Sheuli Akhtar

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

“The supplemental page from the most recent inspection on 7/8/2026 containing confidential information was posted on the parent bulletin board.”

Rule 8VAC20-800-50-C.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“The record for Child #1 (enrolled over 1 year) did not have a parent’s signature for an annual review of the emergency contact information and is overdue by 2 weeks.”

Rule 8VAC20-800-780-B.

Repeat Violation 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 4/27/2026, were not posted in a conspicuous place on the premises. This violation was previously cited during the last inspection and not corrected.”

Rule 22.1-289.011-F.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Household Member #1, #2, and #3, was completed three weeks after expiration.”

Rule 8VAC20-800-180-A.

Repeat Violation Poisonous materials shall be stored in an area inaccessible to children.

“One lotion with the label ?Keep out of reach of children? was accessible in an open bedroom adjacent to the children’s play area. Two toothpastes with the label ?Keep out of reach of children? were on the sink in the children’s restroom and accessible to children.”

Rule 8VAC20-800-280.

Repeat Violation Sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision.

“A sharp kitchen knife was accessible to children in the kitchen area.”

Rule 8VAC20-800-290.

Repeat Violation Dogs or cats shall be vaccinated for rabies as needed.

“The rabies vaccination for 2 cats present in the home had expired over 1 year ago. This violation was cited during the previous renewal inspection and was not corrected.”

Rule 8VAC20-800-460-C.

Documentation shall be maintained of emergency evacuation drills that include the required information.

“Emergency evacuation drills had not been recorded for three months.”

Rule 8VAC20-800-830-C.

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 1/7/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F. From a complaint.

Sharp objects shall be inaccessible to children unless being used by the caregiver or with children under close supervision.

“A sharp axe and gardening tools were accessible to children in the outside play area.”

Rule 8VAC20-800-290. From a complaint.

Providers must keep a written record of children in attendance each day.

“The provider did not take written attendance April 24-27, 2026.”

Rule 8VAC20-800-50-A. From a complaint.

Repeat Violation Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“The records for Child #9 (enrolled 3 years) and Child #10 (enrolled 2 years) did not have a parent’s signature for an annual review of the emergency contact information and was overdue by over 1 ? years.”

Rule 8VAC20-800-780-B. From a complaint.

Providers must document in the child’s record the method of verification of the child’s age and identity.

“The record for Child #10 (enrolled 2 years) was missing documentation of verification of the child’s age and identity.”

Rule 8VAC20-800-80-C. From a complaint.

When food is brought from home, the food container shall be clearly labeled in a way that identifies the owner.

“A container of formula and rice cereal were not labeled with the child’s name.”

Rule 8VAC20-800-890. From a complaint.

Repeat Violation The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“During the inspection, Child #1 was not recorded on the attendance record and had been there for 30 minutes.”

Rule 8VAC20-790-180-B.

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

“-The children’s outdoor play area was not in a safe condition when there was a broken window screen, accessible to children, that was a hazard to the children in care. -There was a rip in the child’s toilet seat that the children were using in care.”

Rule 8VAC20-800-240-A.

Repeat Violation Poisonous materials shall be stored in an area inaccessible to children.

“Poisonous cleaning chemicals were in an unlocked bottom cabinet in the children’s restroom and accessible to children.”

Rule 8VAC20-800-280.

Small electrical appliances shall be unplugged unless being used by the caregiver or with children under close supervision.

“Three small electrical appliances including a water kettle, food processor, and blender were plugged in in the downstairs kitchen area and not being used.”

Rule 8VAC20-800-320-A.

Stationary outdoor playground equipment shall be placed at least six feet from the perimeter of other play structures or obstacles.

“The stationary playground equipment was located 3 feet and 6 inches away from the fence on one side and 4 feet and 10 inches away from the fence on the other side, not the required 6 feet away from obstacles.”

Rule 8VAC20-800-500-C.

Children’s records are required to contain the first and last dates of attendance.

“The record for Child #2 (enrolled over 3 months) and Child #3 (enrolled over 3 months) were missing the first dates of attendance.”

Rule 8VAC20-800-60-B.

The provider shall review the emergency plan at least annually and update the plan as needed.

“The last documented date the emergency plan was reviewed was over 17 months ago and overdue by 5 months. The provider stated the emergency plan had not yet been reviewed.”

Rule 8VAC20-800-800-B.

Repeat Violation Documentation of additional immunizations is required once every six months for children under the age of two years.

“Child #1 (13 months old) last documented immunization was over 6 months ago and overdue by 2 weeks.”

Rule 8VAC20-800-90-C.

Repeat Violation When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated, given to parents or posted, list any substituted food, and kept on file for one week.

“The posted menu was not current and was dated for three weeks earlier.”

Rule 8VAC20-800-920.

Poisonous materials shall be stored in an area inaccessible to children.

“Poisonous cleaning chemicals were on the counter in the children’s play area that was accessible to children.”

Rule 8VAC20-800-280. From a complaint.

Providers must keep a written record of children in attendance each day.

“There were no attendance records on the date of inspection. The last documented attendance available was dated over 1 year prior and the provider stated they had not taken written attendance for over one month.”

Rule 8VAC20-800-50-A. From a complaint.

An up to date record for each child enrolled shall be maintained by the provider.

“There was no record for child #1 and child #2, who were in care during the inspection and had been in care for two days.”

Rule 8VAC20-800-60-A. From a complaint.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“The record for Child #5?s file (enrolled over 10 years) did not have a parent’s signature for an annual review of the emergency contact information and was overdue by over 2 months.”

Rule 8VAC20-800-780-B. From a complaint.

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for child #1 and child #2, who was in care during the inspection and had been in care for two days.”

Rule 8VAC20-800-90-A. From a complaint.

Documentation of additional immunizations is required once every six months for children under the age of two years.

“Child #4, 2 years old, last documented immunization was over 2 years ago and overdue by over 1 year.”

Rule 8VAC20-800-90-C. From a complaint.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated.

“The posted menu was not dated.”

Rule 8VAC20-800-920. From a complaint.

General written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home.

“Child #4, who is regularly transported, did not have a general written permission form from the parent for the provider to transport the child.”

Rule 8VAC20-800-980-A. From a complaint.

The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“During the inspection, there were 4 children present and no children were documented for the day as present on the attendance record.”

Rule 8VAC20-790-180-B.

Child-resistant protective covers shall be installed on all unused electrical outlets accessible to children under five years of age.

“Three unused electrical outlets in the play area and 6 unused electrical outlets in the sleep area did not have protective covers.”

Rule 8VAC20-800-320-B.

Dogs or cats shall be vaccinated for rabies as needed.

“The rabies vaccination for 2 cats present in the home had expired over 1 month ago.”

Rule 8VAC20-800-460-C.

An up to date record for each child enrolled shall be maintained by the provider.

“There was no record for child #4, who was in care during the inspection and had been in care for 3 days.”

Rule 8VAC20-800-60-A.

The provider shall document in the child’s record the method of verification of the child’s age and identity.

“There was no documentation in the record of Child #2 for the method of verification of the child’s age and identity.”

Rule 8VAC20-800-80-C.

Documentation of additional immunizations is required once every six months for children under the age of two years.

“Child #1, 3 years old, last documented immunization was over 2 years ago and are overdue by over 1 year.”

Rule 8VAC20-800-90-C.

Repeat Violation The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The provider’s current license was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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

“The glass shower door in the children’s restroom was broken and leaning against another part of the shower.”

Rule 8VAC20-800-240-A.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“-The record for Child #3, in care for over four years, did not have a parent’s signature for an annual review of the emergency contact information and was overdue by 1 year and 4 months. -The record for Child #5, in care for over one year and 11 months, did not have a parent’s signature for an annual review of the emergency contact information and was overdue by 9 months.”

Rule 8VAC20-800-780-B.

The provider shall document the method of verification of the child’s age and identity in their record.

“The record for Child #2 did not have documentation of verifying the child’s age and identity.”

Rule 8VAC20-800-80-C.

Documentation of additional immunizations is required once every six months for children under the age of two years and and once between each child’s fourth and sixth birthdays.

“Child #1, over 2.5 years old, last documented immunization was over 1 year and 11 months ago. Child #5, over 3 years old, last documented immunization was over 2 years ago.”

Rule 8VAC20-800-90-C.

Based on record review and provider interview, all caregivers did not complete the Virginia Preservice Training for Child Care Staff within the first 90 days.

“Evidence: Caregiver #2 did not complete the required training.”

Rule 8VAC20-790-250-B.

Based on observation, the provider did not ensure the required documents were posted.

“Evidence: The inspection notice dated 7/23/2021 was not the most inspection.”

Rule 22.1-289.011-F.

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 #1, date of enrollment 4/3/23, did not have a physical examination on file.”

Rule 8VAC20-800-100-A.

Based on record review, the provider did not document orientation for the assistant.

“Evidence: There is no documentation of orientation for caregiver #2.”

Rule 8VAC20-800-200-C.

Based on observation, the provider did not ensure areas of the family day home were maintained in a safe and operable condition.

“Evidence: A closet door was broken and leaning in the closet entry way in the children’s sleep area.”

Rule 8VAC20-800-240-A.

Based on observation, the provider did not ensure to promptly move an infant to their designated sleeping space.

“Evidence: Child #3 was observed asleep in a car seat at approximately 11:25am. The provider confirmed the child was dropped off in the car seat asleep at approximately 10:30am.”

Rule 8VAC20-800-590-B.

Based on observation, the provider did not ensure proper handwashing for children in care.

“Evidence: The provider did not wash child #3?s hands after diapering.”

Rule 8VAC20-800-680-B.

8VAC20-800-480-B

“Based on observation, a piece of equipment for a child was not appropriate to the size. Evidence: Child #1 was in a bouncy seat that was too small as their feet were hanging off and could easily tip over.”

Rule 8VAC20-800-480-B.

8VAC20-800-60-B

“Based on record review, 1 of 2 children’s records were incomplete. Evidence: Child #1 was missing an annual update to ensure emergency information was current.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-B

“Based on record review, the parent’s written acknowledgement for the Information for Parent form was not documented. Evidence: Child #2 was missing a signature on the Information For Parent form.”

Rule 8VAC20-800-70-B.

8VAC20-800-90-C

“based on record review, 2 of 2 immunization records were not updated for a child under two years of age, Evidence; Child #1 last update was 6/2023. Child #2 last update was 10/2022.”

Rule 8VAC20-800-90-C.

8VAC20-800-920

“Based on observation, the posted menu did not reflect what was served for lunch. Evidence: The posted menu was dated 6/2023. It did not reflect what the provider served for lunch (rice with vegetables, chicken and oranges)”

Rule 8VAC20-800-920.

8VAC20-790-250-F

“Based on provider statement and a review of training certificates, the caregivers did not obtain the department’s annual health and safety update course. Evidence: Caregivers 1-4 did not take the VA Subsidy Health and Safety update course (3 hours for 2023).”

Rule 8VAC20-790-250-F.

22.1-289.035-A

“Based on provider statement and record review, a caregiver who supervises children when transporting has an expired Criminal Record Check ( CRC ). Evidence: 1. Caregiver #2’s CRC expired 6/28/2023”

Rule 22.1-289.035-A.

22.1-289.036-A

“Based on provider statement, an adult living in the home has not renewed the Criminal Record Check ( CRC ) within 5 years or before expiration of the current clearance. Evidence: 1. The CRC expired 6/9/2023 for HHM #7”

Rule 22.1-289.036-A.

8VAC20-800-530-F

“Based on observation, the crib had soft bedding in it while occupied. Evidence: Upon arrival, the Licensing Inspector observed child #7(13 months old) sleeping on top of a soft cushion.”

Rule 8VAC20-800-530-F.

8VAC20-800-60-B

“Based on record review, 1 of 3 records was incomplete. Evidence: Child #6 was missing an annual update. Last reviewed 11/2021 and an update was not completed 11/2022.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-A

“Based on observation, a caregiver failed to wash their hands prior to feeding a bottle to an infant. Child #3 was fed a bottle of formula and the assistant caregiver did not wah their hands prior to helping the child by holding the bottle.”

Rule 8VAC20-800-680-A.

8VAC20-800-960-E

“Based on observation, a bottle for child #3 was not properly labeled. Evidence: 1 bottle for child #3 was missing the child’s full name and date.”

Rule 8VAC20-800-960-E.

8VAC20-800-100-A

“Based on record review, a child did not have a physical exam within 30 days of attendance. Evidence: Child #4 did not have a physical exam record on-site-first day of attendance 11/28/2022. Child #5 did not have a physical on-site.”

Rule 8VAC20-800-100-A.

8VAC20-800-200-A

“Based on observation and staff statements, the two assistant caregivers were not able to demonstrate knowledge of their job responsibilities. Evidence: 1. Neither 2 assistants were able to locate or unlock the cabinet where children’s records were stored. 2. Neither caregivers had documentation of orientation in the personnel/household member records.”

Rule 8VAC20-800-200-A.

8VAC20-800-60-A

“Based on provider statement, 1 child did not have an up to date record for each child enrolled. Evidence: The provider stated that Child #1 (date of attendance 3/13/2023) did not have a record on-site as the parent had not returned the paperwork.”

Rule 8VAC20-800-60-A.

8VAC20-800-60-B

“Based on record review, 4 of 4 records were incomplete. Evidence: Child #2 was missing an annual update (last update 7/21) Child #3 was missing permission to transport and an annual update (lst update 11/21) Child #4 was missing insurance policy number Child #5 was missing insurance policy number”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review, a child did not have a signed acknowledgement of the Information For Parents form outlining policies and procedures of the Family Day Home before the first day of attendance. Evidence: Child #3 did not have an Information for Parents form signed by the parent. The child’s first day of attendance was 11/28/2022.”

Rule 8VAC20-800-70-A.

8VAC20-800-90-A

“Based on record review, 2 children did not have an immunization documentation on-site prior to attending the family day home. Evidence: Child #1 did not have an immunization record Child #4 did not have an immunization record”

Rule 8VAC20-800-90-A.

8VAC20-800-90-C

“Based on record review, updated immunization records were not maintained for children under 2 years of age. Evidence: Child #2-last update at 12 months Child #3 last update needed at 2 years”

Rule 8VAC20-800-90-C.

8VAC20-800-180-A

“Based on record review and provider statement, a subsequent TB screening was not completed within 2 years from the previous TB documentation. Evidence: A household member’s TB expired 8/2020 and has not been updated.”

Rule 8VAC20-800-180-A.

8VAC20-800-280

“Based on observation, a cleaning agent was not inaccessible to children. Evidence: A cleaner was sitting on the floor in the main level powder room which the school-ae children use on a regular basis.”

Rule 8VAC20-800-280.

8VAC20-800-320-B

“Based on observation, an unused electrical outlet was missing a protective cover. Evidence: An outlet by the chair in the main room was missing a protective cover.”

Rule 8VAC20-800-320-B.

8VAC20-800-90-C

“Based on record review, documentation of additional immunizations for a child under the age of two years has not been obtained every 6 months. Evidence: Child #1’s last immunization update was 6/2021. Child #2’s lst immunization update was 11/2021.”

Rule 8VAC20-800-90-C.

8VAC20-800-1020-E

“Based on provider statement, nighttime care supplies are not present. Evidence: Child #1 does not have a comb or toothbrush at the Family Day Home.”

Rule 8VAC20-800-1020-E. From a complaint.

8VAC20-800-280

“Based on observation, the upstairs bathroom has poisonous materials accessible to children. Evidence: Child #1 sleeps upstairs and has access to the bathroom where personal items and cleaners were not locked or put out of reach of children.”

Rule 8VAC20-800-280. From a complaint.

8VAC20-800-290

“Based on observation, sharp objects were accessible to children. Evidence: A kitchen knife and scissors were in an unlocked drawer in the basement sink area.”

Rule 8VAC20-800-290. From a complaint.

8VAC20-800-320-B

“Based on observation, protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: Outlets in the large play room (13) as well as in the upstairs bedroom (12) were not covered.”

Rule 8VAC20-800-320-B. From a complaint.

8VAC20-800-340-C

“Based on observation, the main level bathroom did not contain all required supplies. Evidence: The hall bathroom was missing paper towels.”

Rule 8VAC20-800-340-C. From a complaint.

8VAC20-800-480-A

“Based on observation, a sufficient supply of age appropriate materials and toys were not available for school-age children in care. Evidence: The provider only had several games available. No books, art materials and additional games were accessible to children.”

Rule 8VAC20-800-480-A. From a complaint.

8VAC20-800-50-A

“Based on observation and provider statement, written attendance is not maintained daily. Evidence: No written attendance was available to verify which children have been attending the previous week.”

Rule 8VAC20-800-50-A. From a complaint.

8VAC20-800-520-C

“Based on observation and provider statement, a child is sleeping in a prohibited crib. Evidence: Observed child #6 was sleeping in a mesh sided crib upon the Licensing Inspector’s arrival.”

Rule 8VAC20-800-520-C. From a complaint.

8VAC20-800-560-A

“Based on observation, a caregiver was not aware that a young child was eating food that posed a choking hazard. Evidence: Child #6 was observed eating a hard lollipop as well as gagging on an orange peel.”

Rule 8VAC20-800-560-A. From a complaint.

8VAC20-800-60-A

“Based on record review and observation, 2 of 13 enrolled children did not have a written record with required information. Evidence: Child #1(date of attendance February 24, 2022) and Child #2 (date of attendance unknown by the provider) records could not be found during the Licensing visit. Missing information includes a record of enrollment (parent/guardian information, doctor information, emergency contact information, proof of identity and emergency authorization), physical and immunization records as well Information for Parents regarding the home’s policies and procedures.”

Rule 8VAC20-800-60-A. From a complaint.

8VAC20-800-60-B

“Based on record review, seven of nine children’s records were incomplete. Evidence: Child #3 was missing an emergency contact. Child #6 who is under two years of age was missing an updated immunization record (last updated 3/17/2021). Child #7-Child #11 were missing a record of enrollment which includes parent/guardian information, doctor information, emergency contact information, proof of identity and emergency authorization.”

Rule 8VAC20-800-60-B. From a complaint.

8VAC20-800-680-B

“Based on observation, the children’s hands were not washed prior to eating PM snack. Observed Child #4 and #6 eating fruit and neither washed their hands before eating snack.”

Rule 8VAC20-800-680-B. From a complaint.

8VAC20-800-70-A

“Based on record review, 8 signed Information For Parents forms were not completed and signed by the parent/guardian by the first day of attendance. Child #3,4,5,7,8,9,10 and 11 were missing all or parts of a completed Information for Parents form (including the provision of emergency relocation, medication policy or the liability declaration)”

Rule 8VAC20-800-70-A. From a complaint.

8VAC20-800-900-A

“Based on observation, a child was seen eating a food that could be a potential choking hazard. Evidence: Child #6 was observed eating a hard piece of candy that he picked up off the floor.”

Rule 8VAC20-800-900-A. From a complaint.

8VAC20-800-540-B

“Based on observation and the provider statement, a prohibited piece of equipment is in use. Evidence: A walker was observed in the downstairs room and was confirmed by the provider.”

Rule 8VAC20-800-540-B.