Rafia Bibi

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child's full name and the date, if more than one infant is in care. Infant bottles were not dated.”

8VAC20-800-690-E

“Soiled disposable diapers and wipes shall be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Diapers were not disposed of into the foot operated container. Two soiled diapers were placed on top of the container.”

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated. The menu posted was for the week of March23, 20206.”

8VAC20-800-530-I

“Repeat Violation Mattresses, when used, shall be covered with a waterproof material that can be cleaned and sanitized. One of 5 mattresses was not covered with a waterproof material.”

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 C, who had been employed for two months, did not have a completed national criminal background check.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Child #2's record did not have a completed physical on file. The physical was overdue by 10 months.”

8VAC20-800-120-B

“Assistants' and substitute providers' records shall contain the following: name, address, verification of age, job title, date of employment, an emergency contact, 2 references completed prior to employment, documentation of education and experience. Caregiver C's record was missing: name, address, verification of age, job title, date of employment, an emergency contact, 2 references completed prior to employment, documentation of education and experience.”

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements, once every six months for children under the age of two years. Child #2's immunization update was overdue by 5 months. Child #3's immunization update was overdue by 1 month. Child #5's immunization update was overdue by 6 months.”

8VAC20-800-530-I

“Mattresses, when used, shall be covered with a waterproof material that can be cleaned and sanitized. two of five mattresses did not have a waterproof cover that could be cleaned and sanitized.”

8VAC20-800-250-E

“Latex balloons shall be inaccessible to children under five years of age. Multiple latex balloons were accessible to children during the inspection.”

8VAC20-800-690-E

“Based on observation, disposable diapers were not disposed of in a lined storage system that is foot-operated. Evidence: There was no foot operated diaper disposal container.”

8VAC20-800-530-I

“Based on observation, mattresses in use were not covered with a waterproof material that could be cleaned and sanitized. Evidence: 1. One mattress had a fabric cover. 2. One mattress had cracks and tears in the waterproof covering making it unable to be cleaned and sanitized.”

8VAC20-800-530-F

“Based on observation, soft bedding was in 2 cribs in use during the inspection. Evidence: 2 children were observed sleeping in cribs had stuffed toys in the crib with them.”

8VAC20-800-530-B

“Based on observation, one crib in use did not have a tight-fitting bottom cover. Evidence: One crib sheet for a crib that was in use during the inspection, had a bottom cover that was not tight-fitting. The sheet was for a larger mattress than was in use.”

8VAC20-800-90-C

“Based on a review of four (4) records, one child's immunization was not updated every six months for a child under 2 years of age. Evidence: Child 1's record did not contain an immunization update. Immunization record was last dated 3/10/23. The next update was dated 6/12/24.”

8VAC20-800-920

“Based on observation, the menu posted was incomplete. Evidence: 1. Menu posted was not dated. 2. Menu posted did not include snacks offered.”

8VAC20-800-900-B

“Based on observation children were allowed to eat and drink while walking and lying down. Evidence: During the inspection: 1. One child was observed lying in a crib with a bottle 2. One crib had food evidence (bread crusts) in the crib that was in use. 3. Two children were observed walking around while eating snacks,”

8VAC20-800-750-A

“Based on a review of documentation, there were non written authorizations available for topical skin products applied to children. Evidence: 4 of 4 child records did not contain written authorizations to apply sunscreen to the child. (Children #1,2,3,4)”

22.1-289.011-F

“Repeat Violation Based on observation, the most recently issued Violation notice was not posted. Evidence: The paperwork for most recent inspection conducted on 1-11-24, was not posted.”

8VAC20-800-760-A-1

“Based on an inspection of the first aid kit, the kit was incomplete Evidence: The kit did not contain tweezers.”

8VAC20-800-60-B

“Repeat Violation Based on a review of records, one child record did not contain all required information. Evidence: 4 records reviewed. Missing information includes: Parent's work phone number, Insurance policy number, Authorization for emergency treatment. (Child #2).”

22.1-289.058

“Based on observation, the home that was built prior to 2015, does not have a carbon monoxide (CO2) detector installed. Evidence: The CO2 detector in the home is "chirping" due to a dead battery,”

22.1-289.011-F

“Based on observation, documents that are required to be posted were not posted. Evidence: The most recent Violation Notice and Inspection Summary were not posted.”

8VAC20-800-100-A

“Based on a review of records, child records did not contain documentation of a completed physical within 30 days of enrollment. Evidence: 2 of 5 records reviewed had no completed physical on file. (Child 1 - first day: 7/7/23) (Child 3- first day: 8/01/23)”

8VAC20-800-90-A

“Repeat Violation Based on a review of records, child records did not contain documentation of immunizations prior to the first day of attendance. Evidence: 2 of 5 records reviewed had no immunizations available for review. (Children #1, 3)”

8VAC20-800-70-A

“Repeat violation Based on a review of records, child records did not include all required policies and procedures prior to attending. Evidence: 2 of 5 records reviewed did not contain documentation of the Provisions of the emergency preparedness plan. (Children #4,5)”

8VAC20-800-60-B

“Repeat Violation Based on a review of records, child records did not contain all required information. Evidence: 2 of 5 records reviewed did not contain: *Father's information (Child 3) *Doctor's name, address and phone number (Child 3) *Emergency contact's addresses (Child 5)”

8VAC20-800-770

“Based on observation, there was no operable flashlight available. Evidence; The flashlight available did not work.”

8VAC20-800-800-A

“Based on a review of documents, the Emergency Preparedness plan available did not include all required components. Evidence: The available plan did not include specific information regarding emergency evacuations assembly point, shelter in place location and relocation destination.”

8VAC20-800-90-A

“Based on a review of records, one child record did not contain documentation of immunizations prior to attending. Evidence: Child #2's immunization record available for review was not acceptable. There is no name on the record and it is not signed, stamped or electronically signed by the physician's office. (Child 2)”

8VAC20-800-330-A

“Based on observation, there was no landline available. Evidence: The landline phone plugged into the landline - did not get a dial tone.”

8VAC20-800-70-A

“Based on a review of records, child records did not include documentation of all required policies and procedures prior to attending. Evidence: Provider's handbook does not include all required information. Missing information includes: *Custodial parents right's statement, notification that paid caregivers are mandated reporters for suspected child abuse and neglect, parental notification to the daycare of a communicable disease in the home, and that additional information for the compliance history of the daycare may be found on the website www.childcareva.com.”

8VAC20-800-70-B

“Based on a review of records, child records did not include written acknowledgement of policies and procedures. Evidence: 2 of 2 records reviewed did not contain an acknowledgment of receipt of the provider's handbook. (Children #1,2)”

8VAC20-800-760-A-1

“Based on a review of first aid supplies, the first aid kit was incomplete. Evidence: The kit was missing 2 triangular bandages.”

8VAC20-800-60-B

“Based on a review of records, child records did not include all required information. Evidence: The child enrollment form in use did include: *Child's address, parent information, Doctor's name address and phone number, 2 emergency contacts, authorized pick up people. (children #1, 2)”