Nassiba Ishchanova

8VAC20-800-90-A

“Before attendance, documentation that the child has been adequately immunized is to be obtained for each child. The documentation of immunizations for Child #2 (age 2 years), who was in care during the inspection and had been in care for three weeks, was dated over 15 months prior to their start date, when the child was 18-months-of-age.”

8VAC20-800-60-B

“Children's records are required to contain parental home and employment addresses and phone numbers. The record for Child #3 was missing all the employment information for both parents. The record for Child #4 was missing the employment phone numbers for both parents. The children were present during the inspection and had been in care for three weeks.”

8VAC20-800-690-D

“The diapering surface shall be separate from surfaces used for children's activities and shall be nonabsorbent. At the time of the inspection, the provider stated they use the children’s cots for diapering. It was observed that the cot surfaces are absorbent.”

8VAC20-800-280

“Poisonous materials shall be stored in an area inaccessible to children. At the time of the inspection, disinfectant wipes were on the children’s table in the kitchen next to the refrigerator and were accessible to children.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, outside, shall be maintained in a safe and operable condition. At the time of the inspection, the children’s outdoor play area had several wooden fence boards that were protruding and not attached at the bottom. The handrails leading to the porch were splintered. Two areas along the edge of a concrete slab were cracked and uneven, creating a tripping hazard. One bench was missing a wooden slat, and another bench was deteriorated and broken.”

8VAC20-800-530-G

“Children under two years of age shall not use pillows. At the time of the inspection, Child #2 (21 months) had a pillow on their assigned cot. The provider stated that the child uses the pillow during nap time.”

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. Records for children #2, and #3 did not have a parent’s signature for an annual review of the emergency contact information. Child #2 and #3 had been in care for over a year.”

8VAC20-800-50-A

“Providers must keep a written record of children in attendance each day. There were no attendance records on the date of inspection. The provider did not take written attendance March 15, 2025 - July 23, 2025.”

8VAC20-800-430-A

“Children under two years of age and children over two years of age who are not developmentally ready to climb or descent stairs without supervision shall not have access to stairs. The outside deck stairs are accessible to children under two years of age. Child #3, enrolled for two months, is under the age of two years.”

8VAC20-800-210-B

“The caregivers shall obtain a minimum of sixteen clock hours of training annually. Caregivers #1 and #2 only completed 10 clock hours of training in 2024.”

8VAC20-800-60-B

“A child's record shall contain name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. The file for Child #3 who had been enrolled for six weeks, did not have addresses for the emergency contacts.”

8VAC20-800-90-C

“Based on record review, the family day home failed to obtain documentation of additional immunization for a child every six months for children under the age of two. Evidence: The record for Child #4 (DOB 8/12/222) last immunization update was dated 2/14/24.”

8VAC20-800-680-B

“Based on observation, the caregiver did not ensure that children's hands are washed with liquid soap and warm running water. Evidence: 1. Child #6 did not wash their hands after toileting.”

8VAC20-800-680-A

“Based on observation, the caregiver did not wash their hands with liquid soap and warm running water after assisting a child with toileting. Evidence: 1. Caregiver #1 did not wash their hands after assisting Child #6 with toileting.”

8VAC20-800-780-B

“Based on the record review and interview, the provider did not review annually with the parent the emergency contact information to ensure the information was correct and obtain the parent's signed acknowledgement of the review. Evidence: 1. The last annual update for Child #1 was dated 6/1/22. 2. The last annual update for Child #3 was dated 7/25/22. 3. The provider acknowledged the review of the emergency contact information was not reviewed.”

8VAC20-800-60-B

“Based on record review, a child's record did not contain name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Evidence: 1. The record for Child #3, did not have two designated persons to contact in case of an emergency.”

8VAC20-800-760-A-1

“Based on observation, the first aid kit did not contain the minimum supplies. Evidence: The first aid kit did not have more than one (1) triangular bandage.”

8VAC20-800-170-A

“Based on record review and interview, the provider did not obtain from each caregiver at the time of hire an initial Tuberculosis (TB) screening prior to coming into contact with children. Evidence: 1. Caregiver #2 did not have documentation of a TB screening. 2. The provider acknowledged there was no TB record for caregiver #2.”

8VAC20-800-760-A-1

“Based on observation, the first aid kit did not contain the minimum supplies. Evidence: The first aid kit did not have more than 1 triangular bandage.”

8VAC20-800-750-D

“Based on observation, diaper ointment cannot be used beyond the expiration date of the product. Evidence: 1.Destin expired 10/2020 2.Butt Paste expired 07/2022 3.Aquapor expired 04/2022”

8VAC20-800-720-A

“Based on observation, the provider failed to label non-prescription medication. Evidence: 1.Destin (2) was not labeled with child’s name 2.Butt Paste was not labeled with child’s name 3.Aquaphor was not labeled with child’s name”

8VAC20-800-210-A

“Based on record review and interview, the provider did not obtain a minimum of sixteen clock hours of training annually. Evidence: 1. Last documented training was in 2020. 2. The Provider acknowledged she had not completed any training since 2020.”

8VAC20-800-230-A

“Based on observation, the provider did not maintain a written documentation of each caregiver’s applicable education and programmatic experience. Evidence: There was no record of education and programmatic experience for caregiver #2 to review.”

8VAC20-800-680-B

“Based on observation, the caregivers did not ensure the children’s hands were washed with liquid soap and warm running water. Evidence: Children walked directly from playing to the kitchen table to eat breakfast without washing their hands.”

8VAC20-770-60-B

“Based on record review and interview, a sworn statement was not completed prior to 1st day of employment. Evidence: 1. The record for caregiver #2 was not available for review. 2. The provider acknowledged the sworn statement was not completed.”

22.1-289.035-B-2

“Based on record review and interview, the provider did not obtain a criminal history check prior to the 1st day of employment. Evidence: 1. The record for caregiver #2 (DOH 9/12/22) was not available for review. 2. The provider acknowledged the criminal history check was not completed.”

8VAC20-800-800-B

“Based on record review, the provider has not reviewed the emergency preparedness plan at least annually. Evidence: The last documented review of the emergency preparedness plan is dated 02/15/2021.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: Child #4 started on 6/12/22 and the physical examination is dated 8/23/22.”

8VAC20-800-120-A

“Based on record review and interview, the provider did not maintain a record for each caregiver. Evidence: 1. A record for Caregiver #2 was not available to review. 2. The provider acknowledged there was not a record for Caregiver #2.”

8VAC20-800-50-A

“Based on record review, the provider did not maintain a written record of children in attendance each day. Evidence: The last day attendance was documented was on 6/3/2022.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation of immunization before a child attends the family day home. Evidence: Child #4 started on 6/12/22 and immunization is dated 8/23/22.”

8VAC20-800-770

“Based on observation, the provider did not have a working portable battery-operated weather band radio. Evidence: 1. There was not a working battery-operated weather band radio to observe. 2. The provider acknowledged there was not a battery-operated radio available.”

8VAC20-800-800-B

“Based on record review, the provider has not reviewed the emergency preparedness plan at least annually. Evidence: The most recent documented review of the emergency preparedness plan is dated 2/15/2021.”

8VAC20-800-880

“Based on interview, the provider is not following the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: When asked about lunch that was being prepared, the provider stated the children would be eating a vegetable soup, broccoli, a salad and milk. The provider confirmed that there was no fruit being served with lunch. The USDA recommends a full serving of fruit during lunch. This was previously cited at the last inspection on 10/5/2021.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: Child #3 and Child #5's records did not contain documentation of the families medical insurance policy number.”