Kalpana Madanapalli

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 and Household member #1 was not completed and was overdue by one week. An updated TB screening for Household member #2 was not completed and was overdue by two weeks.”

Rule 8VAC20-800-180-A.

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Emergency evacuation procedures were not practiced during the month of June 2025.”

Rule 8VAC20-800-830-A.

8VAC20-800-320-G

“Wood burning stoves and fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed or closed up/sealed up permanently. Documentation of the inspection and cleaning shall be maintained by the provider. The wood burning fireplace and associated chimney has not be inspected annually or closed up/sealed up permanently.”

Rule 8VAC20-800-320-G.

8VAC20-800-790

“Based on observation, the family day home did not have posted the telephone numbers for 911, poison control and an emergency contact provider. Evidence The provider did not have the required telephone numbers for 911, poison control and an emergency contact provider.”

Rule 8VAC20-800-790.

Based on review, 2 of 7 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (02/29/2024), the following child did not list the action for the Provider to take for the possible exposure of the listed allergies - Child #7. 2. The following children did not have the policy name for the child’s medical insurance - Child #6, and Child #7. The policy number was listed, but the policy name was not.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 7 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations (for a child who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (02/29/2024), the current immunization page on file for Child #5 was dated - 01/04/2023. 2. On the date of inspection, Child #5 was under 2 years of age. 3. There was no religious exempt documentation on file for Child #5.”

Rule 8VAC20-800-90-C.

Based on observation, access to the stairs was not prevented by a mounted gate.

“Evidence - 1. On the date of inspection (03/28/2023) it was observed that the FDH’s mounted gate (at the bottom of the stairs) leading into the child care area was off its hinges and was being held up by a toy box. 2. At the time of inspection, there was one child (Child #5) under the age of 2 years who was not developmentally ready to climb or descend stairs.”

Rule 8VAC20-800-430-A.

Based on review, 1 of 5 children files indicated that the Family Day Home (FDH) Medication Administration - Decision to Administer form was not completed.

“Evidence - 1. On the date of inspection (03/28/2023), it was determined that the parent of Child #4 did not sign this form. 2. The start date for Child #4 was listed as 10/24/2022.”

Rule 8VAC20-800-70-A.

Based on review, 2 of 5 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children (who were not exempt from the immunization requirements according to subsection B of this section) once every six months for those children under the age of two years.

“Evidence - 1. On the date of inspection (09/27/2022) the immunization documentation on file at the FDH for Child #1 was dated - 11/23/2021, and the immunization documentation on file at the FDH for Child #2 was dated - 03/23/2022. 2. On the date of inspection, based on the information on file, both Child #1 and Child #2 were under the age of two years and held no immunization exemption of file.”

Rule 8VAC20-800-90-C.

Based on review, 2 of 3 staff and household files indicated that it has been more than (5) five years since the dates of the most recent central registry finding ( CPS check) on file at the Family Day Home.

“Evidence - 1. On the date of inspection (03/16/2022), the CPS check on file for Staff #1 and Household Member #1 were both expired. 2. The date of the CPS check for Staff #1 was dated - 02/03/2017. The date of the CPS check for Household Member #1 was also dated - 02/03/2017.”

Rule 8VAC20-770-40-D-1-c.