Laiba Sheikh

8VAC20-800-80-C

“The provider shall document in the child's record: the method of verification of the child's age and identity. The records for Child #1 and Child #2 did not have the date or signature of the person viewing the documentation, verifying the child's age and identity.”

8VAC20-800-920

“Menus. When meals or snacks are provided by the family day home, the menu for the current one-week period shall: Be dated, Be given to parents or posted or placed in an area accessible to parents; List any substituted food; and be kept on file one week at the family day home. No menu was available for review.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for household member 1 & household member 2 was not completed and was overdue by three months.”

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Caregiver 1 did not have central registry search results during the inspection and has been employed for over 45 days.”

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening for Caregiver 1, who has been caring for children for over one month.”

22.1-289.036-A

“The Family Day Home is required to have household members to undergo background checks every 5 years. Household member 1 and household member 2 each had an expired background check by over one month. Household member 3 had an expired background check by over 10 months.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. The background check for Caregiver 1 was completed 1 month after their first date of employment.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: 1. Child #2's record does not contain the families medical insurance policy number. 2. Child #6's record does not contain the child's first date of attendance and the families medical insurance policy number. 3. Child #6's record does not contain the families medical insurance policy or policy number.”

8VAC20-800-90-C

“Based on record review, the families has not obtain documentation of additional immunizations for each child under the age of two years. Evidence: Child #1 (11 months) most recent immunizations are dated from when the child was 2 months old.”

8VAC20-800-750-A

“Based on record review and interview, the provider did not obtained authorizations to apply topical skin products prior to using on the children. Evidence: Child #4 and Child #5 were observed having sunscreen applied. The provider did not have authorizations to apply the sunscreen.”

8VAC20-800-750-D

“Based on observation, product were used be used beyond the expiration date. Evidence: 1. Child #4 was observed having sunscreen applied before going outside to play. The child's sunscreen expired 9/2021. 2. Child #5 was observed having sunscreen applied before going outside to play. The child's sunscreen expired 8/2022.”

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child's full name and the date. Evidence: Two bottles were observed with Child #1's name. The bottles were not dated.”

8VAC20-800-830-C

“Based on record review and interview, documentation of emergency evacuation and shelter-in-place drills was not maintained. Evidence: The most recent documented emergency drill was dated 11/18/2022. The provider stated that they must have forgotten to write them down.”

8VAC20-800-920

“Based on record review, menu requirements were not met. Evidence: The weekly menu was not dated.”

8VAC20-800-800-B

“Based on record review, the provider has not reviewed the emergency plan at least annually. Evidence: The most recent review of the emergency preparedness plan was dated 8/5/2020.”

8VAC20-800-180-A

“Based on record review, each caregiver and/or adult household member has not obtained a repeat tuberculosis (TB) screening every two years. Evidence: Household member #1's TB screening expired on 12/5/2022 and has not been renewed.”

8VAC20-800-60-A

“Based on record review and interview, children's records were not reviewed annually. Evidence: Child #1 (date of enrollment: 6/1/2021) and Child #5 (date of enrollment: 7/5/2021) records have not been reviewed for accuracy since enrollment.”

8VAC20-800-50-A

“Based on record review, the family day home does not keep a written record of children in attendance each day. Evidence: At the start of the inspection, the provider had not yet completed attendance for the day. When asked when the most recent inspection was completed, the provider showed an attendance sheet dated from the week prior. The last day the provider had documented attendance was 12/9/2022.”

8VAC20-800-920

“Based on record review, menu requirements were not met. Evidence: The weekly menu was not dated.”

8VAC20-800-830-A

“Based on record review and interview, emergency evacuation drills were not practiced monthly. Evidence: There is no documentation of an evacuation drill practiced in January 2022. The provider confirmed that a drilled had been forgotten.”

8VAC20-800-800-B

“Based on record review, the provider has not reviewed the emergency plan at least annually. Evidence: The most recent review of the emergency preparedness plan was dated 8/5/2020.”

22.1-289.035-A

“Based on record review and interview, the provider did not obtain a background check for each employee every five years. Evidence: Caregiver #2s central registry background check was dated 4/12/2017 and had expired on 4/12/2021. The expired central registry background check was not renewed until 11/18/2022.”

8VAC20-800-60-B

“Based on record review, children's records do not contain all required information. Evidence: 1. Child #2's record does not contain documentation that the family had been informed of the providers medication policy, emergency preparedness plan, or insurance declaration. 2. Child #3's record does not contain the families medical insurance policy number. 3. Child #4's record does not contain the child's first date of attendance or the families medical insurance policy number. 4. Child #5's record does not contain the families medical insurance policy number.”

8VAC20-800-90-C

“Based on record review, the family day home has not obtained documentation of additional immunizations every 6 months for each child under the age of two years. Evidence: Child #3 (18 months) most recent immunizations are dated from when the child was 6 months.”

8VAC20-800-180-A

“Based on record review, each caregiver and/or adult household member has not obtained a repeat tuberculosis (TB) screening every two years. Evidence: 1. Caregiver #1's TB screening expired on 9/10/2022 and was renewed on 9/16/2022. 2. Caregiver #2's TB screening expired on 6/15/2021 and was renewed on 10/24/2022. 3. Household member #1's TB screening expired on 12/5/2022 and has not been renewed.”

8VAC20-800-210-A

“Based on record review and interview, each caregiver has not obtained 16 hours of training in areas relevant to their jobs annually. Evidence: 1. Caregiver #2 has not completed any training since 2019. 2. Caregiver #3 and Caregiver #4 have not completed any training.”

8VAC20-820-120-E-2

“Based on record review, the findings of the most recent inspection of the facility were not posted. Evidence: The inspection posted at the family day home is dated 12/7/2020, however the most recent inspection was on 11/21/2021.”

22VAC40-111-60-A

“Based on record review and interview, children's records were not reviewed annually. Evidence: Child #1 (date of enrollment: 1/8/2019) record did not contain documentation that the child's record had been reviewed annually to ensure all contact information was up-to-date.”

22VAC40-111-80-A

“Based on record review, the provider has not obtained verification of the age and identity of each child within the first seven business days of enrollment. Evidence: 1. Child #2 (date of enrollment: 6/1/2021) file does not contain documentation that the child's identity has been verified. 2. Child #4 (date of enrollment: 11/2/2020) file does not contain documentation that the child's identity has been verified.”