Shirin Davari

A child’s record shall contain the policy number of the child’s medical insurance.

“The record for Child #5, in care over one year, was missing the medical insurance policy number.”

Rule 8VAC20-800-60-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 #5 did not have a parent’s signature for an annual review of the emergency contact information. Child #5 had been in care for over a year.”

Rule 8VAC20-800-780-B.

The provider is required to have employees undergo a background check every five years.

“The most recent central registry check for caregiver #2 was overdue by two months and eleven days.”

Rule 22.1-289.035-A.

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

“An updated TB screening for Household Member #1 was not completed and was overdue by nearly two months.”

Rule 8VAC20-800-180-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 obtained six hours of training and Caregiver #2 obtained seven hours for 2025.”

Rule 8VAC20-800-210-A.

Areas and furnishings of the family day home, inside and outside, shall be maintained in a safe and operable condition.

“The gate located at the top of the steps leading to the backyard play area no longer latched, presenting a hazard to children in care.”

Rule 8VAC20-800-240-A.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“An emergency evacuation drill was not completed for December 2025.”

Rule 8VAC20-800-830-A.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“The updated TB screening was not completed every two years and was overdue by one month.”

Rule 8VAC20-800-180-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 and #2 received 5.5 hours of annual training.”

Rule 8VAC20-800-210-A.

Areas and furnishings of the family day home, inside and outside, shall be maintained in a safe and operable condition.

“The gate located at the top of the steps leading to the backyard play area no longer latched, presenting a hazard to children in care.”

Rule 8VAC20-800-240-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“Documentation of Child #4’s immunizations were received 2 days after Child #4’s first day of attendance.”

Rule 8VAC20-800-90-A.

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

“The most recent findings from the last licensing inspection were not posted.”

Rule 22.1-289.011-F.

8VAC20-800-240-A

“Areasof the family day home, inside and outside, shall be maintained in a clean, safe condition. The perimeter wall located in the programming space has peeling drywall and a hole that is accessible to children.”

Rule 8VAC20-800-240-A.

8VAC20-800-570-A

“The provider shall ensure that a caregiver does not exceed 16 points. 1. There were a total of 13 children present. 2. Seven children, totaling 21 points were inside with Caregiver #2 while Caregiver #1 was outside with the remaining 6 children.”

Rule 8VAC20-800-570-A.

8VAC20-820-120-A-4

“A family day home shall operate within the terms of its license. 1. Twelve children is the maximum number of children who may be in care at any time. 2. A total of 13 children were present during the length of the licensing inspection.”

Rule 8VAC20-820-120-A-4.

8VAC20-770-40-D-4

“Based on file review, one background check was not obtained every 5 years. Evidence: Household member #1’s last Central Registry search was dated in January 2019.”

Rule 8VAC20-770-40-D-4.

8VAC20-770-60-C-2

“Based on file record review, one background check was not obtained every five years. Evidence: Staff #1’s most recent Central Registry search was dated January 2019.”

Rule 8VAC20-770-60-C-2.

8VAC20-800-100-A

“Based on child record review, documentation of a physical examination was not obtained within 30 days of the first day of attendance. Evidence: Child #2 began on 05/20/2023. A physical examination was not found for this child.”

Rule 8VAC20-800-100-A.

8VAC20-800-70-A

“REPEAT Based on child record review, verification that the following information was provided to parents was not found. Evidence: Documentation was not found that Child # 2’s parents were provided with the provisions of the emergency preparedness plan and whether the provider has liability insurance.”

Rule 8VAC20-800-70-A.

8VAC20-790-250-F

“Based on staff record review, the department’s health and safety update course was not completed for one staff. Evidence: Staff # 2 has not taken the annual update course since January 2022.”

Rule 8VAC20-790-250-F.

8VAC20-800-240-A

“Based on observation of the backyard play area, one area was not maintained in a safe condition. Evidence: The area of patio leading from the steps to the play equipment has a broke patio paver presenting a tripping hazard.”

Rule 8VAC20-800-240-A.

8VAC20-800-430-C

“Based on observation of the backyard, an operable protective barrier was not maintained at the steps leading to the basement. Evidence: The gate located at the top of the steps leading from the play area does not latch sufficiently, allowing the gate to open allowing access to stairs.”

Rule 8VAC20-800-430-C.

8VAC20-800-690-D

“Based on observation of the diapering area, the diaper surface is no longer nonabsorbent. Evidence: The diaper surface had a crack in the surface and is no longer nonabsorbent.”

Rule 8VAC20-800-690-D.

8VAC20-800-70-A

“Based on child record review, information was not provided to parents prior to 2 children’s first day of attendance. Evidence: Child #1 began care on 03/23/23. Information regarding liability insurance was provided on 04/10/2023. Child #3 began care on 03/27/2023, information regarding liability insurance was provided on 04/08/2023.”

Rule 8VAC20-800-70-A.

8VAC20-790-180-B

“Based on review of the daily record of attendance, the record was incomplete. Evidence: The records of attendance do not include arrival and departure for each child.”

Rule 8VAC20-790-180-B.

8VAC20-790-190-B-12

“Based on review of children’s records, one written care plan for a child diagnosed with a food allergy was not found. Evidence: An allergy written action plan was not found for Child #1.”

Rule 8VAC20-790-190-B-12.

8VAC20-800-180-A

“Based on staff record review, subsequent TB screenings were not completed. Evidence: Staff #1 and #2 did not have a subsequent TB screening every two years as required.”

Rule 8VAC20-800-180-A.

8VAC20-800-700-A

“Based on review of medications, one authorization was not obtained. Evidence: An authorization for a prescribed medication for Child #1 was not signed by a physician.”

Rule 8VAC20-800-700-A.

22.1-289.035-B-2

“Based on staff record review, a fingerprint background search was not completed. Evidence: A fingerprint background search was not completed for Staff #2 prior to hire.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on staff record review, a Central Registry search request was not obtained for one staff. Evidence: A Central Registry search was not requested for Staff #2.”

Rule 8VAC20-770-60-C-2.

8VAC20-800-120-A

“Based on review of staff record, one record was not maintained. Evidence: A staff record was not maintained for Staff #2.”

Rule 8VAC20-800-120-A.

8VAC20-800-90-A

“Based on child record review, documentation that two children have been adequately immunized was not obtained before prior to care. Evidence: Child #1 and #2 began care on 04/11/2022. Documentation that both children were adequately immunized was not obtained until 05/09/2022.”

Rule 8VAC20-800-90-A.

22VAC40-665-410-A-3

“Based on review of the provider’s emergency response drills, one annual drill was not completed. Evidence: The provider has not completed an annual lock down drill to date.”

Rule 22VAC40-665-410-A-3.

8VAC20-800-210-A

“Based on review of staff records, annual staff training was not obtained. Evidence: 1.Staff #1 and #2 received only 3 hours of training since the last inspection in October 2021 when it was previously cited. 2. Staff #1 has received only 4 hours out of the required 16 hours of annual training. 3. Staff #2 has received only 3 hours of the required 16 hours of annual training.”

Rule 8VAC20-800-210-A.

8VAC20-800-480-D

Rule 8VAC20-800-480-D.

8VAC20-800-530-B

“Based on observation of the crib room, one crib did not have a tight fitting sheet. Evidence: The middle crib located in the crib room had a sheet that was not sufficiently tight on the mattress.”

Rule 8VAC20-800-530-B.

8VAC20-800-690-D

“Based on inspection of the diapering surface, the surface was not nonabsorbent. Evidence: The diaper surface currently in use has two holes in the plastic covering which exposes the foam padding which is no longer nonabsorbent and can not be properly sanitized.”

Rule 8VAC20-800-690-D.

8VAC20-800-830-B

“Based on review of the provider’s emergency drills, shelter-in-place procedures were not practiced twice a year. Evidence: The provider failed to complete 2 shelter-in-place practice drills in 2021.”

Rule 8VAC20-800-830-B.

22VAC40-111-210-A

“Based on staff record review, one staff did not obtain the required 16 hours of annual training. Evidence: Staff #1 obtained 4 hours of documented training over the past year.”

Rule 22VAC40-111-210-A.