Neethu Girija Vallabhan

The licenseshall be posted in a conspicuous place on the licensed premises.

“The current license was not posted.”

Rule 22.1-289.011-F.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“The immunization record for child #1, did not have adequate immunizations prior to start date.”

Rule 8VAC20-800-90-A.

The provider shall obtain for each caregiver a current Report of Tuberculosis Screening form, every two years from the date of the first screening.

“1. Caregivers #1 did not have documentation of current Report of Tuberculosis Screening form signed by a physician, physicians’ designee, or an official of the local health department, every two years from the date of the first screening. 2. The provider did not obtain current Report of Tuberculosis Screening form for caregiver #2 every two years from the date of the first screening”

Rule 8VAC20-800-180-A.

8VAC20-800-90-A

“Based on record review and interview, 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, before child attended. Evidence: 1. Child #3 first day or attendance 11/29/2023, immunization documentation received after 12/11/2023 immunizations received. 2. Provider acknowledged they were aware immunization documentation was received after child’s first day.”

Rule 8VAC20-800-90-A.

Based on record review, the provider did not obtain for an adult household member a current Report of Tuberculosis Screening form, every two years from the date of the last screening.

“Evidence: HH #1’s record contains a Report of Tuberculosis Screening form that expired on 10/25/2023.”

Rule 8VAC20-800-180-A.

Based on record review, the provider did not obtain immunization documentation for each child in care to verify that they have been adequately immunized prior to their first day of attendance.

“Evidence: Child #1’s record did not contain immunization documentation. The child’s first day of attendance was documented as 6/5/2023.”

Rule 8VAC20-800-90-A.

Based on record review, children’s records did not all contain required information.

“Evidence: Child #4’s record was missing the name of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: Child #5’s record contains an immunization record that was last updated on 5/16/2022.”

Rule 8VAC20-800-90-C.

Based on record review and interview, staff records were missing two references.

“Evidence: Staff #3 record is missing documentation that two or more references as to character and reputation as well as competency were checked before employment. Employment date of staff #3 was 6/6/2022.”

Rule 8VAC20-800-120-A.

Based on record review, 2 out of 4 children’s records were missing information.

“Evidence: The records of child # 1 and child # 3 were missing the medical insurance policy number.”

Rule 8VAC20-800-60-B.

Based on observation, provider did not adhere to requirements for using topical skin products.

“Evidence: 1. 1 of 2 topical skin products were not labeled with the child’s name. 2. 2 of 2 did not have written authorizations for use of topical skin products.”

Rule 8VAC20-800-750-A.

Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days of a child’s first day of attendance.

“Evidence: Child #2’s record did not contain a physical examination.”

Rule 8VAC20-800-100-A.

Based on observation and interview, the bathroom did not have paper towels.

“Evidence: There were no paper towels available to the children in the bathroom located in the daycare area.”

Rule 8VAC20-800-340-C.

Based on record review, a child’s record did not include a signed authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

“Evidence: Child #1’s file contains a written authorization for emergency medical care that has not been signed by the parent.”

Rule 8VAC20-800-60-B.

Based on observation and interview, the provider did not ensure there was a landline telephone, excluding a cordless or cell phone.

“Evidence: The provider had a landline phone number, however, there was only a cordless telephone available during the inspection.”

Rule 8VAC20-800-330-A.

Based on observation and interview, crib bumper pads were attached to a crib within the Family Day Home.

“Evidence: During the inspection, Child #2 was observed sleeping in a crib with bumper pads.”

Rule 8VAC20-800-520-E.

Based on record review, children’s records did not all contain required information.

“Evidence: Child #1’s record is missing the parents’ employment information and the address for 1 of 2 emergency contacts.”

Rule 8VAC20-800-60-B.

Based on review of emergency supplies, the first aid kit was incomplete.

“Evidence: The first aid kit was missing 1 of 2 required triangular bandages.”

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