Wafa Aldabsheh

8VAC20-800-110-B

“Each immunization report shall include the dates of the immunizations and shall be signed by a licensed physician, the physician's designee, or an official of a local health department. The record for child #4 has immunization records not signed and dated.”

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 #1, #2, and #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #2 has been in care for over two years. Children #1, and #4 had been in care for over a year.”

22.1-289.035-B-4

“The provider is required to obtain background checks from any state in which the individual has resided in the preceding five years. Caregiver #2, employed for more than 16 days, did not have documentation of requesting a central registry check or criminal history check from a different state lived in in the past five years.”

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. The provider did not request a central registry search for Caregiver #2. Caregiver #2 has been employed for over 15 days.”

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 #2's record, did not have a completed national criminal background check prior to date of hire.”

8VAC20-800-830-C

“Documentation shall be maintained of emergency evacuation drills that includes the number of children participating. The evacuation drill for was not accurate for number of children participating August 2026 drill.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required for adult household members every two years from the last screening. An updated TB screening for Household Member #1 was not completed and is overdue by 1 month.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There was no physical exam records available for Child #3, who has been in care for 4 months.”

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The vendor's attendance record showed 9 children present at time of inspection, there were 12 children present. Vendor stated all children had arrived approximately 4 1/2 hours prior to inspection.”

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Child 3#'s record of immunizations was obtained 2 weeks after child's first day of attending.”

8VAC20-800-60-B

“REPEAT VIOLATION A child's record shall contain written authorization for emergency medical care, if parent cannot be reached. Child #1 and child #3's records did not have written authorization for emergency medical care, if parent cannot be reached.”

22.1-289.036-B-2

“Adult household member are to submit to fingerprinting within 30 days of 18th birthday. Household member #2's fingerprints were obtained 6 months after turning 18.”

22.1-289.036-A

“A Sworn Statement is required for adults living in a family day home. Household Member #2 did not have a sworn statement in the file. The provider stated they weren't aware this document was required for household members. Household member is over the age of 18.”

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Child 3#'s record of immunizations was obtained 2 weeks after child's first day of attending.”

8VAC20-800-60-B

“REPEAT VIOLATION A child's record shall contain written authorization for emergency medical care, if parent cannot be reached. Child #1 and child #3's records did not have written authorization for emergency medical care, if parent cannot be reached.”

22.1-289.036-B-2

“Adult household member are to submit to fingerprinting within 30 days of 18th birthday. Household member #2's fingerprints were obtained 6 months after turning 18.”

22.1-289.036-A

“A Sworn Statement is required for adults living in a family day home. Household Member #2 did not have a sworn statement in the file. The provider stated they weren't aware this document was required for household members. Household member is over the age of 18.”

8VAC20-790-250-F

“Caregivers who work directly with children shall annually attend the department's health and safety update course. None of the caregivers attended the departments health and safety course in 2024.”

8VAC20-800-750-A

“When topical skin products such as diaper ointment and lotion are used written parent authorization noting any known adverse reactions shall be obtained. Caregivers reported that diaper ointment and lotion for child #4 have been used, however no written parent authorization has been obtained. Child #4 was present.”

8VAC20-800-60-B

“Children's records are required to contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds. The record for Child #2 was missing written authorization for emergency medical care or a written objection to provision of medical treatment on religious or other grounds. The child was present during the inspection and had been in care for a month.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregivers #2 and #3 did not have documentation of obtaining any training hours in 2024. Caregiver #3 stated they did not do any trainings in 2024.”

8VAC20-790-250-F

“Caregivers who work directly with children shall annually attend the department's health and safety update course. None of the caregivers attended the departments health and safety course in 2024.”

8VAC20-800-750-A

“When topical skin products such as diaper ointment and lotion are used written parent authorization noting any known adverse reactions shall be obtained. Caregivers reported that diaper ointment and lotion for child #4 have been used, however no written parent authorization has been obtained. Child #4 was present.”

8VAC20-800-60-B

“Children's records are required to contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds. The record for Child #2 was missing written authorization for emergency medical care or a written objection to provision of medical treatment on religious or other grounds. The child was present during the inspection and had been in care for a month.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregivers #2 and #3 did not have documentation of obtaining any training hours in 2024. Caregiver #3 stated they did not do any trainings in 2024.”

8VAC20-800-60-B

“Based on record review and interview the provider did not have complete record, with all required information for children. Evidence: The provider did not have record of person or date original birth certificate was viewed.”

8VAC20-800-780-B

“Based on record review and interview, the provider did not annually review with the parent the emergency contact information required to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence: Child #1 (Date of last review 8/22/2022) Child #3 (Date of last review 7/25/2023) emergency contact information.”

8VAC20-800-800-B

“Based on documentation and interview, the provider did not document in writing review and update to the emergency plan at least annually and update the plan as needed. Evidence: No documentation of annual review of emergency plan, since prior to August 2023.”

8VAC20-800-60-B

“Based on record review and interview the provider did not have complete record, with all required information for children. Evidence: The provider did not have record of person or date original birth certificate was viewed.”

8VAC20-800-780-B

“Based on record review and interview, the provider did not annually review with the parent the emergency contact information required to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence: Child #1 (Date of last review 8/22/2022) Child #3 (Date of last review 7/25/2023) emergency contact information.”

8VAC20-800-800-B

“Based on documentation and interview, the provider did not document in writing review and update to the emergency plan at least annually and update the plan as needed. Evidence: No documentation of annual review of emergency plan, since prior to August 2023.”

8VAC20-800-80-C

“Based on record review, the provider did not document the method of verification of childrens' age and identity. Evidence: Child #1, #2 and #3 did not have documentation on the method the provider used of verifying age and identity”

8VAC20-800-750-A

“Based on record review the provider did not have written parent authorization including whether parent notes any known adverse reactions for a diaper ointment used. Evidence: Child #3's record had a diaper ointment listed, but no parent signature on form.”