Nosheen Iftikhar

8VAC20-800-780-B · Annually, the provider shall review with the parent the emergency contact information and obtain the parents signed acknowledgment of the review.

The record for Child #1, enrolled for more than one year, did not contain documentation of an annual review.

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8VAC20-800-180-A · The provider shall obtain for each caregiver a current tuberculosis (TB) screening every two years from the date of the last screening.

Caregiver #1 was due for an updated TB screening in June 2025. On the date of the inspection, a new TB screening had not been performed.

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22.1-289.057-A · Each child day program that is licensed shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler and cooler-style drinking fountains, kitchen taps, classroom combination sinks and drinking fountains, and sinks known to be or visibly used for consumption.

The Family Day Home did not have evidence of creating or submitting a testing plan to the Virginia Department of Health.

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8VAC20-770-40-D-4 · Based on record review and interview, a person over the age of 18 years living in the home of the licensed family day home provider did not have a criminal history record check.

Evidence: Household member #1 did not have documentation of a criminal history record check.

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8VAC20-800-920 · Based on observation, the menu for the current one week period was not dated.

Evidence: 1. The menu for the current one week period was not dated. The menu was dated for the month of August.

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8VAC20-800-60-B · Based on record review, children's records did not contain required information.

Evidence: 1. Child #2's record (Start date05/22/2023) did not contain two parent work addresses, the medical insurance policy number, and written authorization for emergency medical care should an emergency occur and parent cannot be located immediately. 2. Child #4's record (Start date-01/27/2023) did not contain the name of medical insurance and policy number.

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8VAC20-800-60-B · Based on record review, children's records did not contain required information.

Evidence: 1. Child #1's record (Start date-11/7/21) did not contain the parent's work address and phone number, the address for a second emergency contact, and the medical insurance and policy number.

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22.1-289.058 · Based on observation and interview, the family day home was not equipped with at least one carbon monoxide detector.

Evidence: 1. The family day home was not equipped with at least one carbon monoxide detector. 2. Staff #1 stated that a carbon monoxide detector was purchased, but could not locate it during the time of the inspection.

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8VAC20-800-60-B · Based on record review, children's records did not contain required information.

Evidence: 1. Child #2's (Start date-01/10/22) record did not contain the policy number for the medical insurance, results of health examination, and authorization for emergency care.

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22VAC40-111-800-B · Based on record review, the provider did not review the emergency plan at least annually and update the plan as needed. The provider did not document in writing each review and update to the emergency plan.

Evidence: 1. The Emergency plan was not reviewed and updated in writing. The last time that the Emergency Plan was reviewed and documented was 08/26/2020.

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