 did not have the parent’s signature for annual review of the emergency contact information. Child #1 and Child #2 had been in care for over a year without any annual review.”

Rule 8VAC20-800-780-B.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There was no physical exam record available for Child #3, who has been in care for over a year.”

Rule 8VAC20-800-100-A.

The provider shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to age of the children in care issued within the past two years.

“Current certification in CPR was not current for Staff #1. Certification of CPR expired 23 days ago.”

Rule 8VAC20-800-140-B-3.

Poisonous materials shall be stored in an area inaccessible to children.

“A container of deodorizer with the warning of Keep out of reach of children was on the sink area in the bathroom that the children use.”

Rule 8VAC20-800-280.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“Child #3’s record did not contain a parent’s signature for an annual review of the emergency contact information. Child #3 has been in care for over a year.”

Rule 8VAC20-800-780-B.

Documentation of additional immunizations is required once every six months for children under the age of two years.

“Child #3, 25 months old, last documented immunization was over a year ago.”

Rule 8VAC20-800-90-C.

22.1-289.011-F

“Based on observation and interview, the findings of the current inspection were not posted in a conspicuous place on the licensed premises. Evidence: 1. The family day home did not have the findings of the most recent inspection posted. The findings posted was dated 05/31/2023. The last inspection was 03/19/2024. 2. Caregiver #1 confirmed that the findings for the most recent inspection was not posted.”

Rule 22.1-289.011-F.

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1’s record (Start date-10/30/2023) did not contain documentation of a physical examination by or under the direction of a physician.”

Rule 8VAC20-800-100-A.

Repeat Violation

Rule 8VAC20-800-60-B.

Repeat Violation

“Based on observation and interview, the first aid kit did not contain required supplies. Evidence: 1. The first aid kit did not contain a first aid instructional manual. 2. Caregiver #1 confirmed that the first aid kit did not contain a first aid instructional manual.”

Rule 8VAC20-800-760-A-1.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements. Evidence: 1. Child #1’s record(Start date-10/30/2023) did not contain documentation of additional immunizations. The last immunization record was dated 02/03/2022.”

Rule 8VAC20-800-90-C.

8VAC20-800-920

“Based on observation, the menu for the current one week period was not dated. Evidence: 1. The menu for the current one week period was not dated.”

Rule 8VAC20-800-920.

8VAC20-800-170-A

“Based on review, the provider did not ensure that they obtained from each adult household member a current report of tuberculosis screening. Evidence: reviewed the provider’s records and found that household member 1 did not have documentation of a TB screening.”

Rule 8VAC20-800-170-A.

8VAC20-800-320-B

“Based on observation, the provider did not ensure that child-resistant protective covers were installed on al unused electrical outlets. Evidence: observed 1 uncovered electrical outlet, accessible to children in the bathroom.”

Rule 8VAC20-800-320-B.

8VAC20-800-60-B

“Based on review, the provider did not ensure that they maintained children’s records with the required minimum information. Evidence: reviewed 3 children’s records and found that: 1) child 2 and 3 did not have documentation of an address for either of their emergency contacts, 2) child 2 did not have documentation of medical insurance and a policy number, 3) child 2 and 3 did not have documentation of limited liability declaration or emergency preparedness plan reviewed by the parents.”

Rule 8VAC20-800-60-B.

8VAC20-800-760-A-1

“Based on observation, the provider did not ensure that the first aid kit contained the minimum required items. Evidence: observed that the first aid kit was missing a second triangular bandage.”

Rule 8VAC20-800-760-A-1.

8VAC20-800-770

“Based on observation, the provider did not ensure that she had a working portable battery-operated weather band radio. Evidence: observed that the provider could not get the portable batter-operated weather band radio to function during the licensing inspection.”

Rule 8VAC20-800-770.

8VAC20-800-830-A

“Based on review, the provider did not ensure that emergency evacuation procedures are practiced monthly. Evidence: reviewed the provider’s emergency evacuation drill log and found that there was no drill practiced in February 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Based on review, the provider did not ensure that shelter-in-place procedures were practiced a minimum of twice per year. Evidence: reviewed the shelter-in-place drill log and found that the last documented drill was conducted within the past 12 months.”

Rule 8VAC20-800-830-B.

8VAC20-800-830-C

“Based on review, the provider did not ensure that emergency evacuation and shelter-in-place drills were documented with the required minimum information. Evidence: reviewed the provider’s drill log and found that they did not include: 1) time it took to complete the drill, 2) number of children participating, 3) number of caregivers participating, method of notification, 4) any problems encountered, and 5) weather.”

Rule 8VAC20-800-830-C.

Based on record review, the vendor did not maintain attendance as it occurs.

“Evidence: The arrival and departure times were missing from the attendance records on file.”

Rule 8VAC20-790-180-B.

Based on record review, lockdown procedures were not practiced annually.

“Evidence: Lockdown procedures were not practiced in 2022.”

Rule 8VAC20-790-430-A-3.

Based on record review, a household member has not submitted to fingerprinting.

“Evidence: 1. Household Member A did not submit to fingerprinting.”

Rule 22.1-289.036-B-2.

Based on record review, a household member did not have complete sworn statement of affirmation.

“Evidence: Household Member A did not have a complete sworn statement of affirmation on file.”

Rule 8VAC20-770-40-C-1-c.

Based on record review, a caregiver’s record was incomplete.

“Evidence: The record of caregiver A was missing a Tuberculosis test and a background search.”

Rule 8VAC20-800-120-B.

Based on observation, a crib was was used for a child other than 12 months.

“Evidence: An 18 month old child was sleeping in a crib at the time of inspection.”

Rule 8VAC20-800-520-A.

Based on record review, a child’s record was missing required information.

“Evidence: 1. The record of Child A was missing the following required information: Information for parents, parental agreement, medication policy, and an emergency plan. 2. The record of Child B was missing the following required information: Information for parents, medication policy, and an emergency plan.”

Rule 8VAC20-800-60-B.

Based on record review, lockdown procedures were not practiced at least annually.

“Evidence: Lock down proceedures were not practiced in 2021.”

Rule 8VAC20-790-430-A-3.

Based on observation, Small electrical appliances such as, but not limited to, curling irons, toasters, blenders, can openers, and irons were not unplugged unless being used by the caregiver or with children under close supervision.

“Evidence: Small electrical appliances located in the kitchen were plugged in and not being used.”

Rule 8VAC20-800-320-A.

Based on record review, a child’s records did not contain required information.

“Evidence: 1) The record of Child B was missing a second emergency contact person, an address for the first emergency contact person, and an annual update. 2) The record of Child C was missing a second emergency contact person, an address for the first emergency contact person, and an annual update.”

Rule 8VAC20-800-60-B.

Based on observation, the first aid kit was missing required contents.

“Evidence: The first aid kit was missing tweezers.”

Rule 8VAC20-800-760-A-1.

Based on record review, the provider did not 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.

“Evidence: Based on record review Child A did not have an immunization record on file.”

Rule 8VAC20-800-90-A.

Based on observation, the findings of the most recent inspection were not posted.

“Evidence: The findings of the most recent inspection were not posted.”

Rule 8VAC20-820-120-E-2.