Laili Akahanzadah

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

“The most recent fingerprint based background check for caregiver #1 was overdue by a year.”

Rule 22.1-289.036-A.

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

“An updated TB screening for Caregiver #1, Caregiver #3 and Household Member #1 were not completed and were overdue by two months.”

Rule 8VAC20-800-180-A.

Information contained in a child’s record shall be privileged and confidential.

“The provider had the supplemental page from the 7/29/2025 and 2/03/2026 inspections posted on the parent board. The supplemental page is considered confidential and is not to be posted.”

Rule 8VAC20-800-50-C.

Children’s records are required to contain work address of each custodial parent’s place of employment, name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached, and documentation of the review of the child’s emergency contact information as required by 8VAC20-800-780 B.

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.

“Records for children #1, #2, #4 and #5 did not have a parent’s signature for an annual review of the emergency contact information. Child #1 had been in care for one year and six months without an annual review.. Child #2 had been in care for one year and six months without an annual review. . Child #4 file was last reviewed one year and two weeks ago. Child #5 file was last reviewed one year and eight months ago.”

Rule 8VAC20-800-780-B.

The provider shall document in the child’s record the method of verification of the child’s age and identity.

“The provider stated that Child #3’s identification was verified, but did not document the child’s place of Birth, Birth Date, Birth Certificate Number, date Issued, date documentation was viewed or the Person Viewing the Documentation.”

Rule 8VAC20-800-80-C.

8VAC20-800-120-B

“An assistant’s record did not contain complete information. Caregiver # 1’s record was missing one reference check.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-B

“The tuberculosis (TB) screening for a caregiver shall have been completed within the last 30 days of the first day of employment. Caregiver # 1’s TB screening was 14 months old.”

Rule 8VAC20-800-170-B.

8VAC20-800-210-A

“Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver # 1 did not have any training hours completed during 2024. Caregiver # 2 completed only five out of sixteen clock hours of annual training.”

Rule 8VAC20-800-210-A.

8VAC20-790-250-B

“Based on records review, caregivers did not complete the Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: 1. Staff # 1’s first day of employment was 5/6/24. 2. Staff # 1 did not complete the Virginia Preservice Training to this date.”

Rule 8VAC20-790-250-B.

8VAC20-790-250-F

“Based on records review, caregivers did not complete the Virginia Health and Safety training, annually. Evidence: Staff # 2 and Staff # 3 last completed the health and safety training in March 2023. The training has not been completed again since that date.”

Rule 8VAC20-790-250-F.

8VAC20-800-140-B-4

“Based on records review, the provider did not have current certification in first aid. Evidence: The provider’s most recent first aid certification expired on 9/6/21.”

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

8VAC20-800-800-B

“Based on records review, the provider did not review the emergency plan annually. Evidence: The most recent review of the emergency plan was completed on 9/20/21.”

Rule 8VAC20-800-800-B.

8VAC20-800-780-B

“Based on records review, the provider did not complete an annual review of the children’s records. Evidence: Child # 1’s record was last updated on 8/4/21.”

Rule 8VAC20-800-780-B.

8VAC20-800-90-C

“Based on records review, the family day home did not obtain documentation of additional immunizations for a child under the age of two years, every six months. Evidence: Child # 1 is 23 months old and immunization records were not every 6 months.”

Rule 8VAC20-800-90-C.

8VAC20-800-120-B

“Based on records review, records for assistants were missing written documentation of two references. Evidence: 1. Staff # 1 and Staff # 2’s first day of employment was 5/2/22. 2. Both Staff # 1 and Staff # 2’s records had one form each with names of two people to contact for reference checks. However, the forms did not contain any information related to the results of the reference checks.”

Rule 8VAC20-800-120-B.

8VAC20-800-60-B

“Based on records review, the children’s records were not complete. Evidence: Child # 1 and Child # 2’s records were missing the health insurance policy numbers.”

Rule 8VAC20-800-60-B.

8VAC20-800-750-A

“Based on observation and staff interview, the provider did not obtain written permission from parents to apply sunscreen. Evidence: 1. The provider applied sunscreen provided by the family day home to the children before going outside. 2. Child # 1 and Child # 2’s topical ointment forms did not list the name of the sunscreen that was being applied. 3. Child # 3’s topical ointment form only had the parent signature but did not list any item for which the form was authorized.”

Rule 8VAC20-800-750-A.

8VAC20-800-830-C

“Based on staff interview, the provider did not maintain records of emergency evacuation and shelter-in-place drills. Evidence: The provider stated that she had conducted monthly fire drills and at least one shelter in place, but did not know that the drills had to be documented.”

Rule 8VAC20-800-830-C.

22.1-289.035-B-2

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on record review and staff interview, the family day home did not obtain a central registry finding within 30 days of employment for an employee. Evidence: 1. Caregiver # 1’s first day of employment was 10/12/21. 2. The provider stated that she was unsure if the central registry had to be completed for Caregiver # 1 so she did not submit a request. 3. To this date, Caregiver # 1’s central registry findings have not been obtained.”

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

8VAC20-800-100-A

“Based on records review, the provider did not obtain documentation of a physical examination for children in care within 30 days of enrollment. Evidence: 1. Child # 1’s first day of enrollment was 11/1/21. 2. Documentation of a physical examination for Child # 1 was not obtained and unavailable for review.”

Rule 8VAC20-800-100-A.

8VAC20-800-110-B

“Based on record review, immunization reports were not signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: Child # 1’s health forms included a printout of immunizations. However, neither the health form nor the printout of the immunizations was signed and dated by a physician.”

Rule 8VAC20-800-110-B.

8VAC20-800-120-B

“Based on records review and staff interview, the provider did not complete two references as to character and reputation as well as competency before employment. Evidence: 1. Caregiver # 1’s hire date was 10/12/21. 2. The provider stated that she had not completed two reference checks for Caregiver # 1 before employment. There were no references included in Caregiver # 1’s record to review.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Based on records review, the provider did not obtain from each caregiver at the time of hire and prior to coming into contact with children; and each adult household member a current Report of Tuberculosis (TB) Screening. Evidence: 1. Caregiver # 1’s hire date was 10/12/21. A current TB screening was not obtained from Caregiver # 1 prior to that date. 2. Household Member # 1 reached the age of 18 years on 12/8/21. A current TB screening was not obtained from Household Member # 1.”

Rule 8VAC20-800-170-A.

8VAC20-800-180-A

“Based on records review, the provider did not obtain for each caregiver a current Report of Tuberculosis (TB) Screening form, every two years from the date of the first screening. Evidence: The provider’s most recent TB screening expired on 9/19/21. A subsequent TB screening was not obtained every two years.”

Rule 8VAC20-800-180-A.

8VAC20-800-200-C

“Based on staff interview, no documentation of the staff orientation for an assistant was completed. Evidence: The provider stated that she completed the orientation with Caregiver # 1 prior to her hire date, but did not complete any documentation.”

Rule 8VAC20-800-200-C.

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that children’s hands are washed before eating. Evidence: The children were observed eating morning snack after playing with toys. However children’s hands were not washed before eating.”

Rule 8VAC20-800-680-B.