Nargis Akbar

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 2/3/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

22.1-289.036-B-1

“The provider is required to obtain a completed sworn statement every five years for all caregivers and household members 18 years old and older. The sworn statement for Household Members #4 and #5 was expired by over one week.”

Rule 22.1-289.036-B-1.

8VAC20-800-60-B

“Children’s records are required to contain parental employment addresses and phone numbers. The record for Child #4 was missing the employment phone number for one parent.; the child was present during the inspection and had been in care for eleven months.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-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 child #1, did not have a parent’s signature for an annual review of the emergency contact information. Child #1 had been in care for over a year.”

Rule 8VAC20-800-780-B.

8VAC20-800-530-F

“No soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys. A quilt was found in the crib of a sleeping infant (Child #1).”

Rule 8VAC20-800-530-F.

8VAC20-800-60-B

“Children’s records are required to contain parental employment addresses and phone numbers. The record for Child #3 and Child #5 was missing the employment phone number for one parent.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. ‘Child #4, 24 months old, last documented immunization was over 14 months ago.”

Rule 8VAC20-800-90-C.

8VAC20-800-320-B

“Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Two outlets did not have child-resistant protective covers while children under five years where in care.”

Rule 8VAC20-800-320-B.

8VAC20-800-60-B

“Children’s records are required to contain parental employment addresses and phone numbers. The records for Child #1, #3, and #5 were missing the employment phone number for one parent. The children was present during the inspection and had been in care for over five months.”

Rule 8VAC20-800-60-B.

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #2 was overdue by five months.”

Rule 22.1-289.035-A.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1, #2, and #3 was not completed and was overdue by six months.”

Rule 8VAC20-800-180-A.

8VAC20-800-700-C

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days shall be taken to a pharmacy for proper disposal. The provider did not notify the parent of child #2 that the authorization to administer medication had expired 11 months ago.”

Rule 8VAC20-800-700-C.

8VAC20-800-780-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 and #3 did not have a parent’s signature for an annual review of the emergency contact information. Child #1 and #3 had been in care for over a year without an annual review.”

Rule 8VAC20-800-780-B.

The provider did not ensure that each child’s record contained the telephone number for each custodial parent’s place of employment.

“Evidence: There were missing work phone numbers for the parents of Child #3 and Child #5.”

Rule 8VAC20-800-60-B.

The family day home did not obtain documentation of additional immunizations for a child, who is not exempt from immunization requirements, once every six months for children under the age of two years.

“Evidence: There was no documentation of additional immunizations for a child, who is not exempt from immunization requirements, once every six months for children under the age of two years for Child #1.”

Rule 8VAC20-800-90-C.

Based on file review, two children’s records did not contain the telephone number of each custodial parent’s place of employment.

“Evidence: Files for Child #2 and Child #3 did not contain the telephone numbers of each custodial parent’s place of employment.”

Rule 8VAC20-800-60-B.

Based on file review, the provider did not review the emergency contact information with the parent annually.

“Evidence: File for Child #1 and Child #2 did not have signed acknowledgement of annual review of emergency contact information.”

Rule 8VAC20-800-780-B.

8VAC20-800-100-B

“Based on children records review, the provider did not obtain physical examination prior to attendance. Evidence: 1. Child #1 (date of enrollment 8/30/2021) did not have written documentation of a physical examination in record available for review during the inspection. 2. Child #2 (date of enrollment 8/23/2021) did not have written documentation of a physical examination in record available for review during the inspection.”

Rule 8VAC20-800-100-B.

8VAC20-800-60-B

“Based on children records review, the provider did not obtain name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Evidence: 1. Child #1 had only one emergency contact information listed. The child record requires two designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.