Laili Akahanzadah

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

22.1-289.035-B-2

“Based on records review and staff interview, the provider did not obtain fingerprint results for a caregiver prior to the first day of employment; and for a household member that reached the age of 18 years. Evidence: 1. Caregiver # 1's hire date was 10/12/21. 2. Caregiver's # 1's record had fingerprint results but they were not obtained prior to the first day of employment. The results were dated 12/30/21. 3. Household Member # 1 reached the age of 18 years on 12/8/21. 4. The provider stated that she had not yet obtained fingerprint results for Household Member # 1.”

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.”

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.”

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.”

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.”