Farishta Hotaki

(Repeat Violation) The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, signed by a physician, physicians’ designee, or an official of the local health department, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“The record for Household member #1 and Household member #2 contained a Tuberculosis screening that was not signed by a physician or physician’s designee.”

Rule 8VAC20-800-180-A.

In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“The record for the Caregiver #1 and Caregiver #2 did not contain documentation that the required 16 hours of annual training was completed.”

Rule 8VAC20-800-210-A.

8VAC20-800-240-A

Rule 8VAC20-800-240-A.

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.

“There was a bottle of bleach solution stored hanging from a shelf at child height next to the diapering station.”

Rule 8VAC20-800-280.

The diapering surface shall be separate from the kitchen, food preparation areas, or surfaces used for children’s activities; nonabsorbent and washable; and cleaned and sanitized after each use.

“Upon inspection in the diapering area, there was a toy stored on the top of the diapering surface.”

Rule 8VAC20-800-690-D.

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

“The record for Household member #1 and Household member #2 contained a Tuberculosis screening that was due to be updated 11 weeks ago.”

Rule 8VAC20-800-180-A. From a complaint.

To safely perform medication administration practices whenever the family day home has agreed to administer prescription medications or nonprescription medications, the administration shall be performed by a caregiver who is licensed by the Commonwealth of Virginia to administer medications.

“The Provider is not trained to administer medication to the children in care but administered an antibiotic cream to 2 separate children on 3/3/26 and 7/21/26.”

Rule 8VAC20-800-220-A. From a complaint.

Small electrical appliances such as, but not limited to, curling irons, toasters, blenders, can openers, and irons shall be unplugged unless being used by the caregiver or with children under close supervision.

“On 7/29/26 during an inspection of the kitchen, a toaster and coffee maker were plugged in and not in use.”

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

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.

“During inspection in the basement restroom that the children use, the outlet at the sink was not covered with a child-resistant protective cover.”

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

Dogs or cats, where allowed, shall be vaccinated for rabies and shall be treated for fleas, ticks, or worms as needed.

“The Provider’s cat had a rabies vaccination on file that expired on 6/26/26.”

Rule 8VAC20-800-460-C. From a complaint.

Information contained in a child’s record shall be privileged and confidential. The provider shall not distribute or release information in a child’s record to any unauthorized person without the written consent of the child’s parent.

“Texts delivered to a parent from the provider on 7/21/26 included the name of another child who was not theirs that was implicated at fault in an injury.”

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

A caregiver shall provide direct care and supervision of each child at all times including responsibility for each child in care and being near enough to intervene if needed.

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

(Repeat Violation) A child’s record shall contain the office address and telephone number of the child’s physician and the policy number of the child’s medical insurance.

“The file for Child #4 did not contain the physician’s office address and phone number or the medical insurance policy number.”

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

Before the child’s first day of attendance, parents shall be provided in writing the Provider’s policies for administration of medications, whether or not the Provider maintains liability insurance, and the provisions of the family day home emergency preparedness and response plan.

“1)The records for Child #2, Child #3 and Child #5 did not contain documentation of parental review of the Provider’s policy for the administration of medications. 2) The record for Child #1, Child #3, and Child #4 did not contain documentation of parental review of the Provider’s policy related to the provision of the family day home emergency preparedness and response plan.”

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

Prescription and nonprescription medications shall be given to a child only with written authorization from the parent.

“The Provider did not have authorization from the parent to administer an antibiotic cream on 3/3/26 to Child #3 and to administer an antibiotic cream on 7/21/26 to Child #2.”

Rule 8VAC20-800-700-A. From a complaint.

Medication including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“1)During inspection on 7/22/26 the Provider’s medication was being stored on a shelf by the changing station and was not locked. 2)On 7/29/26, during the inspection, the Providers medication was being stored in a drawer in the refrigerator that was not locked.”

Rule 8VAC20-800-730-D. From a complaint.

The Provider is required to have a dated menu available for parents for the current one-week period and kept on file for one week.

“During the inspection, the Provider did not have a menu available for the full current week.”

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

At the time of hire and prior to coming into contact with children, the provider must obtain a current TB screening from each caregiver and household member.

“Caregiver #2 did not have a completed TB screening.”

Rule 8VAC20-800-170-A.

A child’s record shall contain documentation of the review of the child’s emergency contact information.

“Child #1 and #2’s documented review of emergency contact information was more than one year overdue.”

Rule 8VAC20-800-60-B.

The provider shall review the emergency plan annually and document each review.

“The most recent documented annual review of the emergency plan was 8/28/2024.”

Rule 8VAC20-800-800-B.

Providers must obtain documentation of a completed sworn disclosure statement for each household member when a person in the home becomes 18 years old.

“Household Member A turned 18 years old 2 months ago and did not have a completed sworn statement.”

Rule 22.1-289.036-B-1.

Providers must obtain a completed national criminal background check for household members at 18 years old.

“Household Member A turned 18 years old, 2 months ago and did not have a completed national criminal background check.”

Rule 22.1-289.036-B-2.

Provider must obtain for each Household member a current report of Tuberculosis screening every 2 years from the date of the first screening.

“The record for Household Member B contained a Tuberculosis screening that was overdue by 5 months.”

Rule 8VAC20-800-180-A.

The provider shall obtain from the parent verification of the identity and age of the child within seven business days of the child’s first day of attendance at the family day home.

“Child A has been in care for four months, and the provider did not have verification of the identity and age of the child.”

Rule 8VAC20-800-80-A.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“The two required Shelter-in-place drills were not documented with required information.”

Rule 8VAC20-800-830-C.

Based on review of 4 Household member records, the Provider did not obtain documentation of a completed Central Registry check for each Household member within 30 days of a person in the home becoming 14 years old.

“Evidence: The record for Household Member #1 (Age 15) did not contain documentation of a completed Central Registry check.”

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

Based on review of 1 caregiver record, the Provider did not ensure that all caregivers obtain a minimum of sixteen clock hours of training annually.

“Evidence: The record for Caregiver #1 only contained documentation for 13 hours of annual training from August 2023 to August 2024.”

Rule 8VAC20-800-210-A.

Based on documentation review, the provider did not at least annually document in writing each review and update to the emergency plan.

“Evidence: The emergency plan that was observed did not have in writing that the provider reviewed or updated the plan annually. The last dated signature was on 7/30/2017.”

Rule 8VAC20-800-800-B.

22.1-289.036-A

“Repeat background checks are required every five years. There was no repeat central registry background check for household member A. The repeat background check was due by December 3 2023.”

Rule 22.1-289.036-A.

8VAC20-800-60-B

“A child’s record shall contain documentation of the review of the child’s emergency contact information. There was no annual review of the emergency contacts for child A, B, C and D. Child A has been enrolled for 21/2 years without an update review, child B has been enrolled for 1 1/2 years without an update review, child C has been enrolled for over 2 years without an update review and child D has been enrolled for 2 1/2 years without ab update review.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-A

“Based on observation, it was determined that the provider failed to wash their hands before helping a child with feeding.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, it was determined that the provider did not wash the hands of an infant before giving the child a banana to eat.”

Rule 8VAC20-800-680-B.

8VAC20-800-830-A

“Based on a review of the monthly escape drill log and interview, it was determined that emergency evacuation drills have not be practiced monthly. Evidence: There was no emergency escape drill conducted for February 2023.”

Rule 8VAC20-800-830-A.

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the most recent findings ( dated 2/2/23) was not posted.”

Rule 8VAC20-820-120-E-2.

22.1-289.036-B-2

“Based on interview and a review of recordkeeping, it was determined that a household member did not obtain a fingerprint background check within 30 days of turning 18 years of age. Evidence: Person B turned 18 years of age in March 2022. There was no fingerprint background check available for Person B.”

Rule 22.1-289.036-B-2.

8VAC20-800-140-B-4

“Based on a review of recordkeeping and interview, it was determined that one caregiver’s First Aid and CPR certification had not been issued within the past three years. Evidence: Person A’s First Aid and CPR certification expired on 1/9/23.”

Rule 8VAC20-800-140-B-4.

8VAC20-800-250-E

“Based on observation, it was determined that an empty plastic bag, large enough to fit a child’s head inside was in the play area on the floor. The plastic bag was accessible to the five children present, all of which were under 5 years of age. The bag presented a suffocation hazard.”

Rule 8VAC20-800-250-E.

8VAC20-800-320-B

“Based on observation, it was determined that two outlets were uncovered in the playroom. The outlets were in reach of the children, all of which were under 5 years of age.”

Rule 8VAC20-800-320-B.

8VAC20-800-830-A

“Based on a review of the escape drill log and interview, it was determined that practiced escape drills were not conducted monthly as there was no drill for October 2022.”

Rule 8VAC20-800-830-A.

22.1-289.036-A

“Based on a review of 3 caregiver/ household member’s files and interview with the provider, it was determined that two person’s did not obtain a repeat background every five years as required. Evidence: Person A’s central registry background check was dated 5/10/17 and Person Cs central registry background check was dated 5/23/17, neither have obtained repeat background checks within 5 years.”

Rule 22.1-289.036-A.

22.1-289.036-B-2

“Based on a review of files and an interview with the provider, it was determined that one person did not have a Fingerprint background check on file within 30 days of turning 18. Evidence: Person B, who functions as an assistant and is a household member turned 18 years of age in March 2022 and to date, does not have a fingerprint background check on file.”

Rule 22.1-289.036-B-2.

8VAC20-800-170-A

“Based on a review of files and interview, it was determined that Person B, who turned 18 years of age in March 2022, did not have a tuberculosis test/screening after turning 18 and before coming into contact with children .”

Rule 8VAC20-800-170-A.

8VAC20-800-460-A

“Based on observation, it was determined that the family pet was allowed on surfaces where food is prepared or served. Evidence: The Licensing Inspector observed, throughout the inspection the family cat on the counters and sink in the kitchenette in the basement. Children’s food and drink are stored on that counter.”

Rule 8VAC20-800-460-A.

8VAC20-800-530-F

“Based on observation and interview, it was determined that soft bedding and stuffed toys were in and around an infant’s crib. Evidence: The Licensing Inspector observed a plush Sherpa like blanket hanging on the side of the crib for child A, who is 11 months of age. In the same crib were 3 stuffed toys.”

Rule 8VAC20-800-530-F.

8VAC20-800-540-B

“Based on observation, it was determined that and infant walker was in the daycare area, Evidence: The Licensing Inspector (LI) observed an infant walking in the daycare area where two infants and one toddler were present.”

Rule 8VAC20-800-540-B.

8VAC20-800-680-B

“Based on observation, it was determined that the caregiver did not ensure that children’s hands were washed after eating their breakfast. Evidence: The LI observed 4 children eating their breakfast and afterward went to play and were not redirected to wash their hands.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“Based on observation and interview, it was determined that the diapering surface was not nonabsorbent. Evidence: The LI observed an absorbent soft covering on the diapering pad. An interview revealed that the pad is being used with the soft absorbent covering.”

Rule 8VAC20-800-690-D.

8VAC20-800-960-J

“Based on observation and interview, it was determined that an infant was fed solid food and the provider did not use a spoon. Evidence: The LI observed an 8 month old infant ( Child B) consuming a bottle, an interview revealed that the provider had mixed cereal into the bottle along with the infant’s formula.”

Rule 8VAC20-800-960-J.

22VAC40-665-410-A-2

“Based on interview, it was determined that the provider has not practiced shelter in place drills twice a year as required. There was no documentation of shelter in place drills practiced for the 2021 year.”

Rule 22VAC40-665-410-A-2.

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

“Based on interview, it was determined that a 16 year old household member (A) did not have a central registry results on file. This background check is required for household members when they turn 14 years of age.”

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

8VAC20-800-180-A

“Based on interview and a review of the tuberculosis test/screenings, it was determined that two household member’s tuberculosis tests/x-ray were more than 2 years old. Evidence: Person B’s tuberculosis test is dated 11/13/19 and Person C’s tuberculosis x-ray is dated 12/19/19.”

Rule 8VAC20-800-180-A.