Durga Adhikari KC

A child’s record shall contain the following information: The names and addresses of previously attended child day care and schools.

“The records for children #3, #4, and #5 were missing the names and addresses of previously attended child day care and schools.”

Rule 8VAC20-800-60-B.

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.

“Records for children #1, #2, and #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #1?s annual review was overdue by 25 days. Child #2?s annual review was overdue by 2 months, and Child #4?s annual review was overdue by 4 months.”

Rule 8VAC20-800-780-B.

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

“Pages 1, 2, and 3 of the findings from the most recent inspection, dated 4/14/2025, are not posted in a conspicuous place on the premises.”

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 was not completed and was overdue by 19 days.”

Rule 8VAC20-800-180-A.

Repeat violation

“Before a child may attend the family day home, the provider shall 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. The record for Child #4, who has been in care for over two months, did not have documentation that the child had been adequately immunized.”

Rule 8VAC20-800-90-A.

The provider shall 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.

“Child#1 is missing documentation of a physical examination.”

Rule 8VAC20-800-100-A.

Immunizations shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“The immunization for Child #1 was not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

Repeat violation

“For assistants documentation that two or more references as to character and reputation as well as competency were checked before employment. Caregiver #2, who had been employed for over five months, is missing one reference.”

Rule 8VAC20-800-120-B.

Topical skin products shall be inaccessible to children.

“On top of a shelf next to the children’s bathroom were several bottles of diaper cream that were accessible to the children in care.”

Rule 8VAC20-800-750-B.

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

“There was no documentation of immunizations for Child #3 and Child #4, who were in care during the inspection and had been in care for 29 days.”

Rule 8VAC20-800-90-A.

Caregiver orientation was not documented.

“There was no documentation to verify that Caregiver #2 had orientation training.”

Rule 8VAC20-800-200-C.

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

“A container of sanitizing wipes was next to the sink in a bathroom that children use.”

Rule 8VAC20-800-280.

Repeat violation

“Children’s records are required to contain two emergency contacts. The record for Child #3 and Child #4 was missing 1 out of 2 emergency contact information. Child #3 was present during the inspection and had been in care for over three months. Child #4 was present during the inspection and had been in care for over a month.”

Rule 8VAC20-800-60-B.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The last annual review of the emergency plan was dated 2/7/2023.”

Rule 8VAC20-800-800-B.

Repeat violation

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated. The family day home menu was not dated for the current one-week period.”

Rule 8VAC20-800-920.

Based on record review and caregiver interview, not all required documentation was posted.

“Evidence: 1. The findings of the most recent inspection of the family day home are not posted. 2. The family day home’s most recent license is not posted.”

Rule 22.1-289.011-F.

Based on record review and interview, the provider did not obtain all information required for a child’s record.

“Evidence: 1. Child #1 is missing a second emergency contact phone number. 2. Child #2 is missing a second emergency contact address.”

Rule 8VAC20-800-60-B.

Based on observation and caregiver interview, the provider did not obtain written parent authorization for topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent.

“Evidence: There is no documentation of written parent authorization for diaper and topical ointments for Child #1 and Child #3.”

Rule 8VAC20-800-750-A.

Based on caregiver interview, topical skin products were used beyond the expiration date of the product.

“Evidence: Child #3’s topical skin product expired on 7/2021.”

Rule 8VAC20-800-750-D.

Based on record review and caregiver interview, the menu for the current one-week period was not dated.

“Evidence: The family day home menu was not dated for the current one-week period.”

Rule 8VAC20-800-920.

Repeat violation

“Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Between September 2022 and September 2023, training documentation showed that Caregivers #1 recieved 9 hours of annual training and Caregiver #2 received 5 hours of annual training. 2. The provider confirmed that the annual training period for the family day home begins in September.”

Rule 8VAC20-800-210-A.

Repeat violation

“Based on observation and interview, areas and furnishings of the family day home inside were not maintained in a clean, safe, and operable condition. Evidence: In the playroom, there were several areas on the wall near the sliding glass door where the paint was chipping.”

Rule 8VAC20-800-240-A.

Repeat violation

“Based on observation and interview, the first aid kit did not contain all the required items. Evidence: The first aid kit is missing adhesive tape and the first aid instruction manual.”

Rule 8VAC20-800-760-A.

Repeat violation

“Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information was correct and obtain the parent’s signed acknowledgment of the review. Evidence: 1. Child #3’s last annual emergency contact review was on 8/9/2022. 2. Child #4’s last annual emergency contact review was on 4/22/2022.”

Rule 8VAC20-800-780-B.

Based on observation and interview, the family day home that was built before 2015 and that serves preschool-age children was not equipped with at least one carbon monoxide detector.

“Evidence: 1. The family day home was built before 2015. 2. The family day home was not equipped with at least one carbon monoxide detector. 3. The provider confirmed the family day home did not have a carbon monoxide detector on-site at the time of the inspection.”

Rule 22.1-289.058.

Based on record review and interview, 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: There was no documentation of a physical examination completed by or under the direction of a physician prior to or within 30 days of child #2’s first day of attendance. The start date for child #2 is 5/8/2022.”

Rule 8VAC20-800-100-A.

Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: 1. Between September 2021 and September 2022, caregivers #1 and #2 received 3 hours of annual training. 2. The provider confirmed that the annual training period for the family day home begins in September.”

Rule 8VAC20-800-210-A.

Based on record review and interview, proof of identity was not obtained within 7 days.

“Evidence: Child #1 does not have signed documentation of viewing the proof of identity for the child. The start date for child #1 is 8/6/2022.”

Rule 8VAC20-800-80-A.

Based on record review and interview, before a child’s first day of attendance, the provider did not obtain documentation that a 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: There was no documentation that child #2 and child #5 had been adequately immunized prior to their first day of attendance, as required by Virginia Code ? 32.1-46 A. The start date for child #2 is 5/8/2022, and the start date for child #5 is 3/20/2023.”

Rule 8VAC20-800-90-A.

Based on record review and interview, A caregiver’s record was missing two references.

“Evidence: Caregiver #2 record is missing documentation that two or more references as to character, reputation, and competency were checked before employment. The employment date of caregiver #2 is 9/22/2022.”

Rule 8VAC20-800-120-A.

Based on record review and interview, The Substitute Provider failed to record and sign their arrival and departure times for each day worked.

“Evidence: 1.There was no documentation of arrival and departure times for each day worked for caregiver #3. 2. Caregiver #3 stated that they did not document their arrival and departure times for each day worked.”

Rule 8VAC20-800-140-A.

Based on record review and interview, The provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form published by the Virginia Department of Health.

“Evidence: There was no documentation of a tuberculosis screening for caregiver #2. The employment date of caregiver #2 is 9/22/2022.”

Rule 8VAC20-800-170-A.

Based on record review and interview, the Provider did not ensure all caregivers had obtained by the end of their first week of assuming job responsibilities the required orientation.

“Evidence: There was no documentation showing that caregiver #2 had received orientation training by the end of their first week. The employment date for caregiver #2 is 9/22/22.”

Rule 8VAC20-800-200-A.

Areas and furnishings of the family day home inside was not maintained in a clean, safe, and operable condition.

“Evidence: In the playroom, there were several areas on the wall near the bathroom and garage door where the paint was chipping.”

Rule 8VAC20-800-240-A.

Based on observation and interview, a landline telephone was not operable during the family day home’s hours of operation.

“Evidence: The provider had a landline phone, but it was inoperable.”

Rule 8VAC20-800-330-A.

Based on record review, the Provider did not ensure that parents were provided in writing 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: There was no documentation in Child #5’s record indicating that the family day home informed the parent or guardian of the family day home’s liability insurance status.”

Rule 8VAC20-800-70-A.

Based on observation, the center did not ensure each first aid kit had all required items.

“Evidence: Adhesive tape and tweezers were missing from the first aid kit.”

Rule 8VAC20-800-760-A-1.

Based on observation and interview, the family day home did not have a working portable battery-operated weather band radio and extra batteries.

“Evidence: 1. During the inspection, a portable battery-operated weather band radio was available, but it was inoperable. 2. The caregivers stated that no extra batteries were available.”

Rule 8VAC20-800-770.

Based on record review, the Provider did not review with the parent the emergency contact information to ensure the information is correct and did not obtain the parent’s signed acknowledgment of the review, annually.

“Evidence: 1. Child #3 emergency contact information was last reviewed on 1/26/2021. 2. Child #4 emergency contact information was last reviewed on 3/15/2021.”

Rule 8VAC20-800-780-B.

8VAC20-800-210-A

“Based on record review and provider statement, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities in addition to first aid and CPR training. Evidence: Adult 1 and Adult 2’s record did not contain documentation of any training conducted in the previous year.”

Rule 8VAC20-800-210-A.

8VAC20-800-90-A

“Based on record review, 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: Child 1’s record did not obtain a record of immunization.”

Rule 8VAC20-800-90-A.