Marzieh Mirzasalehi

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY 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.

“The record for Child #1 and Child #2 did not contain a physical examination. Child #1 had been enrolled for more than 30 days. Child #2 had been enrolled for more than 60 days.”

Rule 8VAC20-800-100-A.

SYSTEMIC DEFICIENCY Assistants and substitute providers records shall contain documentation that 2 or more references as to character and reputation as well as competency were checked before employment.

“The record for Caregiver #1, employed for 20 days, did not contain documentation of at least 2 references checks. Caregiver #1 was present and working with children.”

Rule 8VAC20-800-120-B.

SYSTEMIC DEFICIENCY The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. Documentation of the orientation shall be signed and dated by the provider and the substitute or assistant.

“The record for Caregiver #1, employed for 20 days, did not contain documentation of orientation. Caregiver #1 was present and working with children.”

Rule 8VAC20-800-200-A.

SYSTEMIC DEFICIENCY Before the childs first day of attendance, parents shall be provided in writing the provisions of the family day homes emergency preparedness and response plan.

“The record for Child #1, enrolled for more than 30 days, contained an incomplete provisions of the emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

REPEAT VIOLATION Caregivers who work directly with children shall annually attend at least 16 hours of training, to include the departments health and safety update course.

“On the date of the inspection, Caregiver #1 had not completed the departments health and safety update course for 2025.”

Rule 8VAC20-790-250-F.

SYSTEMIC DEFICIENCY The provider shall obtain documentation of a physical examination prior to a childs attendance or within 30 days after the first day of attendance.

“The record for Child #2, enrolled for 7 months, did not contain a physical examination.”

Rule 8VAC20-800-100-A.

SYSTEMIC DEFICIENCY A childs record shall contain the following information: name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; name and policy number of the childs medical insurance.

“The record for Child #1, enrolled for 15 days, did not contain a second emergency contact. The record for Child #1 and Child #2, enrolled for 7 months, did not contain the policy number of the childs medical insurance.”

Rule 8VAC20-800-60-B.

SYSTEMIC DEFICIENCY The family day home shall obtain documentation of additional immunizations once very 6 months for children under the age of 2 years.

“The record for Child #2, age 18 months, contained immunizations dated October 2025. Updated immunizations had not been obtained.”

Rule 8VAC20-800-90-C.

Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles.

“Child #2, age 18 months, was observed lying in a crib with an empty sippy cup. The provider stated the child had just finished drinking their milk.”

Rule 8VAC20-800-900-B.

SYSTEMIC DEFICIENCY The provider is required to obtain a completed sworn statement prior to a caregivers first day of employment.

“Caregiver #1 had a sworn statement dated 26 days after first day of employment. Caregiver #2 had a sworn statement dated 3 days after first day of employment.”

Rule 22.1-289.035-B-1. From a complaint.

SYSTEMIC DEFICIENCY The provider is required to obtain a completed criminal history background check prior to a caregviers first day of employment.

“Caregiver #1 had criminal history results dated 1 day after first day of employment. Caregiver #2 had results dated 6 days after first day of employment. Caregiver #3 had results dated 7 days after first day of employment.”

Rule 22.1-289.035-B-2. From a complaint.

SYSTEMIC DEFICIENCY The provider must request a search of the central registry ( CPS ) prior to a caregivers first day of employment.

“Caregiver #2 was employed for 7 days before a search of the central registry was requested.”

Rule 22.1-289.035-B-3. From a complaint.

SYSTEMIC DEFICIENCY The provider is required to obtain background checks from any state in which a caregiver has resided in the preceding 5 years.

“On the date of the inspection, an out of state sex offender search or central registry background check had not been requested for Caregiver #2 who had been employed for 7 days.”

Rule 22.1-289.035-B-4. From a complaint.

REPEAT VIOLATION Assistant and substitute provider records shall contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. If a reference check is taken over the phone, documentation shall include: dates of contact, name of person contacted, results, and signature of person making call.

“On the date of the inspection, the record for Caregiver #1, employed for 1 month, and Caregiver #2, employed for 6 days, did not contain documentation of reference checks. The provider stated references were called but the information was not recorded.”

Rule 8VAC20-800-120-B. From a complaint.

A substitute provider shall record and sign the time of arrivals and departures on each day that the subsitute provider works.

“The provider was not present at the family day home on January 6th and 20th from 11:00am to 4:00pm and January 15th and 29th from 3:00pm - 6:00pm. The family day home did not have a substitute provider log or timesheet that documented the arrival and departure or substitute signature.”

Rule 8VAC20-800-140-D. From a complaint.

REPEAT VIOLATION The provider must obtain from each caregiver at the time of hire a current Report of Tuberculosis (TB) Screening. The report shall have been completed within the last 30 days and be signed by a physician.

“Caregiver #1 had a TB report dated 8 months prior to date of hire.”

Rule 8VAC20-800-170-B. From a complaint.

REPEAT VIOLATION The provider must orient assistants by the end of their first week of assuming job responsibilities to include all policies and procedures of the Family Day Home.

“The record for Caregiver #1 contained documentation of orientation that was dated 3 weeks after their first week.”

Rule 8VAC20-800-200-B. From a complaint.

Within the first 90 days of employment all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education.

“Caregiver #1, employed for 9 months, and Caregiver #2, employed for 10 months, did not complete the departments Virginia Preservice training.”

Rule 8VAC20-790-250-B.

No soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys.

“Child #1, age 7 months, was observed sleeping in a crib that had 3 blankets hanging over two sides of the crib and were within the childs reach. The provider stated the blankets are used to block the light so the child can sleep during nap.”

Rule 8VAC20-800-530-F.

A childs record shall contain the following information: name, address, and telephone number of two designated persons to contact in case of an emergency; name, address, and telephone number of each custodial parents place of employment.

“The record for Child #1, enrolled for 2 months, did not contain a phone number for each parents place of employment. The record for Child #2, enrolled for 1 year, did not contain a phone number for the second emergency contact.”

Rule 8VAC20-800-60-B.

REPEAT VIOLATION Before the childs first day of attendance, parents shall be provided required information in writing.

“The record for Child #2 and Child #3 did not contain the requirements for ill child pick up and communicable disease reporting. The record for Child #2 did not contain the policy for the administration of medication.”

Rule 8VAC20-800-70-A.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The emergency plan posted was dated July 2022. At the time of the inspection, an annual review for 2023, 2024, and 2025 had not been documented.”

Rule 8VAC20-800-800-B.

Emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts. Documentation shall be maintained of emergency evacuation and shelter-in-place drills that include: identity of person conducting drill, date and time of the drill, method used for notification of the drill, number of caregivers and children participating, any special conditions simulated, the time it took to complete the drill, problems encountered, and weather conditions.

“The provider noted on the attendance record when an evacutation drill had been practiced but did not document any of the required information.”

Rule 8VAC20-800-830-C.

All caregivers shall undergo a background check in accordance with subsection B of the Code of Virginia every 5 years.

“At the time of the inspection, the subsequent Central Registry check ( CPS ) and Sworn Statement for Caregiver #3 was overdue by 4 months.”

Rule 22.1-289.035-A.

The Family Day Home is required to obtain a completed sworn statement prior to a caregivers first day of employment.

“Caregiver #1, employed for 4 months, and Caregiver #2, employed for almost 6 months, did not have a sworn statement.”

Rule 22.1-289.035-B-1.

All adult household members shall undergo a background check in accordance with subsection B of the Code of Virginia every 5 years.

“At the time of the inspection, the subsequent Central Registry check ( CPS ) and Sworn Statement for Household Member #1 was overdue by 4 months.”

Rule 22.1-289.036-A.

Assistants records shall contain all required information.

“The record for Caregiver #1, employeed for 4 months, and Caregiver #2, employed for almost 6 months, did not contain an address, verification of age, an emergency contact, and two reference checks.”

Rule 8VAC20-800-120-B.

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

“Caregiver #2 was employed and working for almost 3 months before a TB screening/test was obtained.”

Rule 8VAC20-800-170-A.

The provider must obtain from each caregiver at the time of hire a current Report of Tuberculosis (TB) Screening form. The report shall have been completed within the last 30 days and be signed by a physician.

“Caregiver #1 had a TB report dated 12 months prior to date of hire.”

Rule 8VAC20-800-170-B.

The provider must orient assistants by the end of their first week of assuming job responsibilities to include all policies and procedures of the Family Day Home.

“The provider did not have documentation of orientation for Caregiver #1, employed for 4 months, and Caregiver #2, employed for almost 6 months.”

Rule 8VAC20-800-200-B.

Potentially poisonous substances and materials shall be stored in an area inaccessible to children.

“The bathrooom used by children contained cleaning products on top of the counter and underneath the sink in an unlocked cabinet, making them accessible to children. A block of ant bait was on the floor underneath the bathroom cabinet and had leaked onto the floor next to the step stool used by children.”

Rule 8VAC20-800-280.

Occupied cribs, cots, and rest mats shall be at least 12 inches from each other.

“Three children were observed sleeping on cots that were less than 12 inches from each other with parts of the pillows and bedding touching.”

Rule 8VAC20-800-510-C.

Infants shall be placed on their backs when sleeping or napping unless otherwise ordered by a written statement signed by the childs physician.

“The provider stated Child #4, age 4 months, is placed on their stomach to sleep. Child #4 is still practicing tummy time and cannot roll over.”

Rule 8VAC20-800-590-A.

REPEAT VIOLATION Before the child’s first day of attendance, parents shall be provided required information in writing.

“The record for Child #1, #2, and #3 did not contain the requirements for ill child pick up and communicable disease reporting. The record for Child #3 did not contain the policy for the administration of medication or liability insurance.”

Rule 8VAC20-800-70-A.

The provider shall have a written emergency preparedness and response plan that includes but is not limited to emergency evacuation, relocation, and shelter-in-place procedures.

“The provider did not have an emergency preparedness and response plan to review.”

Rule 8VAC20-800-800-A.

REPEAT VIOLATION The emergency evacuation procedures shall be practiced montly with all caregivers and children in care.

“An evacuation drill was not practiced December 2024 through April 2025.”

Rule 8VAC20-800-830-A.

A child’s record shall contain the following information: Name, office address and telephone number of the child’s physician; name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; names of persons other than the custodial parents who are authorized to pick up the child.

“The record for Child #1, enrolled for one week, was missing the required physician information, two emergency contacts, and the authorized pick up. The record for Child #2, enrolled for one week, was missing the physicians name, an address for emergency contact #1, and a second emergency contact. The record for Child #3, enrolled for more than one month, was missing the phone number for emergency contact #1 and the authorized pick up.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided in writing the following information: Policies for the administration of medication.

“The record for Child #1 and #2, enrolled for one week, and Child #3, enrolled for more than one month, did not contain policies for the administration of medication.”

Rule 8VAC20-800-70-A.

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

“An evacuation drill was not practiced during the month of October.”

Rule 8VAC20-800-830-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia.

“Immunization records for Child #2, enrolled for one week, had not been obtained by the provider.”

Rule 8VAC20-800-90-A.

Based on record review, the provider did not ensure that a current certification in cardiopulmonary resuscitation was received every two years from the date of the first issuance.

“Evidence: Staff #1 record has documentation that a certification was received May 7, 2022.”

Rule 8VAC20-800-140-B-3.

Based on record review, the provider did not ensure that a current certification in first aid was received every two years from the date of the first issuance.

“Evidence: Staff #1 record has documentation that a certification was received May 7, 2022.”

Rule 8VAC20-800-140-B-4.

Based on record review, the provider did not ensure that for each caregiver and household member a current report of Tuberculosis Screening was received every two years from the date of the first screening.

“Evidence: Staff #1 and Household member #1 have documented Tuberculosis Screening results dated June 7 2022, and June 3 2022 respectively.”

Rule 8VAC20-800-180-A.

Based on direct observation, the provider did not ensure that all unused electrical outlets had a child resistant protective cover.

“Evidence: An outlet cover was missing on an outlet on the main floor of the home”

Rule 8VAC20-800-320-B.

Based on record review, the provider did not ensure that the parental written agreements are received prior to the child’s first day of attendance.

“Evidence: Child 1, Child 2, and Child 3 did not have parental agreements in their records.”

Rule 8VAC20-800-70-A.

Based on household record review,the provider did not ensure that each household member had a Current Report of Tuberculosis Screening every two years from the date of the first screening.

“Household member #1 and #2 Tuberculosis Screening records are dated October 28, 2019.”

Rule 8VAC20-800-180-A.

Based on record review, 1 of 2 children’s records reviewed did not contain written agreements signed by the parents by the end of the first day of care.

“Evidence: Child #1 Record did not contained the signed written agreements.”

Rule 8VAC20-800-60-A.