Nahid Akhzari

8VAC20-790-250-F

“Caregivers who work directly with children shall annually attend the department’s health and safety update course. Caregiver #1 did not have an annual health and safety training, The annual update is 20 months past due.”

Rule 8VAC20-790-250-F.

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There was no physical exam records available for Child #4, who had been in care for over 90 days.”

Rule 8VAC20-800-100-A.

8VAC20-790-250-F

“Caregivers who work directly with children shall, annually attend at least 16 hours of training, to include the department’s health and safety update course. Caregiver #1 has not annually attended the department’s health and safety update course, the training is overdue by three months.”

Rule 8VAC20-790-250-F.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Household #2 was not completed and was overdue by five months.”

Rule 8VAC20-800-180-A.

8VAC20-800-200-A

“The provider must orient assistants by the end of their first week of assuming job responsibilities. Assistant Caregiver #1 provided care for children for two months without receiving orientation.”

Rule 8VAC20-800-200-A.

22.1-289.036-A

“Every adult living in a family day home shall undergo a background check every five years. The central registry search update for household #2 was overdue by 5 months.”

Rule 22.1-289.036-A.

8VAC20-800-60-B

“Based on a review of children records, 1 child’s record did not contain documentation of the review of the child’s emergency contact information. Evidence: Child # 4, date of first attendance 11/7/2022 did not have an updated review of emergency contact information. The last review was dated 11/10/2022.”

Rule 8VAC20-800-60-B.

8VAC20-800-800-B

“Based on a review of procedures, the provider has not updated the emergency preparedness plan at least annually. Evidence: The most current emergency preparedness plan is dated 8/1/2022.”

Rule 8VAC20-800-800-B.

8VAC20-800-60-B

“Repeat violation and Systemic Deficiency: Based on a review of children records, children records did not contain documentation of the Information for Parents form and Authorization for emergency care. Evidence: The following children records were missing the Information for Parents form: Child #1, first day of attendance 3/8/2023 (Repeat) Child #2, first day of attendance 9/20/2022 Child #3, first day of attendance 12/19/2022 Child #4, first day of attendance 1/24/2022 The following child record was missing the authorization for emergency care: Child #3, first day of attendance 12/19/2022”

Rule 8VAC20-800-60-B.

22.1-289.035-A

“Based on record review, backgrounds checks are not completed every 5 years from the last search. Evidence: The following have not updated their fingerprint results every five years. Caregiver #1 fingerprints are dated 2/20/2018 Household #1 and #2 fingerprints are dated 2/20/2018”

Rule 22.1-289.035-A.

8VAC20-800-280

“Based on observation, cleaning agents were observed in reach of children. Evidence: Cleaning agents were found in an unlocked cabinet under the sink in the bathroom used by the children.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

“Based on a review of children records, children records did not contain documentation of the Parent Information form. Evidence: Child #1, first day of attendance 3/8/2023 does not have documentation of the Information for Parents form in the record. Child #2, first day of attendance 8/23/2021 does not have documentation of the Information for Parents form in the record.”

Rule 8VAC20-800-60-B.

8VAC20-800-100-A

“Based on a review of children’s records, it was determined that that provider did not obtain documentation of a child’s physical examination within 30 days after the first day of attendance. Evidence: Child record B does not include a physical exam report. This child entered care on9/26/2022.”

Rule 8VAC20-800-100-A.

22VAC40-111-280

“Based on virtual observations, it was determined that one potentially hazardous substance is not stored in an area completely inaccessible to children. Evidence: The Inspector observed the spray bottle of bleach/water sanitizing solution stored next to the diaper changing table. The spray bottle was at the same level of the changing table. The placement of the spray bottle was not completely out of the reach of children.”

Rule 22VAC40-111-280.

22VAC40-111-330-A

“Based on virtual observations and provider interviews, it was determined that a landline telephone, excluding a cordless or cell phone, is not available, operable, and accessible during the family day home’s hours of operation. Evidence: The provider reported that she does not have landline telephone service in the home.”

Rule 22VAC40-111-330-A.

22VAC40-111-690-D

“Based on virtual observations and provider interviews, it was determined that the diaper changing surface is not properly cleaned and sanitized after each use. Evidence: The provider reported that she only uses a bleach/water solution to sanitize the diaper changing table in between uses. The provider does not use a soap/water solution to also clean the changing table in between uses.”

Rule 22VAC40-111-690-D.