Afshah Khan

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

“Cribs were observed with peeling varnish along the top rails.”

Rule 8VAC20-800-240-A.

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

“The Supplemental Information page of the 8/6/24 inspection report was posted on the bulletin board in the home. The document contained confidential and identifying information about children in care.”

Rule 8VAC20-800-50-C.

Annually, the provider shall review emergency contact information with the parent of enrolled child and obtain the parent’s signed acknowledgment of the review.

“The emergency contact information for Child #1 has not been reviewed annually. The parent last signed the acknowledgment of review form on 8/16/23.”

Rule 8VAC20-800-780-B.

8VAC20-800-280

“Based on observations made, potentially poisonous substances were not stored in an area not accessible to the children. Evidence: On both 8/1/24 and 8/6/24 a variety of cleaning supplies and air freshener products were observed in an unlocked cabinet under the sink in the bathroom used by the children.”

Rule 8VAC20-800-280.

Based on records reviewed, 1 of 2 children’s records did not include required information.

Rule 8VAC20-800-60-B.

Based on records reviewed, the menu for the current one-week period was not posted in the home.

“Evidence: 1. For the week of 7/29/24-8/2/24 a menu was written and posted for one day, 8/1/24. 2. For the week of 8/5/24-8/9/24 a menu was written and posted for one day, 8/5/24.”

Rule 8VAC20-800-920.

8VAC20-800-780-B

“Based on records reviewed, the licensee failed to ensure that 1 of 1 children’s records did not include annual review of emergency information by parents. Evidence: Child #1-There was no documentation to indicate that parents have reviewed the emergency information since the child was enrolled in April 2022.”

Rule 8VAC20-800-780-B.

8VAC20-800-920

“Based on observations made, the licensee failed to ensure that the menu for the current week was not dated. Evidence: A generic food program menu was posted, but with no corresponding dates to determine what food items were served on a given date, including today.”

Rule 8VAC20-800-920.

8VAC20-800-340-C

“Based on observations made, it was determined that required supplies were not in the bathroom. Evidence: There were no paper towels in the bathroom.”

Rule 8VAC20-800-340-C.

8VAC20-800-800-B

“Based on records reviewed, it was determined that the emergency plan was not reviewed annually. Evidence: The last documentation by the provider indicating the plan was reviewed was 3/1/22.”

Rule 8VAC20-800-800-B.

8VAC20-800-50-A

“Based on records reviewed, it was determined that a written record of children in attendance daily has not been kept. Evidence: The last date that the provider recorded attendance was 6/8/22.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on 1 child’s record reviewed, it was determined that required information was not documented. Evidence: Child #1 - The information for parents form was not signed by the parent, the medication formed signed by the parent had an inaccurate policy, 2 of 2 emergency contacts were not completed, there was no documentation of medical insurance and policy number, and no documentation of the provider viewing the child’s proof of identity.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on observations made, it was determined that the diapering surface was not cleaned and sanitized after each use. Evidence: After changing a diaper the provider did not clean or sanitize the surface. When prompted by the inspector, the provider sprayed a disinfectant cleaner on the surface, but did not clean it first with soap + water. The provider said she thought it was only necessary when the surface was shared by multiple children.”

Rule 8VAC20-800-690-D.

8VAC20-800-920

“Based on interview conducted, it was determined that the provider has not been writing a weekly menu of food served. Evidence: The provider said she has not been writing a menu, but does complete the USDA menu reports. There was no menu of food served for the previous or current one-week periods.”

Rule 8VAC20-800-920.

8VAC20-820-120-E-2

“Based on observations made, it was determined that the findings of the most recent inspection were not posted in the home. Evidence: The provider said she had not posted them because she is shopping for a bulletin board.”

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