Rani Venkatesan

Each report shall include the date of the physical examination and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“The records for Children #2 and #3 contained physical examinations that were not signed.”

Rule 8VAC20-800-110-B.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding whether or not there is liability insurance.

“There were no parent acknowledgements available for two children who have been in care for one month.”

Rule 8VAC20-800-70-B.

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

“There was no documentation of immunizations for Children #2 and #3, who were in care during the inspection and had been in care for a month.”

Rule 8VAC20-800-90-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 was no physical exam record available for Child #1, who has been in care for more than seven months.”

Rule 8VAC20-800-100-A.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“Four electrical outlets did not have a protective cover and were accessible to children. The youngest child was 13 months.”

Rule 8VAC20-800-320-B.

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.

“The physical exam for child #1 was received 55 days after the first day of attendance.”

Rule 8VAC20-800-100-A.

Children shall be protected from materials that could be swallowed or present a choking hazard. Toys or objects less than 1-1/4 inches in diameter and less than two inches in length shall be kept out of reach of children under the age of three years.

“An object smaller that 1 inch was accessible to three children present who were under the age of 3 years.”

Rule 8VAC20-800-250-B.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“An unused electrical outlet did not have a protective cover. This outlet was accessible to children under the age of 5 years who were present during the inspection.”

Rule 8VAC20-800-320-B.

Outdoor play equipment shall meet the following requirements:swings shall have flexible seats of rubber, canvas, or nylon.

“The newly installed playset located in the backyard has 3 swings that are not flexible.”

Rule 8VAC20-800-500-D.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“Medication was located in the refrigerator unlocked.”

Rule 8VAC20-800-730-D.

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The most recent findings from the licensing inspection on 10/29/2024 was not posted in a conspicuous place in the family day home.”

Rule 22.1-289.011-F.

Materials and supplies such as, but not limited to, cleaning agents shall be stored away from food in areas inaccessible to children

“A cleaning agent was stored near food in a cabinet in the kitchen. This area was accessible to a child in care.”

Rule 8VAC20-800-280.

The bathroom shall be kept clean and contain a working toilet and sink, toilet tissue, liquid soap, and paper towels.

“The bathroom used for children in care did not have accessible paper towels.”

Rule 8VAC20-800-340-C.

Equipment and materials used by a child shall be appropriate to the age, size, ability, and interest of the child.

“Child #1(23months) slept in a crib that had a mattress assembled at a height that was not appropriate for Child #1’s age and ability.”

Rule 8VAC20-800-480-B.

Children’s records are required to contain parent’s work addresses, 2 emergency contacts, copies of immunization records and names of persons other than the custodial parents who are authorized to pick up the child .

“The record for Child #1 did not contain the employment address and phone number for 1 parents and the names, addresses and phone number for 2 emergency contacts and names of those authorized to pick the child up. The child was present during the inspection and has been enrolled for 1 day.”

Rule 8VAC20-800-60-B.

The provider shall obtain the parents’ written acknowledgement of the receipt of the information regarding family day home operations.

“There was no written acknowledgements from Child #1’s parents that they received information regarding whether or not there is liability insurance and policies for the administration of medications.”

Rule 8VAC20-800-70-B.

When topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used, Written parent authorization noting any known adverse reactions shall be obtained at least annually and the product shall be in the original container and, if provided by the parent labeled with the child’s name.

“A topical ointment for Child #1 was not labeled with their name and a parent authorization was not obtained. Child #1 was in care during the inspection and had been enrolled for 1 day.”

Rule 8VAC20-800-750-A.

The provider shall document in the child’s record the method of verification of the child’s age and identity.

“The provider did not document the method of verification of Child #1’s age and identity.”

Rule 8VAC20-800-80-C.

When food is brought from home, the food container shall be clearly labeled in a way that identifies the owner.

“Food brought from home was not labeled with Child #1’s name.”

Rule 8VAC20-800-890.

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

“There was no documentation of immunizations for Child #1, who was in care during the inspection and had been enrolled for 1 day.”

Rule 8VAC20-800-90-A.

Areas of the family day home, inside and outside shall be maintained in a safe condition.

Rule 8VAC20-800-240-A.

The provider shall comply with the requirements or recommendations made by the fire prevention or building officials to eliminate fire hazards.

“A fire extinguisher was not found in the home.”

Rule 8VAC20-800-320-I.

Hot water at taps available to children shall be maintained within a range of 105?F to 120?F.

“The water temperature taken from the bathroom sink designated for children had a reading of 130 degrees.”

Rule 8VAC20-800-350-E.

Each child who is two years of age and older shall have access to an individual location in which to keep clothing, toys, and belongings.

“Individual locations to keep children’s clothing, toys and belongings was not available.”

Rule 8VAC20-800-390-A.

A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times.

“A battery-operated weather band radio with extra batteries was not found in the family day home.”

Rule 8VAC20-800-770.

The family day home shall have a written emergency preparedness and response plan that includes shelter in place and evacuation procedures.

“The provider’s emergency preparedness plan did not address the following: 1. The safety of children at assembly points and plans for relocation and methods to contact parents. 2. The most likely to occur scenarios, including but not limited to fire, severe storms, flooding, tornadoes, and loss of utilities 2. Provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents.”

Rule 8VAC20-800-800-A.