Ms. Lina Kobrosli

8VAC20-800-750-B

“Topical skin products are required to be kept inaccessible to children. Two topical skin products were sitting in a basket on the floor below the changing table, accessible to children in care.”

8VAC20-800-540-A

“When occupied, infant swings are required to be used according to the manufacturer's instructions and a safety strap shall be used and securely fastened. Child A (Age: 14 months) was observed in a high chair without the safety strap securely fastened.”

8VAC20-800-180-A

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

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.”

8VAC20-800-700-A

“Prescription and nonprescription medication shall be given to a child a child only with written authorization from a parent. Child A who has been enrolled for four months does not have a written authorization form from a parent to accompany the child's emergency medication that was observed in the family day home.”

8VAC20-800-120-B

“Provider's must obtain a record for each caregiver. The record for caregiver A who has been employed for five months did not have documentation on file to include the following: Name, address, verification of age, job title, date of employment, and the name address and telephone number of a person to be notified in an emergency.”

8VAC20-800-230-A

“The provider shall maintain written documentation of each caregiver's orientation training. The record for Caregiver A who has been employed for five months did not have documentation of receiving orientation training.”

22.1-289.035-B-3

“The provider must request a search of the central registry prior to the employee's first day of employment. Caregiver A, who had been employed for five months, did not have a central registry search requested. Caregiver A was observed alone with children until the provider came downstairs to the daycare area.”

22.1-289.035-B-3

“Based on review of two staff records it was determined that not all records contained documentation of a central registry check within the first thirty days of employment. Evidence: There was no central registry check on file for staff A (start date: 01/17/2023).”

8VAC20-800-790

“Based on observation and interview it was determined that not all required telephone numbers were posted in a visible area. Evidence: The telephone number for the emergency back up person and the telephone number for emergency services were not posted in a visible area.”

8VAC20-800-430-B

“Based on observation it was determined that pressure mounted gates were not prohibited from use in the family day home. Evidence: A pressure mounted gate was observed at the base of the stairs leading to the upstairs portion of the family day home.”

8VAC20-800-690-D

“Based on observation of the child care area it was determined that not all procedures for diapering were followed. Evidence: The changing pad had two rips on the surface making the changing pad no longer nonabsorbent.”

8VAC20-800-570-A Complaint related: Yes

“Based on observation and review of the attendance record it was determined that the provider failed to ensure that a caregiver does not exceed caring for children over 16 points. Evidence: Upon arrival at the family day home on 01/25/2024 at approximately 8:30 am the LI (Licensing Inspector) observed 8 children in care with the provider ages, 5 months, 5 months, 17 months, 18 months, 22 months, 2 years, 3 years, and 3 years for a total of 23 points. Upon review of the attendance record it was determined that the provider was caring for children over 16 points beginning at 7:50 am until 8:55 am when staff A arrived at the family day home. The LI confirmed that the work schedule for staff A is 9:00 am - 5:00 pm, Monday - Friday.”

8VAC20-800-430-A

“Based on observation of the family day home it was determined that stairs were accessible to children under two years old. Evidence: The gate at the bottom of the stairs was unlocked and open. The provider was caring for children ranging in age from 5 months - 3 years old.”

8VAC20-800-570-A Complaint related: Yes

“Based on observation and review of the attendance record it was determined that the provider failed to ensure that a caregiver does not exceed caring for children over 16 points. Evidence: Upon arrival at the family day home on 01/25/2024 at approximately 8:30 am the LI (Licensing Inspector) observed 8 children in care with the provider ages, 5 months, 5 months, 17 months, 18 months, 22 months, 2 years, 3 years, and 3 years for a total of 23 points. Upon review of the attendance record it was determined that the provider was caring for children over 16 points beginning at 7:50 am until 8:55 am when staff A arrived at the family day home. The LI confirmed that the work schedule for staff A is 9:00 am - 5:00 pm, Monday - Friday.”

8VAC20-800-430-A

“Based on observation of the family day home it was determined that stairs were accessible to children under two years old. Evidence: The gate at the bottom of the stairs was unlocked and open. The provider was caring for children ranging in age from 5 months - 3 years old.”

8VAC20-800-560-A

“Based on observation and interview, the provider did not ensure that sleeping infants were monitored: within sight and hearing of a caregiver; or by in-person observation of each sleeping infant at least once every 15 minutes; or by using a baby monitor. Evidence: The Licensing Inspector (LI) arrived at approximately 9:00am on 7/19/23. The provider reported that a 12-month-old was sleeping behind a closed door. At approximately 9:30am the LI asked the provider how often they check on infants who are sleeping behind a closed door and the provider reported that they check on sleeping infants at least every 30 minutes.”

22.1-289.036-A

“Based on review of records, the provider did not ensure that checks of the central registry were completed every five years from the date of the last check. Evidence: The most recent central registry check on record for the provider was dated 12/19/17. The most recent central registry check on record for Household Member A was dated 12/14/17.”

8VAC20-800-90-A

“Based on review of six child records, the provider did not obtain documentation that a child had been adequately immunized before attending the family day home. Evidence: The immunizations on record for Child A, with a start date of 11/8/2021, were dated 2/2/2022.”

8VAC20-800-100-A

“Based on review of six child records, the provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance for all children. Evidence: 1. The record for Child A, with a start date of 11/8/2021, did not contain documentation of a physical. 2. The record for Child B, with a start date of 8/6/2018, did not contain documentation of a physical.”

8VAC20-800-90-A

“Based on review of three child records and interview with the provider, the provider did not obtain documentation that a child had been adequately immunized before attending the family day home. Evidence: The record for Child A, with a start date of 8/23/21, contained documentation of immunizations that was obtained on 1/20/22. There were no immunizations on record for the child prior to the document obtained 1/20/22.”