Farah Javid

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for child #1, who was in care during the inspection and had been in care for a approximately 2 1/2 months. "”

8VAC20-800-700-C

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days shall be taken to a pharmacy for proper disposal. Child 3 had an emergency medication authorization form that had expired three months ago and the provider did not return it to the parent or dispose of the medication until medication authorization was renewed.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #1, who had been in care for approximately 2 1/2 months. "”

8VAC20-800-60-B

“Children's records are required to contain two emergency contacts name, address and telephone number. The record for child #3 was missing one emergency contact name, address and telephone number. The child was present during the inspection and had been in care for approximately 8 months.”

8VAC20-800-80-C

“The provider shall document in the child's record the method of verification of the child's age and identity. The provider did not document who viewed the document and which date the document was viewed to verify Child #3's identity who has been attending for approximately 8 months.”

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. The tuberculosis screening or test for Caregiver 3, who has been caring for children for over seven months did not have the date of the test or screening..”

22.1-289.035-B-1

“The provider is required to obtain a completed sworn statement prior to the caregiver's first day of employment. The sworn statement for caregiver #3, who is currently working, was not filled out and only had the signature at the bottom of the form only.”

8VAC20-800-100-A

“Repeat Violation The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #1, who had been in care for over one year and three months.”

8VAC20-800-60-B

“Repeat Violation Children's records are required to contain the medical insurance policy number and parent's employment phone numbers. The record for Child #1 was missing the medical insurance policy number. The child was present during the inspection and had been enrolled for one year and three months. The record for Child #3 was missing both of the parent's employment phone numbers. The child was present during the inspection and had been in care for 9 months.”

8VAC20-800-210-A

“Repeat Violations Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregivers (#2 and #3) did not obtain 16 hours of training and have been employed for one year and 9 months.”

8VAC20-800-900-B

“Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles. One child was observed walking around eating a snack.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 (overdue by four weeks) , Caregiver #2 (overdue by three months) and Caregiver #3 (overdue by one month) , and Household Members #1 (overdue by two weeks) and Household Member #2 (overdue by one week) was not completed.”

8VAC20-800-100-A

“Repeat Violation Based on record review, the provider did not 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. Evidence: 1. Child #1's file (start date 8/21/2023) did not have a copy of the results of a health exam.”

8VAC20-800-730-D

“Based on observation, the provider did not keep a medication locked. Evidence: 1. A Bottle of Excedrin was on a small table near the telephone in the small room. The door was not locked and it was not kept in a locked place using a safe locking method that prevents access by children.”

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that children's hands are washed with liquid soap and warm running water after diapering. Evidence: 1. Caregiver #3 was observed changing an infant's diaper and then put the infant on the floor to play and did not wash the infants hands after diapering.”

8VAC20-800-210-A

“Based on record review and interview, two caregivers did not obtain a minimum of sixteen clock hours of training annually. Evidence: 1. Caregiver #2 (start date 2/27/2023) and Caregiver #3 (start date 2/27/2023) did not have 16 hours of training for the period 2/2023 through 2/2024.”

8VAC20-800-60-B

“Based on record review, a child's record did not contain all required information. Evidence: 1. Child #1's file (start date 8/21/2023) was missing the health insurance policy number and results of the health exam.”

8VAC20-800-90-A

“Based on review of children's records, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. Child #1(start date 9/06/2023), Child #2 (start date 9/25/2023), Child# 3 (start date 11/27/2023) and Child #6 (Start date 8/30/2023) Files were missing the immunization record.”

8VAC20-800-830-C

“Based on review of the drill records, the provider did not include all requirements on the drill record documentation. Evidence: 1. The provider documented the date and time only on the one shelter in place drill documented and did not include the following: a. Identity of the person conducting the drill; b. The method used for notification of the drill; c. The number of caregivers participating; d. The number of children participating; e. Any special conditions simulated; f. The time it took to complete the drill; g. Problems encountered, if any; and h. For emergency evacuation drills only, weather conditions”

8VAC20-800-700-A

“Based on review of the medication log, the child's record and interview, the provider administered prescription medications to a child without written authorization from the parent and not according to the home's written medication policies. Evidence: 1, The provider gave child #4 a prescription medication on 11/01/2023 and 11/02/2023. The provider stated she did not have written authorization.”

8VAC20-800-830-B

“Based on review of drill records, the provider did not practice Shelter-in-place procedures a minimum of twice per year. Evidence: 1. The provider practiced the shelter in place on 8/24/2023 for the year 2023.”

8VAC20-800-100-A

“Based on review of children's records, the provider did not 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. Evidence: 1. Child #1(start date 9/06/2023), Child #2 (start date 9/25/2023), Child# 3 (start date 11/27/2023) , Child #4 (start date 7/24/2023) and Child #7 (start date 8/21/2023) Files were missing the physical. 2. Child #6 (Start date 8/30/2023) File received the physical on 10/11/2023..”

8VAC20-800-110-B

“Based on review of children's records, the provider did not obtain reports that included the licensed physician, the physician's designee, or an official of a local health department signature and did not use the current form approved by the Virginia Department of Health or a physician's form to record immunizations received and the results of the required physical examination. Evidence: 1. Child #5 (start date 8/29/2023) and Child #6 (start date 8/30/2023) had an immunization record and physical, however neither were signed and were not on the current form approved by the Virginia Department of Health or a physician's form.”

8VAC20-800-690-D

“Based on observation, the diapering surface did not meet all requirements. Evidence: 1. The changing pad had two small tears approximately 1 cm each on the surface and were not considered nonabsorbent and washable.”

8VAC20-800-690-E

“Based on interview, soiled disposable diapers and wipes were not being disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: 1. The caregiver stated they put soiled disposable diapers in a plastic grocery bag and carried it to the storage room into a trash can.”

8VAC20-800-80-C

“Based on review of children's records, the provider did not document the method of verification of the identity and age of the child. Evidence: 1. Child #2 (Start date 9/25/2023) and Child #3 (Start date 11/27/2023) did not have documentation in the child's record that the provider verified the child's age and identity.”

8VAC20-800-750-A

“Based on observation, topical skin products were being used and the provider did not meet all the requirements. Evidence: 1. Six diaper creams were in a bin and were not labeled with the child's name.”

8VAC20-800-60-B

“Based on review of children's records, the files did not contain the required information. Evidence: 1. Child #1's file (start date 2/28/2023) was missing both parent's work phone numbers, proof of identity, previous daycares. 2. Child #2's file (start date 2/15/2023) was missing both parent's home address, proof of identity and previous daycares. 3. Child #3's file (start date 2/27/2023) was missing proof of identity. 4. Child #4's file (start date unsure) was missing start date, both parent's home address, one emergency contact name, address and phone number and proof of identity. 5. Child #5's file (start date unsure) was missing start date, both parent's work address, one parent's work phone number, one emergency contact name, address and phone number and one emergency contact address, medical insurance policy number, proof of identity and previous daycares.”

22.1-289.011-F

“Based on observation, the provider did not have the violation notice and inspection summary posted in a conspicuous place on the licensed premises. Evidence: 1. The violation notice and inspection summary from the inspection dated 4/25/2023 was not posted.”

8VAC20-800-70-B

“Based on review, the provider did not obtain the parent's written acknowledgement of the receipt of the information regarding 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: 1. The provider did not have the parent's written acknowledgement of the liability insurance declaration for Child #3, Child #4 and Child #5..”

8VAC20-800-80-A

“Based on review of children's records, the provider did not obtain verification of the identity and age of the child; and Name and location of previous day care programs and schools the child has attended. Evidence: 1. Child #1's file (start date 2/28/2023) was missing verification of the identity and age of the child; and previous day care programs. 2. Child #2's file (start date 2/15/2023) was missing verification of the identity and age of the child and previous day care programs. 3. Child #3's file (start date 2/27/2023) was missing verification of the identity and age of the child. 4. Child #4''s file (start date unsure) was missing verification of the identity and age of the child. 5. Child #5's file 9 (start date unsure) was missing verification of the identity and age of the child and previous day care programs.”

8VAC20-800-90-C

“Based on review, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements according to subsection B of this section. Evidence: 1. Child #2 (start date 2/15/2023) had an immunization record dated 10/21/2022, but needed an updated immunization record every six months for children under the age of two years. 2. Child #5 (start date unsure) had an immunization record dated 4/12/2022, but needed an updated immunization record every six months for children under the age of two years.”

8VAC20-800-240-A

“Based on observation, furnishings of the family day home inside were not maintained in a safe and operable condition. Evidence: 1. In the home living area, a children's kitchen set was missing 3 faucet parts of the play sink and a cabinet to the set.”

8VAC20-800-880

“Based on review of the menu, the family day home provides meals and snacks and did not follow 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 (USDA). Evidence: 1. The Thursday lunch menu lists: macaroni and cheese, apple slices and milk and did not meet the USDA requirements.”

8VAC20-800-750-A

“Based on review, the provider did not meet all requirements when topical skin products are used. Evidence: 1. The provider had 5 children's topical skin products, but did not have written parent authorization and one of the products was not labeled with the child's name.”

8VAC20-800-790

“Based on observation, the provider did not have posted the responsible person for emergency backup care as required which Includes provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents. Evidence: 1. The provider did not have the emergency backup care person posted with their name, address and phone number.”

8VAC20-800-800-C

“Based on review of caregiver records, the provider did not ensure that each caregiver receives training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of his first week of assuming job responsibilities. Evidence: 1. Caregiver #2 and Caregiver #3 did not have documentation that they received emergency training.”

8VAC20-800-830-A

“Based on interview, the emergency evacuation procedures were not practiced monthly with all caregivers and children. Evidence: 1. The provider stated they could not find the drill record.”

8VAC20-800-880

“Based on review of the menu, the family day home provides meals and snacks and did not follow 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 (USDA). Evidence: 1. The Thursday lunch menu lists: macaroni and cheese, apple slices and milk and did not meet the USDA requirements.”

8VAC20-800-120-B

“Based on review of assistant's records, the provider did not have complete records. Evidence: 1. Caregiver #2's records did not contain the following: Address, Verification of age, Job title, Date of employment, Name address and telephone number of a person to be notified in an emergency; two or more references (only had one) as to character and reputation as well as competency were checked before employment. documentation of the education and training as required applicable education and programmatic experience and orientation, 2. Caregiver #3''s records did not contain the following: Address, Job title, Date of employment, Name address and telephone number of a person to be notified in an emergency; documentation of the education and training as required and programmatic experience and orientation,”

8VAC20-800-80-A

“Based on review of children's records, the provider did not obtain verification of the identity and age of the child; and Name and location of previous day care programs and schools the child has attended. Evidence: 1. Child #1 and Child #2 both had start dates listed 2/15/2023 and the provider did not have documentation that the identity of the children had been verified and did not document the previous day care programs.”

8VAC20-800-200-A

“Based on review of caregiver records, the provider did not orient the assistants by the end of their first week of assuming job responsibilities. Evidence: 1. Caregiver #2 and Caregiver #3 did not have documentation of completing orientation by their first week of employment. The provider stated they began February 2023.”

8VAC20-800-280

“Based on observation, Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were not stored away inaccessible to children. Evidence: 1. The provider had an air freshener spray on the bathroom sink that children use and had another air freshener and a poo pourri spray on the changing table within reach of children.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: 1. The summary dated 1/12/2023 from the initial inspection was not posted for others to view.”

8VAC20-800-750-B

“Based on observation, the provider had topical skin products that were accessible to children. Evidence: 1. The provider had 5 topical skin products in containers under the diaper changing table that were accessible to children.”