Fozia Hussain

8VAC20-800-60-B

“Children's records are required to contain 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 #4 was missing an address for 1 of 2 emergency contacts. The child was present during the inspection and had been enrolled for 171 days.”

22.1-289.036-A

“The provider is required to have adults living in the family day home undergo a background check every five years. The most recent sworn statement for household member A was overdue by 112 days.”

8VAC20-800-800-B

“The provider must review the emergency plan at least annually and update the plan as needed. The annual review of the emergency plan was overdue by five months.”

8VAC20-800-100-A

“The provider must 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 #2, who had been in care for 289 days.”

8VAC20-800-170-B

“The Initial tuberculosis screening form for caregivers must have been completed within 30 days of employment. Caregiver #3's tuberculosis screening form was completed 107 days prior to employment.”

8VAC20-800-800-B

“The provider must review the emergency plan at least annually and update the plan as needed. The annual review of the emergency plan was overdue by eleven days.”

8VAC20-800-960-E

“Bottles must be refrigerated and labeled with the child's full name and the date, if more than one infant is in care. Child #4 had two bottles of milk without any date labeling.”

8VAC20-800-140-B-4

“Substitute providers must have current certification in first aid. Staff #2's first aid certification expired and overdue for renewal by one month.”

8VAC20-800-140-B-3

“Substitute providers must have current certification in cardiopulmonary resuscitation (CPR). Staff #2's CPR certification expired and overdue for renewal by one month.”

8VAC20-800-780-B

“Annually, the provider must 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. Records for child #1 did not have a parent’s signature for an annual review of the emergency contact information and was overdue by twenty-one days.”

22.1-289.036-A

“Based on record review, the provider did not have a record of a five-year repeat criminal background check for a household member. Evidence: Household Member #1's criminal background check record expired March 2023.”

8VAC20-800-120-B

“REPEAT VIOLATION Based on record review and interview, provider did not complete a reference for a caregiver prior to employment. Evidence: Caregiver #2 hired in February, 2024 but one reference check was completed a day after hire date.”

8VAC20-800-60-B

“Based on record review, children's records did not contain the required information. Evidence: 1. Child #1 has been enrolled since May, 2024 and was missing proof of identity. 2. Child #2 & Child #4's annual review of emergency contacts was last completed on 2/01/2023. 3. Child #3's annual review of emergency contacts was last completed on 1/19/2023. 4. Child #6 enrolled early 2024 was missing proof of identity and results of the health examination.”

8VAC20-800-540-A

“Based on observation and interviews, the provider did not use a crib according to the manufacturer's instructions and when occupied by a child. Evidence: 1. Child #2 is 3 years old and was observed using a crib for napping. 2. Provider stated the child was placed in the crib because he walks around during nap.”

22.1-289.035-B-2

“REPEAT VIOLATION Based on record review and interview, the provider did not obtain results of a fingerprint based criminal record check ( CRC ) for an employee prior to the first day of employment. Evidence: Caregiver #2 hired in February, 2024 but fingerprint criminal record check results were obtained on 02/28/2024.”

8VAC20-800-120-B

“Based on records review, records for assistants were not complete. Evidence: Caregiver # 1's record was missing written documentation of 2 reference checks and information for an emergency contact.”

22.1-289.035-B-2

“Based on staff interview, the family day home did not obtain results of a fingerprint based criminal record check ( CRC ) for an employee, prior to the first day of employment. Evidence: 1. The provider stated that Caregiver # 1's first day of employment was 1/17/24. 2. The provider stated that an appointment has already been made for Caregiver # 1 to complete the fingerprinting process.”

8VAC20-800-690-D

“Based on staff interview, the diapering surface was not being cleaned after each use. Evidence: The provider stated that she was using disinfectant wipes and bleach/water solution to sanitize the diaper pad; and that she was not using the soap and water solution to clean the diaper pad prior to sanitizing it.”

8VAC20-800-320-A

“Based on observation, small electrical appliances were not unplugged while not in use. Evidence: 1 toaster in the daycare area, 1 electric kettle and 1 coffee machine in the home's main kitchen were found plugged in while not in use.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain a subsequent tuberculosis (TB) screening for each caregiver, every two years. Evidence: Caregiver # 1's most recent TB screening expired on 11/30/22.”

8VAC20-800-280

“Based on observation, cleaners were not stored away from food and inaccessible to children. Evidence: The kitchen counter where children's food and milk bottles were stored had a bottle of bleach and water solution. The bottle was within reach of children.”

8VAC20-800-530-D

“Based on observation, linens were not cleaned when soiled. Evidence: A crib sheet in one crib was dirty with stains and food crumbs all over it while in the crib.”

8VAC20-800-100-A

“Based on records review, the provider did not obtain documentation of a physical examination for a child within 30 days of enrollment. Evidence: Child # 3's first day of enrollment was 2/2/22. Child # 3's physical exam has not been obtained to this date.”

8VAC20-800-960-E

“Based on observation, bottles were not labeled with children's full names and the date. Evidence: 1. 5 infant bottles for children in care were not labeled with name and date. 2. 1 bottle for had a name but was not dated.”

8VAC20-800-750-A

“Based on staff interview, the provider did not obtain written parent authorization for a topical ointment used for a child in care. Evidence: A diaper ointment was on site for Child # 4. The provider stated that she did not have written permission form the parents to apply this ointment.”

8VAC20-800-60-B

“Based on records review, children's records did not have complete information. Evidence: 1. Child # 1and Child # 2's record was missing information for people authorized to pick up in case of an emergency. 2. Child # 2's record was annually updated. The last update was completed on 12/31/21. 3. Child # 3's record was missing the medical insurance policy number and authorization for emergency medical care. 4. Child # 5's record was missing the authorization for emergency medical care.”

8VAC20-800-60-B

“Based on records review, children's records did not have complete information. Evidence: Child # 2's record was missing the authorization for emergency medical care.”

8VAC20-800-960-E

“Based on observation, bottles were not labeled with children's full names and the date. Evidence: 1. Two bottles for Child # 1's were not labeled with name and date. 2. One bottle for Child # 2's bottle was not dated.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain a subsequent tuberculosis (TB) screening for each adult household member, every two years. Evidence: Household Member # 1's most recent TB screening expired on 2/11/22.”

8VAC20-800-90-A

“Based on records review the provider did not obtain documentation of child's immunization record prior to the first day of attendance. Evidence: Child # 1's first day of attendance was 6/6/22. Child # 1's immunization record was not obtained to this date.”

8VAC20-800-960-E

“Based on observation, bottles were not dated. Evidence: Two bottles for an infant in care were not dated.”