Fatemeh Ranjbarkohan

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years. A current Tb screening form was three weeks overdue.”

8VAC20-800-690-D

“The diapering surface shall be nonabsorbent and washable. The diapering surface was covered in a cloth material that was not nonabsorbent nor washable.”

8VAC20-800-320-B

“Child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. One unused electrical outlet did not have a protective cover installed. Children were eating lunch in the area were the unused electrical outlet was located.”

8VAC20-800-120-B

“Assistants' records shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment. The records for Caregiver #3 and Caregiver #4 did not contain references.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 08/06/2024, were not posted in a conspicuous place on the premises.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. The annual review for Child #1 was overdue by 18 months.”

8VAC20-800-200-A

“*REPEAT VIOLATION* The provider shall orient the substitute provider by the end of their first week of assuming job responsibilities. The record for Caregiver #5 did not contain documentation that orientation training was completed.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Caregivers #3 (five months caring for children) and Caregiver #4 (eight months caring for children) records did not contain documentation that a Central Registry search was requested.”

8VAC20-800-680-B

“Caregivers shall ensure that children's hands are washed with liquid soap and warm running water before eating. Children were observed being served snack and eating it without washing their hands first.”

8VAC20-800-690-D

“Based on observation, the diapering surface did not meet all requirements. Evidence: 1) The diapering surface had small rips in it, making it not nonabsorbent and washable.”

8VAC20-800-200-A

“*REPEAT VIOLATION* Based on record review, the Provider did not orient caregivers by the end of their first week of assuming job responsibilities. Evidence: 1) The records for Staff #2, Staff #3, Staff #4 and Staff #5 did not contain documentation that the caregivers completed orientation training as required.”

8VAC20-800-700-C

“Based on medication review, the Provider did not ensure that expired medication be picked up within 14 days or taken to a pharmacy for proper disposal. Evidence: 1) Medication on-site for Child #6 had an expiration date of 01/22/2024.”

8VAC20-800-170-A

“*REPEAT VIOLATION* Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis (Tb) Screening. Evidence: 1) The record for Staff #4 (start date 07/126/2024) did not contain the results of a Tuberculosis Screening.”

8VAC20-800-100-A

“Based on record review, the Provider did not ensure that each child have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1) The records for Child #5 (start date05/14/2024) did not contain the results of a physical examination.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the child may attend the family day home. Evidence: 1) The record for Child #5 (start date 05/14/2024) did not contain an immunization report.”

8VAC20-800-90-C

“Based on record review, the provider did not obtain additional immunizations once every six months for children under the age of two years. Evidence: 1) The most recent immunization report in the record for Child #2 (dob 07/13/2023) was dated 11/17/2023.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: The records for children did not contain the following: *Child #2 - parent's work phone number *Child #3 - physician's name and phone number, phone number for a second emergency contact, signed acknowledgement of the provider's medication policy and the provisions of the emergency plan. *Child #4 - one custodial parent's work phone number, medical insurance policy number.”

8VAC20-800-180-A

“Based on record review, the Provider did not ensure that each caregiver obtain and submit the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) The most current Tb screening form in the record for Staff #1 was dated 04/11/2022 and for Staff #2 was dated 04/21/2022.”

8VAC20-800-170-A

“Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis (Tb) Screening. Evidence: 1) The record for Staff #4 did not contain the results of a Tuberculosis Screening.”

8VAC20-800-140-B-3

“Based on record review, the Provider did not ensure that substitute providers have a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1) On the date of inspection, Staff #3 was supervising the children as the Substitute Provider. The most recent CPR certification in the record for Staff #3 was dated 04/11/2022.”

8VAC20-800-120-B

“Based on record review, caregivers' records did not contain all required information. Evidence: 1) The records for Staff #4 and Staff #5 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; and documentation that two or more references as to character and reputation as well as competency were checked before employment.”

8VAC20-800-100-A

“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) The record for Child #2 (start date 03/21/2022) did not contain documentation of a physical examination.”

8VAC20-800-780-B

“Based on record review, the provider did not review with the parent, annually, the emergency contact information to ensure the information is correct and obtain the parent's signed acknowledgment of the review. Evidence: 1) The most recent review of the emergency information in the record for Child #2 was dated 02/16/2023; for Child #4 was dated 02/07/2023; and for Child #5 was dated 01/12/2023.”

8VAC20-800-200-A

“Based on record review, the Provider did not orient caregivers by the end of their first week of assuming job responsibilities. Evidence: 1) The records for Staff #4 and Staff #5 did not contain documentation that the caregivers completed orientation training as required.”

8VAC20-800-320-B

“Based on observation, one unused electric outlet did not have a protective cover installed. Evidence: 1) On the day of inspection, one unused electric outlet in the infants room did not have a protective cover installed.”

8VAC20-820-120-E-2

“Based on review of required posted documents the provider did not ensure that all required documents related to the terms of the license were posted on the premises of the fdh. Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility (09/21/22) were not posted.”

8VAC20-800-250-E

“Based on observation, the provider failed to ensure that balloons, and empty plastic bags large enough for a child's head to fit inside shall be inaccessible to children under five years of age. Evidence: 1) Plastic bags were observed inside a drawer in the bathroom cabinet of the care area. The drawer was not locked. 2) A balloon was observed on the floor of the care area.”

8VAC20-800-210-A

“Based on record review, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1) On the date of inspection, certificates available for review in the records documented the amount of training hours for the year 2022 as follows: for Caregiver #3 - 9 hours, and for Caregiver #4 - 7.5 hours.”

8VAC20-800-890

“Based on observation, food brought from the child’s home did not meet all requirements. Evidence: 1) On the date of inspection, one bottle with milk was observed in the refrigerator. This bottle was not labeled with the child's name and the date. The provider stated that the bottle belonged to Child #3.”

8VAC20-800-900-B

“Based on observation, the provider did not ensure that children were not allowed to eat or drink while walking. Evidence: 1) On the date of inspection, children were eating ice pops. The inspector observed at least 2 different children walking while eating their treats.”

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1) On the date of inspection, the inspector observed 13 children in care in the family day home. The fdh's approved capacity is 12 children at any one time.”

8VAC20-800-280

“Based on observation, the provider did not ensure that potentially poisonous substances such as deodorizers are stored areas inaccessible to children. Evidence: 1) A bottle of Glade deodorizing spray was located inside the cabinet under the sink in the bathroom area. The cabinet was not locked.”

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1) One outlet cover in the kitchen area (dining area for the children in care) did not have a protective cover.”

8VAC20-800-60-A

“Base on record review, children's records did not contain all required information. Evidence: 1) The record for child #2 did not contain the telephone number of one custodial parent's place of employment and the policy number of the child's medical insurance.”

8VAC20-800-50-A

“Based on records review, the provider did not maintain an accurate record of all children in attendance. Evidence: 1) On the date of inspection, nine children were present in the family day home, however, the attendance record showed only eight children present. Child #3 was not included in the list.”

8VAC20-800-920

“Based on documentation review, the menu for meals and snacks provided by the family day home did not meet all requirements. Evidence: 1) The menu available for review was not dated for the current one-week period.”

8VAC20-800-280

“Based on observation, potentially poisonous substances were not stored away in areas inaccessible to children. Evidence: 1) A can of Lysol spray and a can of Glade deodorizer spray were observed on top of the sink counter in the bathroom of the care area.”

8VAC20-800-250-E

“Based on observation, empty plastic bags large enough for a child's head to fit inside were not inaccessible to children under five years of age. Evidence: 1) Trash bags were observed in the cabinet and in a drawer under the sink of the care area bathroom. The door to the cabinet and the drawer were not locked.”

8VAC20-800-210-A

“Based on record review, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1) On the date of inspection, the records for Staff #1, Staff #2 and Staff #3 did not contain documentation of having completed the required sixteen clock hours of annual training during the year 2021.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #3 did not contain the name, address and telephone number of a second designated person to contact in case of an emergency if the parent cannot be reached. The record for Child #4 did not contain the address and telephone number of one custodial parent's place of employment.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, supplies such as cleaning agents were not stored in areas inaccessible to children. Evidence: 1) A bottle of bathroom cleaning product ("Scrubbing Bubbles") was observed in the cabinet under the sink of the care area. The cabinet did not have a locking mechanism.”

8VAC20-800-180-A

“Baes on record review and interview with the provider, the provider did not obtain for each caregiver a current Report of Tuberculosis (Tb) Screening form every two years. Evidence: 1) The most recent Tb screening report in the record for Staff #1 was dated 07/09/2019. 2) The provider acknowledged not having completed the screening.”

8VAC20-800-730-D

“Based on observation and interview with the provider, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) On the date of inspection, an epinephrine injector was observed in a desk organizer on a table in the kitchen. 2) The provider stated that the medication belonged to Child #5.”

8VAC20-800-690-D

“Based on observation of diapering procedures, it was determined that the diapering surface was not nonabsorbent and washable and it was not cleaned and sanitized after each use. Evidence: 1) On the date of inspection, the inspector observed that the changing pad had a soft fabric cover and that after the caregiver was done diapering a child, they did not clean and sanitize the surface. This fabric cover prevents the diapering surface from being nonabsorbent and washable.”

8VAC20-800-680-B

“Based on observation of diapering procedures, it was determined that caregivers did not ensure that children's hands are washed with liquid soap and warm running water before eating and after diapering. Evidence: 1) On the date of inspection, the inspector observed children transitioning from naptime, to free play to afternoon snack. Children were playing and caregivers helped them sit down and served them their food. They did not wash the hands of the children before the children eating their food. 2) On the date of inspection, Staff #3 was observed changing the diapers of Child #6. After Staff #3 finished changing Child #6's diaper, Child #6 was returned to the care area. Staff #3 did not wash Child #6's hands.”

8VAC20-800-830-A

“Based on documentation review and interview with the provider, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, there were no emergency drills documented for the months of January 2022, February 2022 and March 2022. 2) The provider stated that they had forgotten to conduct emergency evacuation drills on those months.”

8VAC20-800-920

“Based on documentation review, observation and interview with the provider, the menu for the current one-week period was not dated and did not list food substitutions. Evidence: 1) The menu available for review was not dated for the current one-week period. 2) The inspector observed the afternoon snack being served was string cheese, blueberries, and a muffin, however, the snack listed in the menu for the day was pretzel and yogurt. The substitution was not listed. 3) The provider stated that the lunch served today was rice, spinach, red beans and beef, however, the lunch listed on today's menu was chicken nuggets and veggies. The substitution was not listed.”

8VAC20-800-680-A

“Based on observation, it was determined that caregivers did not ensure to wash their hands with liquid soap and warm running water after coming in contact with any body fluids. Evidence: 1) On the date of inspection, Staff #3 was observed wiping the nose of Child #6. Staff #3 did not wash their hands after wiping Child #6's nose.”

8VAC20-800-690-E

“Based on observation, soiled disposable diapers and wipes were not 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 trash can in the diapering area is not foot operated. The inspector observed how a caregiver touched the lid of the trash can in order to lift/open it to dispose of a soiled diaper and afterwards, dispose of a wipe.”

8VAC20-800-480-D

“Based on observation, equipment used by children was not used in accordance with the manufacturer's instructions. Evidence: a] Child #1 was observed sitting on a bouncy seat and the safety buckles were not strapped. b] Child #3 (13 months old) was observed napping in a bassinet that was labeled appropriate for use up to 5 months or 30 lbs. and not to be used for extended periods of sleep. c] Child #5 was sitting in a baby swing and the safety buckles were not strapped.”