Ms. Soraya Fedayi

The provider is required to obtain for each caregiver and adult household member a current tuberculosis (TB) test or screening every two years from the date of the first screening.

“The TB screenings on record for Caregiver A and Caregiver B were no longer current and were more than five weeks past due for an update.”

Rule 8VAC20-800-180-A.

Child-resistant protective covers are required to be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“On 10/15/25 an outlet was observed to be uncovered directly behind the crib of a 12-month-old child who had been napping in the crib at the beginning of the inspection. The outlet was within reach of the child when they were in their crib and the crib is behind a closed door when children are napping.”

Rule 8VAC20-800-320-B.

The provider is required to obtain the results of a national criminal history background check every five years for household members.

“As of the date of the inspection, the subsequent national criminal history background check results for Household Member #1 were six days past due.”

Rule 22.1-289.036-A.

(Repeat Violation) The provider shall obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

“The physical on record for Child #2 was obtained more than two months after the child’s first day of attendance.”

Rule 8VAC20-800-100-A.

Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent verification of the identity and age of the child.

“The provider did not obtain verification of the identity and age of Child #2 who has been attending the family day home for more than five months.”

Rule 8VAC20-800-80-A.

(Repeat Violation) Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia and State Board of Health regulations.

“The immunizations on record for Child #2 were obtained more than two months after the child’s first day of attendance. The immunizations on record for Child #3 were obtained three days after the child’s first day of attendance.”

Rule 8VAC20-800-90-A.

22.1-289.035-A

“Based on review of three caregiver records, the provider did not obtain the results of a search of the central registry for a caregiver every five years. Evidence: The most recent central registry results on record for Caregiver #3 were dated 11/13/18.”

Rule 22.1-289.035-A.

8VAC20-800-100-A

“Based on review of five child records, the provider did not obtain documentation of physical examinations by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The records for Child B, with a start date of 10/16/23; Child C, with a start date of 9/18/23; and Child E, with a start date of 10/11/23, did not contain documentation of a physical.”

Rule 8VAC20-800-100-A.

8VAC20-800-90-A

“Based on review of five child records, the provider did not obtain documentation that children had been adequately immunized before attending the family day home. Evidence: The records for Child B, with a start date of 10/16/23, and Child E, with a start date of 10/11/23, did not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-800-960-G

“Based on observation, the provider did not ensure that bottles were not heated in a microwave oven. Evidence: On 4/22/24, the Licensing Inspector observed Caregiver #3 warm Child B’s bottle in the microwave.”

Rule 8VAC20-800-960-G.

22.1-289.035-B-2

“Based on review of documentation and interview, the provider did not obtain the results of a national, fingerprint-based criminal history record check for each caregiver prior to employment. Evidence: On 10/10/23 Caregiver #3 was present with the children and their name was documented as an assistant in child records. Interview revealed that Caregiver #3 had started working on a part-time basis in approximately September 2023. There were no fingerprint results on record for Caregiver #3.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on review of documentation and interview, the provider did not obtain a sworn disclosure statement from each caregiver prior to employment. Evidence: On 10/10/23 Caregiver #3 was present with the children and their name was documented as an assistant in child records. Interview revealed Caregiver #3 had started working on a part-time basis in approximately September 2023. There was no sworn disclosure on record for Caregiver #3.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-A

“Based on review of documentation and interview, the provider did not maintain a record for each caregiver. Evidence: On 10/10/23 Caregiver #3 was present with the children and their name was documented as an assistant in child records. Interview revealed that Caregiver #3 started working on a part-time basis in approximately September 2023. There was no record available for Caregiver #3.”

Rule 8VAC20-800-120-A.

8VAC20-800-170-A

“Based on review of documentation and interview, the provider did not obtain a current Report of Tuberculosis Screening form (TB screening) from each caregiver at the time of hire and prior to coming into contact with children. Evidence: On 10/10/23 Caregiver #3 was present with the children and their name was documented as an assistant in child records. Interview revealed that Caregiver #3 had started working on a part-time basis in approximately September 2023. There was no TB screening on record for Caregiver #3.”

Rule 8VAC20-800-170-A.

Based on record review, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #3 (First Date of Attendance: 11/2/2022) did not have a physical examination on file at the time of inspection.”

Rule 8VAC20-800-100-A.

Based on record review, the provider did not ensure that children’s records contained all required information:

“Evidence: 1. Child #1 and Child #6’s records did not contain the policy number of the children’s medical insurance. 2. Child #3 and Child #6’s records did not contain a second required emergency contact including a name, address, and phone number in case of emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

Based on record review and provider interview, the provider does not have documentation of current certification in cardiopulmonary resuscitation (CPR).

“Evidence: The provider’s previous CPR certification was effective 7/11/2020-7/11/2022.”

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

Based on record review and provider interview, the provider does not have documentation of current certification in first aid.

“Evidence: The provider’s previous first aid certification was effective 7/11/2020-7/11/2022.”

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

Based on record review, the provider did not ensure that all caregivers obtained a minimum of 16 hours of annual training.

“Evidence: Staff #1 and Staff #2 both had 12 of 16 hours of required annual training for 2021.”

Rule 8VAC20-800-210-A.

Based on observation, the provider did not keep a written record of child in attendance each day.

“Evidence: There were two children present at the time of inspection, however, no children were signed in on the attendance record for the day.”

Rule 8VAC20-800-50-A.

Based on review of emergency supplies, the provider did not ensure a complete first aid kit with all required items was maintained on site.

“Evidence: The first aid kit was missing adhesive tape.”

Rule 8VAC20-800-760-A-1.

Based on record review and provider interview, the provider did not maintain documentation of all emergency evacuation drills.

“Evidence: There was no documentation of an emergency evacuation drill conducted in August 2022.”

Rule 8VAC20-800-830-C.

Based on observation and provider interview, the family day home is not equipped with at least one carbon monoxide detector.

“Evidence: The provider stated she does not have a carbon monoxide detector in the home.”

Rule 22.1-289.058.

Based on record review and provider interview, the provider did not obtain an updated Tuberculosis screening or test for all adult household members completed at least every two years.

“Evidence: Adult Household Member #1’s most recent Tuberculosis test was completed 10/7/2019.”

Rule 8VAC20-800-180-A.

Based on observation, the provider did not ensure that child-resistant protective covers were installed on all unused electrical outlets accessible to children under five years of age.

“Evidence: There were five electrical outlets uncovered in the programming space with three children under five years of age present.”

Rule 8VAC20-800-320-B.

Based on observation, the provider did not keep a written record of child in attendance each day.

“Evidence: The provider did not complete attendance for Tuesday 4/5/22.”

Rule 8VAC20-800-50-A.

Based on record review, the provider did not ensure that children’s records contained all required information.

“Evidence: Child #1, Child #2, and Child #4 did not have documentation of the annual review of the child’s emergency contact information. Child #1’s most recent review was completed 2/8/2021. Child #2’s most recent review was completed 10/27/2020. Child #3’s most recent review was completed 10/27/2020.”

Rule 8VAC20-800-60-B.

Based on documentation review, the provider did not complete an annual review of the emergency preparedness plan.

“Evidence: The last review of the emergency preparedness plan was completed 10/29/2020.”

Rule 8VAC20-800-800-B.

Based on record review and provider interview, the provider did not maintain documentation of all emergency evacuation drills.

“Evidence: There was no documentation of emergency evacuation drills conducted in January, February, and March of 2022.”

Rule 8VAC20-800-830-C.

Based on record review, the provider did not obtain updated immunizations once every six months for child under the age of two years.

“Evidence: Child #3 is a child under the age of two years and the most recent immunizations on file were completed 8/9/2021.”

Rule 8VAC20-800-90-C.