Hamdi Eslaquit

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #2, who had been employed for four months, did not have a central registry search finding that corresponded to the Provider's FDH address.”

8VAC20-800-90-C

“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.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver #2, who had been employed for four months, did not have a completed national criminal background check that corresponded to the Provider's FDH address.”

8VAC20-770-60-B

“Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. The emergency medical authorization for Child #1 was not available for review. Child #1 has been in care for 5 months.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Staff #4 was not completed and was overdue by 8 days..”

8VAC20-800-60-B

“Children's records are required to contain the policy number of the child's medical insurance,. The record for Child #11 was missing the policy number of Child #11's medical insurance. The child was present and had started care of the date of inspection.”

8VAC20-800-70-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 family day home operations and administration. There was no parent acknowledgement available for Child #11 in regard to the FDH's Decision to Administer. Child #11 started care today and was present during the inspection.”

8VAC20-800-780-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 #8 did not have a current parent’s signature for an annual review of the emergency contact information. The last documented review was over 13 months ago.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregivers (#1,#2, #3, and #4) obtained less than 16 hours of training in 2023.”

8VAC20-800-90-C

“Based on review, 2 of 12 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children (who were not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of (2) two years. Evidence - 1. On the date of inspection (04/02/2024), the following children did not have a current immunization page on file: Child #5 (dated - 09/25/2023); and Child #6 (dated - 09/13/2023). 2. On the date of inspection both Child #5 and Child #6 were under the age of 2 years.”

8VAC20-800-140-B-3

“Based on review, 1 of 4 staff files indicated that there is not a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence - 1. On the date of inspection (11/01/2023), the dual certification in both CPR & First Aid for Staff #1 expired on 09/07/2023. 2. No other documentation to show a current certification status was available.”

8VAC20-770-40-D-5

“Based on review, a household member, 14 years of age and older did not have a search of the central registry ( CPS check) available. Evidence - 1. On the date of inspection (11/01/2023) Household Member #4 did not have a CPS check available for review. 2. The Provider had made an error and obtained a current Fingerprint Check (FPC) instead of a search of the central registry. The FPC was reviewed and is on file.”

8VAC20-800-80-A

“Based on review, 1 of 11 children files indicated that a review of documentation for each child's proof of identification was performed within 7 business days of each child's first day of attendance by the Provider. Evidence - 1. On the date of inspection (11/01/2023), documentation of the review of the Proof of Identification for Child #8 was not available. 2. The start date for Child #8 was listed as 01/18/2023.”

8VAC20-800-30-E Complaint related: No

“Based on interviews, the provider failed to ensure that the home's services were conducive to the welfare of one child. Evidence: 1. On 05/04/2023, Staff #1 cut the fingernails of Child #1 (22 months) without parent permission to provide this service. While Staff #1 was cutting the nails, the skin of Child #1's finger was cut and started to bleed. 2. According to Staff #1, Child #1 has a history of scratching other children in care. 3. Staff #1 stated that on 05/04/2023, "[Child #1] scratched [Child #2] right under the eye. I looked at [Child #1]'s nails and they were long so I trimmed her nails." 4. According to Staff #1, one fingernail began to bleed while the fingernails were being cut. Staff #1 stated, "It did bleed a few seconds and I pressed on it and it stopped. I put a little bit of Neosporin on [Child #1]'s pinky." One of three other staff interviewed stated, "I saw [Staff #1] put [Child #1] on her lap and [Staff#1] trimmed her nails. It hurt her a little bit and she cried a little bit. It accidentally cut the skin." 5. Staff #1 stated, "It scared her and when it was clipped, she cried a little bit. It was 20 seconds for her to calm down." 6. Child #1's parent went to pick up Child #1 after work on 05/04/2023. The parent stated, "I said, 'Oh my God' look how short they are. I asked her if [Staff #1] did this to her and she nodded and said 'Mama, boo boo ouch'."”

8VAC20-800-70-A

“Based on review, 1 of 11 children files indicated that not all of the required documentation was contained within each child's file. Evidence - 1. On the date of inspection (05/02/2023), Child #11 did not have a signed FDH Medication Administration Policy form on file. 2. The start date for Child #11 was listed as 04/10/2023.”

8VAC20-800-180-A

“Based on review, 1 of 4 household records indicated that the Provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening (TB) form (in accordance with the requirements in 8VAC20-800-170), every two years. Evidence - 1. On the date of inspection (05/02/2023), TB documentation on file for Household Member #2 was not available for review. 2. Household Member #2 turned 18 years of age earlier this year and now falls under this standard.”

8VAC20-800-90-C

“Based on review, 4 of 11 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children (who were 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 (05/02/2023), the following children needed updated immunization pages: Child #1 (immunization page on file was dated - 09/23/22), Child #3 (immunization page on file was dated - 09/21/22), Child #6 (immunization page on file was dated - 08/12/22), and Child #7 (immunization page on file was dated - 10/05/22). 2. On the date of inspection, those children listed above were all under the age of 2 years.”

8VAC20-800-780-B

“Based on review, 4 of 11 children files indicated that annually, the Provider did not review with the parent the emergency contact information (required in 8 VAC 20-800-60 B 2) to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence - 1. On the date of inspection (05/02/2023), the following children were missing the current annual acknowledgement signed by their parent to verify this review: Child #3 (last review dated - 03/16/22), Child #4 (last review dated - 12/06/21), Child #5 (last review dated - 04/19/22), and Child #8 (last review dated - 04/18/22). 2. This was confirmed on the date of inspection by the Provider.”

8VAC20-770-40-D-5-a

“Based on review, a household member did not have a Child Protective Services ( CPS ) check within 30 days of becoming 14 years old. Evidence - 1. On the date of inspection (05/02/2023), a CPS check was not available for Household Member #4. 2. Based on documentation on file, Household Member #4 turned 14 years of age in last year.”

8VAC20-800-80-B

“Based on review, 2 of 11 children files indicated that the Provider did not verify the identity and age of each child by viewing one of the approved pieces of identification and then documented this review within each child's record. Evidence - 1. On the date of inspection (05/02/2023), the following children did not have a verification of their proof of identification on file: Child #9 (start date - 01/18/23), and Child #11 (start date - 04/10/2023). 2. It appears that this mistake occurred in these 2 files because the Child's Record model form (that has a place for Proof of Identification) was not used. This form was used in the other 9 children files.”

22.1-289.036-B-2

“Based on review, 1 of 4 household records indicated that a fingerprint check (FPC) on file at the Family Day Home (FDH) was older than 5 years. Evidence - 1. On the date of inspection (05/02/2023), the FPC on file for Household Member #1 was dated - 04/16/2018. 2. The Provider confirmed this finding on the date of inspection.”