Shaima Azamy

Repeat violation

“The provider shall obtain documentation that each child has obtained a physical examination by the direction of a physician within the first 30 days of attendance. The record for child A who had been enrolled in the program for more than nine months did not have documentation of a completed physical.”

Rule 8VAC20-800-100-A.

There shall be documentation of a physical examination completed by a physician for each child prior to the child’s attendance or within 30 days after the first day of attendance.

“Child A and child B, who had been attending for eight months, did not have a physical on file.”

Rule 8VAC20-800-100-A.

Pillows or filled comforters shall not be used for children under two years of age.

“Two cots set out with blankets and pillows were observed in the day care area. It was reported that child A (age 13 months) would be sleeping on one of the cots with a pillow.”

Rule 8VAC20-800-530-G.

8VAC20-800-180-A

“Based on review of five household member records it was determined that TB (tuberculosis) screenings were not repeated every two years. Evidence: The most recent TB screening on file for household member A was dated 10/17/2021. The most recent TB screening on file for household member B was dated 10/03/2021. The most recent TB screening on file for household member C was dated 10/23/2021. The most recent TB screening on file for household member D was dated 10/03/2021.”

Rule 8VAC20-800-180-A.

8VAC20-800-750-B

“Based on observation of the diaper area it was determined that not all topical skin products were inaccessible to children. Evidence: A container of petroleum jelly and lotion was observed on an open lower shelf of the changing table which was accessible to children.”

Rule 8VAC20-800-750-B.

8VAC20-800-830-A

“Based on observation and interview with the provider it was determined that emergency evacuation drills were not conducted monthly. Evidence: There have been no emergency evacuation drills conducted for 2023.”

Rule 8VAC20-800-830-A.

8VAC20-820-120-E-6

“Based on observation and interview it was determined that special order notices issued by the department were not posted in a prominent place at each public entrance. Evidence: The Special Order issued to the provider on 05/11/2023 was not posted in the family day home as required.”

Rule 8VAC20-820-120-E-6.

8VAC20-800-100-A

“Based on review of two children’s records it was determined that not all records contained documentation of a physical within the first 30 days of attendance. Evidence: The record for child A (start date: 08/01/22) and Child B (start date: 10/14/22) did not have documentation of a physical on file.”

Rule 8VAC20-800-100-A.

8VAC20-800-170-A

“Based on review of four household member records it was determined that not all records contained documentation of a TB (tuberculosis) screening prior to coming into contact with children. Evidence: The record for Household Member A who moved into the home 12/16/22 did not have documentation of a TB screening on file.”

Rule 8VAC20-800-170-A.

8VAC20-800-280

“Based on observation of the family day home it was determined that not all potentially hazardous substances were inaccessible to children. Evidence: The following hazardous substances were observed in the bathroom of the family day home and were accessible to children: 1. Hand sanitizer and mouth wash on the bathroom sink. 2. Air freshener under the unlocked cabinet under the sink. 3. Shampoo, soap and lotion were located in the tub/shower.”

Rule 8VAC20-800-280.

8VAC20-800-530-F

“Based on observation of the family day home it was determined that items such as pillows, comforters, and stuffed toys were permitted in cribs with infants. Evidence: The LI (Licensing Inspector) observed the following prohibited items in a crib occupied by Child B (Age: 12 Months) who was sleeping. 1.) A full sized pillow positioned to the right side of the child. 2.) A soft comforter covering Child B from the neck down. 3.) Three plush toys were observed at the foot of the crib.”

Rule 8VAC20-800-530-F.

8VAC20-800-80-A

“Based on review of two children’s records it was determined that not all records contained documentation of proof of identity within the first seven days of attendance. Evidence: The record for Child B (start date: 10/14/22) did not have documentation of proof of identity on file.”

Rule 8VAC20-800-80-A.

8VAC20-800-960-C

“Based on observation of the family day home it was determined that not all high chairs with safety straps were utilized while occupied. Evidence: The LI (licensing inspector) observed that while Child A (Age: 13 Months) was seated in a high chair the safety straps were not fastened around the child.”

Rule 8VAC20-800-960-C.

8VAC20-800-100-A

“Based interview and review of one children’s record it was determined that not all records contained documentation of a physical within the first 30 days of attendance. The record for child A (start date: unable to be determined, but more than 30 days) did not contain documentation of a physical.”

Rule 8VAC20-800-100-A.

8VAC20-800-280

“Based on observation of the family day home it was determined that not all potentially poisonous substances were inaccessible to children. Evidence: 1.) A bottle of hand sanitizer was observed on a bench next to the entrance door of the daycare area. 2.) A bottle of toilet bowl cleaner was observed on the bathroom counter. 3.) Three cleaners and one bottle of air freshener was observed in the cabinet under the bathroom sink.”

Rule 8VAC20-800-280.

8VAC20-800-520-A

“Based on observation and interview with the provider it was determined that not all children under 12 months old slept in a crib. Evidence: It was discovered through interviews that Child A (dob: 11/18/2021) has been sleeping on a cot for rest time. The LI observed the cot in the daycare area with a blanket. Child A was the only child in care.”

Rule 8VAC20-800-520-A.

8VAC20-800-60-B

“Based on review of one children’s record it was determined that not all records were complete. Evidence: 1.) The record for child A did not include emergency contact information for each parent having custody. 2.) The record for child A did not include1 of the 2 required emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-A

“Based on review of one children’s record it was determined that not all records contained documentation of an immunization record before the first day of attendance. Evidence: The record for child A (start date: unable to be determined) did not contain documentation of an immunization record.”

Rule 8VAC20-800-90-A.

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

“Based on review of two household member records it was determined that not all household member records contained documentation of a central registry background check upon application for licensure. Evidence: During the announced initial inspection central registry background checks were not on file for household member A and household member B.”

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

8VAC20-800-330-A

“Based on interview and observation of the family day home it was determined that an operable landline telephone was not available at the family day home. Evidence: The provider has not requested a landline telephone number or purchased a landline telephone for emergencies.”

Rule 8VAC20-800-330-A.

8VAC20-800-430-B

“Based on observation it was determined that pressure mounted or accordion expansion gates were not excluded. Evidence: A pressure mounted gate was observed at the stair opening.”

Rule 8VAC20-800-430-B.

8VAC20-800-760-A-1

“Based on review of the first aid kit it was determined that not all required supplies were available. Evidence: The first aid kit did not contain triangular bandages.”

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

8VAC20-800-770

“Based on interview and observation of the family day home it was determined that emergency flashlights and a weather band radio were not available to caregivers at all time. Evidence: The provider has not yet obtained a flashlight and weather band radio.”

Rule 8VAC20-800-770.

8VAC20-800-790

“Based on observation of the family day home it was determined that required telephone numbers were not posted. Evidence: The telephone numbers for 911 or local police, fire, emergency medical responders, regional poison control, and the person responsible for emergency backup care were not posted.”

Rule 8VAC20-800-790.