Amena Sultana

8VAC20-800-100-A · The provider is required to 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 did not have documentation of a physical examination on file at the time of the inspection. Child #2 had been enrolled for over one year.

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8VAC20-800-830-A · The emergency evacuation procedures are required to be practiced monthly with all caregivers and children in care during all shifts that children are in care.

There was no documentation of emergency evacuation drills being practiced for the months of April and May 2025.

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8VAC20-800-90-A · Based on a review of children's records, the

provider did not obtain documentation obtain documentation that all children have been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. Child #1did not have documentation of updated immunizations on file at the time of the inspection. The last immunizations documented in the file dated 4/12/2023. 2. Child #3 did not have documentation of updated immunizations on file at the time of the inspection. The last immunizations documented in the file were dated 10/31/2023.

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8VAC20-800-780-B · Based on a review of children's records, the Provider did not review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct and obtain the parent's signed acknowledgment of the review.

Evidence: 1. Child #1 (doe: 3/21/2022) last had their emergency contact information reviewed on 11/10/2022. 2. Child #2 (doe: 2/27/2023) last had their emergency contact information reviewed on 2/27/2023.

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22.1-289.035-B-2 · Based on a review of caregiver and household member records, all caregivers and household members did not submit to fingerprinting as required.

Evidence: 1. Household member #1 did not have documentation of fingerprints results on file at the time of the inspection. 2. Caregiver #1 did not have documentation of fingerprints results on file at the time of the inspection.

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8VAC20-800-830-A · Based on a review of records and discussion with the provider, the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care.

Evidence: The provider did not have documentation of an emergency evacuation drill monthly. There was no drill for December 2022.

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8VAC20-800-100-A · Based on a review of children records, the provider failed to 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.

Evidence: Child #1's record did not contain documentation of a physical examination by the 30th day of attendance. First day of attendance 03/21/2022. Child #2's record did not contain documentation of a physical examination by the 30th day of attendance. First day of attendance 07/12/2021. Child #3's record did not contain documentation of a physical examination by the 30th day of attendance. First day of attendance 11/01/2021.

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8VAC20-800-750-A · Based on observation, the provider failed, when parent provided topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used, to ensure that the products are labeled with the child's name.

Evidence: There was a tube of Butt Paste that provider stated was brought in by the parent and it was not labeled.

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