Kokab Deen

A tuberculosis (TB) screening is required every two years from the last screening.

“Updated TB screenings for Caregiver #1 and Caregiver #2 were not completed and was overdue by four months.”

Rule 8VAC20-790-180-A.

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 documentation of a physical exam was not available for Child #4, who had been in care for over 90 days.”

Rule 8VAC20-800-100-A.

The provider shall obtain the parent’s written acknowledgement of the receipt of all required information before the child’s first day of attendance.

“A signed liability declaration form was not available for review for Child #4, and was unsigned for Child #6.”

Rule 8VAC20-800-70-B.

Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and to obtain the parent’s signed acknowledgment of the review.

“The last documented review of the parent emergency contact information for Child #1 & #2 was 14 months ago; and the last documented review for Child #5 was 13 months ago.”

Rule 8VAC20-800-780-B.

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.

“Documentation of a physical examination for Child #4 was not available for review. Child #4 has been in care for over seven (7) months. This standard was cited in a previous inspection.”

Rule 8VAC20-800-100-A.

The provider shall obtain the parent’s written acknowledgement of the receipt of the information given.

“The Parent information Form for Child #5 (6 months in attendance) was not signed by their parent. The Liability Declaration Form for Child #6 (3 months in attendance) was not signed by their parent.”

Rule 8VAC20-800-70-B.

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.

“The record for Child #3 did not have a parent’s current signature for an annual review of the emergency contact information. The last review was documented over 15 months ago.”

Rule 8VAC20-800-780-B.

The provider shall verify the identity and age of a child within seven business days of the child’s first day of attendance at the family day home (FDH).

“Documentation of the Proof of Identification for Child #6 was not available for review. This child has been enrolled for 3 months.”

Rule 8VAC20-800-80-A.

The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“An updated immunization page for Child #1 (under 2 years of age) is two (2) months past due.”

Rule 8VAC20-800-90-C.

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 were no physical exam records available for Child #6, who had been in care for over 60 days.”

Rule 8VAC20-800-100-A.

Children’s records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached;

“The record for Child #6 was missing the information for a second emergency contact. The child was present during the inspection and had been in care for two months.”

Rule 8VAC20-800-60-B.

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

“Child #1, 12 months old, last documented immunization was over 6 months ago.”

Rule 8VAC20-800-90-C.

Children shall not be allowed to eat or drink while lying down.

“Child #5 (who could hold their bottle) was observed drinking from it while lying down.”

Rule 8VAC20-800-900-B.

Based on review, 1 of 6 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the child’s first day of attendance.

“Evidence - 1. On the date of inspection (09/04/2024), documentation of a physical examination was not available for review for Child #5. 2. The start date for Child #5 was listed as 05/28/2024. 3. This same standard was cited during the previous inspection conducted on 06/25/2024.”

Rule 8VAC20-800-100-A.

Based on review, 1 of 6 children files indicated that not all of the required information was on file.

“Evidence - 1. On the date of inspection (09/04/2024), the policy number for the medical insurance listed for Child #5 was not available. 2. The start date for Child #5 was listed as 05/28/2024.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 6 children files indicated that not all of the required documentation was complete and/or correct.

Rule 8VAC20-800-70-B.

Based on review, 2 of 6 children files indicated that annually, the Provider did not review with the parent the emergency contact information (as required in 8VAC20-800-60 B 2) to ensure that the information was correct, and obtained the parent’s signed acknowledgment of this review.

“Evidence - 1. On the date of inspection (09/04/2024), the following children had annual reviews older than 1 year: Child #3 (last review documented on 08/31/2023), and Child #4 (last review documented on 11/01/2022. 2. This same standard was cited during the previous inspection conducted on 06/25/2024.”

Rule 8VAC20-800-780-B.

Based on review, 1 of 6 children files indicated that the proof of identification was not established within 7 days of the child’s start date.

“Evidence - 1. On the date of inspection (09/04/2024), the Proof of Identification for Child #5 was not available for review. 2. The start date listed for Child #5 was 05/28/2024. 3. This same standard was cited during the previous inspection conducted on 06/25/2024.”

Rule 8VAC20-800-80-A.

Based on review, 2 of 4 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after their first day of attendance.

“Evidence - 1. On the date of inspection (06/25/2024), documentation of a physical was not available for review for: Child #2 (start date - 06/05/2023), and Child #4 (start date - 11/01/2021). 2. Both Child #2 and Child #4 were in care on the date of inspection.”

Rule 8VAC20-800-100-A.

Based on review, 4 of 4 children files indicated that not all of the required documentation was not available.

“Evidence - The following documentation (signed by the child’s parent and used as written acknowledgement of the receipt of this information) was not on file: 1. The Information for Parents form - Child #2 2. Medication Administration - Decision to Administer form - Child #1, #2, #3, #4 3. Provisions of the Emergency Preparedness & Response Plan form - Child #1, #2, #3, #4 4. Liability Declaration form - Child #1, #2, #3, #4”

Rule 8VAC20-800-70-B.

Based on review, 3 of 4 children files indicated that annually, the Provider did not review with the parent, the emergency contact information (required in 8VAC20-800-60 B 2) to ensure the information was correct, and obtain the parent’s signed acknowledgment of this review.

“Evidence - On the date of inspection (06/25/2024), the following children had out of date reviews: 1. Child #1 (last review was dated - 10/03/2022) 2. Child #2 (last review was dated - 06/04/2023) 3. Child #4 (last review was dated - 11/01/2022)”

Rule 8VAC20-800-780-B.

Based on review, 1 of 4 children files reviewed indicated that documentation of each child’s proof of identification was on file within seven business days of the child’s start date.

“Evidence - 1. On the date of inspection (06/25/2024), documentation of the proof of identification for Child #2 was not available for review. 2. The start date for Child #2 was listed as 06/05/2023.”

Rule 8VAC20-800-80-A.

Based on review, 1 of 4 children files indicated that the Family Day Home did not obtain documentation of additional immunizations (for a child who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (06/25/2024), the current immunization page on file for Child #3 was dated - 09/11/2023. 2. Based on information on file, on the date of inspection, Child #3 was under the age of two years.”

Rule 8VAC20-800-90-C.