Masomeh Azadi

The provider shall obtain documentation of a physical examination within 30 days after the first day of attendance.

“Child 3 did not have documentation of a physical examination.”

Rule 8VAC20-800-100-A.

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

“One uncovered electrical outlet in the rear nap room.”

Rule 8VAC20-800-320-B.

A child’s record shall contain the following information: 2 emergency contacts with name, telephone and address.

“Child 1, 2, and 3 only had 1 emergency contact listed on their enrollment records.”

Rule 8VAC20-800-60-B.

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The most recent inspection report posted was dated 6/12/2024, but the most recent inspection was on 5/20/2025.”

Rule 22.1-289.011-F.

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.

“Child 1 did not have documentation of a physical examination, and has been in care for over 30 days.”

Rule 8VAC20-800-100-A.

Family day home caregivers or who is or will be alone with, in control of, or supervising one or more of the children; and (iii) adult living in such child day center or family day home shall undergo a background check in accordance with subsection B prior to issuance of a license as a child day center, family day home, or family day system, registration as a family day home, or approval as a family day home by a family day system and every five years thereafter.

“Caregiver 1 and Household member 1 did not have a subsequent central registry check, within 5 years of the previous check.”

Rule 22.1-289.036-A.

The provider shall obtain for each caregiver and adult household member a current report of tuberculosis screening every two years from the date of the first screening.

“Household member 1 did not have documentation of a subsequent TB screening, within 2 years of the previous screening.”

Rule 8VAC20-800-180-A.

A child’s record shall contain the following information: name and policy number of the child’s medical insurance.

“Child 4 did not have documentation of a medical insurance policy number.”

Rule 8VAC20-800-60-B.

The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child 1 is under 2 years of age and has not had an updated immunization within the past 6 months.”

Rule 8VAC20-800-90-C.

8VAC20-800-60-B

“Based on review, the provider did not ensure that children’s records were maintained with the required minimum information. Evidence: reviewed 5 children’s records and found that Child 5 did not have documentation of medical insurance numbers.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-C

“Based on review, the provider did not ensure that the emergency evacuation drill was documented with the required minimum information. Evidence: reviewed the emergency evacuation drill log and found that only the date and time of the emergency drill was documented.”

Rule 8VAC20-800-830-C.

8VAC20-800-90-C

“Based on review, the provider did not ensure that children’s immunization records were updated every six months for children under the age of 2 years. Evidence: reviewed 5 children’s records and found that Child 4’s last documented immunization was dated 8/15/2023.”

Rule 8VAC20-800-90-C.

Based on observation and interview, the bathroom did not have paper towels available.

“Evidence: The bathroom did not have paper towels available.”

Rule 8VAC20-800-340-C.

Based on observation, an infant, toddler, or preschool child who falls asleep in a play space other than his own crib, cot, mat, or bed was not moved promptly to their designated sleeping space if the safety or comfort of the infant, toddler, or preschool child is in question.

“Evidence: 1. Child #1 (birth date 8/5/2023) was found sleeping in a car seat and being rocked back and forth by caregiver #3 using her foot when the inspector arrived at the home at approximately 9:42 am. 2. The Inspector asked the provider to transition the sleeping infant to their designed crib.”

Rule 8VAC20-800-590-B.

Based on record review and interview, the provider did not obtain all the information required for a child’s record.

“Evidence: Child #1 is missing an emergency contact address.”

Rule 8VAC20-800-60-B.

Based on observation and interview, topical ointments were used beyond the expiration date of the product.

“Evidence: The Desitin used expired on 6/2023, the Aquaphor used expired on 2/2022, and the Neosporin used expired on 11/2020.”

Rule 8VAC20-800-750-D.

8VAC20-800-420-A

“Based on observation, one room used for sleeping infants was not lighted well for safety. Evidence: 1. Two areas were used for sleeping. The area that holds cribs was too dark to even see infants in the cribs. 2. The Provider stated there were two sleeping infants but a light had to be turned on to see the infants.”

Rule 8VAC20-800-420-A.

8VAC20-800-530-G

“Based on observation, it was determined the program allowed a child under two years of age to use a pillow to sleep. Evidence: 1. Child #1 was 13 months old and Caregiver was trying to help Child #1 to sleep on a mat. The child was elevated by a Boppy Pillow.”

Rule 8VAC20-800-530-G.

8VAC20-800-170-B

“Based on record review, it was determined the provider did not obtain a TB Screening for caregiver #2 that was completed within the last 30 days before employment. Evidence: 1. Caregiver 2 started in October of 2022 and TB Screening is from January of 2022.”

Rule 8VAC20-800-170-B.

8VAC20-800-50-A

“Based on record review and observation it was determined the home did not keep written record of children on the day of the inspection. Evidence: 1. Yesterdays attendance was reviewed but today’s was not listed.”

Rule 8VAC20-800-50-A.

8VAC20-800-570-A

“Based on observation and interview, it was determined the Provider did not ensure that a caregiver does not exceed 16 points. Evidence: 1. There were 11 children present for a total of 35 points. There were two caregivers physically present. 2. The Provider stated that a caregiver was sent home for being sick and that another caregiver would be there soon. During the inspection, no one else arrived.”

Rule 8VAC20-800-570-A.

8VAC20-800-60-A

“Based on interview, observation, and record review, it was determined the Provider did not maintain a record for a child presently enrolled. Evidence: 1. A baby was observed and the Provider stated child #3 was a family member’s child and that the provider was only watching temporarily before the child moved out of the country.”

Rule 8VAC20-800-60-A.

8VAC20-800-900-B

“Based on observation and interview, it was determined that the Provider did not prevent children from drinking while lying down. Evidence: 1. The children were down on cots or in a crib for nap. Two children were observed on their cots lying down and drinking bottles. 2. A toddler was also observed in a crib lying down with a crib. 3. The Provider stated she only allowed it to help them calm as they don’t drink enough at lunch.”

Rule 8VAC20-800-900-B.

8VAC20-800-200-C

“Based on documentation and interviews, it was determined the Provider did not obtain documentation of the Orientation training for the three caregivers. Evidence: 1. Files for Caregiver 2, 3, and 4 were reviewed and Orientation was not in the file. 2. Provider stated she covered the topics but did not date, sign, or have them sign the training.”

Rule 8VAC20-800-200-C.

8VAC20-800-210-A

“Based on record review, it was determined Caregiver #2 did not obtain 16 hours of annual training. Evidence: 1. Inspector reviewed training documents for Caregiver #2 and within the anniversary year, Caregiver only had 12 hours of training documented.”

Rule 8VAC20-800-210-A.

8VAC20-800-770

“Based on interview and observation, it was determined the Provider did not a working battery operated radio as the batteries did not work and she did not have extra batteries.”

Rule 8VAC20-800-770.