Shabnam Hashemi

The provider shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“The provider’s CPR certification expired five months ago.”

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

The provider shall obtain for each caregiver and adult household member an updated tuberculosis (TB) screening or test every two years.

“Staff #3, who was working with children at the time of inspection, had a TB test on file that expired over 18 months ago. Adult Household Member #2 had a TB test on file that expired over six months ago.”

Rule 8VAC20-800-180-A.

Children’s records shall contain documentation of the parent’s annual review of the emergency contact information.

“Child #2’s annual review of the emergency contact information is overdue by 19 months and Child #3’s annual review of the emergency contact information is overdue by 23 months.”

Rule 8VAC20-800-60-B.

Providers must obtain a completed national criminal background check for all adult household members.

“Adult Household Member #4 did not have national criminal background check results on file.”

Rule 22.1-289.036-B-2.

Providers must obtain documentation of a negative tuberculosis screening from all adult household members.

“Adult Household Member #4 did not have a tuberculosis screening on file.”

Rule 8VAC20-800-170-A.

Based on observation, the provider did not ensure that children under two years of age did not use pillows.

“Evidence: Child #2 (Age 22 months) was observed sleeping with a pillow in an adjoining nap room.”

Rule 8VAC20-800-530-G.

Based on record review, the provider did not ensure that parents were provided in writing whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation as required by ?22.1-289.050 of the Code of Virginia.

“Evidence: Child #4 did not have documentation on file that parents were provided in writing whether or not the provider currently holds liability insurance for the family day home.”

Rule 8VAC20-800-70-A.

Based on observation and provider interview, the provider is not following the most recent age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (UDSA).

Rule 8VAC20-800-880.

Based on observation and provider interview, the provider did not ensure that the menu for the current one-week period was given to parents or posted in an area accessible to parents.

“Evidence: The provider stated she has not made the menu for this week yet.”

Rule 8VAC20-800-920.

Based on observation and provider interview, the provider did not have an operable thermometer available to monitor refrigerator and freezer compartment temperatures.

“Evidence: The provider utilizes the refrigerator in the programming space for food storage for the children and did not have a thermometer placed inside to monitor refrigerator and freezer compartment temperatures.”

Rule 8VAC20-800-940-B.

Based on record review, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #4 (Start Date: 4/12/2022) did not have a physical examination on file at the time of inspection.”

Rule 8VAC20-800-100-A.

Based on record review and provider interview, the provider has not ensured that emergency evacuation drills are practiced monthly.

“Evidence: The provider has had children enrolled since April 2022 and has not conducted any emergency evacuation drills.”

Rule 8VAC20-800-830-A.

Based on observation, potentially poisonous substances were accessible to children.

“Evidence: Rubbing alcohol, cosmetics, and cleaning agents were stored in an unlocked cabinet under the sink in the downstairs bathroom in the programming space.”

Rule 8VAC20-800-280.

Based on observation and provider interview, a landline phone, excluding a cordless or cell phone, was not available or operable at the time of inspection.

“Evidence: The provider does not have a landline phone.”

Rule 8VAC20-800-330-A.

Based on observation, the bathroom to be used by children did not contain paper towels.

“Evidence: There were no paper towels in the bathroom in the programming space.”

Rule 8VAC20-800-340-C.

Based on observation of the diapering area, there was no trash can available for disposal of diapers that was either foot operated or able to be used in a way that neither the caregiver’s hands nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.

“Evidence: There was no trash can in the diapering area. The provider stated she does not have a foot operated trash can.”

Rule 8VAC20-800-690-E.

Based on observation, the first aid kit did not contain all required items.

“Evidence: The first aid kit was missing a thermometer, scissors, tweezers, and 2 triangular bandages.”

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

Based on observation of emergency supplies, the provider does not have a portable battery-operated weather band radio.

“Evidence: The provider did not have a battery-operated weather band radio at the time of inspection.”

Rule 8VAC20-800-770.

Based on observation, the provider did not have required telephone numbers posted.

“Evidence: Telephone numbers for 911, poison control, and the responsible person for emergency back up care were not posted at the family day home at the time of inspection.”

Rule 8VAC20-800-790.