Ms. Sophia Fakhry

Repeat Violation

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #2 was not completed and was overdue by one year. An updated TB screening for Household Member #3 was overdue by one month.”

Rule 8VAC20-800-180-A.

Wood burning stoves and fireplaces and associated chimneys shall be inspected annually and documentation of the inspection and cleaning shall be maintained by the provider.

“The documentation of the wood burning fireplace was more than three years overdue.”

Rule 8VAC20-800-320-G.

Children’s records are required to contain parental home and employment addresses and phone numbers; the name, address and phone number for two emergency contacts; and first and last dates of attendance.

“The record for Child #2 was missing the home and employment information for both parents; the name, address and phone number for two emergency contacts; and Child #2’s first day of attendance. The child was present during the inspection. The record for Child #4 was missing the employment phone number for dad; and the name, address and phone number for a second emergency contact.”

Rule 8VAC20-800-60-B.

Repeat Violation

“The diapering surface shall be nonabsorbent and washable. One of the diapering pads had scratches and cracks making it nonabsorbent.”

Rule 8VAC20-800-690-D.

The provider shall review the emergency plan at least annually, update the plan as needed, and document in writing each review and update to the emergency plan.

“The documented review of the provider’s emergency plan was overdue by more than three years.”

Rule 8VAC20-800-800-B.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Household member #2 and 3#’s tuberculosis (tb) screening were expired. Household member #2 tb screening was 9 months overdue. Household member #3’s tb screening was 8 months overdue.”

Rule 8VAC20-800-180-A.

The diapering surface shall be nonabsorbent and washable.

“One of the diapering pads had scratches and cracks making it absorbent.”

Rule 8VAC20-800-690-D.

Before the child’s first day of attendance, parents shall be provided required information in writing.

“Evidence: The parents of Child #4 was not provided required written parent information.”

Rule 8VAC20-770-70-A.

Wood burning fireplaces and associated chimneys shall be inspected annually to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider

“Evidence: The last documented fire inspection was dated two years ago.”

Rule 8VAC20-800-320-G.

The provider shall maintain an up-to-date record at the family day home for each enrolled child.

“Evidence: There was no record for Child #4. The child began attending the family day home the day of the inspection.”

Rule 8VAC20-800-60-A.

Repeat Violations

“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. Evidence: The record for Child #1 and Child #3 did not have a parent’s signature for an annual review of emergency contact information. The last documented review for Child #1 and Child #3 was two years ago.”

Rule 8VAC20-800-780-B.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized

“Evidence: There was no immunization record for Child #4.”

Rule 8VAC20-800-90-A.

‘Repeat Violation Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

“There were broken plastic toys on the playground area and peeling paint on a wall that was within reach of a child sitting in a highchair.”

Rule 8VAC20-800-240-A.

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. The last documented review for the children was one year ago.”

Rule 8VAC20-800-780-B.

Based on a review of records and interview with the provider, the provider did not obtain subsequent tuberculosis (TB) screening, every two years from the date of the initial screening.

“Evidence: The TB screening form for Staff # 1 had a tuberculosis screening on file dated 3/24/2022.”

Rule 8VAC20-800-180-A.

Based on record review and interview with the provider, the provider did not ensure that all caregivers obtain a minimum of 16 clock hours of annual training.

“Evidence: Staff #2 had documentation of 3 hours of annual training, Staff #2 confirmed there were no additional training hours completed for the year.”

Rule 8VAC20-800-210-A.

Based on observation, the provider did not ensure the family day home was in a clean, safe, and operable condition.

“Evidence: The outdoor plays space had small plastic pieces that were broken from toys throughout the playground on the ground, a piece of wood with four protruding rusty nails on the table, peeling paint on the concrete patio, peeling paint on the outdoor benches and table, cracked and broken wagon, cracked drum, cracked pan, three-wheeled trike with tire cracked down the middle.”

Rule 8VAC20-800-240-A.

Based on observation the provider did not ensure small electrical appliances were unplugged when not in use.

“Evidence: In the kitchen a coffee machine was plugged in and not in use.”

Rule 8VAC20-800-320-A.

Based on observation, the provider did not ensure that there was no soft bedding used under or around an infant.

“Evidence: Child #1, six months old, was observed in a rocker with two blankets covering them.”

Rule 8VAC20-800-530-F.

8VAC20-800-320-B

“Based on observation, the provider did not ensure that electrical outlets accessible to children under five years of age had outlet covers. Evidence: observed an uncovered electrical outlet accessible to children in the child care bathroom.”

Rule 8VAC20-800-320-B.

8VAC20-800-730-D

“REPEAT VIOLATION Based on observation, the provider did not ensure that medications were kept in a locked place using a safe locking method that prevents access by children. Evidence: observed a first aid kit on a lower shelf, accessible to children, with aspirin and acetaminophen tablets inside.”

Rule 8VAC20-800-730-D.

8VAC20-800-760-B

“Based on observation, the provider did not ensure that the first aid kit was kept inaccessible to children, but readily accessible to caregivers. Evidence: observed that the provider had a first aid kit on a lower shelf, easily accessible to children in care.”

Rule 8VAC20-800-760-B.

8VAC20-800-830-A

“Based on review, the provider did not ensure that an emergency evacuation drill was practiced in October. Evidence: reviewed the emergency drill log and found that a shelter-in-place drill was conducted in October, but not an emergency evacuation drill.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-C

“Based on review, the provider did not ensure that emergency drills were documented with the required information. Evidence: reviewed the provider’s emergency drill log and found that they were not documenting the current/true time, weather, and time to evacuate. The same time, weather, and time to evacuate information was repeated for every drill, every month, and was not true to the day.”

Rule 8VAC20-800-830-C.

8VAC20-800-120-B

“Based on review, the provider did not ensure that the staff records contained documentation of 2 reference checks completed prior to employment. Evidence: reviewed 1 staff record and found that they did not have documentation of 2 references on file.”

Rule 8VAC20-800-120-B.

8VAC20-800-140-B-3

“Based on review, the provider did not ensure that they had CPR training that was obtained in person. Evidence: reviewed the provider’s CPR training and found that it was conducted 100% online, and not in person.”

Rule 8VAC20-800-140-B-3.

8VAC20-800-140-B-4

“Based on review, the provider did not ensure that they had documentation of first aid training that was conducted in person. Evidence: reviewed the provider’s certificate and identified through the provider’s interview, that the first aid training was conducted completely online and not in person.”

Rule 8VAC20-800-140-B-4.

8VAC20-800-60-B

“Based on review, the provider did not ensure that children’s records were maintained with the required paperwork. Evidence: reviewed 3 children’s records and found that Child 3 did not have documentation of a second emergency contact”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on review, the provider did not ensure that before the child’s first day of attendance, the parents were provided in writing the following information: medication policy. Evidence: reviewed 3 children’s records and found that Child 2 did not have documentation of signed acknowledgement of the provider’s medication policy.”

Rule 8VAC20-800-70-A.

8VAC20-800-200-C

“Based on review, the provider did not ensure that there was documentation of staff completing orientation training after their first week on the job. Evidence: reviewed 1 staff record and found that there was no documentation of orientation training.”

Rule 8VAC20-800-200-C.

8VAC20-800-320-G

“Based on the provider’s interview, the provider did not have documentation of an annual inspection of the wood burning fireplace. Evidence: observed that the provider had an operational wood burning fireplace, but did not have documentation of an inspection being conducted on an annual basis.”

Rule 8VAC20-800-320-G.

8VAC20-800-50-E

“Based on review, the provider did not maintain attendance records as part of children’s record for two years from the date of termination of services. Evidence: the provider used a dry erase board to maintain attendance, and therefore, did not have attendance records for any child in care kept after the end of the current day.”

Rule 8VAC20-800-50-E.

8VAC20-800-70-A

“Based on review, the provider did not ensure that parents were provided with written information about her medication policy before the child’s first day of attendance. Evidence: reviewed 3 children’s records and found that none of the records had documentation of parents being provided with the provider’s medication policy before the child’s first day of attendance.”

Rule 8VAC20-800-70-A.

8VAC20-800-180-A

“Based on review, the provider did not ensure that subsequent tuberculosis screenings were completed every two years from the date of the first screening or more frequently as recommended. Evidence: reviewed 3 caregiver records and found that 2, (caregivers 1 and 2) did not have documentation of subsequent TB screenings.”

Rule 8VAC20-800-180-A.

8VAC20-800-70-A

“Based on review, the provider did not ensure that the parents were provided in writing the policies for the administration of medication. Evidence: reviewed 2 children’s records and found that both were missing documentation of the provider’s medication policy.”

Rule 8VAC20-800-70-A.

8VAC20-800-730-D

“Based on observation, the provider did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: observed in the provider’s first aid kit, several packets of aspirin.”

Rule 8VAC20-800-730-D.

22.1-289.036-A

“Based on review, the provider did not ensure that she obtained a central registry check every 5 years. Evidence: Reviewed the provider’s central registry check and found that the provider and household member 1 and 2 did not have a current central registry check. All were last dated 4/15/16.”

Rule 22.1-289.036-A.