Cordia Al-Qahhar

8VAC20-790-390-A

“Based on observations, the vendor failed to ensure that children’s hands shall be washed with soap and running water or a disposable wipes before and after eating meals or snacks. Evidence: Child 2 was observed finishing their breakfast and immediately returning to normal activities. Child 2 did not wash their hands after eating a meal.”

8VAC20-790-440-E

“Based on observations, the vendor failed to ensure that tables shall be cleaned and sanitized daily and before and after each use for feeding. Evidence: Child 2 was observed finishing their breakfast. The table used for breakfast was not sanitized after each use for feeding. The children were observed using the table for an art project after it was used for a meal.”

8VAC20-790-180-B

“Based on document review, the vendor failed to maintain a written hard copy of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The written daily attendance did not document the departure of each child.”

8VAC20-800-60-B

“2nd REPEAT VIOLATION Based on record review, the provider failed to ensure that each child’s record shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the first date of attendance. 2. The record for Child 2 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. 3. The record for Child 3 did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (there was only one designated person listed).”

8VAC20-800-100-A

“Based on record review, the provider failed to 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. Evidence: The record for Child 5 contained a documented first day of attendance of 05/01/2023; there was not a physical examination in the record for Child 5.”

8VAC20-790-180-A

“REPEAT VIOLATION Based on record review, the provider failed to obtain a current report of tuberculosis screening every two years from the date of the first screening for each caregiver and household member. Evidence: 1. The most recent tuberculosis screening in the record for Caregiver 2 was dated 05/12/2021; there was not a follow-up screening obtained by 05/12/2023 available for review during the inspection. 2. The most recent tuberculosis screening for Household Member 1 was dated 04/30/2021; there was not a follow-up screening obtained by 04/30/2023 available for review during the inspection.”

8VAC20-800-90-C

“Based on record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The most recent immunization record available for Child 2 was dated 10/22/2022. Documentation of additional immunizations were not obtained every six months for a child under the age of 2 years.”

8VAC20-800-340-C

“Based on observations, the provider failed to ensure that the bathroom shall contain toilet tissue, liquid soap and paper towels. Evidence: The bathroom did not contain liquid soap.”

8VAC20-800-180-A

“Based on record review, the provider failed to obtain a current report of tuberculosis screening every two years from the date of the first screening. Evidence: 1. The most recent tuberculosis screening in the record for Caregiver 1 was dated 04/30/2021; there was not a screening for 2023 available for review during the inspection. 2. The most recent tuberculosis screening in the record for Caregiver 2 was dated 05/12/2021; there was not a screening for 2023 available for review during the inspection.”

8VAC20-800-280

“REPEAT VIOLATION Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food and in areas inaccessible to children. Evidence: 1. There was a spray bottle of Clorox on top of the refrigerator along with boxes of crackers. 2. There was a bottle of Clorox on the kitchen counter beside of the prepared meals.”

8VAC20-800-320-B

“Based on observations, the provider failed to ensure that child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: 1. There was an uncovered electrical outlet in the childcare room that was accessible to the children. 2. There was an uncovered electrical outlet in the kitchen that was accessible to the children.”

8VAC20-800-730-D

“REPEAT VIOLATION Based on observation, the provider failed to ensure that medication, including medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were two epi-pen stored in the first aid kit located on the top of a tall filing cabinet. The first aid kit was not locked to prevent access by children. 2. There was a tube of Ben-Gay on the shelf over the toilet that was not locked to prevent access by children.”

8VAC20-800-60-B

“REPEAT VIOLATION Based on record review, the provider failed to ensure that each child’s record shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the first date of attendance. 2. The record for Child 4 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

8VAC20-800-180-A

“Based on record review, the provider failed to obtain a current report of tuberculosis screening every two years from the date of the first screening. Evidence: 1. The most recent tuberculosis screening in the record for Caregiver 1 was dated 04/30/2021; there was not a screening for 2023 available for review during the inspection. 2. The most recent tuberculosis screening in the record for Caregiver 2 was dated 05/12/2021; there was not a screening for 2023 available for review during the inspection.”

8VAC20-800-280

“REPEAT VIOLATION Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food and in areas inaccessible to children. Evidence: 1. There was a spray bottle of Clorox on top of the refrigerator along with boxes of crackers. 2. There was a bottle of Clorox on the kitchen counter beside of the prepared meals.”

8VAC20-800-320-B

“Based on observations, the provider failed to ensure that child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: 1. There was an uncovered electrical outlet in the childcare room that was accessible to the children. 2. There was an uncovered electrical outlet in the kitchen that was accessible to the children.”

8VAC20-800-730-D

“REPEAT VIOLATION Based on observation, the provider failed to ensure that medication, including medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were two epi-pen stored in the first aid kit located on the top of a tall filing cabinet. The first aid kit was not locked to prevent access by children. 2. There was a tube of Ben-Gay on the shelf over the toilet that was not locked to prevent access by children.”

8VAC20-800-60-B

“REPEAT VIOLATION Based on record review, the provider failed to ensure that each child’s record shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the first date of attendance. 2. The record for Child 4 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

8VAC20-800-280

“Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food and in areas inaccessible to children. Evidence: 1.There was a spray bottle of Kaboom cleaner in the bathroom floor that was accessible to children. 2. There were several containers of bleach, sanitizing wipes and Kaboom cleaner in the floor beside of the stove in the kitchen that were accessible to children. 3. There were 2 aerosol cans of Lysol and 2 containers of sanitizing wipes on top of the refrigerator along with the boxes of cereals.”

8VAC20-800-60-B

“Based on record review, the provider failed to ensure that each child’s record shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain the following information: the parent’s signed acknowledgement of the receipt of the information required by the standards; and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. 2. The record for Child 4 did not contain the following information: the parent’s signed acknowledgement of the receipt of the information required by the standards (the 2nd page was missing); and documentation of the review of the child’s emergency contact information as required (the most recent review took place on 09/20/2021). 3. The record for Child 5 did not contain the following information: the parent’s signed acknowledgement of the receipt of the information required by the standards (the 2nd page was missing); and documentation of the review of the child’s emergency contact information as required (the most recent review took place on 09/13/2021).”

8VAC20-800-730-D

“Based on observation, the provider failed to ensure that medication, including medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was a gallon zip-lock bag with numerous prescription medications for household members on a high shelf near the changing table; the medication was not locked to prevent access by children. 2. There was a bottle of Tylenol in the window sill of the kitchen; the medication was not locked to prevent access by children. 3. There were two epi-pen stored in the first aid kit located on the top of a tall filing cabinet. The first aid kit was not locked to prevent access by children.”

8VAC20-800-460-D

“Based on record review, the provider failed to ensure that dogs and cats shall be vaccinated for rabies. Evidence: The most recent 1 year rabies vaccination for Pet 1 was administered on 08/27/2021; an updated rabies vaccination was due in 08/2022.”

8VAC20-800-340-C

“Based on observation, the provider failed to ensure that the bathroom shall contain toilet tissue, liquid soap, and paper towels. Evidence: There was no liquid soap in the bathroom.”

8VAC20-790-190-B-12

“Based on record review and discussion, the vendor failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a confirmed or suspected allergic reaction. Evidence: 1. The record for Child 2 contained documentation of a diagnosed food allergy. There was not a written care plan from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a confirmed or suspected allergic reaction in the record for Child 2. 2. The record for Child 5 contained documentation of a diagnosed food allergy. There was not a written care plan from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a confirmed or suspected allergic reaction in the record for Child 5.”

8VAC20-800-830-A

“Based on document review and discussion, the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: Emergency evacuation drills were not practiced in March 2022 or April 2022.”

8VAC20-800-730-D

“Based on observation and discussion, the provider failed to ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There was an epi-pen stored in the first aid kit located on the top of a tall filing cabinet. The first aid kit was not locked to prevent access by children.”

8VAC20-800-790

“Based on observation and discussion, the provider failed to ensure that required telephone numbers shall be posted in a visible area close to the telephone. Evidence: The telephone number for the responsible person for emergency backup care was not posted in a visible area close to the telephone.”

8VAC20-790-190-B-12

“Based on record review and discussion, the vendor failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a confirmed or suspected allergic reaction. Evidence: 1. The record for Child 2 contained documentation of a diagnosed food allergy. There was not a written care plan from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a confirmed or suspected allergic reaction in the record for Child 2. 2. The record for Child 5 contained documentation of a diagnosed food allergy. There was not a written care plan from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a confirmed or suspected allergic reaction in the record for Child 5.”

8VAC20-800-830-A

“Based on document review and discussion, the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: Emergency evacuation drills were not practiced in March 2022 or April 2022.”

8VAC20-800-730-D

“Based on observation and discussion, the provider failed to ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There was an epi-pen stored in the first aid kit located on the top of a tall filing cabinet. The first aid kit was not locked to prevent access by children.”

8VAC20-800-790

“Based on observation and discussion, the provider failed to ensure that required telephone numbers shall be posted in a visible area close to the telephone. Evidence: The telephone number for the responsible person for emergency backup care was not posted in a visible area close to the telephone.”

8VAC20-800-920

“Based on observations and discussion, the provider failed to ensure that when meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated; given to parents or posted in an area accessible to parents; list any substituted food; and kept on file for one week at the family day home. Evidence: The provider stated that breakfast, lunch and an afternoon snack is provided for children in care. There was not a menu for breakfast and afternoon snack posted; only a lunch menu was posted.”

8VAC20-800-320-B

“Based on observations and discussion, the provider failed to ensure that child-resistant protective covers shall be installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1. There was an uncovered unused electrical outlet in the day care room of the home. 2. There were 2 uncovered unused electrical outlets in the kitchen of the home. 3. All children in care during the 12/16/2021 inspection were under the age of 5 years.”

8VAC20-800-60-B

“Based on record review and discussion, the provider failed to ensure that each child’s record contained all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the names and addresses of previously attended child day care and schools. 2. The record for Child 2 did not contain the first date of attendance. 3. The record for Child 3 did not contain the first date of attendance; and the names and addresses of previously attended child day care and schools. 4. The record for Child 4 did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (one of the two persons listed was a parent); policy number of the child’s medical insurance; and the names and addresses of previously attended child day care and schools.”