Sadia Javed

The provider is required to have employees undergo a background check of the central registry every five years.

“Caregiver #3 central registry results were seven months past due. Provider acknowledged the background check was not completed.”

Rule 22.1-289.035-B-3.

Repeat violation

“Caregivers who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the department’s health and safety update course. Caregiver #1 health and safety annual update training is 2 years past due. Caregiver #2 health and safety annual update training is seven weeks past due. This was cited January 6, 2026, for Caregiver #1. The plan of correction was not followed.”

Rule 8VAC20-790-250-F.

The provider shall obtain for each adult household member a current Report of Tuberculosis Screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“An updated TB screening for Household Member #2 was not completed and was overdue by three weeks.”

Rule 8VAC20-800-180-A.

Potentially poisonous substances, materials and supplies such as, but not limited to, fragrance sprays shall be stored away and inaccessible to children.

“A container of Febreze spray with warning labels, ?Keep out of reach of children,? were on the changing table, within reach of children.”

Rule 8VAC20-800-280.

The provider shall maintain an up-to-date record at the family day home for each enrolled child.

“Child #6 enrolled and attending for four weeks did not have evidence an up-to-date record.”

Rule 8VAC20-800-60-A.

A child’s record shall contain the following information: Child’s full name, sex, address, and birth date; Emergency contact information including: Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; First and last dates of attendance; Written authorization for emergency medical care should an emergency occur and the parent cannot be located.

“Child #6’s record did not have evidence of the child’s full name, sex, address, birth date, first date of attendance, and written authorization for emergency medical care. The addresses for both of Child #3’s emergency contacts were missing.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided in writing the following information: Policies for the administration of medications; Whether or not there is liability insurance in force on the family day home operation as required by ? 22.1-289.050 of the Code of Virginia; Requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home; Requirement for the parent to inform the family day home within 24 hours or the next business day after their child or any member of the immediate household has developed any reportable communicable disease:

Rule 8VAC20-800-70-A.

Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent: Verification of the identity and age of the child.

“Child #1 enrolled and attending for 10 months did not have evidence of proof of identity verification in their record. Child #6 enrolled and attending for four weeks did not have evidence of proof of identity verification in their record.”

Rule 8VAC20-800-80-A.

Repeat violation

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #1 and Child #2 immunization records were missing the required 12 month immunization updates.”

Rule 8VAC20-800-90-C.

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

“Findings from the most recent inspection dated 8/5/2025, were not posted.”

Rule 22.1-289.011-F.

Caregivers who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the department’s health and safety update course.

“Staff #1and Staff #2 health and safety annual update training is16 months past due.”

Rule 8VAC20-790-250-F.

Repeat violation

Rule 8VAC20-800-120-B.

A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation.

“The provider only has a cordless phone and was unable to locate the phone during the inspection.”

Rule 8VAC20-800-330-A.

Shelter-in-place procedures shall be practiced a minimum of twice per year.

“There was no evidence of shelter in place drills being conducted in 2025. Provider acknowledged drills were not conducted.”

Rule 8VAC20-800-830-B.

Repeat violation

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #4 immunization records were missing required updates. Provider acknowledged not receiving updated immunizations.”

Rule 8VAC20-800-90-C.

Repeat violation

“Bottles shall be refrigerated and labeled with the child’s full name and the date. Child #5 bottles were observed in the refrigerator unlabeled.”

Rule 8VAC20-800-960-E.

For assistants who are not the spouse, parent, sibling, or child of the provider and are hired after June 30, 2010, documentation that two or more references as to character and reputation as well as competency were checked before employment.

“There were on references on site for Staff #4 who has been employed for over 6 months.”

Rule 8VAC20-800-120-B.

Children’s records are required to contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

“The record for Child #2 was missing Page 2 of the Child’s Record. The child was present during the inspection and had been in care for 17 months.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There were no parent acknowledgements available for: Information for Parents form, Decision to Administer Medication form; and the Provisional form for the Emergency Preparedness and Response was not available for Child #1, #2, #3, #4, #5, #6, and #7. This same standard was cited at the previous inspection conducted on 01/16/2025.”

Rule 8VAC20-800-70-B.

Annually, the Provider shall review with the parent the emergency contact information to ensure that the information is correct, and obtain the parent’s signed acknowledgment of the review.

“Child #2’s last review of their emergency information was conducted 17 months ago.”

Rule 8VAC20-800-780-B.

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

“Child #1, 21 months old, last documented immunization expired over 8 months ago. ‘Child #2, 22 months old, last documented immunization expired over 1 month ago. ‘Child #7, 21 months old, last documented immunization expired over 20 days ago.”

Rule 8VAC20-800-90-C.

Staff are to complete the VDOE sponsored online orientation course within 90 days.

“Staff #2 and Staff #3 have not completed the course. It has been more than 90 days since the Provider has become a subsidy vendor.”

Rule 8VAC20-790-250-B.

Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend the department s health and safety update course.

“Staff #3 did not complete the annual subsidy health and safety update training for 2024.”

Rule 8VAC20-790-250-F.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

The program is required to submit results of potable water testing to VDH.

“The program did not have evidence of submitting test results to VDH.”

Rule 22.1-289.057-B.

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 was no physical exam records available for Child #3, who had been in care for over 2 years.”

Rule 8VAC20-800-100-A.

The provider must orient assistants by the end of their first week of assuming job responsibilities.

“Staff #2 and Staff #3, both have provided care for children for more than 2 years without having a documented orientation on file.”

Rule 8VAC20-800-200-A.

Children’s records are required to contain the following: the address for each emergency contact listed; the name and policy number of the child’s medical insurance; and written authorization for emergency medical care.

“The record for Child #1 was missing 1 address for an emergency contact. Child #1 was present during the inspection and had been in care for one year. The record for Child #2 was missing 1 address for an emergency contact, the medical policy information, and a written authorization for emergency medical care. Child #2 was present during the inspection and had been in care for 11 months.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There were no parent acknowledgements available for: Information for Parents form, Decision to Administer Medication form; and the Provisional form for the Emergency Preparedness and Response was not available for Child #1 (1 year from start date), Child #2 (11 months from start date), and Child #3 (2 years from start date).”

Rule 8VAC20-800-70-B.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding family day home operations and administration.

“There were no parent acknowledgements available for: Information for Parents form, Decision to Administer Medication form; and the Provisional form for the Emergency Preparedness and Response was not available for Child #1 (1 year from start date), Child #2 (11 months from start date), and Child #3 (2 years from start date).”

Rule 8VAC20-800-70-B.

Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs.

“This information was not available for Child #2 who has been in care for 11 months.”

Rule 8VAC20-800-80-A.

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

“Child #1, 15 months old, last documented immunization was over 8 months ago. Child #2, 16 months old, last documented immunization was over 10 months ago.”

Rule 8VAC20-800-90-A.

22.1-289.035-B-2

“Based on records review and interview, the provider did not obtain fingerprint check results for Caregiver #1 prior to employment. Evidence: Caregiver #1(start date 7/1/2024) was missing fingerprint results or proof of request.”

Rule 22.1-289.035-B-2.

8VAC20-800-170-A

“Based on records review and interview, the provider did not obtain a Tuberculosis Screening from each adult household member prior to coming into contact with children. Evidence: Household member #1 is missing tuberculosis screening results.”

Rule 8VAC20-800-170-A.

8VAC20-800-280

“Based on observation and interview, the provider did not ensure potentially poisonous substances, materials and supplies were inaccessible to children. Evidence: 1. A bottle of Drano Liquid drain cleaner was located on the floor next to the sink in the children’s bathroom. 2. A large bottle of hand sanitizer was located on the shelf in the children play area. 3. A bottle of Febreze air freshener was located on the changing table during diaper changing.”

Rule 8VAC20-800-280.

8VAC20-800-340-C

“Based on observation and interview, the provider did not ensure the bathroom contained paper towels. Evidence: The provider confirmed that there were no paper towels in the dispenser.”

Rule 8VAC20-800-340-C.

8VAC20-800-430-A

“Based on observation, the provider did not ensure children under two years of age do not have access to stairs. Evidence There is no wall mounted gate at the bottom of the staircase, leading to the main home area.”

Rule 8VAC20-800-430-A.

8VAC20-800-680-A

“Based on observation, Caregiver #1 did not wash their hands with liquid soap and warm running water after diapering a child. Evidence: Caregiver #1 was observed not washing their hands with liquid soap and warm running water after changing the diaper of child #7”

Rule 8VAC20-800-680-A.

8VAC20-800-690-D

“Based on observation, caregiver #1 did not ensure the diapering surface was cleaned and sanitized after each use. Evidence: Caregiver #1 did not clean and sanitize the diapering surface between Child #5 and Child #7.”

Rule 8VAC20-800-690-D.

8VAC20-800-690-E

“Based on observation, the caregiver did not ensure that soiled disposable diapers and wipes were 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: The provider confirmed the foot operated garbage pail in the diaper changing area is broken. Caregiver #1 used their hand to open the garbage pail, instead of using the foot petal.”

Rule 8VAC20-800-690-E.

8VAC20-800-750-A

“Based on observation and interview, the provider did not ensure when topical skin products such as sunscreen, diaper ointment and insect repellent are used, the product was labeled with the child’s name. Evidence: The provider confirmed that 2 insect repellent’s, Burt’s bees baby diaper cream, medicated protecting powder and shea butter were not labeled.”

Rule 8VAC20-800-750-A.

8VAC20-800-940-B

“Based on observation and interview, the provider did have an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: The provider confirmed that the thermometer does not work, and the battery needed to be replaced.”

Rule 8VAC20-800-940-B.

8VAC20-800-960-E

“Based on observation and interview, the provider did not ensure bottles were labeled with the child’s full name and the date. Evidence: The provider confirmed they did not know if the Organic chocolate milk bottle in the refrigerator belonged to a child in care.”

Rule 8VAC20-800-960-E.

8VAC20-800-60-B

“Based on the review of children’s records the provider failed to get some of the information to make the record for one child complete. Evidence: Based on the review of 4 children’s records, one child, child 4 is missing the following: Emergency contact addresses, Immunization records, proof of ID, first day of attendance and second emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-750-B

“Based on the physical plant review the provider failed to store a product out of reach of children. Evidence: A bottle of bug spray was located in a child’s cubby right inside the door, a foot off the ground, accessible to the children.”

Rule 8VAC20-800-750-B.

8VAC20-800-790

“Based on the review of the posted paperwork, the provider failed to post emergency numbers. Evidence: The number for poison control and 911 is not posted in a place near the telephone.”

Rule 8VAC20-800-790.

8VAC20-800-940-B

“Based on the physical plant inspection, the provider failed to have a thermometer in the fridge. Evidence: The provider does not have a refrigerator thermometer.”

Rule 8VAC20-800-940-B.

8VAC20-800-60-B

“Based on the review of the children’s, the provider failed to get proof of ID for two children in care. Evidence: Based on the review of 5 children’s files, Child 2 and Child 4 were missing proof of ID.”

Rule 8VAC20-800-60-B.

22.1-289.035-B-2

“The provider failed to get fingerprinting done for one caregiver. Evidence: The provider has a caregiver who is training at the home, the caregiver is caring for children during the inspection. The provider does not have the fingerprint check back from OBI.”

Rule 22.1-289.035-B-2.

8VAC20-800-60-A

“The provider failed to get information needed to make the children’s files complete. Evidence: Based on the review of the children’s records some of the required information is missing. Child 1 and 2 are missing Proof of ID, child 3 and 4 are missing their physical examination.”

Rule 8VAC20-800-60-A.

8VAC20-800-730-D

“The provider failed to keep medication stored in a locked cabinet. Evidence: Medication was observed in the bathroom cabinet downstairs used by the children. The bathroom cabinet was closed by using a hair elastic,”

Rule 8VAC20-800-730-D.

8VAC20-770-40-D-5-a

“Based on the review of background records for household members, the provider failed to get the central registry check for a household member that turned 14 years old. Evidence: Based on interview with the provider and husband the background check had not been submitted at the time of the renewal inspection.”

Rule 8VAC20-770-40-D-5-a.

8VAC20-800-210-A

“Based on the review of the Paperwork submitted by the provider, the provider and assistant failed to get 16 hours of training in the last year. Evidence: Based on the review of records and interviews with the provider and her husband, the caregivers did not take any training in the last year other than first aid and cpr.”

Rule 8VAC20-800-210-A.