Ms. Huma Farrukh

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. According to Provider records, the plan was last reviewed 3 years ago.”

8VAC20-800-330-A

“(Repeat Violation) A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate. A proper landline telephone was not present in the home.”

22.1-289.057-A

“(Repeat Violation) The Provider is required to ensure that they have completed the required potable water testing for lead. The Provider did not complete the required lead testing.”

22.1-289.011-F

“The Provider is required to post the current license and findings of the most recent licensing inspection of the facility. The most recent licensing inspection of the home and the license was not posted.”

22.1-289.057-A

“The Provider is required to ensure that they have completed the required potable water testing for lead. The Provider did not complete the required lead testing.”

8VAC20-800-330-A

“(Repeat Violation) The Provider is required to equip the home with a landline telephone, excluding a cordless or cell phone, that is available and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. A proper landline telephone was not present in the home.”

8VAC20-800-790

“The Provider is required to ensure that they had posted in a visible area close to the phone, 911 or local number for police, fire, and emergency medical responders; the responsible person for emergency backup care; and the regional poison control center. Evidence: There were no emergency numbers posted for 911, local police, fire, and emergency medical services, the emergency backup care person, or the number for poison control.”

8VAC20-800-780-B

“The Provider is required to have parents conduct an annual review of children’s emergency contact information and obtain the parent’s acknowledgment of the review. Evidence: The record for Child #1 and Child #2 did not contain documentation of an annual review of the children’s emergency contacts, nor did the records contain parent acknowledgment of the review.”

8VAC20-800-330-A

“The Provider is required to equip to home with a landline telephone, excluding a cordless or cell phone, that is available and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. Evidence: A proper landline telephone was not present in the home.”

8VAC20-800-800-B

“The Provider is required to review the emergency plan at least annually and update the plan as needed. Evidence: According to Provider records, the plan was last reviewed over 18 months ago.”

8VAC20-800-90-C

“Based on review of 3 child records, the provider did not ensure they obtained documentation of additional immunizations for a child who is not exempt from the immunization requirements once every 6 months for children under the age of two years. Evidence: 1)The record for Child #1 (age 2) did not contain immunizations once every 6 months for a child under the age of 2 years. The last immunization documentation contained in the record was dated 6/14/23 when the child was 18 months old. 2)The record for Child #2 (age 22 months) did not contain immunizations once every 6 months for a child under the age of 2 years. The last immunization documentation contained in the record was dated 8/11/23 when the child was 12 months old.”

22.1-289.011-F

“Based on observation and staff interview, the center did not ensure they post the findings of the most recent licensing inspection of the facility. Evidence: The last inspection posted was dated 7/11/23, and the last inspection completed was on 11/16/23 and was not posted.”

8VAC20-800-830-A

“Based on documentation and Provider interview, the Provider did not practice monthly emergency evacuation drills with the children in care. Evidence: The Provider provided documentation that there were no emergency evacuation drills completed in November 2023, December 2023, January 2024, and March 2024.”

8VAC20-800-210-A

“Based on review of 2 Caregiver records and Provider interview, the Provider did not ensure that all caregivers obtain a minimum of sixteen clock hours of training annually. Evidence: The record for the Provider did not contain documentation of the completion of 16 hours of training in the last year. The Provider confirmed during inspection that they had only completed 13 out of the 16 hours of training required.”

8VAC20-800-540-A

“Based on observation, the provider did not ensure that a safety strap was used and securely fastened in an infant seat that was occupied. Evidence: During inspection, an infant was seated in an high chair where the safety straps were not fastened.”

8VAC20-800-430-A

“(Repeat Violation) Based on observation, the Provider did not ensure that children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. Evidence: The barrier to block children under the age of 2 years old from climbing or descending a set of wood stairs on the main level of the home does not reach to floor so children are able to climb or descend the stairs.”

8VAC20-800-200-A

“(Repeat Violation) Based on review of Provider and Caregiver records, the Provider did not orient the substitute provider or assistant on the required topics by the end of their first week of assuming job responsibilities. Evidence: There was no documentation and the Provider stated that they had not oriented Caregiver #2 (start date 4/15/23) on the required topics by the end of their first week of assuming job responsibilities.”

8VAC20-800-800-C

“(Repeat Violation) Based on documentation and Provider interview, the Provider did not ensure that each caregiver receives training regarding emergency evacuation, emergency relocation and shelter-in-place procedures by the end of their first week of assuming job responsibilities, on an annual basis, and at the time of each plan update. Evidence: There was no documentation in the file and the Provider stated that Caregiver #2 (start date 4/15/23) has not received training for emergency evacuation and relocation as well as training on shelter- in-place procedures.”

8VAC20-800-280

“Based on observation, the provider did not ensure that potentially poisonous substances were stored in an area inaccessible to children. Evidence: Bleach wipes were stored on a shelf in the unlocked bathroom accessible to children.”

8VAC20-800-320-B

“Based on observation, the Provider did not cover all unused electrical outlets accessible to children under five years of age with child-resistant protective covers. Evidence: 1)In the home entry area, there is an unused outlet accessible to children without a protective cover. 2)In the infant sleeping room where the crib sits against the wall, there is an unused outlet accessible to children without a protective cover. 3)In the eating area, there are 2 unused outlets accessible to children without a protective cover.”

22.1-289.011-F

“Based on observation and staff interview, the Provider did not ensure they post the findings of the most recent licensing inspection of the facility. Evidence: The findings of the most recent licensing inspection of the family day home was not posted.”

8VAC20-770-40-C-1-c

“Based on review of a 3 Household member records, the Provider did not obtain documentation of a completed sworn disclosure statement for each Household member at the time of move-in. Evidence: The record for Household member #1 (date of move in 5/24/23) did not contain documentation of a completed sworn disclosure statement at the time of move-in.”

8VAC20-800-730-D

“Based on observation and interview with staff, the Provider did not ensure that medications, including refrigerated medication and medication for caregivers and household members, was kept in a locked place using a safe locking method that prevents access by children. Evidence: The Provider had Insulin and Amoxicillin stored on a shelf in the door of the refrigerator that was not locked.”

8VAC20-800-780-B

“Based on review of 4 child records, the Provider did not conduct an annual review of children’s emergency contact information and the parent’s acknowledgment of the review. Evidence: 1)The record for Child #1 did not contain documentation of an annual review of the child’s emergency contacts, nor did the records contain parent acknowledgment of the review. The last recorded documentation of the review of the child’s emergency contact information was on 8/23/2020. 2)The record for Child #2 did not contain documentation of an annual review of the child’s emergency contacts, nor did the records contain parent acknowledgment of the review. The last recorded documentation of the review of the child’s emergency contact information was on 8/6/2021. 3)The record for Child #3 did not contain documentation of an annual review of the child’s emergency contacts, nor did the records contain parent acknowledgment of the review. The last recorded documentation of the review of the child’s emergency contact information was on 3/30/2022.”

8VAC20-800-800-C

“Based on documentation and Provider interview, the Provider did not ensure that each caregiver receives training regarding emergency evacuation, emergency relocation and shelter-in-place procedures by the end of their first week of assuming job responsibilities, on an annual basis, and at the time of each plan update. Evidence: There was no documentation in the file and the Provider stated that Caregiver #2 (start date 4/15/23) has not received training for emergency evacuation and relocation as well as training on shelter- in-place procedures.”

8VAC20-800-830-A

“Based on documentation and Provider interview, the Provider did not practice monthly emergency evacuation drills with the children in care. Evidence: The Provider stated and the documentation on file shows that there were no emergency evacuation drills completed in June 2023.”

8VAC20-800-960-E

“Based on observation, the Provider did not ensure that bottles be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care. Evidence: The bottles for Child #4 and Child #5 were not labeled with the child’s name and date.”

8VAC20-800-50-A

“Description: Based on review of the written attendance record and interview with the Provider, the Provider did not ensure they maintained a written record of children in attendance each day. Evidence: During the inspection in was determined there were 4 non-household children present, but the written record reflected there were 3 non-household children present.”

8VAC20-800-60-B

“Based on review of 4 child records, the Provider did not obtain all of the required documentation for the children’s records. Evidence: 1)The record for Child #3 did not contain the name, address, and telephone number of 2 designated persons to contact in case of an emergency if the parent cannot be reached. The child had only 1 designated emergency contact listed. 2)The record for Child #4 did not contain the policy number of the child’s medical insurance as required.”

8VAC20-800-430-A

“Based on observation, the Provider did not ensure that children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. Evidence: 1)There was no barrier to block children under the age of 2 years old from climbing or descending a set of wood stairs on the main level of the home. 2)Three of the children in care were playing on the stairs during the inspection, one of the children was under the age of 2 years old. 3)The stairs leading up to the deck from the swingset area do not have a barrier to block children from ascending the stairs.”

8VAC20-800-70-A

“Based on review of 4 child records, the Provider did not obtain required documentation of parental review of the Provider’s policies for administration of medications, whether or not the Provider maintains liability insurance, and the provisions of the family day home emergency preparedness and response plan. Evidence: The record for Child #4 (start date 11/1/22) did not contain documentation of parental review of the Provider’s policy related to whether or not the provider maintains liability insurance.”

8VAC20-800-90-C

“Based on review of 4 child records, the provider did not ensure they obtained documentation of additional immunizations for a child who is not exempt from the immunization requirements once every 6 months for children under the age of two years. Evidence: 1)The record for Child #2 (DOB 5/28/21) did not contain immunizations once every 6 months. The last documentation contained in the record was dated 9/20/22. 2) The record for Child #4 (DOB 8/3/22) did not contain immunizations once every 6 months. The last documentation contained in the record was dated 10/4/22.”

8VAC20-800-150-D-2

“Based on interview and review of Provider and caregiver records, the Provider did not ensure that the assistant who is left alone with children have a current certification in cardiopulmonary resuscitation (CPR) and First aid. Evidence: The Provider stated that Caregiver #2 who has been alone with children has not completed First Aid or CPR training.”

8VAC20-800-170-A

“Based on review of Household member records, the Provider did not obtain a report documenting the absence of tuberculosis for each adult Household member. Evidence: The record for Household member #3 (move in date 5/24/23) did not contain a report documenting the absence of Tuberculosis. The Provider stated that this has not yet been completed.”

8VAC20-800-200-A

“Based on review of Provider and Caregiver records, the Provider did not orient the substitute provider or assistant on the required topics by the end of their first week of assuming job responsibilities. Evidence: There was no documentation and the Provider stated that they had not oriented Caregiver #2 (start date 4/15/23) on the required topics by the end of their first week of assuming job responsibilities.”

8VAC20-800-50-A

“Description: Based on review of the written attendance record and interview with the Provider, the Provider did not ensure they maintained a written record of children in attendance each day. Evidence: 1)During the inspection in was determined there were 3 children present, but the written record reflected there were no children present on the day of inspection. 2)The Provider confirmed there was no documentation of a written attendance record completed for those children who attended on 5/11/2023.”

22.1-289.011-F

“Based on observation and staff interview, the Provider did not ensure they post the findings of the most recent licensing inspection of the facility. Evidence: The most recent licensing inspection of the family day home was not posted.”

8VAC20-800-70-A

“Based on review of 1 child record, the Provider did not obtain required documentation of parental review of the Provider’s policies for administration of medications, whether or not the Provider maintains liability insurance, and the provisions of the family day home emergency preparedness and response plan. Evidence: The record for Child #1 did not contain documentation of parental review of the Provider’s policy for the administration of medications.”

8VAC20-800-690-D

“Based on observation, the Provider did not ensure that the diapering surface was nonabsorbent and washable. Evidence: During inspection, a hole was noticed in the diaper changing pad preventing it from being nonabsorbent and washable.”

8VAC20-800-430-A

“Based on observation, the Provider did not ensure that children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs. Evidence: There was no barrier to block children under the age of 2 years old from climbing or descending stairs on the main level of the home where children were present.”

8VAC20-800-320-B

“Based on observation, the provider did not cover all unused electrical outlets accessible to children under five years of age with child-resistant protective covers. Evidence: On the main level of the home in the living room area and in the kitchen area where children under the age of 5 were present, there were 3 unused outlets that were not covered.”

8VAC20-800-240-A

“Based on observation, the Provider did not ensure that areas and furnishings of the family day home, inside and outside were maintained in a clean, safe and operable condition. Evidence: In the program space where the children play, there was food scattered on the floor that had not been cleaned up.”

8VAC20-800-120-A

“Based on review of 2 Caregiver records and interview with the Provider, the Provider did not ensure they maintain a record for each caregiver. Evidence: There was no file onsite for Caregiver #2.”

8VAC20-800-830-A

“Based on documentation and Provider interview, the Provider did not practice monthly emergency evacuation drills with the children in care. Evidence: The Provider provided documentation that there were no emergency evacuation drills completed in April 2023.”

8VAC20-800-780-B

“Based on review of one child record, the provider did not conduct an annual review of children’s emergency contact information and the parent’s acknowledgment of the review. Evidence: The record for Child #1 did not contain documentation of an annual review of the children’s emergency contacts, nor did the records contain parent acknowledgment of the review.”

8VAC20-800-730-D

“Based on observation and interview with staff, the Provider did not ensure that medications, including refrigerated medication and medication for caregivers and household members, was kept in a locked place using a safe locking method that prevents access by children. Evidence: 1)The Provider had Insulin and Amoxicillin stored on the shelves in the door of the refrigerator that was not locked. 2)In the children’s program space in the basement, a bottle of Robitussin was sitting on a low shelf in an unlocked area where children play.”

8VAC20-770-60-C-2

“Based on review of 2 Caregiver files, the center did not obtain documentation that a central registry search was completed by the end of the 30th day of employment. Evidence: The record for Staff #2 (date of hire 4/15/23) did not contain documentation as of 5/17/23 that a central registry search was completed within 30 days of employment. There were no Central registry results in the file. No documentation of follow up was in the file.”

8VAC20-770-60-B

“Based on review of a 2 Caregiver records, the Provider did not obtain documentation of a completed sworn disclosure statement for each Caregiver prior to date of hire. Evidence: The record for Caregiver #2 (date of hire 4/15/23) did not contain documentation of a completed sworn disclosure statement prior to the date of hire”

22.1-289.035-B-2

“Based on review of 2 Caregiver records, the provider did not obtain documentation of the results of a national fingerprint background check prior to the first day of employment. Evidence: The record for Caregiver #2 (Date of Hire 4/15/23), did not contain documentation of a fingerprint background check completed prior to the first day of employment.”

8VAC20-800-920

“Based on documentation and provider interview, the provider did not have a documentation of a menu for the current one-week period. Evidence: During the inspection, the provider stated that they did not have a menu documented and ready for the day of the inspection.”

8VAC20-800-60-B

“Based on review of 3 child records, the provider did not obtain all of the required documentation for child’s records. Evidence: 1)The record for Child #1 and Child #2 did not contain the name address and telephone number of 2 designated persons to contact in case of an emergency if the parent cannot be reached. Each child had only 1 designated emergency contacted listed. 2)The record for Child #1 did not contain the policy number of the child’s medical insurance as required. 3)The record for Child #3 did not contain documentation of the review of the child’s emergency contact information annually. The last recorded documentation of the review of the child’s emergency contact information was on 8/6/2021.”

8VAC20-800-920

“Based on documentation and Provider interview, the Provider did not have documentation of a menu for the current one-week period or a menu kept on file for one week. Evidence: During the inspection, the provider stated that they did not have a menu ready for the current week.”

8VAC20-800-100-A

“Based on review of 3 children’s records, the Provider did not ensure they had documentation of a physical examination for children in care within 30 days after the first day of attendance. Evidence: The file for Child #3 (start date 9/1/21) did not contain documentation of a physical examination.”

8VAC20-800-50-A

“Description: Based on review of the written attendance record and interview with the Provider, the Provider did not ensure they maintained a written record of children in attendance each day. Evidence: 1)During the inspection in was determined there were 3 children present, but the written record reflected there were no children present. 2)Documentation of the written attendance record was last completed on 11/10/22.”

8VAC20-800-830-A

“Based on documentation and Provider interview, the Provider did not practice monthly emergency evacuation drills with the children in care. Evidence: The Provider provided documentation and stated that there were no emergency evacuation drills completed in January 2022, February 2022, March 2022, June 2022, July 2022, August 2022, September 2022 or October 2022.”

8VAC20-800-680-B

“Based on observation, the Provider did not ensure that children’s hands are washed with liquid soap and warm running water before eating. Evidence: During the inspection, Child #2 sat down to eat lunch and did not wash his hands prior to eating.”

8VAC20-800-520-C

“Based on observation, the Provider did not ensure cribs meet the U.S. Consumer Product Safety Commission standards at the time they were manufactured. Evidence: Two of the cribs that the Provider has onsite have manufacture dates of 12/2003 and 11/2010 while the U.S. Consumer Product Safety Commission requires cribs to have a manufacture date of 6/28/2011 or later.”

8VAC20-800-320-B

“Based on observation, the Provider did not cover all unused electrical outlets accessible to children under five years of age with child-resistant protective covers. Evidence: On the main level of the home in the living room area where children were playing, there were 6 unused outlets that were not covered.”

8VAC20-800-240-A

“Based on observation, the Provider did not ensure that areas and furnishings of the family day home, inside and outside were maintained in a clean, safe and operable condition. Evidence: The gate preventing access to the stairs, was pulling out of the drywall causing the screw to be exposed. The screw was sharp and could snag a child’s skin.”

8VAC20-800-830-B

“Based on documentation and staff interview, the Provider did not practice shelter-in-place procedures a minimum of twice per year. Evidence: The Provider provided documentation and stated that there were no shelter-in-place procedures practiced since 8/20/2021.”

8VAC20-800-180-A

“Based on review of 2 household records, the Provider did not obtain for each Household member a current report of Tuberculosis screening every 2 years from the date of the first screening. Evidence: The record for Household member #2 contained a Tuberculosis screening that was last completed on 4/12/19.”

8VAC20-800-730-D

“Based on observation and interview with staff, the Provider did not ensure that medications, including refrigerated medication and medication for caregivers and household members, was kept in a locked place using a safe locking method that prevents access by children. Evidence: The Provider had insulin stored on the shelves in the door of the refrigerator.”

8VAC20-800-870-G

“Based on observation the Provider did not ensure that tables were cleaned after each use, and at least daily. Evidence: When Child #2 sat down to eat lunch, the table was not cleaned before they ate.”

8VAC20-800-70-A

“Based on review of 3 child records, the Provider did not obtain required documentation of parental review of the Provider’s policies for administration of medications, whether or not the Provider maintains liability insurance, and the provisions of the family day home emergency preparedness and response plan. Evidence: The record for Child #1 did not contain documentation of parental review of the Provider’s policy related to whether or not the provider maintains liability insurance.”

8VAC20-800-530-F

“Based on observation, the provider did not ensure that there was no soft bedding used under or around an infant. Evidence: observed in the infant nap room, Child 5, sleeping in a bassinet with a bumper pad as well as several blankets placed around and under the sleeping infant's head.”

8VAC20-800-280

“Based on observation, the provider did not ensure that potentially poisonous substances are stored in areas inaccessible to children. Evidence: 1) observed 2 containers of clorox wipes, glade air freshener, and plumbing solution accessible to children, on the floor, in the basement bathroom. 2) observed wasp and other bug sprays accessible to children in a bucket in the backyard.”

8VAC20-800-90-A

“Based on review, the provider did not ensure that before children may attend the family day home, they obtain documentation of being adequately immunized. Evidence: Reviewed 5 children's records and found that Child 5 did not have documentation of an immunization record.”

8VAC20-800-210-A

“Based on review, the provider did not ensure that they obtained 16 hours of annual training. Evidence: identified through the provider that they did not obtain 16 hours of annual training.”

8VAC20-800-520-E

“Based on observation, the provider did not ensure that bassinet where the infant slept did not have bumper pads. Evidence: observed that Child 5 was sleeping in a bassinet with a bumper pad.”

8VAC20-800-320-B

“Based on observation, the provider did not ensure that electrical outlets were covered with child-resistant protective covers. Evidence: Observed uncovered electrical outlets, accessible to children in the following areas: 1) 2 uncovered outlets in the main level bathroom, used by children. 2) 1 uncovered outlet in the basement bathroom, used by children.”

8VAC20-800-730-D

“Based on observation, the provider did not ensure that medications are kept in a locked place using a safe locking method that prevents access by children. Evidence: observed the provider and household member's medications in the kitchen, on top of the refrigerator and in an unlocked cabinet next to the refrigerator.”

8VAC20-800-100-A

“Based on review, the provider did not ensure that documentation of physical examinations are obtained prior to a child's attendance or within 30 days after the first day of attendance. Evidence: reviewed 5 children's records and found that Child 1, 3, and 4 did not have documentation of a physical examination. All have been in care for more than 30 days.”

8VAC20-800-60-B

“Based on review, the provider did not ensure that children's records were maintained with the required minimum information. Evidence: Reviewed 5 children's records and found the following: 1) Child 1 and 3 were missing documentation of the parents' annual review of contact information. Child 1's last review was dated 8/23/20 and Child 2's last review was dated 4/6/20. 2) Child 1 was missing documentation of addresses for both emergency contacts.”