Farzaneh Hajiaghabozorgi

Repeat Violation

“The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements, once every six months for children under the age of two years. Child #6, 20 months old, did not have updated immunizations in their record. The last documented immunization was dated when the child was 12 months old.”

Rule 8VAC20-800-90-C.

Repeat Violation

Rule 8VAC20-800-80-A.

The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements and once every six months for children under the age of two years.

“The record for Child #6, in care for 34 months and age 3 years, did not contain additional immunizations once every six months. Documentation of the last immunization was dated when Child #6 was 11 months old.”

Rule 8VAC20-800-90-C.

Repeat Violation

Rule 8VAC20-800-60-B.

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.

“Documentation of verification of the identity and age of Child #1, Child #2, Child #3, and Child #4 was not obtained from the provider within seven business days of the first day of attendance.”

Rule 8VAC20-800-80-A.

Children’s records are required to have name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached and a policy number of the child’s medical insurance.

“The record for Child #1 was missing the policy number of the child’s medical insurance. Child #1 was present during the inspection and has been in care for five months. The records for Child #2 and Child #3 did not have the name, address, and telephone number of a second emergency contact. Child #2 and Child #3 were present at the time of the inspection. Child #2 has been in care for six days. Child #3 has been in care for two months.”

Rule 8VAC20-800-60-B.

Topical products such as diaper cream require annual written parent authorization noting any adverse reactions.

“Written parent authorization for diaper cream was not available for Child #2.”

Rule 8VAC20-800-750-A.

The provider shall verify the identity and age of a child by viewing the certified birth certificate within seven business days of the child’s first day of attendance.

“The birth certificate for Child #5, who has been in care for 13 business days, was not viewed by the provider .”

Rule 8VAC20-800-80-B.

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

“Two bottles for Child #4 were not labeled with the child’s full name and date. There were five infants in care.”

Rule 8VAC20-800-960-E.

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver a current Report of Tuberculosis(TB) Screening form every two years. Evidence: 1. Caregiver #3’s record did not contain a current TB Screening form. The record contained documentation of an expired Tb screening dated 06/17/2021.”

Rule 8VAC20-800-180-A.

8VAC20-800-750-A

“Based on observation, diaper ointment was not labeled with child’s name. Evidence: 1. Child #2’s and Child #4’s diaper cream was not labeled with their names.”

Rule 8VAC20-800-750-A.

8VAC20-800-830-A

“Based on documentation review and interview, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that the children are in care. Evidence: 1. The emergency evacuation drills were not conducted for the months of January and February. 2. Caregiver #1 confirmed that the January and February drills were not conducted.”

Rule 8VAC20-800-830-A.

8VAC20-800-940-A

“Based on observation, temperatures were not maintained at or below 40 degrees Fahrenheit in refrigerator compartments. Evidence: 1. The temperature of the refrigerator had a thermometer reading of 46 degrees Fahrenheit at the time of the inspection.”

Rule 8VAC20-800-940-A.

22.1-289.035-B-2

“Based on record review, the family day home did not obtain a criminal history records check prior to the first day of employment. Evidence: 1. Caregiver #4 was hired on May 8, 2023. Caregiver #4’s record contained criminal history records check results dated 05/30/2023.”

Rule 22.1-289.035-B-2.

8VAC20-800-200-C

“Based on record review and interview, documentation of orientation was not signed and dated by the provider and assistant. Evidence: 1. Caregiver #2’s record (Date of hire-05/08/2022) and Caregiver #4’s record (Date of hire-05/08/2023) did not contain documentation or orientation. 2. Caregiver #1 confirmed that Caregiver #2 and Caregiver #4 received orientation, but documentation was not maintained.”

Rule 8VAC20-800-200-C.

Repeat Violation

“Based on observation and interview, a landline telephone was not available, operable, and accessible during the family day home’s hours of operation. Evidence: 1. The family day home did not have a landline telephone. 2. Caregiver #1 confirmed that the family day home did not have a landline telephone and that a cell phone was used for communication.”

Rule 8VAC20-800-330-A.

8VAC20-800-800-B

“Based on documentation review and interview, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: 1. The emergency plan was not updated annually. Documentation of the last annual review was dated 09/19/2022.”

Rule 8VAC20-800-800-B.

8VAC20-800-150-D-1

“Based on record review, staff did not have current certification in cardiopulmonary resuscitation as appropriate to the age of the children in care. Evidence: 1. Caregiver #2 did not have current cardiopulmonary resuscitation(CPR). Caregiver #2’s CPR expired in 12/02/2022.”

Rule 8VAC20-800-150-D-1.

8VAC20-800-150-D-2

“Based on record review, staff did not have current first aid. Evidence: 1. Caregiver #2 did not have current first aid. Caregiver #2’s first aid certification expired on 12/02/2022.”

Rule 8VAC20-800-150-D-2.

8VAC20-800-330-A

“Based on observation and interview, an operable landline telephone was not accessible during the family day home’s hours of operation. Evidence: 1. A landline telephone was not accessible during the family day home’s hours of operation. 2. Caregiver #1 confirmed that the family day home did not have a landline telephone at the time of the inspection. The family day home only has a cell phone for use.”

Rule 8VAC20-800-330-A.

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: 1. The findings of the most recent inspection of the facility was not posted. The last inspection was conducted on 09/16/2022, but the inspection findings for 01/06/2022 was posted in the family day home.”

Rule 8VAC20-820-120-E-2.

8VAC20-800-330-A

“Based on observation and interview, a landline telephone was not available, operable, and accessible during the family day home’s hours of operation. Evidence: 1. A landline telephone was not available at the family day home. Caregiver #1 confirmed that a landline phone was not available in the family day home.”

Rule 8VAC20-800-330-A.

8VAC20-800-50-A

“Based on observation and interview, the family day home did not keep a written record of children in attendance each day. Evidence: 1. There was no documentation of a written record of children in attendance. 2. Caregiver #1 confirmed that attendance was not taken for the day.”

Rule 8VAC20-800-50-A.

8VAC20-800-760-A-1

“Based on observation, the first aid kit did not contain the required supplies. Evidence: 1. The first aid kit was missing a First Aid Instruction Manual.”

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

8VAC20-800-800-B

“Based on observation, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: 1. The Emergency Preparedness and Response Plan was not reviewed annually. The Emergency Plan was last reviewed and dated 07/06/2021.”

Rule 8VAC20-800-800-B.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations for a child once every six months for children under the age of two years. Evidence: 1. Child #4’s record (Start date-09/13/2021) did not contain documentation of additional immunization records. The last immunization record was dated 07/21/2021.”

Rule 8VAC20-800-90-C.

22.1-289.035-B-2

“Based on record review and interview, the provider did not obtain a criminal history record check for a staff member prior to the first day of employment. Evidence: 1. Staff #2’s record (Date of hire-09/30/2021) did not contain fingerprint results. 2. Staff #1 confirmed that fingerprint results were not obtained for Staff #2.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.