Farzana Abrar

8VAC20-800-60-B

“A child’s record shall contain documentation of an annual review of the child emergency contact information. There was no annual review of the emergency contacts for child A, B, C and D, all overdue by 2 months.”

Rule 8VAC20-800-60-B.

Before a child may attend the family day home, the provider shall 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.

“There was no immunization record on file for child A, this information was overdue by three weeks.”

Rule 8VAC20-800-90-A.

The family day home shall obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

“There were no Out of State Criminal Record, Child Abuse and Neglect nor Sex Offender Registry Checks requested or obtained for household member A. The requests should have been made within 30 days of residing in the home. These requests were overdue by 8 months.”

Rule 22.1-289.035-B-4.

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.

“There was no physical on file for child A, the physical was overdue by 8 months.”

Rule 8VAC20-800-100-A.

Each immunization report shall include the dates immunizations were received and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“The immunization record for child A was not signed by a physician/designee. The signature was overdue by 9 months.”

Rule 8VAC20-800-110-B.

A child’s record shall contain certain information such as the name, address and phone number of the child’s physician and documentation that a child’s emergency contact information has been updated annually.

“There was no physician information on file for child B, this information was overdue by over two years. There has been no annual review of child B’s emergency contact information which was due annually in 2023 to the present.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided in writing the following information such as policies, procedures, authorization to seek emergency care, agree to pick up their child if they become ill etc.

“The parents of child A were not provided in writing the providers policies and procedures nor authorizations to seek emergency care.”

Rule 8VAC20-800-70-A.

22.1-289.057-A

“Each licensed program that serves preschool-age children shall develop and implement a plan to test potable water for lead from sources identified by the U.S.EPA. The provider has not developed or implemented a plan to test their water for lead.”

Rule 22.1-289.057-A.

8VAC20-800-830-A

“Emergency evacuation procedures shall be practiced monthly with all caregivers and children in care. There was no monthly escape drill practiced for May 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-100-A

“Based on review, the provider did not ensure that they obtained documentation of a physical examination for each child within 30 days after the first day of attendance. Evidence: Reviewed 2 children’s records and found that Child 1 did not have documentation of a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Based on review, the provider did not ensure that children’s records were maintained with the required information. Evidence: Reviewed 2 children’s records and found the following: 1) Child 1 did not have documentation of emergency medical authorization 2) Child 2 did not have documentation of addresses for either emergency contact 3) Child 1 did not have documentation of liability insurance notification”

Rule 8VAC20-800-60-B.

22.1-289.058

“Based on observation, the provider did not ensure that they had a carbon monoxide detector. Evidence: observed that there was not a carbon monoxide detector in the home.”

Rule 22.1-289.058.

8VAC20-800-240-A

“Based on observation, the provider did not ensure that the areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: observed in the backyard, along the back fence, a plank missing, allowing for children’s arms or legs to fit through.”

Rule 8VAC20-800-240-A.

8VAC20-800-730-D

“Based on observation, the provider did not ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: observed aspirin and ibuprofrin accessible to children in a first aid kit that was stored in a closet that was unlocked.”

Rule 8VAC20-800-730-D.

8VAC20-800-940-B

“Based on observation, the provider did not ensure that they had an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: observed that the provider did not have an operable thermometer in the refrigerator or the freezer.”

Rule 8VAC20-800-940-B.