Bayan Sindi

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 A (enrolled for over 1 year and 6 months) did not have a physical on file.”

Rule 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 A enrolled for over 1 year and 6 months, did not have documentation for a physical examination on file.”

Rule 8VAC20-800-100-A.

The provider shall obtain for each adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Household Member A was overdue for a subsequent TB screening by 3 days.”

Rule 8VAC20-800-180-A.

Medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“Medication was observed in a bin that holds documentation, on an upper shelf unlocked.”

Rule 8VAC20-800-730-D.

Before attendance, documentation of immunizations is to be obtained for each child.

“Child A (enrolled over 1 year and 6 months) did not have documentation of immunizations.”

Rule 8VAC20-800-90-A.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall: Be dated.

“The menu that was posted was not current it was documented June 2026.”

Rule 8VAC20-800-920.

Lockdown procedures shall be practiced at least annually.

“There was not a lockdown drill practiced for the year 2025.”

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

REPEAT VIOLATION The emergency evacuation procedures shall be practiced monthly.

“Emergency evacuation procedures were not conducted for the months of May and July 2025.”

Rule 8VAC20-800-830-A.

Lockdown procedures shall be practiced at least annually.

“Lockdown procedures were not practiced at all for the 2024 year period.”

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

The provider shall maintain an up-to-date record at the family day home for each enrolled child with the required information.

“Child A’s record was missing name, office address and telephone number of the child’s physician; name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; name and policy number of the child’s medical insurance, if applicable; Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

Rule 8VAC20-800-60-A.

The emergency evacuation procedures shall be practiced monthly.

“Emergency evacuation procedures were not conducted for the month of January 2025.”

Rule 8VAC20-800-830-A.

Shelter-in-place procedures shall be practiced a minimum of twice per year.

“Shelter-in-place procedures were only practiced once for the year of 2024.”

Rule 8VAC20-800-830-B.

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Child A, who has been enrolled 5 days did not have documentation of immunizations.”

Rule 8VAC20-800-90-A.

Based on documentation and staff interview, the provider did not practice lockdown procedures at least annually.

“Evidence: The documentation that was observed had no documented lockdown procedures practiced and provider stated that there were no lockdown procedures practiced.”

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

Based on review of 1 caregiver record and 2 household member records, the Provider did not obtain for each Household member or caregiver a current report of Tuberculosis screening every 2 years from the date of the first screening.

“Evidence: (Repeat Violation) The record for Caregiver #1 contained a Tuberculosis screening that was last completed on 11/12/2021.”

Rule 8VAC20-800-180-A.

Based on observation, the provider did not ensure that small electrical appliances were unplugged when not being used.

“Evidence: During an inspection of the kitchen area adjacent to the area where the children are, a toaster was plugged in and not in use.”

Rule 8VAC20-800-320-A.

Based on review of four child records, the provider did not conduct an annual review of children’s emergency contact information and the parent’s acknowledgment of the review.

Rule 8VAC20-800-780-B.

Based on observation, the provider did not have a completed written emergency preparedness and response plan.

“Evidence: The emergency preparedness plan that the provider had was not complete with all required information .”

Rule 8VAC20-800-800-A.

Based on documentation and staff interview, the provider did not practice shelter-in-place procedures a minimum of twice per year.

“Evidence: (Repeat Violation) There was no documentation provided of shelter in place drills and the provider confirmed that there had been no shelter in place drills for 2023.”

Rule 8VAC20-800-830-B.

Based on observation, the provider did not ensure that the menu was dated, given to parents or posted/placed in an area accessible to parents and kept on file one week at the family day home.

“Evidence: (Repeat Violation) Based on observation, the menu that was observed was not dated or placed in an area accessible to parents nor was it kept on file for one week.”

Rule 8VAC20-800-920.

8VAC20-800-100-A

“A physical is required for each child within 30 days after the first day of attendance. There was no physical on file for Child A, 4 months after the child enrolled.”

Rule 8VAC20-800-100-A.

8VAC20-800-140-B-4

“Current certification in first aid and CPR are required. Caregiver A’s First Aid and CPR certification expired over 4 months ago.”

Rule 8VAC20-800-140-B-4.

8VAC20-800-180-A

“Each caregiver and adult household member shall have a current Tuberculosis test/screening every two years from the date of the first Tuberculosis test/screening. Caregiver A’s tuberculosis test expired 6 months ago.”

Rule 8VAC20-800-180-A.

8VAC20-800-50-A

“A written record of children in attendance each day shall be maintained. There was no attendance maintained on 5/20/24, there were 5 daycare children present.”

Rule 8VAC20-800-50-A.

8VAC20-800-500-C

“Stationary equipment outside shall not be installed over concrete or any other hard surface. A rocker and slide were located over concrete.”

Rule 8VAC20-800-500-C.

8VAC20-800-60-B

“A child’s record shall contain insurance policy number at the time of enrollment. Child A enrolled 4 months prior and there was no insurance policy number on file.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-A

“Emergency evacuation procedures shall be practiced monthly. There were no emergency evacuation procedures practiced for October 2023 to April 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. There were no shelter-in-place practiced procedures for 2023.”

Rule 8VAC20-800-830-B.

8VAC20-800-920

“A menu for the current one-week period shall be dated, given to parents or in an accessible area. There was no menu for the current one-week period.”

Rule 8VAC20-800-920.

22.1-289.036-B-2

“Based on interview and a review of the application, it was determined that a household member had not obtained a fingerprint criminal background check within 30 days of residency. Evidence: Person #1 came to reside in the home in July 2023. There was no fingerprint background check on file.”

Rule 22.1-289.036-B-2.

8VAC20-790-170-A

“Based on interview and a review of the application, it was determined that a household member had not obtained a tuberculosis test/screening at the time of residency and prior to coming in contact with children. Evidence: Person A does not have a tuberculosis test/screening on file.”

Rule 8VAC20-790-170-A.

8VAC20-800-210-A

“Based on interview, it was determined that an assistant did not have 16 hours of annual training. Evidence: Person #2 has been an assistant since March 2022 and has not obtained any of the 16 training hours from March 2022 to March 2023.”

Rule 8VAC20-800-210-A.

8VAC20-800-100-A

“Based on a review of children’s files and an interview with the provider, it was determined that child A ( enrolled on 3/6/23) did not have a physical on file within 30 days of enrollment.”

Rule 8VAC20-800-100-A.

8VAC20-800-520-C

“Based on observation, it was determined that child B ( 10 months of age) was sleeping in a crib where two mattresses was stacked on top of each other which resulted in the second mattress failing to fit snugley next to the crib so that more than two fingers could be inserted between the mattess and the crib.”

Rule 8VAC20-800-520-C.

8VAC20-800-60-B

“Based on a review of 4 children’s files and an interview with the provider, it was determined that two children (A &B) did not have their insurance policy number listed. This is requirement at the time of enrollment. Child A and B enrolled on 3/6/23.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-A

“Based on a review of four children’s files and an interview with the provider, it was determined that two children ( Child A and B) did not have immunization records on file, which is required before a child may attend the family day home.”

Rule 8VAC20-800-90-A.

8VAC20-800-100-A

“Based on a review of children’s files and interview with the provider, it was determined that there was no physical on file for one child within 30 days of attendance. Evidence: Child E enrolled on 7/11/22 and there was no physical on file.”

Rule 8VAC20-800-100-A.

8VAC20-800-50-A

“Based on observation and interview, it was determined that a written record was not maintained of children in attendance each day. Evidence: Child E was present in the family day home but was not listed on the attendance. The child had arrived one hour earlier.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-A

Rule 8VAC20-800-60-A.

8VAC20-800-690-D

“Based on interview, it was determined that the diapering area is not being cleaned and sanitized after each use. Evidence: Interviews revealed that the diapering area is not being cleaned with soap and water after each use and the provider is using sanitizing wipes to disinfect the surface after each use. Disinfectant wipes is not an acceptable method to sanitize a diapering area, as the area must be sprayed or dipped in the sanitizing solution and then allowed to air dry .”

Rule 8VAC20-800-690-D.

8VAC20-800-70-A

“Based on a review of children’s files and an interview with the provider, it was determine d that the written information provided to parents at the time of enrollment was not complete. Evidence: Parents were not provided in writing check in and out procedures for child A, child C, who enrolled on 8/1/22, child D, who enrolled on 7/20/22, and child E.”

Rule 8VAC20-800-70-A.

8VAC20-800-920

“Based on observation and interview, it was determined that there was no menu for the current one-week period.”

Rule 8VAC20-800-920.

8VAC20-800-50-A

“Based on observation and interview, it was determined that the provider is not maintaining a written record of children in attendance each day. Evidence: There was no attendance maintained for 7/26/22. There were 4 children present.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-A

“Based on interview, it was determined that the provider failed to maintain an up-to-date record for child A, child B, child C and Child D. Children A, B and C enrolled on 7/11/22 and child D enrolled on 7/26/22.”

Rule 8VAC20-800-60-A.

8VAC20-800-690-D

“Based on observation and interview, it was determined that the diapering surface was not separate from surfaces used for children’s activities; Evidence: The Licensing Inspector observed clothes, boxes, paper, crafts and bags sitting on the diapering surface that the provider uses to change soiled diapers.”

Rule 8VAC20-800-690-D.

8VAC20-800-70-A

“Based on interview, it was determined that there was no written information provided to parents covered under this standard before the children’s first day of attendance. Evidence: There was no written information provided to the parents of child A, B,C and D.”

Rule 8VAC20-800-70-A.

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the findings of the most recent inspection of the facility was not posted.”

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

8VAC20-800-320-B

“Based on observation, it was determined that protective covers were not installed on all unused electrical outlets in the basement, which will be the primary day care space.”

Rule 8VAC20-800-320-B.

8VAC20-800-940-B

“Based on observation and interview, it was determined that there was no refrigerator or freezer thermometer to monitor the temperature in both compartments.”

Rule 8VAC20-800-940-B.