Encieh Akbari Nazari

A child’s record shall contain name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“Child #1, enrolled for four days, record did not contain one of two required emergency contacts name, address and telephone number.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding whether or not there is liability insurance for the home based child care.

“There was no parent acknowledgements of the receipt of the information regarding whether or not there is liability insurance for the home based child care program available for child #2, who had been enrolled for two days.”

Rule 8VAC20-800-70-B.

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for child #2, who was in care during the inspection and had been in care for two days.”

Rule 8VAC20-800-90-A.

Bottles shall be labeled with the child’s full name and the date, if more than one infant is in care.

“Child #1 (7 months) and Child #2 (8 months) both had two bottles in the refrigerator that were not labeled with the children’s names.”

Rule 8VAC20-800-960-E.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #1 and Household Member #2 were not completed and were overdue by three months.”

Rule 8VAC20-800-180-A.

The provider shall 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.

“There was no documentation of a physical examination on record for child #2, who had been in care for eighteen months.”

Rule 8VAC20-800-100-A.

Repeat Violation and Systemic Deficiency

“Children’s records are required to contain written parental authorization for emergency medical care. The record for child #2, who had been in care for eighteen months did not contain written parental authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

Repeat Violation

“Annually, the provider shall review with theparent 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. The record for child #1, child #2, child #3, and child #4 did not have a parent’s signature for an annual review of the emergency contact information. The annual review was overdue by over ten months for child #1, child #2 and child #3 and overdue by three months for child #4.”

Rule 8VAC20-800-780-B.

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The sworn statement for caregiver #1, who is currently working, was dated over one week after their first day of employment.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver #1, who had been employed for one month, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

Documentation of at least two references to character, reputation, and competency are to be checked prior to employment.

“Caregiver #1, who has been actively working at the Family Day Home for the past month, did not have any completed reference verifications on file.”

Rule 8VAC20-800-120-B.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“The tuberculosis screening for caregiver #1, was overdue by one month.”

Rule 8VAC20-800-170-A.

The provider must orient assistants by the end of their first week of assuming job responsibilities.

“Caregiver #1 provided care for children for one month without receiving orientation.”

Rule 8VAC20-800-200-A.

Repeat Violation

“Children’s records are required to contain written parental authorization for emergency medical care. The records for child #2, who had been in care for eleven months, and child #3, who had been in care for four months, did not contain written parental authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

Infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment.

“At the time of inspection, child #3 (age 10 months) was observed awake and confined to an infant seat for approximately one hour and fifteen minutes.”

Rule 8VAC20-800-600-B.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“The record for child #4, who had been in care for five months, did not contain the parents written acknowledgement of the receipt of information regarding family day home operations and administration.”

Rule 8VAC20-800-70-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.

“The record for child #1 did not have a parent’s signature for an annual review of the emergency contact information and was overdue by four months.”

Rule 8VAC20-800-780-B.

Repeat Violation:

“Based on record review, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: 1. The record for Child #3 (date of enrollment: 03/11/2024) did not contain documentation of a physical examination. 2. Caregiver #1 acknowledged that the documentation of a physical examination for Child #3 was not available for review.”

Rule 8VAC20-800-100-A.

8VAC20-800-50-A

“Based on record review, the family day home did not keep a written record of children in attendance each day. Evidence: 1. The last documented attendance record was dated July 24, 2024. 2. Caregiver #1 acknowledged that the last documented attendance record was dated July 24, 2024.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on record review, childrens records did not contain all required information. Evidence: 1. The record for Child #3 (date of enrollment: 03/11/2024) did not contain proof of the child’s identity and age , written authorization for emergency medical care and the parent’s signed acknowledgement of the receipt of information. 2. Caregiver #1 acknowledged that the information for Child #3 was not available for review.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-C

“Based on record review, documentation was not maintained of emergency evacuation and shelter in place drills. 1. Documentation of emergency evacuation and shelter-in-place drills were not available for review at the time of inspection. 2. Caregiver #1 acknowledged that the emergency evacuation and shelter-in-place drills had been practiced and documentation was not available for review.”

Rule 8VAC20-800-830-C.

22.1-289.036-A

“Based on record review, the provider did not obtain documentation for a 5 year repeat check. Evidence: 1. The record for household member #1 did not have documentation of a 5 year criminal history repeat check. 2. The last documentation of a criminal history check expired on 10/3/23.”

Rule 22.1-289.036-A.

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: The record for Child #3 did not have documentation of a physical examination. The date of enrollment is 11/27/23.”

Rule 8VAC20-800-100-A.

8VAC20-800-780-B

“Based on record review, 1 of 3 children files indicated that annually, the provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review. Evidence: The record for Child #2 did not have documentation that the provider had reviewed the emergency contact information annually with the parent.”

Rule 8VAC20-800-780-B.

Based on record review, the provider did not obtain documentation of immunization before a child attends the family day home. Evidence: 1. Child #3 started on 11/27/23 and the immunization record is dated 02/05/24.

“Repeat Violation”

Rule 8VAC20-800-90-A.

8VAC20-800-320-I

“Based on observation and interview, the provider did not have a smoke detector installed in the family day home as required by the Uniform Statewide Build Code and the Statewide Fire Prevention Code. Evidence: 1. The smoke detector was missing from the mounting bracket in the ceiling. 2. The provider acknowledge the smoke detector had been taken down and had not been replaced.”

Rule 8VAC20-800-320-I.

8VAC20-800-50-A

“Based on record review and interview, the family day home did not keep a written record of children in attendance each day. Evidence: 1. At the time of the inspection, there was not an attendance record for the day documenting the two children in attendance. 2. The provider acknowledged there was not an attendance record of children in attendance.”

Rule 8VAC20-800-50-A.

8VAC20-800-770

“Based on observation and interview, there was not a working portable battery-operated weather band radio, and extra batteries kept in a designated area and available at all times. Evidence: 1. The radio would not work. Batteries inside the portable ratio but radio would not turn on. 2. There were no extra batteries available. 3. The provider acknowledged she would need to recharge the batteries or replace them.”

Rule 8VAC20-800-770.

Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the child attended the family day home. Evidence: 1. Child #1 did not have an immunization record on file. Child’s start date was 9/18/23.

“Repeat Violation”

Rule 8VAC20-800-90-A.

8VAC20-800-920

“Based on observation and interview with the provider, the menu for the current week was not given to the parents or posted or placed in an area accessible to parents. Evidence: 1. The menu was not posted. 2. The Provider acknowledged she did not have a menu for the week and planned the food each morning. REPEAT VIOLATION”

Rule 8VAC20-800-920.

22.1-289.036-A

“Based on record review, the provider did not obtain documentation for a 5-year repeat check. Evidence: Household member #1 did not have documentation of an updated central registry results (expired 2/13/22).”

Rule 22.1-289.036-A.

8VAC20-800-100-A

“Based on record review, the provider failed to obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: 1.Child #2 (date of enrollment 8/1/22) did not have documentation of a physical at the time of inspection (1/24/23) 2.Child #3 (date of enrollment 9/1/22) physical is dated 1/3/23.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Based on record review, the provider did not obtain written authorization for an emergency medical care should an emergency occur, and the parent cannot be located immediately. Evidence: The record for Child #1 did not have written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-B

“Based on record review and interview, the shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: 1.There was no documentation that a shelter-in-place was practiced during the year. 2.Provider acknowledged the shelter-in-place was not practiced in 2022.”

Rule 8VAC20-800-830-B.

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the child attended the family day home. Evidence: 1.Child #2 immunization record is dated 1/3/23 and start date was 9/1/22.”

Rule 8VAC20-800-90-A.

8VAC20-800-920

“Based on observation and interview with the provider, the menu for the current week was not given to the parents or posted or placed in an area accessible to parents. Evidence: 1. The menu was not posted. 2. The Provider acknowledged she did not have a menu for the week.”

Rule 8VAC20-800-920.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child’s full name and the date. Evidence: 1.None of the bottles were labeled with the child’s name and the date for Child #1, Child #2, Child #3.”

Rule 8VAC20-800-960-E.

Based on record review, it was determined a child’s record was incomplete.

“Evidence: Child #1 did not have emergency contacts addresses”

Rule 8VAC20-800-60-B.

Based on record review, emergency evacuation records were not maintained.

“Evidence: Emergency evacuation record was missing the documentation for the month of June. Provider stated drills were conducted but forgot to document.”

Rule 8VAC20-800-830-D.

Based on record review, it was determined documentation of additional immunizations was not obtained every 6 months for children under the age of 2 years.

“Evidence: Child #1 (DOB 9/4/2020) record did not have additional immunizations. Last update was 09/02/2021.”

Rule 8VAC20-800-90-C.

8VAC20-800-60-B

“Based on a review of children’s records, it was determined that one record does not contain all required information. Evidence: Child record B does not include the address for each emergency contact person.”

Rule 8VAC20-800-60-B.